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Determinants of Pain-Induced Disability in German Women with Endometriosis during the COVID-19 Pandemic

Author

Listed:
  • Roxana Schwab

    (Department of Obstetrics and Gynecology, University Medical Center of the Johannes Gutenberg University Mainz, Langenbeckstr. 1, 55131 Mainz, Germany)

  • Kathrin Stewen

    (Department of Obstetrics and Gynecology, University Medical Center of the Johannes Gutenberg University Mainz, Langenbeckstr. 1, 55131 Mainz, Germany)

  • Tanja Kottmann

    (CRO Dr. med. Kottmann, 59077 Hamm, Germany)

  • Susanne Theis

    (Department of Obstetrics and Gynecology, University Medical Center of the Johannes Gutenberg University Mainz, Langenbeckstr. 1, 55131 Mainz, Germany)

  • Tania Elger

    (Department of Obstetrics and Gynecology, University Medical Center of the Johannes Gutenberg University Mainz, Langenbeckstr. 1, 55131 Mainz, Germany)

  • Bashar Haj Hamoud

    (Department for Gynecology, Obstetrics and Reproductive Medicine, Saarland University Hospital, 66424 Homburg, Germany)

  • Mona W. Schmidt

    (Department of Obstetrics and Gynecology, University Medical Center of the Johannes Gutenberg University Mainz, Langenbeckstr. 1, 55131 Mainz, Germany)

  • Katharina Anic

    (Department of Obstetrics and Gynecology, University Medical Center of the Johannes Gutenberg University Mainz, Langenbeckstr. 1, 55131 Mainz, Germany)

  • Walburgis Brenner

    (Department of Obstetrics and Gynecology, University Medical Center of the Johannes Gutenberg University Mainz, Langenbeckstr. 1, 55131 Mainz, Germany)

  • Annette Hasenburg

    (Department of Obstetrics and Gynecology, University Medical Center of the Johannes Gutenberg University Mainz, Langenbeckstr. 1, 55131 Mainz, Germany)

Abstract

(1) Background: The main aim of this research was to examine the factors leading to pain-induced disability by assessing the impact of demographic, endometriosis-specific, pandemic-specific, and mental health factors. (2) Methods: Women with endometriosis who attended online support groups were invited to respond to an online survey during the first wave of the COVID-19 pandemic in Germany. The Pain Disability Index (PDI) was employed to assess disability-related daily functioning. Independent predictors of pain-induced disability were determined using univariate and multivariate logistic regression analyses. (3) Results: The mean PDI score of the study population was 31.61 (SD = 15.82), which was significantly higher ( p < 0.001) than that reported in a previously published normative study of the German population. In the present study, a high level of pain-induced disability, as defined by scores equal to or higher than the median of the study population, older age (OR 1.063, 95% CI 1.010–1.120, p = 0.020), dysmenorrhea (OR 1.015, 95% CI 1.005–1.026, p = 0.005), dysuria (OR 1.014; 95% CI 1.001–1.027, p = 0.029), lower back pain (OR 1.018, 95% CI 1.007–1.029, p = 0.001), and impaired mental health (OR 1.271, 95% CI 1.134–1.425, p < 0.001) were found to be independent risk factors. Pandemic-specific factors did not significantly influence the pain-induced disability of the participants in this study. (4) Conclusions: The level of pain-induced disability was significantly higher among the women with endometriosis than among women in the normative German validation study. Our findings identified risk factors for experiencing a high level of pain-induced disability, such as demographic and specific pain characteristics. Pandemic-specific factors did not significantly and independently influence the pain-induced disability during the first wave of the COVID-19 pandemic in Germany. Impaired mental health negatively influenced functioning during daily activities. Thus, women with endometriosis should be managed by a multidisciplinary team of healthcare professionals to prevent negative effects of pain-induced disability on their quality of life.

Suggested Citation

  • Roxana Schwab & Kathrin Stewen & Tanja Kottmann & Susanne Theis & Tania Elger & Bashar Haj Hamoud & Mona W. Schmidt & Katharina Anic & Walburgis Brenner & Annette Hasenburg, 2022. "Determinants of Pain-Induced Disability in German Women with Endometriosis during the COVID-19 Pandemic," IJERPH, MDPI, vol. 19(14), pages 1-21, July.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:14:p:8277-:d:857270
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    References listed on IDEAS

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    1. Andrea Chmitorz & Mario Wenzel & Rolf-Dieter Stieglitz & Angela Kunzler & Christiana Bagusat & Isabella Helmreich & Anna Gerlicher & Miriam Kampa & Thomas Kubiak & Raffael Kalisch & Klaus Lieb & Olive, 2018. "Population-based validation of a German version of the Brief Resilience Scale," PLOS ONE, Public Library of Science, vol. 13(2), pages 1-14, February.
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    3. Roxana Schwab & Kathrin Stewen & Laura Ost & Tanja Kottmann & Susanne Theis & Tania Elger & Mona Wanda Schmidt & Katharina Anic & Stefanie Roxana Kalb & Walburgis Brenner & Annette Hasenburg, 2022. "Predictors of Psychological Distress in Women with Endometriosis during the COVID-19 Pandemic," IJERPH, MDPI, vol. 19(8), pages 1-18, April.
    4. Andrew T Gloster & Demetris Lamnisos & Jelena Lubenko & Giovambattista Presti & Valeria Squatrito & Marios Constantinou & Christiana Nicolaou & Savvas Papacostas & Gökçen Aydın & Yuen Yu Chong & Wai T, 2020. "Impact of COVID-19 pandemic on mental health: An international study," PLOS ONE, Public Library of Science, vol. 15(12), pages 1-20, December.
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