Anxiety, Depression, and Quality of Life After Procedural Intervention for Uterine Fibroids
Year: 2021
Type: article
Abstract: Background: Quality of life (QOL) and psychological health has been reported to be decreased among women with gynecological conditions such as uterine fibroids (UFs). Materials and Methods: Women enrolled in the Comparing Options for Management: PAtient-centered REsults for Uterine Fibroids (COMPARE-UF) registry, receiving procedural therapy for symptomatic UFs, were eligible for this analysis if they completed a series of health-related QOL surveys administered at three time points (baseline, 6–12 weeks postprocedure, and 1 year postprocedure; n = 1486). Ethical approval for this study was obtained at each recruiting site and the coordinating center (NCT02260752, clinicaltrials.gov ). Results: More than 26% ( n = 393) of women reported moderate anxiety/depression on the baseline anxiety/depression domain of the Euro-QOL 5-dimension instrument. At both the 6–12 weeks and 1-year postprocedural follow-up, there was significant improvement in the UF QOL symptom severity score ( p < 0.001, p < 0.001), the total UF symptom QOL score ( p < 0.001, p < 0.001), and the Euro-QOL 5-dimension visual analog scale ( p < 0.001, p = 0.004) compared with the preprocedural baseline scores. The reporting of anxiety/depression decreased by 66.4% among women who were at baseline, whereas 5.6% of women previously reporting no anxiety/depression reported anxiety/depression at the 1-year follow-up. Conclusion: UF symptoms were more severe among women reporting anxiety/depression at baseline. At the 1-year follow-up, health-related QOL scores improved among all women and the prevalence of anxiety/depression decreased in most, but not all women, whereas severity of anxiety/depression worsened in a small percentage of women (5.6%). Overall, these results suggest that UF treatment improves symptoms of anxiety/depression associated with symptomatic UFs.
Source: Journal of Women s Health
Authors: Kedra Wallace, Elizabeth A. Stewart, Lauren A. Wise, Wanda Kay Nicholson, John Preston Parry, Shuaiqi Zhang, Shannon Laughlin-Tommaso, Vanessa Jacoby, Raymond M. Anchan, Michael P. Diamond, Sateria Venable, Amber Shiflett, Ganesa R. Wegienka, George Larry Maxwell, Daniel Wojdyla, Evan R. Myers, Erica Marsh
Institutions: University of Mississippi Medical Center, Mayo Clinic, Boston University, University of North Carolina at Chapel Hill, University of North Carolina Health Care, Duke University, Duke Clinical Research Institute, University of California, San Francisco, Brigham and Women's Hospital, Augusta University, Henry Ford Health, Inova Fairfax Hospital, Duke Medical Center, University of Michigan, Michigan Medicine
Language: English
Subfield: Obstetrics and Gynecology
Field: Medicine
Domain: Health Sciences
Open Access status: green
Award: COMPARE-UF
OpenAlex ID: W3172014555