Patients with endometriosis using positive coping strategies have less depression, stress and pelvic pain

Abstract

Objective To determine the correlations between coping strategies, depression, stress levels and pain perception in patients with endometriosis.Methods This prospective and exploratory study included 171 women undergoing treatment for endometriosis between April and August 2014. The questionnaires used were Brief COPE, Beck Depression Inventory, Lipp’s Stress Symptom Inventory for Adults and Visual Analogue Scale. Clinical data were collected from electronic medical records.Results Patients with endometriosis who used positive coping strategies had better adaptation to stress (p<0.004) and less depression (p<0.004). The presence and intensity of depression, stress and acyclic pelvic pain were directly associated (p<0.05). The intensity of dysmenorrhea was associated with the degree of depression (p<0.001), whereas acyclic pelvic pain was associated with the degree of depression (p<0.001), stress level (p<0.001) and stress type (p<0.001).Conclusion We found a positive association between coping, depression levels, type and levels of stress and pain intensity in patients with endometriosis. The use of maladaptive coping strategies focused on emotion is correlated with increase in depression and stress.

<p>Predictors of Psychological Outcomes and the Effectiveness and Experience of Psychological Interventions for Adult Women with Chronic Pelvic Pain: A Scoping Review</p>

“…Higher pain severity predicted higher anxiety, pain catastrophizing, depression, stress, harm avoidance, lower self-directedness and rumination. [45][46][47][48][49] Baseline pain intensity was found to be positively correlated with depression scores. 50 Constant pain led to higher reported stress for women with CPP in comparison to those with intermittent pain.…”

“…54 Higher depression scores also lead to more difficulties with problem solving for women with CPP. 48 Positive coping skills, stable relationships, good self and body esteem were all associated with less depression symptoms and decreased thinking styles associated with depression, such as rumination. 46,48…”

“…The results also suggested that coping skills, such as problem solving, and good supports in medical and personal relationships improved mental health outcomes for women with CPP. 46,48,54 Abuse and esteem related concerns also emerged as predictors of mental health outcomes. This highlights the importance of identifying whether there are problems related to esteem or abuse as part of psychological intervention for women with CPP.…”

Mulheres convivendo com endometriose: percepções sobre a doença

“…Outro estudo evidenciou associação entre intensidade da dor e depressão, sendo que entre mulheres com depressão moderada ou grave, 91,7% (p<0,001) tinham dismenorreia severa e 61,1% (p<0,001) dor pélvica crônica severa. A intensidade dos sintomas dolorosos também se associou com a presença e intensidade de estresse 25 .…”

Relação entre ocorrência de endometriose e sofrimento psiquíco

“…No então, algumas lacunas estão diretamente relacionadas à endometriose, trazendo um conceito multidimensional que engloba aspectos físicos, psicológicos e sociais ligados a uma doença ou tratamento em particular, o que poderia trazer grandes benefícios aos pacientes e constituir uma excelente intervenção terapêutica (2) .…”