Differences in characteristics and use of complementary and alternative methods for coping with endometriosis-associated acyclic pelvic pain across adolescence and adulthood.
Differences in characteristics and use of complementary and alternative methods for coping with endometriosis-associated acyclic pelvic pain across adolescence and adulthood.
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DOI：
10.3389/frph.2023.1306380
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发表时间：
2023
影响因子：
--
通讯作者：
Missmer, Stacey A.
中科院分区：
文献类型：
--
作者：
Mongiovi, Jennifer M.;Wallace, Britani;Goodwin, Mckenzie;Vitonis, Allison F.;Karevicius, Sarah;Shafrir, Amy L.;Sasamoto, Naoko;Divasta, Amy D.;Sieberg, Christine B.;Terry, Kathryn L.;Missmer, Stacey A.
关键词：
仅在美国就有超过400万女性被诊断患有子宫内膜异位症。对于那些患有这种疾病的人来说，手术和激素治疗可以减少一些人的骨盆疼痛，而其他人则继续经历影响生活的疼痛。因此，迫切需要确定可获得的和具有成本效益的减轻疼痛的方法，以补充当前的治疗。我们的目的是量化用于管理非周期性盆腔疼痛的补充和替代方法的患病率及其在不同年龄组子宫内膜异位症患者中的益处。我们使用的基线问卷数据来自腹腔镜确诊的子宫内膜异位症病例，这些病例在妇女健康研究的纵向队列中完成了WERF EPHect依从性问卷：从青春期到成年期（A2 A）。非周期性盆腔疼痛的参与者被要求指出帮助或恶化其盆腔/下腹部疼痛的特定方法或活动。使用Fisher精确检验评估年龄组[青少年（<18岁）、年轻成人（18-25岁）和成人（>25岁）]之间的差异。在纳入分析的357名参与者中，与年轻人（n = 40，44.0%）和成人（n = 19，31.1%; p = 0.004）相比，青少年（n = 59，57.3%）更频繁地报告睡眠应对。青少年（n = 29，21.2%）使用音乐的频率还高于年轻人（n = 10，7.0%）和成年人（n = 7，9.1%; p = 0.001）。运动使疼痛恶化最常见于青少年（n = 82，59.9%），其次是年轻成人（n = 67，46.9%）和成人（n = 27，35.1%; p = 0.002）。我们对A2 A队列参与者的分析表明，用于应对糖尿病相关非周期性盆腔疼痛的补充和替代方法的流行率因年龄组而异。未来的研究应旨在提供信息，进一步为制定有效、易于获得并根据患者偏好定制的治疗子宫内膜异位症相关疼痛的护理计划提供决策依据。
Over four million women in the US alone have been diagnosed with endometriosis. For those living with this disease, surgery and hormonal treatment reduce associated pelvic pain in some, while others continue to experience life impacting pain. Therefore, identification of accessible and cost-effective methods of pain reduction to compliment current treatment is urgently needed. Our objective was to quantify the prevalence of complementary and alternative methods used to manage acyclic pelvic pain and their reported benefit among women of different age groups living with endometriosis. We used baseline questionnaire data from laparoscopically-confirmed endometriosis cases who completed a WERF EPHect compliant questionnaire in the longitudinal cohort of The Women's Health Study: From Adolescence to Adulthood (A2A). Participants with acyclic pelvic pain were asked to indicate specific methods or activities that either helped or worsened their pelvic/lower abdominal pain. Differences among age groups [adolescent (<18 years), young adult (18–25 years), and adult (>25 years)] were assessed using Fisher's exact test. Of the 357 participants included in analysis, sleep for coping was reported more frequently among adolescents (n = 59, 57.3%) compared to young adults (n = 40, 44.0%) and adults (n = 19, 31.1%; p = 0.004). Adolescents also reported more frequent use of music (n = 29, 21.2%) than young adults (n = 10, 7.0%) and adults (n = 7, 9.1%; p = 0.001). Exercise worsened pain most commonly among adolescents (n = 82, 59.9%), followed by younger adults (n = 67, 46.9%), and adults (n = 27, 35.1%; p = 0.002). Our analysis of participants in the A2A cohort showed that the prevalence of complementary and alternative methods used for coping with endometriosis-associated acyclic pelvic pain varied by age group. Future studies should aim to provide information that will further inform decisions in making care plans for managing endometriosis-associated pain that is effective, accessible, and tailored to the preferences of the patient.
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DOI：
10.1186/s12905-021-01500-4
发表时间：
2021-10-09
期刊：
BMC women's health
影响因子：
--
作者：
Tennfjord MK;Gabrielsen R;Tellum T
通讯作者：
Tellum T
影响因子：
9.8
作者：
DiVasta, Amy D.;Vitonis, Allison F.;Missmer, Stacey A.
通讯作者：
Missmer, Stacey A.
DOI：
10.1155/2021/6663602
发表时间：
2021
期刊：
Evidence-based complementary and alternative medicine : eCAM
影响因子：
--
作者：
Guo Y;Liu FY;Shen Y;Xu JY;Xie LZ;Li SY;Ding DN;Zhang DQ;Han FJ
通讯作者：
Han FJ
影响因子：
6.7
作者：
Gordts, Stephan;Koninckx, Philippe;Brosens, Ivo
通讯作者：
Brosens, Ivo
影响因子：
3
作者：
de Sousa, Tatiane Regina;de Souza, Bruna Cruz;Sperandio, Fabiana Flores
通讯作者：
Sperandio, Fabiana Flores