Stress vulnerability and life-contentedness in patient suffering from recurrent vulvovaginal discomfort of Candida origin

P. Jilek1, M. Pokorna1, L. Hajkova1, J. Spacek2, J. Kestranek2, V. Buchta2, P. Klemera1

Author address: 

1Charles University, HRADEC KRALOVE, Czech Republic 2Charles University and University Hospital, HRADEC KRALOVE, Czech Republic

Abstract: 

Objectives: Recurrent vulvovaginal discomfort (RVVD) caused by Candida is frequent reasons of gynecological interventions. The etiology of this disorder is so far ambiguous. The aim of study is to investigate the role of stress and life-contentedness in RVVD. Methods: Data from women have been obtained through questionnaires with one part comprising a set of questions aimed at life contentment and a degree of stress vulnerability. These questionnaires have been completed in relatively homogenous group of 329 university student (age 19 - 25 years,) with a return ratio was 82.7%. Women were categorized by questionnaire data (symptoms frequency, reported physician diagnosis and therapy) into 3 groups: obvious RVVD, unclassable (not evaluated more) and control group without of any signs of RVVD. Data were statistically analyzed by means of Student’s t-test. The questionnaire of life satisfaction includes seven areas. Each area is evaluated by using seven questions. Results: The RVVD group includes 18.7% women highly vulnerable to stress. There are 62.5% respondents who have displayed moderate stress vulnerability. As for the control group, high vulnerability has been noticed in case of 12.9% respondents, whereas 68.8% respondents have clarified moderate vulnerability to stress. The average sum value of responses according to the graded scale shows higher scoring for RVVD category in comparison to the control group. This finding suggests higher stress vulnerability of the RVVD category. Women from RVVD group are less satisfied with their life, their average value of score was 4.65 (out of the 7-point scale) in comparison with the control group (average score 5.17). The maximal differences were found in the area that deals with health. The differences were statistically significant in all seven items. The most significant differences were in questions related to bodily health state, immunity, feelings of pain and the rate of illness. In descending order, leisure time, housing, financial situation, partnership and marriage, family and friends are the other areas with the biggest differences we found out from data analyzed. Conclusion: The results of the study revealed that women suffering from recurrent vulvovaginal discomfort are more vulnerable to stress and less well-content with various spheres of their lives. The findings cannot prove whether reveal RVVD is the cause or the consequence of stress vulnerability. Acknowledgement: The study was supported by the Research project LC531 of the Ministry of Education, Czech Republic.
2009

abstract No: 

P304

Full conference title: 

4th Trends in Medical Mycology
    • TIMM 4th (2012)