Depressive symptoms in women seeking surgery for pelvic organ prolapse
- 24 March 2010
- journal article
- research article
- Published by Springer Science and Business Media LLC in International Urogynecology Journal
- Vol. 21 (7), 855-860
- https://doi.org/10.1007/s00192-010-1106-4
Abstract
To compare depressive symptoms in women with and without prolapse and evaluate impact on quality of life. This is a secondary analysis of a case–control study assessing the effect of prolapse on body image. Cases had prolapse and sought surgery (Pelvic Organ Prolapse Quantification stage ≥2). Controls had stage ≤1. Subjects completed the Pelvic Floor Impact Questionnaire (PFIQ), Pelvic Floor Distress Inventory, and the Patient Health Questionnaire-9 (PHQ-9) at baseline. Cases completed measures 6 months post-operatively. We report: (1) the comparison of cases and controls at baseline and (2) comparison of baseline and post-operative scores in cases. Baseline questionnaires were completed by 75 cases and 65 controls; 57 cases completed post-operative measures. Cases were 5-fold more likely than controls to have depressive symptoms. Cases with depressive symptoms had higher PFIQ scores than cases without symptoms. PHQ-9 scores improved post-operatively. Depressive symptoms are common in women with prolapse and a decrease following surgical treatment.Keywords
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