التفاصيل البيبلوغرافية
| العنوان: |
Emotional and Clinical Aspects Observed in Women with Gestational Trophoblastic Disease: A Multidisciplinary Action |
| المؤلفون: |
França, Ana Carolina Gomes, Uberti, Elza Maria Hartmann, Muller, Karine Paiva, Cardoso, Rodrigo Bernardes, Giguer, Fabiana, Beitune, Patricia El, Braga, Antonio |
| المصدر: |
Revista Brasileira de Ginecologia e Obstetrícia. April 2022 44(4) |
| بيانات النشر: |
Federação Brasileira das Sociedades de Ginecologia e Obstetrícia, 2022. |
| سنة النشر: |
2022 |
| مصطلحات موضوعية: |
gestational trophoblastic disease, psychological aspects, support group, mental health |
| الوصف: |
Objective To evaluate the emotional and clinical aspects observed in women with gestational trophoblastic disease (GTD) followed-up in a reference center (RC) by a multidisciplinary team. Methods Retrospective cohort study of the clinical records of 186 women with GTD and of the emotional aspects (EA) observed in these women by a teamof psychologists and reported by the 389 support groups conducted from 2014 to 2018. Results The women were young (mean age: 31.2 years), 47% had no living child, 60% had planned the pregnancy, and 50% participated in two or more SG. Most women (n=137; 73.6%) reached spontaneous remission ofmolar gestation in a median time of 10 weeks and had a total follow-up time of seven months. In the group of 49 women (26.3%) who progressed to gestational trophoblastic neoplasia (GTN), time to remission after chemotherapy was 18 weeks, and total follow-up time was 36 months. EA included different levels of anxiety and depression,more evident in 9.1% of the women; these symptoms tended to occur more frequently in women older than 40 years (p=0.067), less educated (p=0.054), and whose disease progressed to GTN (p=0.018), as well as in those who had to undergo multi-agent chemotherapy (p=0.028) or hysterectomy (p=0.001) adjuvant to clinical treatment. Conclusion This study found several EA in association with all types of GTD. It also highlights the importance of specialized care only found in a RC, essential to support the recovery of the mental health of these women. |
| نوع الوثيقة: |
article |
| وصف الملف: |
text/html |
| اللغة: |
English |
| تدمد: |
0100-7203 |
| DOI: |
10.1055/s-0042-1742681 |
| URL الوصول: |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032022000400343 |
| Rights: |
info:eu-repo/semantics/openAccess |
| رقم الانضمام: |
edssci.S0100.72032022000400343 |
| قاعدة البيانات: |
SciELO |
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