title: Depressive symptoms, anxiety, and quality of life in women with pelvic endometriosis.
abstract: OBJECTIVE
  To assess depressive symptoms, anxiety and quality of life in women with pelvic endometriosis.
  
  
  METHODS
  A prospective study of 104 women diagnosed with pelvic endometriosis. The Beck Depression Inventory (BDI) and the Hamilton Rating Scale for Depression (HAM-D) were used to evaluate depressive symptoms; the Spielberger State-Trait Anxiety Inventory (STAI) and the Hamilton Rating Scale for Anxiety (HAM-A) to evaluate anxiety symptoms; and the short (26-item) version of the World Health Organization Quality Of Life instrument (WHOQOL-BREF) to evaluate quality of life.
  
  
  RESULTS
  Of the patients evaluated, 86.5% presented depressive symptoms (mild in 22.1%, moderate in 31.7%, and severe in 32.7%) and 87.5% presented anxiety (minor in 24% and major in 63.5%). Quality of life was found to be substandard. Age correlated positively with depressive symptoms, as determined using the BDI (P=0.013) and HAM-D (P=0.037). There was a positive correlation between current pain intensity and anxiety symptoms, as assessed using the STAI (state, P=0.009; trait, P=0.048) and HAM-A (P=0.0001). The complaints related to physical limitations increased in parallel with the intensity of pain (P=0.017). There was an inverse correlation between duration of treatment and quality of life (P=0.017). There was no correlation between psychiatric symptoms and endometriosis stage.
  
  
  CONCLUSIONS
  A rational approach to endometriosis should include an evaluation of the emotional profile and quality of life. That approach would certainly reduce the functional damage caused by the endometriosis.
authors.affiliation: Graduate Studies in Health Sciences, Pontificia Universidade Católica do Paraná, Curitiba, Brazil.
authors.forename: Rodrigo de P
authors.initials: Rde P
authors.lastname: Sepulcri
authors.forename: Vivian F
authors.initials: VF
authors.lastname: do Amaral
mesh_terms: D000328:Adult; D001007:Anxiety / Q000209:etiology*; D003863:Depression / Q000209:etiology* / Q000523:psychology; D004715:Endometriosis / Q000523:psychology*; D005260:Female; D006801:Humans; D008875:Middle Aged; D010146:Pain; D010555:Personality Inventory; D011446:Prospective Studies; D011788:Quality of Life / Q000523:psychology*