Influential Factors on Sexual Function in Infertile Women with Endometriosis: A Path Analysis

Abstract Background: Endometriosis have a negative influence on women’s sexual life. The aim of the current study was to test a conceptual model considering the interrelated role of anxiety, depression, sleep quality, physical activity, BMI, stage of endometriosis, the intensity of dyspareunia and pelvic pain on sexual function (SF) in infertile women with endometriosis. Also test the mediating role of sleep quality, anxiety, and depression. Method: In the present cross-sectional study, 220 infertile women with a laparoscopically confirmed endometriosis were recruited. Data were collected using a socio-demographic checklist, Female Sexual Function Index (FSFI), Pittsburgh Sleep Quality Index (PSQI), Hospital Anxiety and Depression Scale (HADS), Visual Analog Scale (VAS). Results: We found that anxiety, depression, sleep quality, BMI, level of education, stage of endometriosis, and dyspareunia have a direct effect on women’s SF. In our study, sleep quality, anxiety, pelvic pain, and depression were the four major mediators that the higher scores lead to a decrease in the SF of endometriosis patients. The intensity of pelvic pain with an effect on sleep quality and dyspareunia change women’s SF. The lower level of physical activity, and higher BMI with indirect effect thorough anxiety, and sleep quality can worsen SF. Also, a higher level of anxiety leads to poor sleep quality and depression. Anxiety with both direct and indirect effect impress women’s SF. Conclusion: It seems that the main risk factors for sexual dysfunction in women with endometriosis are higher rates of anxiety, depression, poor sleep quality, pelvic pain, and dyspareunia. In the care of women with endometriosis, not only laparoscopy and medical treatment should be performed but also psychotherapeutic and psychosexual help should be offered.

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Influential Factors on Sexual Function in Infertile Women with Endometriosis: A Path Analysis

10.21203/rs.2.21328/v1 ◽

2020 ◽

Author(s):

Shahideh Jahanian Sadatmahalleh ◽

samaneh youseflu ◽

Mahnaz Bahri Khomami ◽

Malihe Nasiri

Keyword(s):

Physical Activity ◽

Sleep Quality ◽

Sexual Function ◽

Pelvic Pain ◽

Anxiety And Depression ◽

Poor Sleep ◽

Poor Sleep Quality ◽

Infertile Women ◽

Anxiety Depression

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Influential Factors on Sexual Function in Infertile Women with Endometriosis: A Path Analysis

10.21203/rs.2.21328/v3 ◽

2020 ◽

Author(s):

samaneh youseflu ◽

Shahideh Jahanian Sadatmahalleh ◽

Mahnaz Bahri Khomami ◽

Malihe Nasiri

Keyword(s):

Physical Activity ◽

Sleep Quality ◽

Sexual Function ◽

Pelvic Pain ◽

Indirect Effect ◽

Sexual Life ◽

Anxiety And Depression ◽

Infertile Women ◽

Anxiety Depression

Abstract Background: Endometriosis have a negative influence on women’s sexual life. The aim of the current study was to test a conceptual model considering the interrelated role of anxiety, depression, sleep quality, physical activity, BMI, stage of endometriosis, the intensity of dyspareunia and pelvic pain on sexual function (SF) in infertile women with endometriosis. Also test the mediating role of sleep quality, anxiety, and depression.Method: In the present cross-sectional study, 220 infertile women with a laparoscopically confirmed endometriosis were recruited. Data were collected using a socio-demographic checklist, Female Sexual Function Index (FSFI), Pittsburgh Sleep Quality Index (PSQI), Hospital Anxiety and Depression Scale (HADS), Visual Analog Scale (VAS). Results: We found that anxiety, depression, sleep quality, BMI, level of education, stage of endometriosis, and dyspareunia have a direct effect on women’s SF. In our study, sleep quality, anxiety, pelvic pain, and depression were the four major mediators that the higher scores lead to a decrease in the SF of endometriosis patients. The intensity of pelvic pain with an effect on sleep quality (SQ) and dyspareunia change women’s SF. The lower level of physical activity, and higher BMI with indirect effect thorough anxiety, and SQ can worsen SF. Also, a higher level of anxiety leads to poor SQ and depression. Anxiety with both direct and indirect effect impress women’s SF.Conclusion: It seems that the main risk factors for sexual dysfunction in women with endometriosis are higher rates of anxiety, depression, poor sleep quality, pelvic pain, and dyspareunia. In the care of women with endometriosis, not only laparoscopy and medical treatment should be performed but also psychotherapeutic and psychosexual help should be offered.

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The association between perceived stress with sleep quality, insomnia, anxiety and depression in kidney transplant recipients during Covid-19 pandemic

PLoS ONE ◽

10.1371/journal.pone.0248117 ◽

2021 ◽

Vol 16 (3) ◽

pp. e0248117

Author(s):

Dilek Barutcu Atas ◽

Esra Aydin Sunbul ◽

Arzu Velioglu ◽

Serhan Tuglular

Keyword(s):

Sleep Quality ◽

Kidney Transplant ◽

Perceived Stress ◽

Independent Predictor ◽

Anxiety And Depression ◽

Poor Sleep ◽

Transplant Recipients ◽

Kidney Transplant Recipients ◽

Poor Sleep Quality ◽

Anxiety Depression

Background The psychological distress and sleep problems caused by current Covid-19 outbreak is not well known in kidney transplant recipients. In this study, we aimed to investigate the association between perceived stress with sleep quality, insomnia, anxiety, depression and kidney function in kidney transplant recipients during the Covid-19 pandemic. Material and methods A hundred-six kidney transplant recipients were enrolled. Questionnaire of "Socio-demographics", "Perceived Stress Scale (PSS)", "Pittsburgh Sleep Quality Index (PSQI)", "Insomnia Severity Index (ISI)" and “Hospital Anxiety Depression Scale (HADS)” are performed. The laboratory data is recorded. The perceived stress related to Covid-19 pandemic and its associations were investigated. Results The mean age of patients was 44.2±13.3 years, and 65 of the patients (61.3%) were men. Forty-nine (46.2%) of the patients had high-perceived stress; 51 (48.1%) of the patients had poor sleep quality, 40 (37.7%) of the patients had insomnia, 25 (23.6%) of the patients had anxiety and 47 (44.3%) of the patients had depression. The patients having a history of Covid-19 infection in own or closed relatives (9.09±4.17 vs 6.49±4.16, p:0.014) and the patients who have a rejection episode any of time (8.24±5.16 vs 6.37±3.57, p:0.033) have had significantly higher anxiety scores, when they compared to others. The high PSS were positively correlated with PSQI, ISI, HAD-A and HAD-D. Regression analyses revealed that high-perceived stress is an independent predictor of anxiety and depression. There was not significant difference between kidney function with PSS, PSQI, ISI, HAD-A and HAD-D. Conclusions High PSS is positively correlated with poor sleep quality and insomnia and also an independent predictor of anxiety and depression in kidney transplant recipients during the outbreak of Covid-19. As the pandemic is still spreading worldwide quickly early identification and intervention of sleep disturbances and psychiatric disorders are essential to protect graft function with high compliance to treatment in transplantation patients.

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Anxiety and Depression Symptoms of Patients in Fangcang Shelter Hospital During the COVID-19 Outbreak in China: a Web-Based Cross-Sectional Study

10.21203/rs.3.rs-30347/v1 ◽

2020 ◽

Author(s):

Ling-Ling Dai ◽

Xi Wang ◽

Tian-Chi Jiang ◽

Peng-Fei Li ◽

Yu Wang ◽

...

Keyword(s):

Mental Health ◽

Risk Factors ◽

Sleep Quality ◽

Physical Symptoms ◽

Anxiety And Depression ◽

Depression Symptoms ◽

Poor Sleep ◽

Poor Sleep Quality ◽

Independent Risk Factors ◽

Anxiety Depression

Abstract Background The COVID-19 pandemic is a major health crisis has led to adverse mental health consequences in the general public, medical staff, and individual in self isolation. In order to stop transmission of the virus and save lives, Fangcang shelter hospitals were developed and used for the first time in China. However, there is no research on mental health problems in Fangcang shelter hospitals patients during the COVID-19 outbreak. The aim of this study was to survey the prevalence and major influencing factors of anxiety, depression among the hospitalized Coronavirus Disease 2019 (COVID-19) cases in Fangcang shelter hospital. Methods From February 23rd, 2020, to February 26th, 2020, we obtained the information of demographic data, clinical symptoms, and assessed the mental health status, sleep quality by using an online questionnaire including self-rating anxiety scale (SAS), self-rating depressive scale (SDS) and pittsburgh sleep quality index (PSQI) at Jianghan Fangcang shelter hospital. We assessed the prevalence of anxiety, depression symptoms and poor sleep quality via the scores of SAS, SDS and PSQI. We explored the influencing factors of anxiety and depression in COVID-19 patients using multivariable logistic regression models. Results We collected data from 307 COVID-19 patients in Jianghan Fangcang shelter hospital. The prevalence of anxiety, depression symptoms were 18.6% and 13.4%, respectively. Poor Sleep quality, number of current physical symptoms ≥ 2 were independent risk factors for anxiety symptoms (P < 0.05); female, family member confirmed COVID-19, number of current physical symptoms ≥ 2 were independent risk factors for depression symptoms (P < 0.05). PSQI scores were significant positively associate with SAS scores and SDS scores (P ༜ 0.05). Conclusions Anxiety and depression are common among the COVID-19 patients in Fangcang shelter hospital. Those with more current physical symptoms, poor sleep quality are more likely to have anxiety. Females, those with their family members diagnosed with COVID-19, more current physical symptoms are more vulnerable to depression symptom. Our findings can be used to formulate targeted psychological interventions to reduce adverse psychological impacts in Fangcang shelter hospital during the outbreak of epidemic disease in the future.

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Poor sleep quality among young adults: The role of anxiety, depression, musculoskeletal pain, and low dietary calcium intake

Perspectives In Psychiatric Care ◽

10.1111/ppc.12533 ◽

2020 ◽

Author(s):

Mohammad J. Alkhatatbeh ◽

Khalid K. Abdul‐Razzak ◽

Hala N. Khwaileh

Keyword(s):

Young Adults ◽

Sleep Quality ◽

Musculoskeletal Pain ◽

Calcium Intake ◽

Dietary Calcium ◽

Dietary Calcium Intake ◽

Poor Sleep ◽

Poor Sleep Quality ◽

Anxiety Depression

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Rumination and dissociation: The mediating role of poor sleep quality and presleep cognitions.

Psychology of Consciousness Theory Research and Practice ◽

10.1037/cns0000128 ◽

2018 ◽

Vol 5 (2) ◽

pp. 185-211 ◽

Cited By ~ 2

Author(s):

Miriam Vannikov-Lugassi ◽

Nirit Soffer-Dudek

Keyword(s):

Sleep Quality ◽

Poor Sleep ◽

Poor Sleep Quality ◽

Mediating Role

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Poor sleep quality predicts decline in physical health functioning in patients with coronary heart disease and moderating role of social support

Behavioral Medicine ◽

10.1080/08964289.2021.1895050 ◽

2021 ◽

pp. 1-17

Author(s):

Biing-Jiun Shen ◽

Jonathan Jun Liang Tan ◽

Yue Xu ◽

Hung Yong Tay

Keyword(s):

Social Support ◽

Coronary Heart Disease ◽

Heart Disease ◽

Sleep Quality ◽

Physical Health ◽

Poor Sleep ◽

Poor Sleep Quality ◽

Health Functioning ◽

Moderating Role

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The effect of long-term poor sleep quality on risk of back-related disability and the modifying role of physical activity

Scientific Reports ◽

10.1038/s41598-021-94845-7 ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Eivind Schjelderup Skarpsno ◽

Tom Ivar Lund Nilsen ◽

Paul Jarle Mork

Keyword(s):

Physical Activity ◽

Back Pain ◽

Sleep Quality ◽

Sleep Problems ◽

Poor Sleep ◽

Poor Sleep Quality ◽

Physical Activity Guidelines ◽

Adjusted Risk ◽

Increased Risk

AbstractSleep problems and regular leisure time physical activity (LTPA) are interrelated and have contrasting effects on risk of back pain. However, no studies have investigated the influence of long-term poor sleep quality on risk of back-related disability, or if LTPA modifies this association. The study comprised data on 8601 people who participated in three consecutive surveys over ~ 22 years, and who reported no chronic back pain at the two first surveys. Adjusted risk ratios (RRs) for back-related disability were calculated at the last survey, associated with the joint effect of changes in sleep quality between the two first surveys and meeting physical activity guidelines at the second survey. Compared to people with long-term good sleep, people with long-term poor sleep had nearly twice the risk of back-related disability (RR 1.92, 95% CI 1.48–2.49). There was no statistical interaction between sleep and LTPA but people who reported long-term poor sleep and meeting the physical activity guidelines had 35% lower risk of back-related disability compared to people with same level of sleep problems, but who not met the guidelines. These findings suggest that long-term poor sleep quality contributes to a substantially increased risk of chronic and disabling back pain irrespective of LTPA.

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The Relationship between Insecure Attachment to Depression: Mediating Role of Sleep and Cognitive Reappraisal

Neural Plasticity ◽

10.1155/2020/1931737 ◽

2020 ◽

Vol 2020 ◽

pp. 1-8 ◽

Cited By ~ 2

Author(s):

Yige Liu ◽

Hongfan Li ◽

Xiayue Xu ◽

Yukun Li ◽

Zhutao Wang ◽

...

Keyword(s):

Sleep Quality ◽

Emotional Disorders ◽

Cognitive Reappraisal ◽

Depression Scale ◽

Attachment Anxiety ◽

Insecure Attachment ◽

Poor Sleep ◽

Poor Sleep Quality ◽

Close Relationship

Previously, we have shown that neuromodulators are important factors in stress-induced emotional disorders, such as depression, for example, serotonin is the major substance for depression. Many psychological studies have proved that depression is due to insecure attachment. In addition, sleep is a major symptom of depression. Furthermore, serotonin is the substrate for both sleep and depression. To explore the role of sleep in the relationships between insecure attachment and depression, we investigated 755 college students with Close Relationship Inventory, Emotion Regulation Questionnaire, Self-rated Depression Scale, and Pittsburgh Sleep Quality Index. The results showed that (1) insecure attachment positively predicted poor sleep quality; (2) sleep quality partially affected depression, possibly due the same stress neuromodulators such as norepinephrine and cortisol; and (3) cognitive reappraisal moderated the mediating path leading from attachment anxiety to poor sleep quality. These findings highlight the moderating role of cognitive reappraisal in the effects of attachment anxiety on sleep quality and finally on depression. In conclusion, sleep quality links attachment anxiety and emotional disorders.

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