TY - JOUR
T1 - Surgical treatment affects perceived stress differently in women with endometriosis
T2 - Correlation with severity of pain
AU - Lazzeri, Lucia
AU - Vannuccini, Silvia
AU - Orlandini, Cinzia
AU - Luisi, Stefano
AU - Zupi, Errico
AU - Nappi, Rossella Elena
AU - Petraglia, Felice
PY - 2015/2/1
Y1 - 2015/2/1
N2 - Objective To investigate the amount of perceived stress in a group of women with different forms of endometriosis-related pain before and after surgical treatment. Design Prospective clinical trial. Setting University hospital. Patient(s) A group of women (n = 98) referred to our center for chronic pain and suspected of having endometriosis. Intervention(s) All women suspected of having endometriosis with ultrasonography underwent to a clinical evaluation including assessment of perception of stress. Endometriosis was confirmed histologically by laparoscopy. Painful symptoms and perception of stress were recorded 1 month after surgery. Main Outcome Measure(s) Perceived stress scale (PSS) and visual analog scale for painful symptoms before and 1 month after surgery for endometriosis. Result(s) The PSS score before surgery was perceived as "very high" in patients with deep endometriosis (n = 20) or deep endometriosis associated with endometrioma (n = 21); "high" or "medium" PSS was perceived in patients with endometrioma (n = 34) or endometrioma associated with peritoneal endometriosis (n = 23). After the surgical treatment a significant decrease of the "very high" PSS score was shown, as well as when the entire group of patients was considered. When evaluated before and after surgery, according to the severity of pain (dysmenorrhea, dyspareunia, and pelvic pain), a direct correlation was found with the level of PSS. Conclusion(s) Patients with deep endometriosis-related pain (dysmenorrhea, pelvic pain, dyspareunia) showed the highest level of perceived stress, which significantly decreased after surgical treatment.
AB - Objective To investigate the amount of perceived stress in a group of women with different forms of endometriosis-related pain before and after surgical treatment. Design Prospective clinical trial. Setting University hospital. Patient(s) A group of women (n = 98) referred to our center for chronic pain and suspected of having endometriosis. Intervention(s) All women suspected of having endometriosis with ultrasonography underwent to a clinical evaluation including assessment of perception of stress. Endometriosis was confirmed histologically by laparoscopy. Painful symptoms and perception of stress were recorded 1 month after surgery. Main Outcome Measure(s) Perceived stress scale (PSS) and visual analog scale for painful symptoms before and 1 month after surgery for endometriosis. Result(s) The PSS score before surgery was perceived as "very high" in patients with deep endometriosis (n = 20) or deep endometriosis associated with endometrioma (n = 21); "high" or "medium" PSS was perceived in patients with endometrioma (n = 34) or endometrioma associated with peritoneal endometriosis (n = 23). After the surgical treatment a significant decrease of the "very high" PSS score was shown, as well as when the entire group of patients was considered. When evaluated before and after surgery, according to the severity of pain (dysmenorrhea, dyspareunia, and pelvic pain), a direct correlation was found with the level of PSS. Conclusion(s) Patients with deep endometriosis-related pain (dysmenorrhea, pelvic pain, dyspareunia) showed the highest level of perceived stress, which significantly decreased after surgical treatment.
KW - emotional well-bein
KW - Endometriosis
KW - pain
KW - perceived stress
KW - surgery
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U2 - 10.1016/j.fertnstert.2014.10.036
DO - 10.1016/j.fertnstert.2014.10.036
M3 - Article
C2 - 25487748
AN - SCOPUS:84923229100
VL - 103
SP - 433
EP - 438
JO - Fertility and Sterility
JF - Fertility and Sterility
SN - 0015-0282
IS - 2
ER -