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Psycho-emotional profile of patients with vulvar lichen sclerosus

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Aim: to assess the psycho-emotional profile in patients with vulvar lichen sclerosus.

Materials and methods. We examined 57 patients with a diagnosis of vulvar lichen sclerosus, the average age of 35.0 ± 0.6 (from 18 to 45) years. The control group included 45 healthy women without dystrophic changes in the external genital organs, who applied for a routine examination. The following methods were used to analyze the psycho-emotional profile: WAM questionnaire (well-being, activity, mood), Hospital Anxiety and Depression Scale (HADS), the Dermatology Life Quality Index (DLQI).

Results. In patients with vulvar lichen sclerosus a decrease in indicators “well-being” (24.3 ± 1.7 versus 52.4 ± 5.6 scores) and “mood” (28.7 ± 3.6 versus 58.1 ± 6.1 scores) was revealed; “activity” was changed slightly (41.2 ± 3.2 against 47.4 ± 4.9 scores). Depressive (75.4 % versus 15.6 %) and anxiety (68.4 % versus 20 %) disorders were also more common in this group. Significant deterioration in the quality of life in patients was confirmed by a DIQL (18.79 ± 4.98 scores).

Conclusion. Psycho-emotional profile of patients with vulvar lichen sclerosus is characterized by a change in most of the analyzed parameters. The presence of anxiety-depressive disorders can aggravate both the general somatic state and the course of the underlying disease. So activities aimed at improving the quality of life should be included in the rehabilitation of these patients.

About the Authors

A. G. Solopova
Sechenov University
Russian Federation

Antonina G. Solopova – MD, Dr Sci Med, Professor, Department of Obstetrics and Gynecology, N.F. Filatov Clinical Institute of Children’s Health

62 Str. Zemlyanoi Val., Moscow 109004

Scopus Author ID: 6505479504

Researcher ID: Q-1385-2015

E. E. Achkasov
Sechenov University
Russian Federation

Evgeniy E. Achkasov – MD, Dr Sci Med, Professor, Head of the Department of Sports Medicine and Rehabilitation, Institute of Clinical Medicine

8 bild. 2, Trubetskaya Str., Moscow 119991

A. D. Makatsariya
Sechenov University
Russian Federation

Alexander D. Makatsariya – MD, Dr Sci Med, Professor, Academician of RAS, Head of the Department of Obstetrics and Gynecology, N.F. Filatov Clinical Institute of Children’s Health

62 Str. Zemlyanoi Val., Moscow 109004

Scopus Author ID: 6602363216

Researcher ID: M-5660-2016

V. S. Moskvichyova
Sechenov University
Russian Federation

Viktoriya S. Moskvichyova – MD, Clinical Resident, Department of Sports Medicine and Medical Rehabilitation, Institute of Clinical Medicine

8 bild. 2, Trubetskaya Str., Moscow 119991

Scopus Author ID: 57201495137

Researcher ID: H-2410-2019

A. E. Ivanov
City Clinical Oncology Hospital № 1, Moscow Healthcare Department
Russian Federation

Alexander E. Ivanov – MD, PhD, Oncologist, Head of the Department of Oncogynecology

17/1 Baumanskaya Str., Moscow 105005


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For citations:

Solopova A.G., Achkasov E.E., Makatsariya A.D., Moskvichyova V.S., Ivanov A.E. Psycho-emotional profile of patients with vulvar lichen sclerosus. Obstetrics, Gynecology and Reproduction. 2020;14(2):203-210. (In Russ.)

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ISSN 2313-7347 (Print)
ISSN 2500-3194 (Online)