ABSTRACT

Endometriosis is a chronic female disease affecting the quality of life (QoL) and sexual satisfaction (SS) of approximately 176 million women of reproductive age worldwide. This study analysed the variables that contributed to QoL and SS, and whether symptom severity moderated the relationship between symptom intensity and QoL/ SS. This cross-sectional study included 124 women diagnosed with clinical endometriosis. Participants answered the Endometriosis Health Profile-30, the Hospital Anxiety and Depression Scale, the Couple Satisfaction Index, and the Global Measure of Sexual Satisfaction. Results showed that absence from work and psychological morbidity contributed to worse QoL; frequency of sexual activity and marital satisfaction contributed to higher SS; and the perception of symptom severity moderated the relationship between the intensity of chronic pelvic pain and QoL. Multidisciplinary interventions focused on the reduction of psychological symptomatology, sexual and relational difficulties, as well as illness representations, particularly regarding symptom severity, are warranted.

摘要

子宫内膜异位症是一种慢性女性​​疾病，影响全球约 1.76 亿育龄妇女的生活质量 (QoL) 和性满意度 (SS)。本研究分析了导致 QoL 和 SS 的变量，以及症状严重程度是否调节了症状强度与 QoL/SS 之间的关系。这项横断面研究包括 124 名被诊断患有临床子宫内膜异位症的女性。参与者回答了子宫内膜异位症健康概况 30、医院焦虑和抑郁量表、夫妻满意度指数和全球性满意度衡量标准。结果表明，缺勤和心理疾病导致生活质量下降；性活动频率和婚姻满意度有助于提高 SS；对症状严重程度的感知调节了慢性盆腔疼痛强度与生活质量之间的关系。有必要进行多学科干预，重点是减少心理症状、性和关系困难以及疾病表现，特别是关于症状严重程度。