The anxious depressive accentuations in assessment of quality of life of patients with genital endometriosis
During last years, a marked tendency of increasing rate of endometriosis is noted. Endometriosis takes one of leading places in the structure of gynecologic pathology. Many researchers emphasize presence of psycho-pathologic reactions in patients with genital endometriosis. This objective condition mainly determines quality of life and treatment prognosis of these patients. The objective. To study the characteristics ofpsychological status and quality of life of women with different forms and clinical manifestations of genital endometriosis at ambulatory stage of examination and treatment and to enhance approaches to treatment of this category offemale patients. Materials and methods. The sampling included 71 women od reproductive age with different forms and clinical manifestations of endometriosis. The comparative group consisted of 30 women of reproductive age. Besides common clinical and echographic examination, analysis of psychological status was carried out using the following techniques: Beck depression self-assessment questionnaire, hospital scale of assessment of anxiety and depression, Spillberg-Hanin questionnaire, mini-mult questionnaire, quality of life questionnaire SF-36. Results and discussion. All tests revealed increase in indicators of anxiety and depression in main group as compared with control group. This occurrence can be interpreted as reactive neurotization ofpersonality against the background of disease. The reliable increase of indicators of personal anxiety in all women with endometriosis even in cases of asymptomatic forms was established. The psycho-asthenic profile of personality was established too. The reliable decrease of indicators of quality of life of patients with endometriosis is determined. Besides regularly low indicators of pain intensity and physical functioning a significant deterioration of psychological component of health in quality of life assessment is observed. Conclusion. The presence of anxious depressive symptomatic is a main one in clinical symptomatic in women with genital endometriosis. It is proved that psychological discomfort determines decrease of quality of life and social functioning under endometriosis. This process results in deadaptation and intensifies course of disease.