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CC BY 4.0 · Rev Bras Ginecol Obstet 2021; 43(09): 676-681
DOI: 10.1055/s-0041-1735938
Original Articles
Surgery/Endometriosis

Psychological Problems Experienced by Patients with Bowel Endometriosis Awaiting Surgery

Problemas psicológicos vivenciados por pacientes com endometriose intestinal aguardando cirurgia
Helizabet Salomão Abdalla Ayroza Ribeiro 
1   Faculdade de Ciências Médicas da Santa Casa de São Paulo, São Paulo, SP, Brazil
,
Andresa Maria Felipe de Paiva 
1   Faculdade de Ciências Médicas da Santa Casa de São Paulo, São Paulo, SP, Brazil
,
Beatriz da Costa Porto Taliberti 
1   Faculdade de Ciências Médicas da Santa Casa de São Paulo, São Paulo, SP, Brazil
,
Anna Luiza Lobão Gonçalves 
1   Faculdade de Ciências Médicas da Santa Casa de São Paulo, São Paulo, SP, Brazil
,
Renata Pereira Condes 
1   Faculdade de Ciências Médicas da Santa Casa de São Paulo, São Paulo, SP, Brazil
,
Paulo Augusto Galvão Ayroza Ribeiro 
1   Faculdade de Ciências Médicas da Santa Casa de São Paulo, São Paulo, SP, Brazil
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Abstract

Objective To assess the most common psychological disturbances in women with deep endometriosis and bowel involvement who are waiting surgical treatment and to evaluate what forms of coping are used to solve the problem.

Methods This was a cross-sectional observational study of 40 women diagnosed with deep endometriosis and intestinal symptoms. They completed two questionnaires: one for anxiety and depression (Hospital Anxiety and Depression Scale [ HADS]) and the Scale of Mode of Confronting Problems (EMEP, in the Portuguese acronym).

Results We found that 77.1% of the patients had anxiety and depression, with anxiety being the most prevalent (87.5% of the patients); 90% of the patients used problem-focused and religious introspection as their main modes of confronting problems.

Conclusion In the use of the HADS questionary, two psychological aspects were the most present in women with deep endometriosis awaiting surgical treatment: anxiety and depression. The most used forms of coping to solve the problem were problem-coping and religious practices.

Resumo

Objetivo Avaliar os distúrbios psicológicos mais comuns em mulheres com endometriose profunda e acometimento intestinal que aguardam tratamento cirúrgico e avaliar as formas de enfrentamento que são usadas para resolver o problema.

Métodos Estudo observacional transversal com 40 mulheres com diagnóstico de endometriose profunda e acometimento intestinal. As pacientes responderam dois questionários: para ansiedade e depressão (Hospital Anxiety and Depression Scale [HADS, na sigla em inglês) e outro para enfrentamento dos problemas (EMEP).

Resultados Constatamos que 77% das pacientess apresentaram ansiedade e depressão, sendo a ansiedade a mais prevalente (87,5%); 90% das pacientes usaram a forma religiosa e focada no problema como sua principal estratégia de enfrentamento.

Conclusão Os aspectos psicológicos mais encontrados em mulheres com endometriose profunda e intestinal que aguardam tratamento cirúrgico são ansiedade e depressão. As formas mais usadas de enfrentamento para resolver o problema foram práticas religiosas e focada no problema.

Keywords

cross-sectional studies - endometriosis - depressive disorders - anxiety disorders - psychological adaptation

Palavras-chave

estudo transversal - endometriose - transtorno depressivo - transtorno de ansiedade - adaptacão psicológica

Contributions

All authors participated in the concept and design of the present study; analysis and interpretation of data; draft or revision of the manuscript; and they have approved the manuscript as submitted. All authors are responsible for the reported research.




Publication History

Received: 19 August 2020

Accepted: 05 August 2021

Article published online:
20 October 2021

© 2021. Federação Brasileira de Ginecologia e Obstetrícia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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