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A Quantitative Analysis of Sleep Quality in Women with Endometriosis.
Arion, Kristina; Orr, Natasha L; Noga, Heather; Allaire, Catherine; Williams, Christina; Bedaiwy, Mohamed A; Yong, Paul J.
Afiliación
  • Arion K; Department of Obstetrics and Gynecology, Dalhousie University, Halifax, Canada.
  • Orr NL; Department of Obstetrics and Gynecology, University of British Columbia, Vancouver, Canada.
  • Noga H; BC Women's Center for Pelvic Pain and Endometriosis, Vancouver, Canada.
  • Allaire C; Women's Health Research Institute, Vancouver, Canada.
  • Williams C; Department of Obstetrics and Gynecology, University of British Columbia, Vancouver, Canada.
  • Bedaiwy MA; BC Women's Center for Pelvic Pain and Endometriosis, Vancouver, Canada.
  • Yong PJ; Women's Health Research Institute, Vancouver, Canada.
J Womens Health (Larchmt) ; 29(9): 1209-1215, 2020 09.
Article en En | MEDLINE | ID: mdl-32176592
Background: Endometriosis is a complex condition that can negatively affect a woman's quality of life, including her sleep. This study aims to assess the multifactorial variables associated with poorer quality of sleep in women with endometriosis. Materials and Methods: Data from the Endometriosis Pelvic Pain Interdisciplinary Cohort (EPPIC) data registry were analyzed for women who underwent surgery at the BC Women's Center for Pelvic Pain and Endometriosis with histopathological confirmation of endometriosis (June 2015 to June 2017). The primary outcome was quality of sleep preoperatively, from the Chronic Pain Sleep Inventory (0-100 VAS). Bivariate analysis and multivariable linear regression were done to determine any significant associations between preoperative patient variables and overall quality of sleep, based on p-value of 0.05. Results: Two hundred and seventy-five women met the study criteria. Poorer overall quality of sleep was independently associated with poorer functional quality of life (EHP-30) (b = -0.18, p = 0.0026), more depressive symptoms (PHQ-9) (b = -1.62, p < 0.001), and painful bladder syndrome (PBS) (b = -5.82, p = 0.035). This indicates that a 1 point increase in the EHP-30 (worsening quality of life), a 1 point increase in the PHQ-9 (worsening depression), and the presence of PBS increased the primary outcome (i.e., toward poorer quality of sleep) by 0.18, 1.62, and 5.82 points. Conclusions: Poorer quality of sleep in women with endometriosis is associated with poorer quality of life, more depressive symptoms, and bladder pain. Research into interventions that improve sleep is warranted as part of the management of some women with endometriosis.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Calidad de Vida / Sueño / Dolor Pélvico / Depresión / Endometriosis Tipo de estudio: Observational_studies / Risk_factors_studies Aspecto: Patient_preference Límite: Adolescent / Adult / Female / Humans / Middle aged Idioma: En Revista: J Womens Health (Larchmt) Asunto de la revista: GINECOLOGIA / SAUDE DA MULHER Año: 2020 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Calidad de Vida / Sueño / Dolor Pélvico / Depresión / Endometriosis Tipo de estudio: Observational_studies / Risk_factors_studies Aspecto: Patient_preference Límite: Adolescent / Adult / Female / Humans / Middle aged Idioma: En Revista: J Womens Health (Larchmt) Asunto de la revista: GINECOLOGIA / SAUDE DA MULHER Año: 2020 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Estados Unidos