Limitations in Activities of Daily Living Among Spanish Women Diagnosed With Endometriosis

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URI: https://hdl.handle.net/10481/87620
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Lozano-Lozano, Mario; Mundo López, Antonio; San-Sebastian, Ainhoa P; Galiano-Castillo, Noelia; Fernández-Lao, Carolina; Cantarero-Villanueva, Irene; Arroyo-Morales, Manuel; Ocón Hernández, Olga; Artacho Cordón, Francisco
Materia
Endometriosis
 
Pain
 
Fatigue
 
catastrophization
 
Date
2021-11-29
Referencia bibliográfica
Lozano-Lozano, M., Mundo-López, A., San-Sebastian, A. P., Galiano-Castillo, N., Fernandez-Lao, C., Cantarero-Villanueva, I., Arroyo-Morales, M., Ocón-Hernández, O., & Artacho-Cordón, F. (2021). Limitations in Activities of Daily Living Among Spanish Women Diagnosed With Endometriosis. The American journal of occupational therapy : official publication of the American Occupational Therapy Association, 75(6), 7506205050. https://doi.org/10.5014/ajot.2021.044974
Sponsorship
This study was partially supported by Carlos III Health Institute Grant FIS PI17/01743, donations from women with endometriosis, and Paidi Group CTS-206 funds. This project is cofunded by the University of Granada, Plan Propio de Investigacion 2016, Actions of Excellence, and by the Junta de Andalucıa, Consejerıa de Conocimiento, Investigacion y Universidades, and the European Regional Development Fund (Ref. SOMM17/6107/UGR). This article was part of the doctoral thesis developed by A. Mundo-Lopez for the Of ficial Doctoral Programme in Clinical Medicine and Public Health at the University of Granada.
Abstract
Importance: Understanding the impact of endometriosis symptoms on patients' activities of daily living (ADLs) is a priority to establish effective and personalized intervention programs. Objective: To explore limitations in ADLs and instrumental ADLs (IADLs) and their association with pelvic pain (PP), chronic fatigue, and pain-catastrophizing thoughts among women with endometriosis. Design: Cross-sectional study. Setting: Spain. Participants: Two hundred thirty women with endometriosis. Outcomes and Measures: Information regarding performance of ADLs (Barthel Index) and IADLs (Lawton-Brody questionnaire), PP intensity (Numeric Rating Scale), chronic fatigue (Piper Fatigue Scale), and pain-catastrophizing thoughts (Pain Catastrophizing Scale) was gathered. Multivariate regression analyses were created, and mediating effects of fatigue and pain-catastrophizing thoughts on the association between PP and ADL and IADL limitations were assessed. Results: The prevalence of limitations in at least one ADL and one IADL was 22.6% (95% confidence interval [CI] [17.2, 28.1]) and 39.1% (95% CI [32.8, 45.5]), respectively. Limitations in bowel continence, housework, shopping, and meal preparation were reported most frequently. Women reporting severe PP showed higher risk for ADL (odds ratio [OR] = 3.33, 95% CI [1.10, 10.10]) and IADL (OR = 7.99, 95% CI [2.86, 22.34]) limitations. Chronic fatigue and pain-catastrophizing thoughts were also positively related to ADL-IADL limitations, showing a mediating effect on the association between PP and ADL-IADL limitations. Conclusions and relevance: This study reveals the widespread presence of difficulties in ADL-IADL performance among women with endometriosis, with some symptoms underlying these difficulties in occupational performance. This study points to the need for cost-effective occupational therapy interventions for affected women. What This Article Adds: This research shows that the occupational performance of women with endometriosis is frequently impaired; therefore, the effectiveness of occupational therapy interventions should be addressed in the near future.
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