Depressive symptoms among women with vulvar dysesthesia - 28/08/11
, Daniel W Gorenflo, PhD a, Hope K Haefner, MD c
Reprint requests: Barbara D. Reed, MD, MSPH, Department of Family Medicine, University of Michigan, 1018 Fuller St, Ann Arbor, MI 48109-0708.Abstract |
OBJECTIVE: The purpose of this study was to determine whether vulvar dysesthesia is associated with elevated depressive symptoms.
STUDY DESIGN: This was a cross-sectional case-control study of women who underwent treatment of vulvar dysesthesia (n=32) or who were seen for a routine gynecologic examination (n=32). Subjects completed measures of depressive symptoms and pain and a sexual and medical history. Multivariate and univariate analyses were conducted.
RESULTS: Analyses that were adjusted for age, education, and medical conditions indicated that vulvar dysesthesia was associated positively with depressive symptoms (P=.002). However, this was attributable to the somatic (P=.002) rather than cognitive-affective symptoms (P=.16) of depression, partially related to the endorsement of sexual disinterest, and mediated by pain reports.
CONCLUSION: Vulvar dysesthesia is associated with elevated depressive symptom severity, although not to the extent that indicates probable depressive disorder. In this condition, depressive symptoms are likely to be a measurement artifact, rather than a depressive process. Certain depressive symptoms (eg, sexual disinterest) directly inflate depression estimates in this patient group.
Le texte complet de cet article est disponible en PDF.Keywords : Vulvodynia, vulvar dysesthesia, depression
Plan
 | Supported by the National Institute of Child Health and Human Development, National Institutes of Health, grant R01 HD40112. |
Vol 189 - N° 2
P. 462-466 - août 2003 Retour au numéro
Article précédent
- Estrogen receptor expression in vulvar vestibulitis syndrome
- Lois J Eva, Allan B MacLean, Wendy M.N Reid, Kerstin J Rolfe, Christopher W Perrett
- Factors that affect the quality of cytologic cervical cancer screening along the Mexico–United States border
- Francisco Garcia, Elena Mendez de Galaz, Susie Baldwin, Mary Papenfuss, Anna R Giuliano, Kenneth Hatch, John Davis
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?