Obstet Gynecol Sci.  2018 Sep;61(5):598-604. 10.5468/ogs.2018.61.5.598.

Application of the World Health Organization Quality of Life Instrument, Short Form (WHOQOL-BREF) to patients with endometriosis

Affiliations
  • 1Endometriosis Research Center, Iran University of Medical Sciences, Saveh, Iran.
  • 2Social Determinants of Health Research Center, Saveh University of Medical Sciences, Saveh, Iran. yousefmoradi211@yahoo.com
  • 3Minimally Invasive Techniques Research Center in Women, Tehran Medical Sciences Branch, Islamic Azad University, Tehran, Iran.
  • 4Fellowship of Minimally Invasive Gynecology, Zanjan University of Medical Sciences, Zanjan, Iran.
  • 5School of Public Health, Dezful University of Medical Sciences, Dezful, Iran.
  • 6Student Research Committee, Kurdistan University of Medical Sciences, Sanandaj, Iran.

Abstract


OBJECTIVE
Endometriosis, a common hormone-dependent chronic inflammatory disease causes various symptoms including pelvic pain, which affect the physical and psychological quality of life in women of reproductive age. The present study aimed to assess the quality of life of Iranian women with endometriosis using the World Health Organization Quality of Life Instrument, Short Form (WHOQOL-BREF) questionnaire.
METHODS
This cross-sectional study performed in Tehran between October 2014 and July 2016 included 70 Iranian women with endometriosis. The Iranian version of the WHOQOL-BREF questionnaire was used to measure quality of life in these women. The Pearson's correlation coefficient, the paired and the independent t-tests, and a linear regression model were used to statistically analyze the data using the SPSS software version 16.0.
RESULTS
The total mean score of the WHOQOL-BREF questionnaire was 80.58. The highest and the lowest mean scores were observed in the environmental (28.15) and the physical health domains (10.59), respectively. A multiple linear regression model (backward method) showed that insurance coverage was associated with the total WHOQOL-BREF score, whereas age, insurance coverage, and income level were associated with domains 1 through 4, respectively (P < 0.05).
CONCLUSION
Endometriosis affects various aspects of the quality of life of Iranian women who therefore require holistic management focused on both, the physical and psychological aspects of treatment.

Keyword

Endometriosis; Quality of life; WHOQOL

MeSH Terms

Cross-Sectional Studies
Endometriosis*
Female
Global Health*
Humans
Insurance Coverage
Linear Models
Pelvic Pain
Quality of Life
World Health Organization*

Figure

  • Fig. 1 Flow chart showing patient enrollment in the study. WHOQOL, World Health Organization Quality of Life Instrument.


Reference

1. Fader AN, Arriba LN, Frasure HE, von Gruenigen VE. Endometrial cancer and obesity: epidemiology, biomarkers, prevention and survivorship. Gynecol Oncol. 2009; 114:121–127.
Article
2. Bellelis P, Podgaec S, Abrão MS. Fatores ambientais e endometriose. Rev Assoc Med Bras. 2011; 57:456–461.
Article
3. Bulletti C, Coccia ME, Battistoni S, Borini A. Endometriosis and infertility. J Assist Reprod Genet. 2010; 27:441–447.
Article
4. Mcleod BS, Retzloff MG. Epidemiology of endometriosis: an assessment of risk factors. Clin Obstet Gynecol. 2010; 53:389–396.
5. Gallagher JS, Feldman HA, Stokes NA, Laufer MR, Hornstein MD, Gordon CM, et al. The effects of GnRHa plus add-back therapy on quality of life for adolescents with endometriosis: a randomized controlled trial. J Pediatr Adolesc Gynecol. 2017; 30:215–222.
6. Santulli P, Bourdon M, Presse M, Gayet V, Marcellin L, Prunet C, et al. Endometriosis-related infertility: assisted reproductive technology has no adverse impact on pain or quality-of-life scores. Fertil Steril. 2016; 105:978–987.
7. van der Zanden M, Nap AW. Knowledge of, and treatment strategies for, endometriosis among general practitioners. Reprod Biomed Online. 2016; 32:527–531.
Article
8. McPeak AE, Allaire C, Williams C, Albert A, Lisonkova S, Yong PJ. Pain catastrophizing and pain health-related quality-of-life in endometriosis. Clin J Pain. 2018; 34:349–356.
Article
9. Ferreira AL, Bessa MM, Drezett J, de Abreu LC. Quality of life of the woman carrier of endometriosis: systematized review. Reprod Clim. 2016; 31:48–54.
Article
10. Giuliani M, Cosmi V, Pierleoni L, Recine A, Pieroni M, Ticino A, et al. Quality of life and sexual satisfaction in women suffering from endometriosis: an Italian preliminary study. Sexologies. 2016; 25:e12–9.
Article
11. Butrick CW. Patients with chronic pelvic pain: endometriosis or interstitial cystitis/painful bladder syndrome? JSLS. 2007; 11:182–189.
12. Koninckx PR, Meuleman C, Demeyere S, Lesaffre E, Cornillie FJ. Suggestive evidence that pelvic endometriosis is a progressive disease, whereas deeply infiltrating endometriosis is associated with pelvic pain. Fertil Steril. 1991; 55:759–765.
Article
13. Freschi L, Simi G, Obino ME, Ruggiero M, Papini F, Cela V. Dienogest in the treatment of endometriosis: a retrospective analysis of quality of life. Gynecol Endocrinol. 2016; 32:107.
14. The World Health Organization Quality of Life Assessment (WHOQOL). development and general psychometric properties. Soc Sci Med. 1998; 46:1569–1585.
15. Gholami A, Araghi MT, Shamsabadi F, Bayat M, Dabirkhani F, Moradpour F, et al. Application of the World Health Organization Quality of Life Instrument, Short Form (WHOQOL-BREF) to patients with cataract. Epidemiol Health. 2016; 38:e2016005.
Article
16. Taylor WJ, Myers J, Simpson RT, McPherson KM, Weatherall M. Quality of life of people with rheumatoid arthritis as measured by the World Health Organization Quality of Life Instrument, Short Form (WHOQOL-BREF): score distributions and psychometric properties. Arthritis Rheum. 2004; 51:350–357.
Article
17. Nejat S, Montazeri A, Holakouie Naieni K, Mohammad K, Majdzadeh SR. The World Health Organization Quality of Life (WHOQOL-BREF) questionnaire: translation and validation study of the Iranian version. Majallah-i Danishkadah-i Bihdasht va Anstitu Tahqiqat-i Bihdashti. 2006; 4:1–12.
18. Mental Health Programme of WHO. WHOQOL-BREF: introduction, administration, scoring and generic version of the assessment. Geneva: Programme on Mental Health, World Health Organization;1996.
19. Skevington SM, Tucker C. Designing response scales for cross-cultural use in health care: data from the development of the UK WHOQOL. Br J Med Psychol. 1999; 72:51–61.
Article
20. World Health Organization. WHOQOL user manual: programme on mental health. Geneva: World Health Organization;1998.
21. Bland JM, Altman DG. Statistics notes: Cronbach's alpha. BMJ. 1997; 314:572.
Article
22. Nedjat S, Montazeri A, Holakouie K, Mohammad K, Majdzadeh R. Psychometric properties of the Iranian interview-administered version of the World Health Organization's Quality of Life Questionnaire (WHOQOL-BREF): a population-based study. BMC Health Serv Res. 2008; 8:61.
Article
23. Nojomi M, Bijari B, Akhbari R, Kashanian M. The assessment of reliability and validity of Persian version of the endometriosis health profile (EHP-30). Iran J Med Sci. 2011; 36:84–89.
24. Fourquet J, Gao X, Zavala D, Orengo JC, Abac S, Ruiz A, et al. Patients' report on how endometriosis affects health, work, and daily life. Fertil Steril. 2010; 93:2424–2428.
Article
25. Vercellini P, Frattaruolo M, Somigliana E, Jones G, Consonni D, Alberico D, et al. Surgical versus low-dose progestin treatment for endometriosis-associated severe deep dyspareunia II: effect on sexual functioning, psychological status and health-related quality of life. Hum Reprod. 2013; 28:1221–1230.
Article
26. Fourquet J, Báez L, Figueroa M, Iriarte RI, Flores I. Quantification of the impact of endometriosis symptoms on health-related quality of life and work productivity. Fertil Steril. 2011; 96:107–112.
Article
27. Denny E, Mann CH. Endometriosis-associated dyspareunia: the impact on women's lives. J Fam Plann Reprod Health Care. 2007; 33:189–193.
Article
28. Nnoaham KE, Hummelshoj L, Webster P, d'Hooghe T, de Cicco Nardone F, de Cicco Nardone C, et al. Impact of endometriosis on quality of life and work productivity: a multicenter study across ten countries. Fertil Steril. 2011; 96:366–373.e8.
Article
29. Jones G, Jenkinson C, Kennedy S. The impact of endometriosis upon quality of life: a qualitative analysis. J Psychosom Obstet Gynaecol. 2004; 25:123–133.
Article
30. Dubernard G, Piketty M, Rouzier R, Houry S, Bazot M, Darai E. Quality of life after laparoscopic colorectal resection for endometriosis. Hum Reprod. 2006; 21:1243–1247.
Article
31. Simoens S, Dunselman G, Dirksen C, Hummelshoj L, Bokor A, Brandes I, et al. The burden of endometriosis: costs and quality of life of women with endometriosis and treated in referral centres. Hum Reprod. 2012; 27:1292–1299.
Article
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