子宫内膜异位症
医学
盆腔疼痛
梅德林
生活质量(医疗保健)
观察研究
睡眠障碍
系统回顾
荟萃分析
批判性评价
物理疗法
临床心理学
精神科
妇科
替代医学
内科学
失眠症
外科
病理
护理部
政治学
法学
作者
Chyntia Diva Sumbodo,Kate Tyson,Samantha Mooney,Julie M Lamont,Marcus McMahon,Sarah J. Holdsworth-Carson
标识
DOI:10.1016/j.ejogrb.2023.12.010
摘要
Endometriosis is associated with a range of symptoms that can negatively impact a person's quality of life. While pain and infertility have received at lot of attention, sleep disturbances in individuals with endometriosis has been overlooked in both clinical practice and research. Therefore, the primary aim of this systematic review was to gather evidence from the current literature to illustrate the association between sleep disturbances and endometriosis.A literature search was conducted using three electronic databases (OVID EMBASE, MEDLINE, and Web of Science). Observational studies, published in English, that involved participants aged 18 years or older that compared sleep outcomes between endometriosis patients and those without a history of endometriosis were included. The quality of each study was assessed using the Joanna Briggs Institute critical appraisal tools.Nine studies (six case-control and three cross-sectional) were included in this review; 7 with low risk of bias and 2 with moderate risk of bias. The studies demonstrated heterogeneity in the assessment of sleep disturbances. However, 7 studies reported a significant positive association between endometriosis and sleep disturbances. Moreover, this impact on sleep was further complicated by the complex interaction between pain, fatigue and quality of life.Current studies suggest an association between sleep disturbances and endometriosis, which may provide a blueprint for future clinical recommendations to screen and treat sleep disturbances in individuals with endometriosis to improve their quality of life. Future studies should aim to standardise the methods of assessing sleep disturbances and explore potential contributing factors.
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