Ansiedade e depressão em mulheres com e sem dor pélvica crônica
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2018-12-19
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Universidade Federal de Goiás
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Objectives: To investigate the prevalence of anxiety, depression and mixed anxiety and depressive disorder (MADD) and factors associated with these conditions in women with chronic pelvic pain (CPP) compared to a pain-free control group. Methods: A cross-sectional study was conducted with 100 women with CPP and 100 without CPP in the Teaching Hospital Gynecologic Ambulatory of Federal University of Goiás from October 2014 to February 2016. Sociodemographic, behavioral and clinical characteristics were investigated. The Hospital Anxiety and Depression Scale was used to evaluate the presence of anxiety and depression. Fisher’s exact test was used to compare characteristics between groups. A log-binomial regression model was used to investigate the factors associated with anxiety, depression, and MADD. This model allows the calculation of the unadjusted prevalence ratio (PR) and adjusted for potential confounding variables (age, skin color, schooling, body mass index and CPP) with a respective 95% confidence interval (CI). Results: The prevalence of anxiety was 66% in the CPP group and 49% in the controls (p=0.02). Depression was identified in 63% of the women with CPP and in 38% of the controls (p<0.01). MADD was present in 54% of the CPP group and in 28% of the controls (p<0.01). In the adjusted analysis, CPP (PR=1.3; 95%CI: 1.1-1.6), physical abuse (PR=1.5; 95%CI: 1.2-1.8) and sexual abuse (PR=1.5; 95%CI: 1.1-1.8) were independently associated with anxiety. Women of 25 to 34 years of age were less likely to have anxiety (PR=0.6; 95%CI: 0.4-0.8). CPP (PR=1.6; 95%CI: 1.2-2.2), physical abuse (PR=1.3; 95%CI: 1.1-1.7) and sexual abuse (PR=1.7; 95%CI: 1.3-2.2) were independently associated with depression. CPP (PR=1.9; 95%CI: 1.3-2.7), smoking (PR=1.5; 95%CI: 1.1-2.1), physical abuse (PR=1.4; 95%CI: 1.1-1.9) and sexual abuse (PR=1.4; 95%CI: 1.1-1.8) were independently associated with MADD. The mean duration of pain was 7.0±6.0 years and the mean pain intensity was 7.8±2.1. No statistically significant association was found between either the intensity or the duration of the pain and anxiety, depression or MADD. Conclusions: The prevalence of anxiety, depression and MADD was higher in women with CPP compared to the pain-free controls. CPP, physical abuse, sexual abuse and smoking were associated with mental disorders. The association between CPP and anxiety, depression and MADD was noteworthy. These findings suggest that systematic management of psychiatric factors could contribute towards improving the mental health of these women.
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CAMPOS, V. M. S. Ansiedade e depressão em mulheres com e sem dor pélvica crônica. 2018. 120 f. Dissertação (Mestrado em Ciências da Saúde) - Universidade Federal de Goiás, Goiânia, 2018.