THE PECULIARITIES OF PSYCHO-EMOTIONAL CONDITION OF WOMEN WITH UTERINE HYPERPLASIA IN THE LATE REPRODUCTIVE AGE
DOI:
https://doi.org/10.11603/24116-4944.2021.1.12363Keywords:
psychoemotional state, late reproductive age, leiomyomaAbstract
The aim of the study – to learn the changes in psycho-emotional state and quality of life (QOL) in women with uterine leiomyoma in late reproductive age.
Materials and Methods. To achieve this goal, a clinical and paraclinical analysis of case histories of the gynecological department of the regional perinatal center of 80 women with uterine fibroids aged 35 to 42 years was conducted.
With the help of questionnaires we studied the ability of the human body to adaptive responses to external and internal stress stimuli, assessed the level of anxiety using a scale of reactive and personal anxiety. They also studied psychosomatic changes and assessed quality of life.
Results and Discussion. A comprehensive study of women with late-stage uterine leiomyoma, who were divided into groups, as well as studies showed, uterine fibroids and accompanying factors of unrealized maternity should be considered from the standpoint of trauma, which is repeatedly experienced mentally and may be accompanied by anxiety, fear, phobia. The high level of neuroticism in women with hyperplastic diseases of the uterus of reproductive age can be explained by the duration of the disease, periodic deterioration (pain, bleeding) and unrealized or partially realized maternal function. Significant psycho-emotional burdens with a predominance of negative emotions during prolonged action can form subdepressive changes, neuroses, psychopathy, which, in turn, create developmental disorders.
Conclusions. Thus, women of late reproductive age with uterine fibroids, who have not performed reproductive function need to assess the autonomic and psychoemotional state, correction of identified disorders to normalize their quality of life.
References
Pron, G., Mocarski, E., Bennett, J., Vilos, G., Common, A., & Vanderburgh, L. (2015). Pregnancy after uterine artery embolization for leiomyomata: the Ontario multicenter trial. Obstet. Gynecol., 105 (1), 67-76. DOI: 10.1097/01.AOG.0000149156.07061.1f.
Jacques, D., & Dolmans, M.M. (2016). Uterine fibroid management: from the present to the future. Hum. Reprod. Update, 22 (6), 665-686. DOI: 10.1093/humupd/dmw023.
Ananth, C.V. (2014). Ischemic placental disease: a unifying concept for preeclampsia, intrauterine growth restriction, and placental abruption. Semin. Perinatol., 38 (3), 131-132. DOI: 10.1053/j.semperi.2014.03.001.
Blankley, G., Galbally, M., Snellen, M., Power, J., & Lewis, A.J. (2015). Borderline personality disorder in the perinatal period: early infant and maternal outcomes. Australas Psychiatry, 23 (6), 688-692. DOI: 10.1177/1039856215590254.
Cruz, M.H., Leal, C.L., Cruz, J.F., Tan, D.X., & Reiter, R.J. (2014). Essential actions of melatonin in protecting the ovary from oxidative damage. Theriogenology, 82 (7), 925-932. DOI: 10.1016/j.theriogenology.2014.07.011.
Anderson, G., & Maes, M. (2013). Postpartum depression: psychoneuroimmunologicalтunderpinnings and treatment. Neuropsychiatric Dis. Treat., 9, 277-287. DOI: 10.2147/NDT.S25320.
Tamura, H., Takasaki, A., Taketani, T., Tanabe, M., Lee, L., Tamura, I., …, & Sugino, N. (2014). Melatonin and female reproduction. J. Obstet. Gynaecol. Res., 40 (1), 1-11. DOI: 10.1111/jog.12177.
Brosens, I.A., Lunenfeld, B., & Donnez, J. (1999). Pathogenesis and medical management of uterine fibroids. New York–London: The parthenon publishing group.
Fernando, S., Osianlis, T., Vollenhoven, B., Wallace, E., & Rombauts, L. (2014). A pilot double-blind randomised placebo-controlled dose-response trial assessing the effects of melatonin on infertility treatment (MIART): study protocol. BMJ. Open, 4 (8), e005986.
Seko, L.M., Moroni, R.M., Leitao, V.M., Teixeira, D.M., Nastri, C.O., & Martins, W.P. (2014). Melatonin supplementation during controlled ovarian stimulation for women undergoing assisted reproductive technology: Systematic review and meta-analysis of randomized controlled trials. Fertil. Steril, 101 (1), 154-161. e4. DOI: 10.1016/j.fertnstert.2013.09.036.
Kind, P., & Williams, A. (2004). Measuring success in health care – the time has come to do it properly. Health Policy Matter, 9, 1-8.
Mauro, A., Martelli, A., Berardinelli, P., Russo, V., Bernabò, N., Di Giacinto, O., ..., & Barboni, B. (2014). Effect of antiprogesterone RU486 on VEGF expression and blood vessel remodeling on ovarian follicles before ovulation. PLoS One, 9 (4), e95910. DOI: 10.1371/journal.pone.0095910.
Cramer, S.F., & Hoiszny, J.A. (2011). Epidemiology of uterine leimyomas. Wiht an etiologic hypothesis. J. Reprod. Med., 40 (8), 595-600.
Mukharovska, I.R., Markova, M.V., Krivonis, T.H., & Zhulkevych, I.V. (2020). Alhorytm otsinky simeynoho statusu rodyny z onkolohichnym patsiyentom [Algorithm for assessment family status of families with cancer patient]. Visnyk sotsialnoi hihiieny ta orhanizatsii okhorony zdorovia Ukrainy – Bulletin of Social Hygiene and Health Protection Organization of Ukraine, 1 (83), 18-23. DOI: https://doi.org/10.11603/1681-2786.2020.1.11200 [in Ukrainian].
Karvasarskyi, B.D. (2010). Klinicheskaya psikhologiya. Uchebnik dlya vuzov [Clinical psychology. Textbook for universities]. Saint-Petersburg: Piter [in Russian].
Rad, M. (2012). Psikhosomaticheskaya meditsina. Kratkiy uchebnik [Psychosomatic medicine. A short tutorial]. Obukhova, G.A. (Transl.) Moscow: GEOTAR-Media [in Russian].
Ferracioli-Oda, E., Qawasmi, A., & Bloch, M.H. (2013). Meta-analysis: melatonin for the treatment of primary sleep disorders. PLoS One, 8 (5), e63773. DOI: 10.1371/journal.pone.0063773.
Novik, A.A., Ionova, T.I., & Kaynd, I. (1999). Kontseptsiya issledovaniya kachestva zhizni v meditsine [The concept of research on the quality of life in medicine]. Saint-Petersburg: Elbi [in Russian].
Babbar, S., & Chauhan, S.P. (2015). Exercise and yoga during pregnancy: a survey. J. Matern Fetal Neonatal Med., 28 (4), 431-435. DOI: 10.3109/14767058.2014.918601.
Baker, B.C., Mackie, F.L., Lean, S.C., Greenwood, S.L., Heazell, A.E.P., Forbes, K., & Jones, R.L. (2017). Placental dysfunction is associated with altered microRNA expression in pregnant women with low folate status. Mol. Nutr. Food Res., 61 (8), 1600646. DOI: 10.1002/mnfr.201600646.
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