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doi:10.22028/D291-36905
Titel: | Determinants of Pain-Induced Disability in German Women with Endometriosis during the COVID-19 Pandemic |
VerfasserIn: | Schwab, Roxana Stewen, Kathrin Kottmann, Tanja Theis, Susanne Elger, Tania Hamoud, Bashar Haj Schmidt, Mona W. Anic, Katharina Brenner, Walburgis Hasenburg, Annette |
Sprache: | Englisch |
Titel: | International Journal of Environmental Research and Public Health |
Bandnummer: | 19 |
Heft: | 14 |
Verlag/Plattform: | MDPI |
Erscheinungsjahr: | 2022 |
Freie Schlagwörter: | pain-induced disability chronic pain endometriosis mental health resilience social support COVID-19 |
DDC-Sachgruppe: | 610 Medizin, Gesundheit |
Dokumenttyp: | Journalartikel / Zeitschriftenartikel |
Abstract: | (1) Background: The main aim of this research was to examine the factors leading to pain induced disability by assessing the impact of demographic, endometriosis-specific, pandemic-specific, and mental health factors. (2) Methods: Women with endometriosis who attended online support groups were invited to respond to an online survey during the first wave of the COVID-19 pandemic in Germany. The Pain Disability Index (PDI) was employed to assess disability-related daily functioning. Independent predictors of pain-induced disability were determined using univariate and multivariate logistic regression analyses. (3) Results: The mean PDI score of the study population was 31.61 (SD = 15.82), which was significantly higher (p < 0.001) than that reported in a previously published normative study of the German population. In the present study, a high level of pain-induced disability, as defined by scores equal to or higher than the median of the study population, older age (OR 1.063, 95% CI 1.010–1.120, p = 0.020), dysmenorrhea (OR 1.015, 95% CI 1.005–1.026, p = 0.005), dysuria (OR 1.014; 95% CI 1.001–1.027, p = 0.029), lower back pain (OR 1.018, 95% CI 1.007–1.029, p = 0.001), and impaired mental health (OR 1.271, 95% CI 1.134–1.425, p < 0.001) were found to be independent risk factors. Pandemic-specific factors did not significantly influence the pain-induced disability of the participants in this study. (4) Conclusions: The level of pain-induced disability was significantly higher among the women with endometriosis than among women in the normative German validation study. Our findings identified risk factors for experiencing a high level of pain induced disability, such as demographic and specific pain characteristics. Pandemic-specific factors did not significantly and independently influence the pain-induced disability during the first wave of the COVID-19 pandemic in Germany. Impaired mental health negatively influenced functioning during daily activities. Thus, women with endometriosis should be managed by a multidisciplinary team of healthcare professionals to prevent negative effects of pain-induced disability on their quality of life. |
DOI der Erstveröffentlichung: | 10.3390/ijerph19148277 |
Link zu diesem Datensatz: | urn:nbn:de:bsz:291--ds-369058 hdl:20.500.11880/33599 http://dx.doi.org/10.22028/D291-36905 |
ISSN: | 1660-4601 |
Datum des Eintrags: | 8-Aug-2022 |
Bezeichnung des in Beziehung stehenden Objekts: | Supplementary Materials |
In Beziehung stehendes Objekt: | https://www.mdpi.com/article/10.3390/ijerph19148277/s1 |
Fakultät: | M - Medizinische Fakultät |
Fachrichtung: | M - Frauenheilkunde |
Professur: | M - Keiner Professur zugeordnet |
Sammlung: | SciDok - Der Wissenschaftsserver der Universität des Saarlandes |
Dateien zu diesem Datensatz:
Datei | Beschreibung | Größe | Format | |
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ijerph-19-08277-v2.pdf | 1,23 MB | Adobe PDF | Öffnen/Anzeigen |
Diese Ressource wurde unter folgender Copyright-Bestimmung veröffentlicht: Lizenz von Creative Commons