Physical and psychosocial factors are crucial for maintaining physical and mental health in endometriosis: a longitudinal analysis.

IF 1.9 3区心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY

Psychology & Health Pub Date : 2025-07-01 Epub Date: 2024-01-22 DOI:10.1080/08870446.2024.2302486

Johanna Netzl, Burkhard Gusy, Barbara Voigt, Jalid Sehouli, Sylvia Mechsner

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引用次数: 0

Abstract

Objective: To test the associations of physical and psychosocial factors with physical and mental health in individuals living with endometriosis (EM) by means of cross-sectional and longitudinal analyses.

Methods and measures: Data were gathered via an online survey between February and August 2021. At survey date t1, sociodemographic, EM-related and psychosocial factors as well as physical and mental health of people with EM were assessed. At survey date t2 three months later, physical and mental health was reassessed. The sample consisted of n_t1 = 723 (30.60 ± 6.31 years) and n_t2 = 216 (30.56 ± 6.47 years) cis women with EM. Statistical analyses included bivariate and partial correlation analyses and hierarchical regression analyses.

Results: The participants' physical health was within the average range and their mental health was below-average at t1 and t2. Cross-sectional analyses revealed that worse health was associated with longer diagnostic delay, more surgeries, greater pelvic pain and lower sense of coherence, self-efficacy, sexual satisfaction and satisfaction with the gynecological treatment. In longitudinal analyses, pelvic pain and participants' satisfaction with the gynecological treatment remained significantly associated with health.

Conclusion: Treatment should address both pelvic pain and psychosocial factors to improve long-term physical and mental health in EM.

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子宫内膜异位症患者保持身心健康的关键是身体和社会心理因素：一项纵向分析。

目的通过横向和纵向分析，检验子宫内膜异位症（EM）患者的生理和心理社会因素与身心健康的关系：在 2021 年 2 月至 8 月期间通过在线调查收集数据。在调查日期t1，对子宫内膜异位症患者的社会人口学、子宫内膜异位症相关因素和社会心理因素以及身心健康进行评估。在三个月后的调查日期t2，对身心健康进行重新评估。样本包括 n_t1 = 723 名（30.60 ± 6.31 岁）和 n_t2 = 216 名（30.56 ± 6.47 岁）患有 EM 的顺式女性。统计分析包括双变量分析、部分相关分析和分层回归分析：结果：在 t1 和 t2 阶段，参与者的身体健康状况处于平均水平，而心理健康状况低于平均水平。横向分析显示，健康状况较差与诊断延迟时间较长、手术次数较多、盆腔疼痛较重以及一致性、自我效能感、性满意度和妇科治疗满意度较低有关。在纵向分析中，盆腔疼痛和参与者对妇科治疗的满意度仍与健康状况显著相关：结论：治疗应同时解决盆腔疼痛和社会心理因素，以改善少精症患者的长期身心健康。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psychology & Health Multiple-

CiteScore

7.30

自引率

3.00%

发文量

期刊介绍： Psychology & Health promotes the study and application of psychological approaches to health and illness. The contents include work on psychological aspects of physical illness, treatment processes and recovery; psychosocial factors in the aetiology of physical illnesses; health attitudes and behaviour, including prevention; the individual-health care system interface particularly communication and psychologically-based interventions. The journal publishes original research, and accepts not only papers describing rigorous empirical work, including meta-analyses, but also those outlining new psychological approaches and interventions in health-related fields.