Optimism in women undergoing abdominal sacrocolpopexy for pelvic organ prolapse.

Journal Article (Journal Article;Multicenter Study)

BACKGROUND: Although studies suggest that optimism can predict health outcomes, the relationship has not been tested in women with pelvic organ prolapse (POP). This study sought to explore the relationship between optimism, prolapse severity, and symptoms before operation; and examine whether optimism predicts postsurgical functional status, treatment satisfaction, and treatment success. STUDY DESIGN: Data from the randomized Colpopexy and Urinary Reduction Efforts (CARE) study, in which stress continent women undergoing sacrocolpopexy to repair stage II to IV POP completed a baseline assessment of optimism and validated symptom and quality-of-life measures at baseline and 24 months. Relationships between optimism and demographics, clinical status, and functional and quality-of-life outcomes were assessed. RESULTS: Of 322 Colpopexy and Urinary Reduction Efforts study participants, 305 (94.7%) completed 24-month followup interviews. At baseline, there were no notable differences in optimism with respect to POP stage or history of earlier operations for prolapse or urinary incontinence. At baseline, women with greater optimism reported markedly better physical and mental functioning (p

Full Text

Duke Authors

Cited Authors

  • Wren, PA; Janz, NK; FitzGerald, MP; Barber, MD; Burgio, KL; Cundiff, GW; Nygaard, IE; Zyczynski, HM; Gao, X; Pelvic Floor Disorders Network,

Published Date

  • August 2008

Published In

Volume / Issue

  • 207 / 2

Start / End Page

  • 240 - 245

PubMed ID

  • 18656053

Pubmed Central ID

  • PMC3709444

Electronic International Standard Serial Number (EISSN)

  • 1879-1190

Digital Object Identifier (DOI)

  • 10.1016/j.jamcollsurg.2008.02.019

Language

  • eng

Conference Location

  • United States