Assessment of Quality of Life and Psychologic Aspects in Patients with Gestational Trophoblastic Disease

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dc.contributor.authorVeloso Ferreira, Erika Goulart
dc.contributor.authorMaestá, Izildinha [UNESP]
dc.contributor.authorMichelin, Odair Carlito
dc.contributor.authorCallile de Paula, Regina Celia
dc.contributor.authorConsonni, Marcos
dc.contributor.authorRudge, Marilza Vieira Cunha [UNESP]
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.contributor.institutionFac Integradas Pitagoras
dc.date.accessioned2014-05-20T13:35:20Z
dc.date.available2014-05-20T13:35:20Z
dc.date.issued2009-04-01
dc.description.abstractOBJECTIVE: To assess quality of life (QoL) and psychological aspects in patients with gestational trophoblastic disease (GTD).METHODS: This cross-sectional self-report study was conducted among 54 women. Validated questionnaires assessed QoL (WHO-QOL-bref), symptoms of depression (Beck Depression Inventory [BDI]) and anxiety (State-Trait Anxiety Inventory [STAI]).RESULTS: Most patients rated overall QoL as good (44.44%) anti were satisfied with their health status (42.59%). Mean QoL domain score was lowest for psychologic health (53.86 +/- 21.46) and highest for social relationships (65.74 +/- 22.41). BDI mean was 15.81 +/- 11.15, indicating dysphoria. STAI means were 46 +/- 6.46 for trait-anxiety and 43.72 +/- 4.23 for state-anxiety, both evidencing medium-high anxiety. Among employed patients, environment domain mean was the highest (p = 0.024). Presence of children resulted in lowest means for physical health (p = 0.041) and environment (p = 0.045). Patients desiring children showed significantly higher means for physical health (p = 0.004), psychological health (p = 0.021) and environment (p = 0.003). Chemotherapy had no significant influence on QoL (p > 0.05).CONCLUSION: This study evidenced psychological impact on GTD patients, suggesting specialized care centers should provide psychological interventions during treatment and follow-up of GTD patients, highlighting the importance of a multidisciplinary approach. (J Reprod Med 2009;54:239-244)en
dc.description.affiliationSão Paulo State Univ, Dept Gynecol & Obstet, Botucatu Med Sch, Trophoblast Dis Ctr, BR-18618970 Botucatu, SP, Brazil
dc.description.affiliationFac Integradas Pitagoras, Montes Claros, MG, Brazil
dc.description.affiliationUnespSão Paulo State Univ, Dept Gynecol & Obstet, Botucatu Med Sch, Trophoblast Dis Ctr, BR-18618970 Botucatu, SP, Brazil
dc.format.extent239-244
dc.identifierhttp://www.reproductivemedicine.com/toc/auto_abstract.php?id=23593
dc.identifier.citationJournal of Reproductive Medicine. St Louis: Sci Printers & Publ Inc, v. 54, n. 4, p. 239-244, 2009.
dc.identifier.issn0024-7758
dc.identifier.lattes9012667997804219
dc.identifier.lattes6758680388835078
dc.identifier.orcid0000-0002-9227-832X
dc.identifier.urihttp://hdl.handle.net/11449/12147
dc.identifier.wosWOS:000265389800009
dc.language.isoeng
dc.publisherSci Printers & Publ Inc
dc.relation.ispartofJournal of Reproductive Medicine
dc.relation.ispartofjcr0.452
dc.relation.ispartofsjr0,270
dc.rights.accessRightsAcesso restrito
dc.sourceWeb of Science
dc.subjectgestational trophoblastic diseaseen
dc.subjectquality of lifeen
dc.subjectpsychological aspectsen
dc.titleAssessment of Quality of Life and Psychologic Aspects in Patients with Gestational Trophoblastic Diseaseen
dc.typeArtigo
dcterms.rightsHolderSci Printers & Publ Inc
unesp.author.lattes9012667997804219
unesp.author.lattes6758680388835078
unesp.author.orcid0000-0002-9227-832X[6]
unesp.campusUniversidade Estadual Paulista (Unesp), Faculdade de Medicina, Botucatupt

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