Sexual functioning, psycho-emotional status and quality of life in patients with extragenital endometriosis and insomnia

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Abstract

Цель: Оценка особенностей сексуального функционирования, психоэмоционального статуса и качества жизни (КЖ) пациенток с наружным генитальным эндометриозом (НГЭ) и инсомнией.

Материалы и методы: В сравнительном одномоментном исследовании приняли участие 323 пациентки в возрасте от 18 до 45 лет: 165 – с НГЭ и инсомнией и 158 – с НГЭ без инсомнии. У всех пациенток оценивали качество сна с помощью Питтсбургского опросника качества сна (Pittsburgh Sleep Quality Index, PSQI), выраженность инсомнии с помощью опросника для оценки тяжести инсомнии (Insomnia Severity Index, ISI). Изучали сексуальное здоровье с помощью опросника индекса женской сексуальной функции (Female Sexual Function Index, FSFI) и психоэмоциональный статус с помощью шкал оценки тревоги и депрессии Гамильтона (Hamilton Anxiety Rating Scale, HARS; Hamilton Rating Scale for Depression, HDRS). Мониторировали КЖ пациенток с использованием опросника оценки КЖ (Medical Outcomes Study Short Form-36, MOS SF-36).

Результаты: У пациенток с НГЭ и инсомнией по сравнению с пациентками с НГЭ без инсомнии наблюдаются более выраженное снижение качества сексуальной жизни, более высокая распространенность расстройств тревожно-депрессивного спектра (ТДС), более высокий уровень депрессии и более низкий уровень КЖ. Установлен обратный характер корреляции интегрального значения ISI с итоговыми показателями FSFI и SF-36, прямой – с итоговым показателем HARS.

Заключение: Наличие взаимосвязи НГЭ и инсомнии диктует необходимость проведения рутинной диагностики инсомнических расстройств у данной категории пациентов. У пациенток с НГЭ присоединение инсомнии приводит к нарушению сексуального функционирования, расстройств ТДС и значительно снижает КЖ. Наличие взаимосвязи НГЭ и инсомнии диктует необходимость проведения рутинной диагностики инсомнических расстройств у данной категории пациентов. Своевременная целенаправленная коррекция инсомнии может способствовать повышению эффективности лечения НГЭ.

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About the authors

Lesya N. Gumenyuk

S.I. Georgievsky Medical Academy, V.I. Vernadsky Crimean Federal University

Author for correspondence.
Email: lesya_gymenyuk@mail.ru
ORCID iD: 0000-0003-2785-3882

Dr. Med. Sci., Professor, Department of Psychiatry, Narcology, and Psychotherapy with a Course of General and Medical Psychology

Russian Federation, Simferopol

Mikhail V. Gavrilov

JSC "Medicina" (Clinic of Academician Roitberg)

Email: centr.gyn@yandex.ru
ORCID iD: 0000-0002-3957-2087

Head of the Gynecology and IVF Center

Russian Federation, Moscow

Galina A. Puchkina

S.I. Georgievsky Medical Academy, V.I. Vernadsky Crimean Federal University

Email: puchkina.g.a@mail.ru
ORCID iD: 0000-0002-8882-8317

Teaching Assistant at the Department of Obstetrics, Gynecology and Perinatology No. 1

Russian Federation, Simferopol

Robert M. Chotchaev

S.I. Georgievsky Medical Academy, V.I. Vernadsky Crimean Federal University

Email: abdulakh.chotchaev@mail.ru
ORCID iD: 0000-0002-6728-7822

Student

Russian Federation, Simferopol

Mariam B. Zaurova

S.I. Georgievsky Medical Academy, V.I. Vernadsky Crimean Federal University

Email: zaurovamariam@bk.ru
ORCID iD: 0000-0002-6378-4987

Student

Russian Federation, Simferopol

Olga I. Ivanenko

S.I. Georgievsky Medical Academy, V.I. Vernadsky Crimean Federal University

Email: olia.olg.iwanenko2016@mail.ru
ORCID iD: 0000-0002-7228-2188

Student

Russian Federation, Simferopol

Irina E. Lanets

S.I. Georgievsky Medical Academy, V.I. Vernadsky Crimean Federal University

Email: irinalanets00@mail.ru
ORCID iD: 0000-0001-9176-7423

Student

Russian Federation, Simferopol

Daria A. Enzel

S.I. Georgievsky Medical Academy, V.I. Vernadsky Crimean Federal University

Email: daryaenzel@yandex.ru
ORCID iD: 0000-0002-0263-6040

Student

Russian Federation, Simferopol

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