Higher PFIQ scores indicate a greater impact of pelvic floor symptoms on functional ability.(17) Missing items are dealt with by using the mean from answered items only.
The PHQ9 was used to measure depressive symptoms and is a 9 item self-report scale that correlates highly with the Structured Clinical Interview for DSM-IV.(18) The PHQ9 assesses how often symptoms have been bothersome over the previous 2 weeks, using a 4-point Likert scale, with higher scores indicating more severe depressive symptoms.
Future studies are needed to better understand how sleep disturbances may contribute to the impact of pelvic floor symptoms on quality of life.
Sleep has a significant effect on overall health status and quality of life.
Demographic data, medical comorbidities, medications, and physical examinations were also recorded.5).
It has been estimated that women have an 11–19% lifetime risk for undergoing surgery for prolapse or incontinence; rates of asymptomatic POP are likely even higher, with estimates of 38–50% affected (6,7,8,9) As the population ages, it is estimated that the rate of women seeking treatment for POP will double.(10)POP has also been shown to affect many aspects of a woman’s quality of life including her social, psychological, physical, sexual, body image and overall wellbeing.(11,12) Prior work by the authors demonstrated a high prevalence of depression in women with POP.(13) Fritel et al.
Factors associated with sleep quality were evaluated using multivariable linear regression models.
Worse sleep scores were associated with each of the PFDI subscores (urinary, prolapse, bowel), depressive symptoms, severe nocturia symptoms, and number of comorbidities. Pelvic floor symptoms as measured by PFDI sub-scales, were associated with poor sleep quality.
The PFIQ is a 93-item, self-reported, validated condition-specific quality of life measure that assesses the impact of urinary, prolapse, and bowel symptoms in relationship to activities of daily living.
It is composed of 3 sub-scales ranging from 0–400 (Incontinence Impact Questionnaire (IIQ), Colorectal-anal Impact Questionnaire, and the POP Impact Questionnaire (POPIQ).