International survey confirms that women with endometriosis-associated pain experience a high prevalence of pain imagery and coping imagery

Graham, Christopher; Brown, Shona L.; Vincent, Katy; Horne, Andrew

doi:10.1016/j.ejogrb.2019.10.030

Cited by 7 publications

(8 citation statements)

References 5 publications

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“…It has been reported that patients with endometriosis experience high levels of stress due to the negative impact of the endometriosis‐related symptoms on all aspects of life, including work, relationships, and fertility. 15 According to Graham et al, 16 patients with endometriosis reported higher levels of stress and higher depression scores, especially those with endometriosis stages 3 and 4. 16 In the present study, although results were not compared with that of a control group, it was also shown that patients with endometriosis are afraid of experiencing endometriosis‐related problems during the pandemic period.…”

Section: Discussionmentioning

confidence: 99%

“…15 According to Graham et al, 16 patients with endometriosis reported higher levels of stress and higher depression scores, especially those with endometriosis stages 3 and 4. 16 In the present study, although results were not compared with that of a control group, it was also shown that patients with endometriosis are afraid of experiencing endometriosis‐related problems during the pandemic period.…”

Section: Discussionmentioning

confidence: 99%

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The COVID‐19 pandemic and patients with endometriosis: A survey‐based study conducted in Turkey

Bahat

Kaya

Selçuki

et al. 2020

Intl J Gynecology & Obste

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Objective: To apply rapid online surveying to determine the knowledge and perceptions of the COVID-19 pandemic on patients with endometriosis in Turkey. Methods: An online survey was conducted by the Turkish Endometriosis & Adenomyosis Society and administered to patients with endometriosis who agreed to participate in the study. The survey included 25 questions prepared by an expert committee of four professionals (two gynecologists and two endometriosis specialists). Results: Of the 290 questionnaires sent out, 261 (90%) were returned. A total of 213 (83.86%) patients reported that they were afraid of having endometriosis-related problems during the pandemic period. In addition, 133 (53.63%) patients thought the management of their endometriosis was affected because of the pandemic. Conclusion: Clinical studies clearly indicate that endometriosis is a condition associated with high levels of chronic stress. The COVID-19 pandemic has led the public to experience psychological problems such as post-traumatic stress disorder, psychological distress, depression, and anxiety. The majority of patients with endometriosis were afraid of having endometriosis-related problems during the pandemic period. The majority of elective endometriosis surgeries have not been postponed. Patients were highly aware of the pandemic and practiced social distancing and hygiene. Only 4 (1.59%) patients with endometriosis required hospitalization.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The COVID‐19 pandemic and patients with endometriosis: A survey‐based study conducted in Turkey

Bahat

Kaya

Selçuki

et al. 2020

Intl J Gynecology & Obste

View full text Add to dashboard Cite

show abstract

“…For the comparison of patient groups, different types of methods were used. Twenty-one studies inves-tigated anxiety and depression symptoms in endometriosis patients without including a control group [27,33,34,36,37,[39][40][41][42]45,47,49,50,52,58,59,63,65,66,69,70,72,73]. Twenty-six studies compared endometriosis patients with a group of either healthy controls [30,32,35,38,39,46,51,55], CPP patients without endometriosis [29,48,54,60,67], infertile patients without endometriosis [61,64] or a combination of control groups [28,43,44,53,56,57,62,68,71].…”

Section: Study Subjectsmentioning

confidence: 99%

“…Studies that investigated other factors than pain or infertility, reported that higher scores of depression or anxiety in endometriosis patients were correlated to poorer quality of sleep [27], fatigue [52], poorer quality of life [32,49,50,52], gastrointestinal symptoms [70], lower self-esteem [36], lower emotional self-efficacy [36], lower sexual functioning [32,51], dysfunction on social adjustment [54], pain imagery [42] and clinical signs of pain sensitization [68]. In addition, it was reported that patients who used positive coping strategies had less depression [33,34].…”

Section: Correlating Factors With Depression and Anxiety In Endometriosis Patientsmentioning

confidence: 99%

Depression, Anxiety and Endometriosis: A systematic review and meta-analysis.

Barneveld¹,

Manders²,

Osch³

et al. 2020

Preprint

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Background: The extent of endometriosis is not directly related to the degree of symptoms, and recurrence of symptoms occurs frequently. Given that, an association with psychological distress, as in depression and anxiety disorders, is suggested. Objective: To explore the strength of the associations between endometriosis and depression or anxiety and to review potential correlating factors. Search Strategy: A literature search was carried out using the electronic databases Embase, PubMed, Web-of-science and PsycINFO. Search terms related to depression, anxiety and endometriosis were combined resulting in 1,837 records. Selection criteria: Articles describing an association between endometriosis and depression or anxiety by using validated assessment tools, structured psychiatric interviews or a documented diagnosis were included. Data collection and Analysis: With 47 articles a systematic qualitative review was performed. Seventeen studies were eligible for meta-analysis. Main Results: In the meta-analysis, endometriosis patients experienced significantly more symptoms of depression (SMD of 0.71 (95%CI 0.36, 1.06) and anxiety (SMD 0.60 (95%CI 0.35, 0.84)) compared to healthy controls, but no differences were found comparing endometriosis patients with chronic pelvic pain patients without endometriosis. Besides the effect of pain, other correlating factors included age, quality of life, quality of sleep, fatigue, sexual function, gastrointestinal symptoms, comorbidity, selfesteem, emotional self-efficacy, coping style, social adjustment, pain imagery and pain sensitization. Conclusion: Endometriosis is associated with depression and anxiety. Therefore, an integrated patient-centred approach to medical, psychological and sexual issues is suggested as this may positively influence the perception of symptoms, treatment adherence, quality of life, prognosis and health care costs.

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“…Within the Cancer Threat Interpretation Model, interpretation bias is a key contributor to fear of progression 19 and has also been found to be elevated in people with chronic pain. 31 Imagery has also been found to be relevant to chronic pain, 2 including pelvic pain 3 and endometriosis, 5,6,18 and has been incorporated into theoretical models, 20 although this research is somewhat sparse. And yet, these constructs have not been investigated together before, especially in the context of endometriosis pain.…”

Section: Introductionmentioning

confidence: 99%

Fear of progression, imagery, interpretation bias, and their relationship with endometriosis pain

Todd,

Pickup,

Coutts-Bain

2023

Pain

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Endometriosis is a chronic gynaecological condition, of which pain is both the most common and most debilitating symptom. As with other forms of pain, there is increasing recognition of the role of psychological processes in bridging the gap between pain and pain impact, and yet these processes are not well understood in endometriosis. The aim of this study was to investigate the relevance of fear of progression, imagery, and interpretation bias in endometriosis, and their contribution to pain interference. A total of 221 participants (mean age = 38 years, SD = 7.8) with endometriosis were recruited from Endometriosis Australia. This cross-sectional study included relevant demographics and endometriosis characteristics; questionnaires to measure fear of progression, imagery, interpretation bias, and pain; and the word association task to measure interpretation bias. Participants reported high scores on the Fear of Progression Questionnaire (M = 38/60), higher than that has been found in cancer. Controlling for age and pain intensity, we found that imagery, interpretation bias, and their interaction were associated with increased fear of progression and that fear of progression was associated with greater pain-related interference. In exploratory analysis, we also found that the frequency and distress of endometriosis-related intrusive imagery were associated with greater fear of progression and pain interference, after controlling for age and pain intensity. These findings provide the first support of the importance of fear of progression in people with endometriosis and suggest possible pathways for causal investigation.

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International survey confirms that women with endometriosis-associated pain experience a high prevalence of pain imagery and coping imagery

Cited by 7 publications

References 5 publications

The COVID‐19 pandemic and patients with endometriosis: A survey‐based study conducted in Turkey

The COVID‐19 pandemic and patients with endometriosis: A survey‐based study conducted in Turkey

Depression, Anxiety and Endometriosis: A systematic review and meta-analysis.

Fear of progression, imagery, interpretation bias, and their relationship with endometriosis pain

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