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Article

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

1
Department of Radiology and Physical Medicine, University of Granada, E-18016 Granada, Spain
2
Clinic Psychology Center Alarcón (CPCA), E-18004 Granada, Spain
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Biohealth Research Institute in Granada (ibs.GRANADA), E-18012 Granada, Spain
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Gynaecology and Obstetrics Unit, ‘San Cecilio’ University Hospital, E-18016 Granada, Spain
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Department of Physiotherapy, University of Granada, E-18016 Granada, Spain
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“Cuídate” Support Unit for Oncology Patients (UAPO), Sport and Health University Research Institute (iMUDS), E-18016 Granada, Spain
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CIBER Epidemiology and Public Health (CIBERESP), E-28029 Madrid, Spain
*
Authors to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(11), 3831; https://doi.org/10.3390/ijerph17113831
Received: 15 April 2020 / Revised: 22 May 2020 / Accepted: 23 May 2020 / Published: 28 May 2020
(This article belongs to the Special Issue Policies and Strategies in Sexual and Reproductive Health)
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. View Full-Text
Keywords: chronic fatigue; endometriosis; psychosocial status; quality of life chronic fatigue; endometriosis; psychosocial status; quality of life
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MDPI and ACS Style

Mundo-López, A.; Ocón-Hernández, O.; San-Sebastián, A.P.; Galiano-Castillo, N.; Rodríguez-Pérez, O.; Arroyo-Luque, M.S.; Arroyo-Morales, M.; Cantarero-Villanueva, I.; Fernández-Lao, C.; Artacho-Cordón, F. Contribution of Chronic Fatigue to Psychosocial Status and Quality of Life in Spanish Women Diagnosed with Endometriosis. Int. J. Environ. Res. Public Health 2020, 17, 3831. https://doi.org/10.3390/ijerph17113831

AMA Style

Mundo-López A, Ocón-Hernández O, San-Sebastián AP, Galiano-Castillo N, Rodríguez-Pérez O, Arroyo-Luque MS, Arroyo-Morales M, Cantarero-Villanueva I, Fernández-Lao C, Artacho-Cordón F. Contribution of Chronic Fatigue to Psychosocial Status and Quality of Life in Spanish Women Diagnosed with Endometriosis. International Journal of Environmental Research and Public Health. 2020; 17(11):3831. https://doi.org/10.3390/ijerph17113831

Chicago/Turabian Style

Mundo-López, Antonio, 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. 2020. "Contribution of Chronic Fatigue to Psychosocial Status and Quality of Life in Spanish Women Diagnosed with Endometriosis" International Journal of Environmental Research and Public Health 17, no. 11: 3831. https://doi.org/10.3390/ijerph17113831

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