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Psychosocial factors associated with pain and health‐related quality of life in Endometriosis: A systematic review

BACKGROUND AND OBJECTIVE: Endometriosis is associated with pain and impaired health‐related quality of life (HRQoL). Psychosocial factors have been associated with pain and HRQoL in other conditions, suggesting their potential relevance in Endometriosis. However, the role of psychosocial factors in...

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Autores principales: Kalfas, Michail, Chisari, Claudia, Windgassen, Sula
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9543695/
https://www.ncbi.nlm.nih.gov/pubmed/35802060
http://dx.doi.org/10.1002/ejp.2006
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author Kalfas, Michail
Chisari, Claudia
Windgassen, Sula
author_facet Kalfas, Michail
Chisari, Claudia
Windgassen, Sula
author_sort Kalfas, Michail
collection PubMed
description BACKGROUND AND OBJECTIVE: Endometriosis is associated with pain and impaired health‐related quality of life (HRQoL). Psychosocial factors have been associated with pain and HRQoL in other conditions, suggesting their potential relevance in Endometriosis. However, the role of psychosocial factors in this population has not been systematically explored yet. This systematic review aims to explore the association of psychosocial factors with pain intensity/severity and HRQoL in women with Endometriosis. DATABASES AND DATA TREATMENT: Observational and experimental studies that explored the association of psychosocial factors with pain and HRQoL in women with Endometriosis were eligible. The following databases were searched: Medline, Embase, Cochrane library, Web of Science, PsychInfo and Cumulative index of nursing and allied health literature. The methodological quality was assessed, and findings were synthesized using narrative synthesis. RESULTS: Twenty‐seven studies were eligible for inclusion, which included 5419 women with Endometriosis. Catastrophising and anxiety were the factors most consistently associated with greater pain, whilst depression, anxiety and stress were related to worse HRQoL. Findings regarding depression and pain were mixed, and research on social factors was limited. CONCLUSIONS: This systematic review highlights the role of psychosocial factors in Endometriosis. Anxiety, depression and catastrophising are suggested as potential treatment targets. The review also indicates the lack of research on other potentially important psychosocial factors, such as avoidance, perceived injustice and social support. SIGNIFICANCE: This systematic review explored the role of psychosocial factors in Endometriosis, suggesting that these are associated with pain and health‐related quality of life (HRQoL). Among the psychosocial factors included, anxiety, depression and catastrophising were the factors most often associated with pain and HRQoL in Endometriosis. These findings highlight the need to target psychological factors in the treatment of women with Endometriosis.
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spelling pubmed-95436952022-10-14 Psychosocial factors associated with pain and health‐related quality of life in Endometriosis: A systematic review Kalfas, Michail Chisari, Claudia Windgassen, Sula Eur J Pain Review Article BACKGROUND AND OBJECTIVE: Endometriosis is associated with pain and impaired health‐related quality of life (HRQoL). Psychosocial factors have been associated with pain and HRQoL in other conditions, suggesting their potential relevance in Endometriosis. However, the role of psychosocial factors in this population has not been systematically explored yet. This systematic review aims to explore the association of psychosocial factors with pain intensity/severity and HRQoL in women with Endometriosis. DATABASES AND DATA TREATMENT: Observational and experimental studies that explored the association of psychosocial factors with pain and HRQoL in women with Endometriosis were eligible. The following databases were searched: Medline, Embase, Cochrane library, Web of Science, PsychInfo and Cumulative index of nursing and allied health literature. The methodological quality was assessed, and findings were synthesized using narrative synthesis. RESULTS: Twenty‐seven studies were eligible for inclusion, which included 5419 women with Endometriosis. Catastrophising and anxiety were the factors most consistently associated with greater pain, whilst depression, anxiety and stress were related to worse HRQoL. Findings regarding depression and pain were mixed, and research on social factors was limited. CONCLUSIONS: This systematic review highlights the role of psychosocial factors in Endometriosis. Anxiety, depression and catastrophising are suggested as potential treatment targets. The review also indicates the lack of research on other potentially important psychosocial factors, such as avoidance, perceived injustice and social support. SIGNIFICANCE: This systematic review explored the role of psychosocial factors in Endometriosis, suggesting that these are associated with pain and health‐related quality of life (HRQoL). Among the psychosocial factors included, anxiety, depression and catastrophising were the factors most often associated with pain and HRQoL in Endometriosis. These findings highlight the need to target psychological factors in the treatment of women with Endometriosis. John Wiley and Sons Inc. 2022-07-22 2022-10 /pmc/articles/PMC9543695/ /pubmed/35802060 http://dx.doi.org/10.1002/ejp.2006 Text en © 2022 The Authors. European Journal of Pain published by John Wiley & Sons Ltd on behalf of European Pain Federation ‐ EFIC ®. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Article
Kalfas, Michail
Chisari, Claudia
Windgassen, Sula
Psychosocial factors associated with pain and health‐related quality of life in Endometriosis: A systematic review
title Psychosocial factors associated with pain and health‐related quality of life in Endometriosis: A systematic review
title_full Psychosocial factors associated with pain and health‐related quality of life in Endometriosis: A systematic review
title_fullStr Psychosocial factors associated with pain and health‐related quality of life in Endometriosis: A systematic review
title_full_unstemmed Psychosocial factors associated with pain and health‐related quality of life in Endometriosis: A systematic review
title_short Psychosocial factors associated with pain and health‐related quality of life in Endometriosis: A systematic review
title_sort psychosocial factors associated with pain and health‐related quality of life in endometriosis: a systematic review
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9543695/
https://www.ncbi.nlm.nih.gov/pubmed/35802060
http://dx.doi.org/10.1002/ejp.2006
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