{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:43:33Z","timestamp":1787013813401,"version":"build-2736575974"},"reference-count":26,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2016,5,2]],"date-time":"2016-05-02T00:00:00Z","timestamp":1462147200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100002848","name":"Comisi\u00f3n Nacional de Investigaci\u00f3n Cient\u00edfica y Tecnol\u00f3gica","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100002848","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007311","name":"Cleveland Clinic","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007311","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2016,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      There is no consensus on the relationship between depressive symptoms (\n                      <jats:styled-content style=\"fixed-case\">DS<\/jats:styled-content>\n                      ) and pelvic organ prolapse (\n                      <jats:styled-content style=\"fixed-case\">POP<\/jats:styled-content>\n                      ) symptoms and quality of life (QoL). Our hypothesis was that women with\n                      <jats:styled-content style=\"fixed-case\">DS<\/jats:styled-content>\n                      and\n                      <jats:styled-content style=\"fixed-case\">POP<\/jats:styled-content>\n                      have worse symptoms and QoL than those without\n                      <jats:styled-content style=\"fixed-case\">DS<\/jats:styled-content>\n                      and\n                      <jats:styled-content style=\"fixed-case\">POP<\/jats:styled-content>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>\n                      Our aim was to compare two groups of\n                      <jats:styled-content style=\"fixed-case\">POP<\/jats:styled-content>\n                      patients, those with depressive symptoms and those without, and evaluate the association of symptoms and QoL.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and methods<\/jats:title>\n                    <jats:p>\n                      This planned report is part of a prospective study evaluating the impact of pessary use among symptomatic\n                      <jats:styled-content style=\"fixed-case\">POP<\/jats:styled-content>\n                      patients. Patients were evaluated by\n                      <jats:styled-content style=\"fixed-case\">POP<\/jats:styled-content>\n                      quantification (\n                      <jats:styled-content style=\"fixed-case\">POP\u2010Q<\/jats:styled-content>\n                      ), pelvic ultrasound (\n                      <jats:styled-content style=\"fixed-case\">US<\/jats:styled-content>\n                      ), voiding diaries, stress test, pad test, Pelvic Floor Distress Inventory (\n                      <jats:styled-content style=\"fixed-case\">PFDI<\/jats:styled-content>\n                      \u201020), Prolapse QoL (P\u2010QoL) and the Goldberg Health Questionnaire (\n                      <jats:styled-content style=\"fixed-case\">GHQ<\/jats:styled-content>\n                      \u201012) (psychological health screening for\n                      <jats:styled-content style=\"fixed-case\">DS<\/jats:styled-content>\n                      when score \u22655). A sample size of 78 patients was required to demonstrate a 50\u2010point difference in the global\n                      <jats:styled-content style=\"fixed-case\">PFDI<\/jats:styled-content>\n                      \u201020 score with 80% power and 95% probability.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Ninety\u2010one women with\n                      <jats:styled-content style=\"fixed-case\">POP<\/jats:styled-content>\n                      were included.\n                      <jats:styled-content style=\"fixed-case\">GHQ<\/jats:styled-content>\n                      \u201012 was positive in 47 (51.6%) patients. No differences were found in\n                      <jats:styled-content style=\"fixed-case\">POP\u2010Q<\/jats:styled-content>\n                      , pad and stress test between those with a positive\n                      <jats:styled-content style=\"fixed-case\">GHQ<\/jats:styled-content>\n                      \u201012 and those without. However,\n                      <jats:styled-content style=\"fixed-case\">GHQ<\/jats:styled-content>\n                      \u201012 was associated with higher\n                      <jats:styled-content style=\"fixed-case\">PFDI<\/jats:styled-content>\n                      \u201020 scores and higher scores in seven of nine P\u2010QoL domains.\n                      <jats:styled-content style=\"fixed-case\">GHQ<\/jats:styled-content>\n                      \u201012 persisted as an independent risk factor for worse P\u2010QoL scores after multivariable analysis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      A \u2018positive\u2019 screening for\n                      <jats:styled-content style=\"fixed-case\">DS<\/jats:styled-content>\n                      was associated with worse\n                      <jats:styled-content style=\"fixed-case\">PFDI<\/jats:styled-content>\n                      \u201020 and P\u2010QoL scores despite no difference in objective measurements. It may be that depressed patients interpret their symptoms differently.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ajo.12467","type":"journal-article","created":{"date-parts":[[2016,5,2]],"date-time":"2016-05-02T12:27:28Z","timestamp":1462192048000},"page":"391-397","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":30,"title":["Association between pelvic floor disorder symptoms and QoL scores with depressive symptoms among pelvic organ prolapse patients"],"prefix":"10.1111","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8614-4480","authenticated-orcid":false,"given":"Javier","family":"Pizarro\u2010Berdichevsky","sequence":"first","affiliation":[{"name":"Urogynecology Unit H. 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