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

Antonio Mundo-López, Olga Ocón-Hernández, Ainhoa P. San-Sebastián, Noelia Galiano-Castillo, Olga Rodríguez-Pérez, María S. Arroyo-Luque, Manuel Arroyo-Morales, Irene Cantarero-Villanueva, Carolina Fernández-Lao and Francisco Artacho-Cordón
Additional contact information
Antonio Mundo-López: Department of Radiology and Physical Medicine, University of Granada, E-18016 Granada, Spain
Olga Ocón-Hernández: Biohealth Research Institute in Granada (ibs.GRANADA), E-18012 Granada, Spain
Ainhoa P. San-Sebastián: Department of Radiology and Physical Medicine, University of Granada, E-18016 Granada, Spain
Noelia Galiano-Castillo: Biohealth Research Institute in Granada (ibs.GRANADA), E-18012 Granada, Spain
Olga Rodríguez-Pérez: Department of Radiology and Physical Medicine, University of Granada, E-18016 Granada, Spain
María S. Arroyo-Luque: Department of Radiology and Physical Medicine, University of Granada, E-18016 Granada, Spain
Manuel Arroyo-Morales: Biohealth Research Institute in Granada (ibs.GRANADA), E-18012 Granada, Spain
Irene Cantarero-Villanueva: Biohealth Research Institute in Granada (ibs.GRANADA), E-18012 Granada, Spain
Carolina Fernández-Lao: Biohealth Research Institute in Granada (ibs.GRANADA), E-18012 Granada, Spain
Francisco Artacho-Cordón: Department of Radiology and Physical Medicine, University of Granada, E-18016 Granada, Spain

IJERPH, 2020, vol. 17, issue 11, 1-15

Abstract: 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.

Keywords: chronic fatigue; endometriosis; psychosocial status; quality of life (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (4)

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