Quality of life Archives - Page 2 of 6 - Revista Brasileira de Ginecologia e Obstetrícia

  • Original Article

    Validation of the Brazilian 10-item Cervantes Scale for the assessment of menopausal symptoms

    Revista Brasileira de Ginecologia e Obstetrícia. 2024;46:e-rbgo7

    Summary

    Original Article

    Validation of the Brazilian 10-item Cervantes Scale for the assessment of menopausal symptoms

    Revista Brasileira de Ginecologia e Obstetrícia. 2024;46:e-rbgo7

    DOI 10.61622/rbgo/2024AO07

    Views256

    Abstract

    Objective:

    To validate the 10-item Cervantes Scale (CS-10) among Brazilian women.

    Methods:

    This is a cross-sectional observational study involving women in the community aged 40–55 years in the Southern region of Brazil. They completed a general health, habits and socio-demographic questionnaire, the CS-10 and the Women’s Health Questionnaire (WHQ). Women unable to understand the survey, not consenting to participate, or having incapacity imposing difficulties during the completion of the questionnaire were excluded. A Confirmatory Factor Analysis (CFA) was conducted with the AMOS 16.0 software. Chi-square of degrees of freedom (χ2/df), the Comparative Fit Index (CFI), the Tucker-Lewis Index (TLI) and the Root-Mean-Square Error of Approximation (RMSEA) were used as indices of goodness of fit. Cronbach’s alpha coefficient was used for internal consistency.

    Results:

    A total of 422 women were included (premenopausal n=35, perimenopausal n=172, postmenopausal n=215). The CFA for the CS-10 showed a good fit (χ²/df=1.454, CFI=0.989; TLI=0.985; RMSEA=0.033; CI 90%=0.002-0.052; PCLOSE=0.921; Model p=0.049). Good reliability was established in CS-10 and WHQ (Cronbach’s alpha=0.724). Postmenopausal women had higher total CS-10 scores (p≤0.0001), reflecting worse quality of life (QoL) related to menopause symptoms and confirming the greater symptomatology evaluated by high total scores for WHQ found in this population when compared to those in the premenopausal period (p=0.041).

    Conclusion:

    The CS-10 is a consistent tool for health-related QoL in Brazilian mid-aged women.

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    Validation of the Brazilian 10-item Cervantes Scale for the assessment of menopausal symptoms
  • Original Article

    Prevalence of colorectal symptoms and anal incontinence in patients with pelvic organ prolapse attended at an outpatient urogynecology service

    Revista Brasileira de Ginecologia e Obstetrícia. 2024;46:e-rbgo10

    Summary

    Original Article

    Prevalence of colorectal symptoms and anal incontinence in patients with pelvic organ prolapse attended at an outpatient urogynecology service

    Revista Brasileira de Ginecologia e Obstetrícia. 2024;46:e-rbgo10

    DOI 10.61622/rbgo/2024AO10

    Views194

    Abstract

    Objective:

    To analyze data of patients with symptomatic pelvic organ prolapse evaluated with PFDI20 and its subscales to report the prevalence of lower gastrointestinal symptoms and anal incontinence in the population of a public hospital and analyze its impact on quality of life.

    Methods:

    Cross-sectional study of patients with symptomatic POP. Patients were evaluated with demographic data, POP-Q, pelvic floor ultrasonography, urological parameters, and pelvic floor symptoms (PFDI-20), and quality of life (P-QoL) surveys. Patients were classified as CRADI-8 "positive" for colorectal symptoms, with responses "moderate" in at least 3 and/or "severe" in at least 2 of the items in the CRADI-8 questionnaires.

    Results:

    One hundred thirteen patients were included. 42.5% (48) were considered positive for colorectal symptoms on CRADI-8. 53.4% presented anal incontinence. No significant differences were found in sociodemographic variables, POP-Q stage, ultrasound parameters, or urological parameters. Positive patients had a significantly worse result in PFDI-20, POPDI (48 vs 28; p<0.001), UDI6 (51 vs 24; p<0.001), and in the areas of social limitation (44.4 vs 22.2; p = 0.045), sleep- energy (61.5 vs 44.4; p = 0.08), and severity (56.8 vs 43.7, p=0.015) according to P-QoL.

    Conclusion:

    Moderate or severe colorectal symptoms are seen in 40% of patients with symptomatic POP in our unit. Full evaluation of pelvic floor dysfunction symptoms should be performed routinely in urogynecology units.

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  • Original Article

    The impact of surgical treatment for deep endometriosis: metabolic profile, quality of life and psychological aspects

    Revista Brasileira de Ginecologia e Obstetrícia. 2024;46:e-rbgo42

    Summary

    Original Article

    The impact of surgical treatment for deep endometriosis: metabolic profile, quality of life and psychological aspects

    Revista Brasileira de Ginecologia e Obstetrícia. 2024;46:e-rbgo42

    DOI 10.61622/rbgo/2024rbgo42

    Views23

    Abstract

    Objective

    To evaluate the effects of surgical treatment of deep endometriosis on the metabolic profile, quality of life and psychological aspects.

    Methods

    Prospective observational study, carried out with women of reproductive age diagnosed with deep endometriosis, treated in a specialized outpatient clinic, from October/2020 to September/2022, at a University Hospital in Fortaleza - Brazil. Standardized questionnaires were applied to collect data on quality of life and mental health, in addition to laboratory tests to evaluate dyslipidemia and dysglycemia, at two moments, preoperatively and six months after surgery. The results were presented using tables, averages and percentages.

    Results

    Thirty women with an average age of 38.5 years were evaluated. Seven quality of life domains showed improved scores: pain, control and impotence, well-being, social support, self-image, work life and sexual relations after surgery (ES ≥ 0.80). There was an improvement in mental health status with a significant reduction in anxiety and depression postoperatively. With the metabolic profile, all average levels were lower after surgery: total cholesterol 8.2% lower, LDL 12.8% lower, triglycerides 10.9% lower, and fasting blood glucose 7.3% lower (p < 0.001).

    Conclusion

    Surgical treatment of deep endometriosis improved the quality of life and psychological aspects of patients. The lipid profile of patients after laparoscopy was favorable when compared to the preoperative lipid profile.

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  • Original Article

    Adaptation and Validation of the International Pelvic Pain Society’s Quality of Life Questionnaire in Portuguese

    Revista Brasileira de Ginecologia e Obstetrícia. 2023;45(10):575-583

    Summary

    Original Article

    Adaptation and Validation of the International Pelvic Pain Society’s Quality of Life Questionnaire in Portuguese

    Revista Brasileira de Ginecologia e Obstetrícia. 2023;45(10):575-583

    DOI 10.1055/s-0043-1772591

    Views13

    Abstract

    Objective

    In the present study, our aim was to translate, adapt, and validate the Pelvic Health History Form (a quality of life [QoL] questionnaire) of the International Pelvic Pain Society (IPPS) from English to Portuguese.

    Methods

    The study was approved by the Ethics and Research Committee (CEP, in the Portuguese acronym) and the IPPS. The "Transcultural Adaptation" method comprised 5 stages: translation, synthesis, backtranslation, expert review, and pretest. Cultural adaptation and validation included cognitive interviews and statistical analysis of unanswered items (> 15%) in 14 clinic patients from CPP and endometriosis clinic at Santa Casa de São Paulo.

    Results

    Strong equivalences were established between the USA and Brazil questionnaires in terms of semantics, idioms, experiences, and concepts. Eighteen culturally inappropriate items were identified and adjusted using the revised response rate index. The subjective form underwent rigorous assessments, confirming its accurate measurement of intended targets.

    Conclusion

    The methodology showed efficiency and equivalence, confirming its validity. The user-friendly format and inclusion of translated, adapted, and validated instruments in Portuguese make the form valuable for evaluating pelvic health, with potential for future research.

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    Adaptation and Validation of the International Pelvic Pain Society’s Quality of Life Questionnaire in Portuguese
  • Original Article

    Quality of Life and Depression Conditions of Women with Gestational Diabetes during Pregnancy and Postpartum Period

    Revista Brasileira de Ginecologia e Obstetrícia. 2023;45(2):065-073

    Summary

    Original Article

    Quality of Life and Depression Conditions of Women with Gestational Diabetes during Pregnancy and Postpartum Period

    Revista Brasileira de Ginecologia e Obstetrícia. 2023;45(2):065-073

    DOI 10.1055/s-0043-1764494

    Views10

    Abstract

    Objective

    The study was conducted to determine the quality of life and depression of women with gestational diabetes during pregnancy and the postpartum period.

    Methods

    100 pregnant women with gestational diabetes and 100 healthy pregnant women were included in the present study. Data were obtained from pregnant women in their third trimester who agreed to take part in the study. The data was collected during the third trimester and six to eight weeks after the baby was born. The data were obtained by socio-demographic characteristics form, postpartum data collection form, the MOS 36 Item Short Form Health Survey and Center for Epidemiologic Studies Depression Scale (CESD).

    Results

    The mean age of pregnant women with gestational diabetes in the study was the same as the average age of healthy pregnant women. The CESD score of pregnant women with gestational diabetes was 26,77 ± 4,85 while the corresponding score was 25,19 ± 4,43 for healthy women. Additionally, the score in the postpartum period was 32.47 ± 5.94 for pregnant women with gestational diabetes and 35.47 ± 8.33 for healthy pregnant women. CESD scores were found to be higher than the cut-off score of 16 in both groups, and the mean scores increased during the postpartum period.

    Conclusion

    During the postpartum period, the quality of life of pregnant women with gestational diabetes was affected more negatively than healthy pregnant women. Depressive symptoms of women with both gestational diabetes and healthy pregnancy were found to be high in pregnancy and postpartum periods.

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  • Review Article

    Cognitive Behavioral Therapy in Endometriosis, Psychological Based Intervention: A Systematic Review

    Revista Brasileira de Ginecologia e Obstetrícia. 2022;44(3):295-303

    Summary

    Review Article

    Cognitive Behavioral Therapy in Endometriosis, Psychological Based Intervention: A Systematic Review

    Revista Brasileira de Ginecologia e Obstetrícia. 2022;44(3):295-303

    DOI 10.1055/s-0042-1742406

    Views21

    Abstract

    Introduction

    Endometriosis is an inflammatory disease that affects women of reproductive age, causing pain and the possibility of infertility. Endometriosis was associated to low life quality and research shows the impact of endometriosis in several areas of life, justifying how these patients are more likely to develop depression, anxiety, and stress.

    Objective

    The aim of the present systematic review was to explore the field of psychology in endometriosis, identifying studies that used the cognitive behavioral therapy technique as a treatment for endometriosis and chronic pelvic pain.

    Methods

    The keywords used were Endometriosis and Behavioral Therapy; Behavioral Disciplines and Activities; Cognitive Behavioral Therapy; Mental Health; Psychological Techniques; Psychology; Psychotherapy; Mental Health Services; and the search was performed in the following databases: PubMed/Medline, Scielo, Lilacs, and Capes. The study followed the PRISMA guidelines and all studies whose intervention strategy used was related to cognitive-behavioral therapy were considered.

    Results

    Of the 129 articles found, only 5 were selected, and it was possible to identify that the psychological intervention whose approach brought cognitive-behavioral therapy techniques promoted a decrease in the sensation of pain, improvements in the scores of depression and stress, and significant changes in aspects of quality of life such as vitality, physical and social functioning, emotional well-being, control, and autonomy.

    Conclusion

    Cognitive-behavioral therapy can be very promising to take care of the emotional side of those who have endometriosis However, the present systematic review highlights the need to develop more structured studies with consistent, clear and replicablemethods to reach a psychological intervention protocol for patients who live with this gynecological-physical-emotional condition.

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    Cognitive Behavioral Therapy in Endometriosis, Psychological Based Intervention: A Systematic Review
  • Original Article

    Quality of Life of Pregnant Women with Systemic Lupus Erythematosus

    Revista Brasileira de Ginecologia e Obstetrícia. 2022;44(5):475-482

    Summary

    Original Article

    Quality of Life of Pregnant Women with Systemic Lupus Erythematosus

    Revista Brasileira de Ginecologia e Obstetrícia. 2022;44(5):475-482

    DOI 10.1055/s-0042-1743092

    Views9

    Abstract

    Objective

    To assess the quality of life (QoL) of pregnant women with systemic lupus erythematosus (SLE) treated at a high-risk prenatal outpatient clinic during the third trimester of gestation.

    Methods

    An observational descriptive study was performed in a high-risk prenatal outpatient clinic. Women in the third trimester of pregnancy and undergoing antenatal care between July 2017 and July 2019 answered the abbreviated World Health Organization Quality of Life (WHOQOL-BREF) questionnaire, consisting of 26 questions divided into 4 domains (physical, psychological, social and environmental).

    Results

    We interviewed 50 pregnant women with a mean gestational age of 30 weeks (standard deviation [SD]: 10 weeks) who were diagnosed with SLE. The average age of the participants was 30 years (SD: 14.85), and the average time since the diagnosis of SLE was of 9.06 years (SD: 6.8 years). Most participants had a partner, did not plan their pregnancy (76%), and did not use contraception prior to pregnancy (80%). The score of each domain ranges from 0 (the worst score) to 100 (the best score). The means ± SDs of the scores of the participants on each domain were: physical - 52.21 ± 18.44); psychological - 64.17 ± 18.56); social - 66.33 ± 27.09); and environmental - 64.56 (18.53). The means ± SDs of the general QoL, and health-related QoL items were of 70.50 ± 24.06 and 70.00 ± 30.72 respectively.

    Conclusion

    The physical domain presented the lowest scores compared with the other three domains. Pregnant women with SLE had high overall QoL scores, and their health-related QoL scores were also relatively high.

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    Quality of Life of Pregnant Women with Systemic Lupus Erythematosus
  • Original Article

    The Effectiveness of Melissa Officinalis L. versus Citalopram on Quality of Life of Menopausal Women with Sleep Disorder: A Randomized Double-Blind Clinical Trial

    Revista Brasileira de Ginecologia e Obstetrícia. 2021;43(2):126-130

    Summary

    Original Article

    The Effectiveness of Melissa Officinalis L. versus Citalopram on Quality of Life of Menopausal Women with Sleep Disorder: A Randomized Double-Blind Clinical Trial

    Revista Brasileira de Ginecologia e Obstetrícia. 2021;43(2):126-130

    DOI 10.1055/s-0040-1721857

    Views11

    Abstract

    Objective

    The present study aimed to assess the effect of Melissa Officinalis L. (a combination of lemon balm with fennel fruit extract) compared with citalopram and placebo on the quality of life of postmenopausal women with sleep disturbance.

    Methods

    The present study is a randomized, double-blind, placebo clinical trial among 60 postmenopausal women with sleep disturbance who were referred to a university hospital from 2017 to 2019. The participants were randomized to receive M. Officinalis L. (500 mg daily), citalopram (30 mg) or placebo once daily for 8 weeks. The Menopause-Specific Quality of Life (MENQOL) questionnaire was self-completed by each participant at baseline and after 8 weeks of the intervention and was compared between groups.

    Results

    The mean for all MENQOL domain scores were significantly improved in the M. Officinalis L. group compared with citalopram and placebo (p < 0.001). The mean ± standard deviation (SD) after 8 weeks in the M. Officinalis L., citalopram and placebo groups was 2.2 ± 0.84 versus 0.56 ± 0.58 versus 0.36 ± 0.55 in the vasomotor (p < 0.001), 1.02 ± 0.6 versus 0.28 ± 0.2 versus 0.17 ± 0.1 in the psychomotor-social (p < 0.001), 0.76 ± 0.4 versus 0.25 ± 0.1 versus 0.11 ± 0.1 in the physical and 2.3 ± 1.0 versus 0.35 ± 0.5 versus 0.41 ± 0.5 in the sexual domain, respectively.

    Conclusions

    The results revealed that M. Officinalis L. may be recommended for improving the quality of life of menopausal women with sleep disturbance. Trial registration The present study was registered by the name “Comparison of the efficacy of citalopram and compound of Asperugo procumbens and foeniculum vulgare in treatment of menopausal disorders” with the code in the Iranian Registry of Clinical Trials (IRCT).

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