Effect of Self-care Counseling on Depression and Anxiety in Women with Endometriosis: A Randomized Controlled Trial

Abstract

Abstract: Introduction: Considering the prevalence of endometriosis and depression and anxiety caused by this disease and its effect on the body, mind and quality of life of patients, this study was performed to determine the effect of self-care counseling on depression and anxiety (first outcome), and quality of life of women with endometriosis (secondary outcome). Material and methods This randomized controlled clinical trial was conducted on 76 women with endometriosis who were treated in Al-Zahra Teaching and Treatment Center of Tabriz between 1394 and 1398. The patients were divided into intervention (counselling) and control groups using random blocking method. For the intervention group, self-care group counseling was held weekly for 7 sessions. The control group did not receive any care. The Beck Depression Inventory, the Spline Berger Anxiety Inventory, Socio-demographic Questionnaire, and SF36 Quality of Life Questionnaires were completed by the researcher through an interview before and four weeks after the intervention. Finding No statistically significant difference was found between the intervention and control groups in terms of personal social characteristics (p>0/05). After intervention mean (standard deviation) of state anxiety score (mean difference: -0.12, 95% confidence interval: -9.6 to -14.4, p<0.001) and trait anxiety (mean difference: -10.9: 95% confidence interval: -9.1 to -12.7, p=0.001) were significantly lower than control group and mean score of depression in counseling group was less than control group but it was not significant (p=0/565). Mean score of quality of life in terms of physical health (mean difference= 17.2, 95% confidence interval: from 13.8 to 20.5, p<0.001) and in terms of mental health (mean difference = 12.0, 95% confidence interval: 9.0 to 14.9, p<0.001) were significantly upper in counselling group. Conclusion: Self-care counselling is effective on anxiety and quality of life of women with endometriosis. So in addition to other therapies, this method is recommended it is recommended to improve the mental health of patients with this disease.