Diagnosis, pelvic pain, and medication mediate cognitive empathic abilities among women with endometriosis or polycystic ovary syndrome

IF 0.6 Q4 OBSTETRICS & GYNECOLOGY
Natalie L. Dinsdale, D. Chizen, B. Crespi
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Abstract

Objective: Investigate how women with self-reported endometriosis, polycystic ovary syndrome (PCOS), or no known reproductive disease perform on the Reading the Mind in the Eyes task, a metric of social cognitive empathic abilities, and how these scores are mediated by self-reported pelvic pain, depression levels, and medication use. Design: Cross-sectional. Setting: Online survey. Population: Saskatchewan; mixed ethnicities. Methods: Participants (n = 342) completed surveys on diagnoses of endometriosis and PCOS, levels of pelvic pain, medications, depression, and cognitive empathy (the Reading the Mind in the Eyes task, RMET). Results: Women with endometriosis showed lower scores on the RMET, compared to unaffected women and women with PCOS. However, among women with endometriosis, higher levels of pelvic pain and higher scores on an index of depression were associated with enhanced RMET performance. Among women with PCOS, medication with spironolactone, an androgen receptor antagonist, was associated with higher RMET scores, compared to women with PCOS who were not medicated or who were taking different medications. Conclusions: Symptoms (including pelvic pain), hormonal correlates, and some treatments of PCOS and endometriosis mediated variation in cognitive empathy.
子宫内膜异位症或多囊卵巢综合征妇女的诊断、盆腔疼痛和药物介导认知移情能力
目的:调查自我报告的子宫内膜异位症、多囊卵巢综合征(PCOS)或无已知生殖疾病的女性在社会认知共情能力的“通过眼睛读心”任务中的表现,以及这些分数如何被自我报告的盆腔疼痛、抑郁水平和药物使用介导。设计:横断面。设置:在线调查。人口:萨斯喀彻温省;混合种族。方法:参与者(n = 342)完成了子宫内膜异位症和多囊卵巢综合征的诊断、骨盆疼痛水平、药物、抑郁和认知共情(通过眼睛读心任务,RMET)的调查。结果:与未受影响的女性和多囊卵巢综合征女性相比,子宫内膜异位症女性的RMET评分较低。然而,在患有子宫内膜异位症的女性中,骨盆疼痛程度越高,抑郁指数得分越高,RMET表现越好。在患有多囊卵巢综合征的女性中,与未服用药物或服用其他药物的多囊卵巢综合征女性相比,服用睾酮内酯(一种雄激素受体拮抗剂)与更高的RMET评分相关。结论:多囊卵巢综合征(PCOS)的症状(包括盆腔疼痛)、激素相关因素以及一些治疗方法与子宫内膜异位症介导的认知共情变化有关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
1.20
自引率
0.00%
发文量
20
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