title: The Influence of Education and Depression on Autonomy of Women with Chronic Pelvic Pain: A Cross-sectional Study.
abstract: OBJECTIVE
  Patient autonomy has great importance for a valid informed consent in clinical practice. Our objectives were to quantify the domains of patient autonomy and to evaluate the variables that can affect patient autonomy in women with chronic pelvic pain.
  
  
  METHODS
  This study is a cross sectional survey performed in a tertiary care University Hospital. Fifty-two consecutive women scheduled for laparoscopic management of chronic pelvic were included. Three major components of autonomy (competence, information or freedom) were evaluated using a Likert scale with 24 validated affirmatives.
  
  
  RESULTS
  Competence scores (0.85 vs 0.92; p = 0.006) and information scores (0.90 vs 0.93; p = 0.02) were low for women with less than eight years of school attendance. Information scores were low in the presence of anxiety (0.91 vs 0.93; p = 0.05) or depression (0.90 vs 0.93; p = 0.01).
  
  
  CONCLUSIONS
  Our data show that systematic evaluation of patient autonomy can provide clinical relevant information in gynecology. Low educational level, anxiety and depression might reduce the patient autonomy in women with chronic pelvic pain.
authors.affiliation: Ribeirao Preto School of Medicine, University of Sao Paulo, Ribeirao Preto, Brazil.
authors.forename: Hermes de Freitas
authors.initials: Hde F
authors.lastname: Barbosa
authors.affiliation: Ribeirao Preto School of Medicine, University of Sao Paulo, Ribeirao Preto, Brazil.
authors.forename: Antonio Alberto
authors.initials: AA
authors.lastname: Nogueira
authors.affiliation: Ribeirao Preto School of Medicine, University of Sao Paulo, Ribeirao Preto, Brazil.
authors.forename: Júlio César Rosa
authors.initials: JC
authors.lastname: e Silva
authors.affiliation: Ribeirao Preto School of Medicine, University of Sao Paulo, Ribeirao Preto, Brazil.
authors.forename: Omero Benedicto
authors.initials: OB
authors.lastname: Poli Neto
authors.affiliation: Ribeirao Preto School of Medicine, University of Sao Paulo, Ribeirao Preto, Brazil.
authors.forename: Francisco José Candido
authors.initials: FJ
authors.lastname: dos Reis
mesh_terms: D000328:Adult; D001007:Anxiety; D059350:Chronic Pain / Q000523:psychology; D003430:Cross-Sectional Studies; D003863:Depression; D005260:Female; D006801:Humans; D008875:Middle Aged; D017699:Pelvic Pain / Q000523:psychology*
references.citation: Psychosom Med. 2005 May-Jun;67(3):420-4
references.pmid: 15911905
references.citation: J Pain. 2003 Sep;4(7):407-14
references.pmid: 14622683
references.citation: Acta Obstet Gynecol Scand. 2015 May;94(5):465-72
references.pmid: 25581093
references.citation: Cochrane Database Syst Rev. 2014 Jan 28;(1):CD001431
references.pmid: 24470076
references.citation: J Psychosom Res. 2002 Feb;52(2):69-77
references.pmid: 11832252
references.citation: Acta Psychiatr Scand. 1983 Jun;67(6):361-70
references.pmid: 6880820
references.citation: Arch Gen Psychiatry. 1994 Jan;51(1):8-19
references.pmid: 8279933
references.citation: BMC Med Ethics. 2013 Dec 13;14:54
references.pmid: 24330745
references.citation: Surg Endosc. 2007 Jun;21(6):916-9
references.pmid: 17103271
references.citation: Rev Esc Enferm USP. 2007 Mar;41(1):13-20
references.pmid: 17542121
references.citation: Cochrane Database Syst Rev. 2009 Jul 08;(3):CD001431
references.pmid: 19588325
references.citation: J Adv Pharm Technol Res. 2013 Jul;4(3):134-40
references.pmid: 24083200
references.citation: J Clin Oncol. 2009 Apr 20;27(12):2015-21
references.pmid: 19307512
references.citation: Psychosomatics. 2009 May-Jun;50(3):270-6
references.pmid: 19567767
references.citation: J Med Ethics. 2005 Dec;31(12):727-32
references.pmid: 16319239