The impact of personality traits on pessary treatment outcomes in patients with pelvic organ prolapse
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ORIGINAL ARTICLE
The impact of personality traits on pessary treatment outcomes in patients with pelvic organ prolapse Congcong Ma 1 & Jia Kang 1 & Tao Xu 2 & Ye Zhang 1 & Yidi Ma 1 & Lan Zhu 1 Received: 14 August 2020 / Accepted: 26 October 2020 # The International Urogynecological Association 2020
Abstract Introduction and hypothesis Personality traits can play an important role in outcomes of different chronic disorders. We hypothesize that the pessary treatment outcomes in symptomatic pelvic organ prolapse (POP) can also be influenced by personality traits. Methods This prospective observational study included consecutive women with symptomatic POP seeking pessary treatment between December 2018 and January 2020. The personality profile was measured using the Eysenck Personality Questionnaire (EPQ-R) at baseline, and patient health-related quality of life (HRQoL) was measured using the Pelvic Floor Impact Questionnaire-7 (PFIQ-7) and the Pelvic Floor Distress Inventory (PFDI-20) at baseline and at 3 months. The correlation between HRQoL and personality traits was investigated by means of linear regression. Results In total, 213 patients were included, of which 163 patients (76.5%) achieved success by the 3-month follow-up. No significant differences were found in the EPQ scores between the successful and unsuccessful groups. The scores on both the PFIQ-7 and PFDI-20 correlated significantly with neuroticism and correlated inversely with extraversion at both baseline and the 3-month follow-up. The degree of improvement in PFIQ-7 and PFDI-20 scores was not associated with personality traits. Conclusions Our data indicate that neurotic and introverted women were more bothered by POP-related symptoms, although the improvement in symptoms was not significantly associated with personality traits after 3 months of pessary treatment. Keywords Pelvic organ prolapse . Personality traits . Pessary . Health-related quality of life
Introduction Pelvic organ prolapse (POP) is defined as the descent of the female pelvic organs, including the vaginal wall, the uterus or the apex of the vagina [1]. Although it is nonfatal, a series of symptoms in the lower genital, urinary, and colorectal tracts can adversely affect patient health-related quality of life (HRQoL). The vaginal pessary has proved to be a costeffective conservative treatment for symptomatic POP with
* Lan Zhu [email protected] 1
Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences, No.1 ShuaiFu Road, Dongcheng District, Beijing 100730, People’s Republic of China
2
Department of Epidemiology and Statistics, Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences and School of Basic Medicine, Peking Union Medical College, Beijing, China
low morbidity [2]. Nearly two-thirds of physicians would choose pessary use as the first-line treatment for POP management [3]. Recent studies have indicated that personality traits can play a role in different
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