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Contribution of Chronic Fatigue to Psychosocial Status and Quality of Life in Spanish Women Diagnosed with Endometriosis

Author

Listed:
  • Antonio Mundo-López

    (Department of Radiology and Physical Medicine, University of Granada, E-18016 Granada, Spain
    Clinic Psychology Center Alarcón (CPCA), E-18004 Granada, Spain)

  • Olga Ocón-Hernández

    (Biohealth Research Institute in Granada (ibs.GRANADA), E-18012 Granada, Spain
    Gynaecology and Obstetrics Unit, ‘San Cecilio’ University Hospital, E-18016 Granada, Spain)

  • Ainhoa P. San-Sebastián

    (Department of Radiology and Physical Medicine, University of Granada, E-18016 Granada, Spain)

  • Noelia Galiano-Castillo

    (Biohealth Research Institute in Granada (ibs.GRANADA), E-18012 Granada, Spain
    Department of Physiotherapy, University of Granada, E-18016 Granada, Spain
    “Cuídate” Support Unit for Oncology Patients (UAPO), Sport and Health University Research Institute (iMUDS), E-18016 Granada, Spain)

  • Olga Rodríguez-Pérez

    (Department of Radiology and Physical Medicine, University of Granada, E-18016 Granada, Spain)

  • María S. Arroyo-Luque

    (Department of Radiology and Physical Medicine, University of Granada, E-18016 Granada, Spain)

  • Manuel Arroyo-Morales

    (Biohealth Research Institute in Granada (ibs.GRANADA), E-18012 Granada, Spain
    Department of Physiotherapy, University of Granada, E-18016 Granada, Spain
    “Cuídate” Support Unit for Oncology Patients (UAPO), Sport and Health University Research Institute (iMUDS), E-18016 Granada, Spain)

  • Irene Cantarero-Villanueva

    (Biohealth Research Institute in Granada (ibs.GRANADA), E-18012 Granada, Spain
    Department of Physiotherapy, University of Granada, E-18016 Granada, Spain
    “Cuídate” Support Unit for Oncology Patients (UAPO), Sport and Health University Research Institute (iMUDS), E-18016 Granada, Spain)

  • Carolina Fernández-Lao

    (Biohealth Research Institute in Granada (ibs.GRANADA), E-18012 Granada, Spain
    Department of Physiotherapy, University of Granada, E-18016 Granada, Spain
    “Cuídate” Support Unit for Oncology Patients (UAPO), Sport and Health University Research Institute (iMUDS), E-18016 Granada, Spain)

  • Francisco Artacho-Cordón

    (Department of Radiology and Physical Medicine, University of Granada, E-18016 Granada, Spain
    Biohealth Research Institute in Granada (ibs.GRANADA), E-18012 Granada, Spain
    “Cuídate” Support Unit for Oncology Patients (UAPO), Sport and Health University Research Institute (iMUDS), E-18016 Granada, Spain
    CIBER Epidemiology and Public Health (CIBERESP), E-28029 Madrid, Spain)

Abstract

Aim: To analyze the levels of chronic fatigue in Spanish women with endometriosis and its relationship with their psychosocial status and quality of life (QoL). Methods: A total of 230 Spanish women with a clinical diagnosis of endometriosis were recruited. Chronic fatigue (Piper Fatigue Scale) and pelvic pain (Numeric Rating Scale) were evaluated. An on-line battery of validated scales was used to assess psychosocial status [Hospital Anxiety and Depression Scale, Scale for Mood Assessment, Pain Catastrophizing Scale, Pittsburgh Sleep Quality Index, Gastrointestinal Quality of Life Index, Female Sexual Function Index and Medical Outcomes Study-Social Support Survey] and QoL [Endometriosis-Health Profile questionnaire-30]. Associations between fatigue and both psychosocial and QoL outcomes were explored through multivariate regression models. Results: One-third and one-half of women showed moderate and severe fatigue, respectively. Fatigue was associated with higher anxiety and depression, poorer sleep quality, poorer sexual functioning, worse gastrointestinal health, higher catastrophizing thoughts, higher anger/hostility scores and lower QoL ( p -values < 0.050). Moreover, fatigue and catastrophizing thoughts showed a mediating effect on the association between pelvic pain and QoL. Conclusion: This work reveals the important role of fatigue in the association between pain, psychosocial status, and QoL of Spanish women with endometriosis.

Suggested Citation

  • Antonio Mundo-López & Olga Ocón-Hernández & Ainhoa P. San-Sebastián & Noelia Galiano-Castillo & Olga Rodríguez-Pérez & María S. Arroyo-Luque & Manuel Arroyo-Morales & Irene Cantarero-Villanueva & Caro, 2020. "Contribution of Chronic Fatigue to Psychosocial Status and Quality of Life in Spanish Women Diagnosed with Endometriosis," IJERPH, MDPI, vol. 17(11), pages 1-15, May.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:11:p:3831-:d:364127
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    References listed on IDEAS

    as
    1. Francisco Álvarez-Salvago & Ana Lara-Ramos & Irene Cantarero-Villanueva & Maryna Mazheika & Antonio Mundo-López & Noelia Galiano-Castillo & Carolina Fernández-Lao & Manuel Arroyo-Morales & Olga Ocón-H, 2020. "Chronic Fatigue, Physical Impairments and Quality of Life in Women with Endometriosis: A Case-Control Study," IJERPH, MDPI, vol. 17(10), pages 1-13, May.
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    Cited by:

    1. María del Mar Salinas-Asensio & Olga Ocón-Hernández & Antonio Mundo-López & Carolina Fernández-Lao & Francisco M. Peinado & Carmen Padilla-Vinuesa & Francisco Álvarez-Salvago & Paula Postigo-Martín & , 2022. "‘Physio-EndEA’ Study: A Randomized, Parallel-Group Controlled Trial to Evaluate the Effect of a Supervised and Adapted Therapeutic Exercise Program to Improve Quality of Life in Symptomatic Women Diag," IJERPH, MDPI, vol. 19(3), pages 1-16, February.
    2. Julija Gecaite-Stonciene & Adomas Bunevicius & Julius Burkauskas & Julija Brozaitiene & Julius Neverauskas & Narseta Mickuviene & Nijole Kazukauskiene, 2020. "Validation of the Multidimensional Fatigue Inventory with Coronary Artery Disease Patients," IJERPH, MDPI, vol. 17(21), pages 1-17, October.
    3. Alicja Mińko & Agnieszka Turoń-Skrzypińska & Aleksandra Rył & Patrycja Bargiel & Zuzanna Hilicka & Kaja Michalczyk & Paulina Łukowska & Iwona Rotter & Aneta Cymbaluk-Płoska, 2021. "Endometriosis—A Multifaceted Problem of a Modern Woman," IJERPH, MDPI, vol. 18(15), pages 1-13, August.
    4. Juan Miguel Martínez-Galiano & Miguel Delgado-Rodríguez, 2021. "The Relegated Goal of Health Institutions: Sexual and Reproductive Health," IJERPH, MDPI, vol. 18(4), pages 1-4, February.

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