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Effect of self-care counselling on depression and anxiety in women with endometriosis: a randomized controlled trial

BACKGROUND: Considering the prevalence of endometriosis and consequent depression and anxiety as well as the resultant effects on the body, mind, and quality of life of patients, this study aimed to determine the effects of self-care counselling on depression and anxiety (primary outcome) and on qua...

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Autores principales: Farshi, Nooshin, Hasanpour, Shirin, Mirghafourvand, Mojgan, Esmaeilpour, Khalil
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7391809/
https://www.ncbi.nlm.nih.gov/pubmed/32727601
http://dx.doi.org/10.1186/s12888-020-02795-7
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author Farshi, Nooshin
Hasanpour, Shirin
Mirghafourvand, Mojgan
Esmaeilpour, Khalil
author_facet Farshi, Nooshin
Hasanpour, Shirin
Mirghafourvand, Mojgan
Esmaeilpour, Khalil
author_sort Farshi, Nooshin
collection PubMed
description BACKGROUND: Considering the prevalence of endometriosis and consequent depression and anxiety as well as the resultant effects on the body, mind, and quality of life of patients, this study aimed to determine the effects of self-care counselling on depression and anxiety (primary outcome) and on quality of life (secondary outcome) among women with endometriosis. METHOD: This randomized controlled clinical trial was conducted on 76 women with endometriosis who were treated at Al-Zahra Teaching and Treatment Center of Tabriz within the 2015–2019 period. The random blocking method was employed to divide the patients into intervention (counselling) and control groups. In the intervention group, seven self-care group counselling sessions were held on a weekly basis. The control group received routine care. A sociodemographic questionnaire, Beck Depression Inventory, Spielberger State-Trait Anxiety Inventory (STAI) and the SF-36 Quality of Life Questionnaire were completed by the researcher through an interview before and 4 weeks after the intervention. RESULTS: There was no significant difference between the intervention and control groups in terms of sociodemographic characteristics (p > 0.05). After the intervention, the mean scores of state anxiety (mean difference: − 0.12, 95% confidence interval: − 9.6 to − 14.4, p < 0.001) and trait anxiety (mean difference: − 10.9: 95% confidence interval: − 9.1 to − 12.7, p = 0.001) were significantly lower in the counselling group than those of the control group. The mean score of depression was lower in the counselling group than in the control group; however, it was not significant (p = 0/565). The mean score of quality of life for physical health (mean difference = 17.2, 95% confidence interval: 13.8 to 20.5, p < 0.001) and for mental health (mean difference = 12.0, 95% confidence interval: 9.0 to 14.9, p < 0.001) were significantly higher in the counselling group than in the control group. CONCLUSION: Self-care counselling affects the anxiety and quality of life of women with endometriosis. Therefore, in addition to other therapies, this method is proposed to improve quality of life and mental health of patients with endometriosis. TRIAL REGISTRATION: IRCT Registration Number: IRCT 20111219008459 N13, registered on February 10, 2019 (https://irct.ir/user/trial/35915).
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spelling pubmed-73918092020-08-04 Effect of self-care counselling on depression and anxiety in women with endometriosis: a randomized controlled trial Farshi, Nooshin Hasanpour, Shirin Mirghafourvand, Mojgan Esmaeilpour, Khalil BMC Psychiatry Research Article BACKGROUND: Considering the prevalence of endometriosis and consequent depression and anxiety as well as the resultant effects on the body, mind, and quality of life of patients, this study aimed to determine the effects of self-care counselling on depression and anxiety (primary outcome) and on quality of life (secondary outcome) among women with endometriosis. METHOD: This randomized controlled clinical trial was conducted on 76 women with endometriosis who were treated at Al-Zahra Teaching and Treatment Center of Tabriz within the 2015–2019 period. The random blocking method was employed to divide the patients into intervention (counselling) and control groups. In the intervention group, seven self-care group counselling sessions were held on a weekly basis. The control group received routine care. A sociodemographic questionnaire, Beck Depression Inventory, Spielberger State-Trait Anxiety Inventory (STAI) and the SF-36 Quality of Life Questionnaire were completed by the researcher through an interview before and 4 weeks after the intervention. RESULTS: There was no significant difference between the intervention and control groups in terms of sociodemographic characteristics (p > 0.05). After the intervention, the mean scores of state anxiety (mean difference: − 0.12, 95% confidence interval: − 9.6 to − 14.4, p < 0.001) and trait anxiety (mean difference: − 10.9: 95% confidence interval: − 9.1 to − 12.7, p = 0.001) were significantly lower in the counselling group than those of the control group. The mean score of depression was lower in the counselling group than in the control group; however, it was not significant (p = 0/565). The mean score of quality of life for physical health (mean difference = 17.2, 95% confidence interval: 13.8 to 20.5, p < 0.001) and for mental health (mean difference = 12.0, 95% confidence interval: 9.0 to 14.9, p < 0.001) were significantly higher in the counselling group than in the control group. CONCLUSION: Self-care counselling affects the anxiety and quality of life of women with endometriosis. Therefore, in addition to other therapies, this method is proposed to improve quality of life and mental health of patients with endometriosis. TRIAL REGISTRATION: IRCT Registration Number: IRCT 20111219008459 N13, registered on February 10, 2019 (https://irct.ir/user/trial/35915). BioMed Central 2020-07-29 /pmc/articles/PMC7391809/ /pubmed/32727601 http://dx.doi.org/10.1186/s12888-020-02795-7 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Farshi, Nooshin
Hasanpour, Shirin
Mirghafourvand, Mojgan
Esmaeilpour, Khalil
Effect of self-care counselling on depression and anxiety in women with endometriosis: a randomized controlled trial
title Effect of self-care counselling on depression and anxiety in women with endometriosis: a randomized controlled trial
title_full Effect of self-care counselling on depression and anxiety in women with endometriosis: a randomized controlled trial
title_fullStr Effect of self-care counselling on depression and anxiety in women with endometriosis: a randomized controlled trial
title_full_unstemmed Effect of self-care counselling on depression and anxiety in women with endometriosis: a randomized controlled trial
title_short Effect of self-care counselling on depression and anxiety in women with endometriosis: a randomized controlled trial
title_sort effect of self-care counselling on depression and anxiety in women with endometriosis: a randomized controlled trial
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7391809/
https://www.ncbi.nlm.nih.gov/pubmed/32727601
http://dx.doi.org/10.1186/s12888-020-02795-7
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