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

Author

Antonio Mundo-López, Manuel Arroyo-Morales, Olga Ocón-Hernández, Noelia Galiano-Castillo, Ainhoa P. San-Sebastian, Irene Cantarero-Villanueva, Francisco Artacho-Cordón, Carolina Fernández-Lao, María S Arroyo-Luque, Olga Rodríguez-Pérez, [Mundo-López,A, San-Sebastián,AP, Rodríguez-Pérez,O, Arroyo-Luque,MS, Artacho-Cordón,F] Department of Radiology and Physical Medicine, University of Granada, Granada, Spain. [Mundo-López,A] Clinic Psychology Center Alarcón (CPCA), Granada, Spain. [Ocón-Hernández,O, Galiano-Castillo,N, Arroyo-Morales,M, Cantarero-Villanueva,I, Fernández-Lao,C, Artacho-Cordón,F] Biohealth Research Institute in Granada (ibs.GRANADA), Granada, Spain. [Ocón-Hernández,O] Gynaecology and Obstetrics Unit, ‘San Cecilio’ University Hospital, Granada, Spain. [Galiano-Castillo,N, Fernández-Lao,C] Department of Physiotherapy, University of Granada, Granada, Spain. [Galiano-Castillo,N, Artacho-Cordón,F] 'Cuídate' Support Unit for Oncology Patients (UAPO), Sport and Health University Research Institute (iMUDS), Granada, Spain. [Artacho-Cordón,F] CIBER Epidemiology and Public Health (CIBERESP), Madrid, Spain., This research was funded by Health Institute Carlos III (ISCIII)-FEDER (grant number PI17/01743) and donations from particular women with endometriosis that believed in this project from the first time. It was also partly supported by the PAIDI group CTS-206 (Oncología Básica y Clínica) funds. This study takes place thanks to the additional funding from the University of Granada, Plan Propio de Investigación 2016, Excellence actions: Units of Excellence, and Unit of Excellence on Exercise and Health (UCEES), and by the Junta de Andalucía, Consejería de Conocimiento, Investigación y Universidades and European Regional Development Fund (ERDF), ref. SOMM17/6107/UGR.

Subjects
endometriosis, Health, Toxicology and Mutagenesis, Calidad de vida, lcsh:Medicine, Psychiatry and Psychology::Behavior and Behavior Mechanisms::Emotions::Anger [Medical Subject Headings], Anxiety, Hospital Anxiety and Depression Scale, Pittsburgh Sleep Quality Index, Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans [Medical Subject Headings], 0302 clinical medicine, Quality of life, Surveys and Questionnaires, Depresión, Psychiatry and Psychology::Behavior and Behavior Mechanisms::Emotions::Hostility [Medical Subject Headings], 030219 obstetrics & reproductive medicine, Fatigue Syndrome, Chronic, Depression, Catastrophization, Encuestas y cuestionarios, Anthropology, Education, Sociology and Social Phenomena::Social Sciences::Quality of Life [Medical Subject Headings], Síndrome de fatiga crónica, Pain catastrophizing, Female, medicine.symptom, Diseases::Nervous System Diseases::Neuromuscular Diseases::Fatigue Syndrome, Chronic [Medical Subject Headings], Psychosocial, Clinical psychology, Psychiatry and Psychology::Behavior and Behavior Mechanisms::Emotions::Anxiety::Catastrophization [Medical Subject Headings], Endometriosis, Pelvic Pain, Article, 03 medical and health sciences, medicine, Humans, Psychiatry and Psychology::Behavior and Behavior Mechanisms::Emotions::Anxiety [Medical Subject Headings], psychosocial status, Geographical Locations::Geographic Locations::Europe::Spain [Medical Subject Headings], Diseases::Pathological Conditions, Signs and Symptoms::Signs and Symptoms::Pain::Pelvic Pain [Medical Subject Headings], business.industry, Pelvic pain, lcsh:R, Public Health, Environmental and Occupational Health, Chronic fatigue, quality of life, Check Tags::Female [Medical Subject Headings], Spain, Psychosocial status, Diseases::Female Urogenital Diseases and Pregnancy Complications::Female Urogenital Diseases::Genital Diseases, Female::Endometriosis [Medical Subject Headings], business, Surveys and questionnaires, Psychiatry and Psychology::Behavior and Behavior Mechanisms::Behavior::Behavioral Symptoms::Depression [Medical Subject Headings], 030217 neurology & neurosurgery, chronic fatigue
Abstract

The authors are indebted to all participants, without whom this work would not have been possible. We are grateful to Ana Yara Postigo-Fuentes for her assistance with the English language. This paper is part of the thesis developed by A. Mundo-López in the Official Doctoral Program in Clinical Medicine and Public Health of the University of Granada., 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., Health Institute Carlos III (ISCIII)-FEDER PI17/01743, PAIDI group (Oncologia Basica y Clinica) funds CTS-206, University of Granada, Plan Propio de Investigacion 2016, Excellence action: Units of Excellence, University of Granada, Plan Propio de Investigacion 2016, Excellence action: Unit of Excellence on Exercise and Health (UCEES), Junta de Andalucia SOMM17/6107/UGR, European Union (EU) SOMM17/6107/UGR

Published
2020

2. Chronic Fatigue, Physical Impairments and Quality of Life in Women with Endometriosis: A Case-Control Study

Author

Ana Lara-Ramos, Manuel Arroyo-Morales, Carolina Fernández-Lao, Antonio Mundo-López, Francisco Artacho-Cordón, Noelia Galiano-Castillo, Maryna Mazheika, Irene Cantarero-Villanueva, Olga Ocón-Hernández, Francisco Álvarez-Salvago, [Álvarez-Salvago,F, Cantarero-Villanueva,I, Galiano-Castillo,N, Fernández-Lao,C, Arroyo-Morales,M, Artacho-Cordón,F] 'Cuídate' Support Unit for Oncology Patients (UAPO), Sport and Health University Research Institute (iMUDS), University of Granada, Granada, Spain. [Álvarez-Salvago,F, Arroyo-Morales,M] Department of Physiotherapy, University of Granada, E-Granada, Spain. [Lara-Ramos,A] Gynaecology and Obstetrics Unit, 'Virgen de las Nieves' University Hospital, Granada, Spain. [Cantarero-Villanueva,I, Ocón-Hernández,O, Artacho-Cordón,F] Biohealth Research Institute in Granada (ibs.GRANADA), Granada, Spain. [Mazheika,M] Department of Obstetrics and Gynaecology, University of Granada, Granada, Spain, [Mundo-López,A] Centro de Psicología Clínica Alarcón (CPCA), Granada, Spain. [Ocón-Hernández,O] Gynaecology and Obstetrics Unit, 'San Cecilio' University Hospital, Granada, Spain. [Artacho-Cordón,F] Department of Radiology and Physical Medicine, University of Granada,Granada, Spain. [Artacho-Cordón,F] CIBER of Epidemiology and Public Health (CIBERESP), Madrid, Spain., This research was funded by Health Institute Carlos III (ISCIII)-FEDER (grant number PI17/01743) and donations from particular women with endometriosis that believed in this project from the first time. It was also partly supported by the PAIDI group CTS-206 (Oncología Básica y Clínica) funds. This study takes place thanks to the additional funding from the University of Granada, Plan Propio de Investigación 2016, Excellence actions: Units of Excellence, and Unit of Excellence on Exercise and Health (UCEES), and by the Junta de Andalucía, Consejería de Conocimiento, Investigación y Universidades and European Regional Development Fund (ERDF), ref. SOMM17/6107/UGR.

Subjects
Diseases::Musculoskeletal Diseases::Muscular Diseases::Fatigue Syndrome, Chronic [Medical Subject Headings], endometriosis, Health, Toxicology and Mutagenesis, Calidad de vida, Health-related quality of life, Physical fitness, Endometriosis, lcsh:Medicine, Pittsburgh Sleep Quality Index, Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans [Medical Subject Headings], 0302 clinical medicine, Quality of life, 030212 general & internal medicine, 030219 obstetrics & reproductive medicine, Calidad del sueño, Fatigue Syndrome, Chronic, Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Epidemiologic Study Characteristics as Topic::Epidemiologic Studies::Case-Control Studies [Medical Subject Headings], food and beverages, sleep quality, Sleep quality, Health-related fitness, health-related quality of life, Síndrome de fatiga crónica, health-related fitness, Physical deconditioning, Female, Adult, medicine.medical_specialty, Article, 03 medical and health sciences, medicine, Humans, Humanities::Humanities::Philosophy::Life::Quality of Life [Medical Subject Headings], Persons::Persons::Age Groups::Adult [Medical Subject Headings], business.industry, lcsh:R, fungi, Public Health, Environmental and Occupational Health, Case-control study, Chronic fatigue, medicine.disease, Phenomena and Processes::Musculoskeletal and Neural Physiological Phenomena::Musculoskeletal Physiological Phenomena::Physical Fitness [Medical Subject Headings], Check Tags::Female [Medical Subject Headings], Physical Fitness, Diseases::Female Urogenital Diseases and Pregnancy Complications::Female Urogenital Diseases::Genital Diseases, Female::Endometriosis [Medical Subject Headings], Case-Control Studies, Physical therapy, Quality of Life, business, chronic fatigue
Abstract

The authors are indebted with all participants, without whom this work would not have been possible. We are grateful to Ana Yara Postigo-Fuentes for her assistance with the English language. This paper is part of the PhD thesis developed by A. Lara-Ramos in the Official Doctoral Programme in Clinical Medicine and Public Health of the University of Granada., Aim: To explore endometriosis-related fatigue (ERF), health-related fitness, sleep quality, and health-related quality of life (HRQoL) in women with endometriosis in comparison with matched controls. Methods: Twenty-five affected women and twenty-five age and height-matched women without endometriosis were included. ERF was assessed through the Piper Fatigue Scale; health-related fitness was assessed through the Schöber, flamingo, and 6-min walking tests and dynamometry; and body composition was assessed through impedanciometry. Self-perceived physical fitness, sleep quality, and HRQoL were assessed through the International Fitness Scale, the Pittsburgh Sleep Quality Index, and the 12-item Short Form Health Survey, respectively. Results: Affected women exhibited higher levels of ERF than controls, increased fat mass, and physical deconditioning (reduced back strength, lumbar flexibility, body balance, and functional capacity, p-values < 0.050). Moreover, cases also had poorer perceived physical fitness, sleep quality, and HRQoL (p-value < 0.050). Finally, we observed deteriorated health-related fitness, sleep quality, and HRQoL in those women with endometriosis with higher levels of ERF. Conclusions: This study constitutes the first evidence that women with endometriosis describe a generalized physical deconditioning, even more pronounced in affected women with higher levels of ERF. Further studies assessing the efficacy of rehabilitation interventions to face these physical impairments in women with endometriosis are warranted., Health Institute Carlos III (ISCIII)-FEDER PI17/01743, PAIDI group CTS-206, University of Granada, Plan Propio de Investigacion 2016, Excellence actions: Units of Excellence; Unit of Excellence on Exercise and Health (UCEES), Junta de Andalucia, Consejeria de Conocimiento, Investigacion y Universidades, European Union (EU) SOMM17/6107/UGR

Published
2020

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