Learning to cope with the reality of endometriosis: A mixed-methods analysis of psychological therapy in women with endometriosis

IF 3.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology Pub Date : 2024-03-11 DOI:10.1111/bjhp.12718

Charlotte Dowding, Antonina Mikocka-Walus, David Skvarc, Melissa O'Shea, Lisa Olive, Subhadra Evans

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引用次数: 0

Abstract

Objectives

Despite the need and uptake of mental health support by women with endometriosis, no research to date has explored their experience of psychological therapy. We aimed to understand the factors that predict engagement in psychological therapy by Australian women with endometriosis and to qualitative explore their experience of psychological support.

Design

Mixed-methods design.

Methods

A total of 200 women with self-reported endometriosis were recruited from the community. We explored; (1) the demographic and clinical predictors of engagement in psychological therapy, (2) the psychological approaches that seem most valuable to women in the management of endometriosis and (3) their experience engaging in psychological therapy for endometriosis.

Results

Nearly half of women reported to have seen a psychologist within the past year, particularly for pain. Younger age (OR, .94; 95% CI, .886–.993), depressive symptoms (OR, 1.05; 95% CI, 1.002–1.099), and working part time compared to full time (OR, 2.17, 95% CI, 1.012–4.668), increased the likelihood of engaging in psychological therapy. Template thematic analysis identified three themes; (1) endometriosis and pain have multi-faceted psychological effects, (2) psychological support is sought to adjust and live with endometriosis and (3) there are helpful and unhelpful psychological tools for women with endometriosis.

Conclusions

Our findings support the use of psychological therapy in the management of endometriosis, and the need for psychological therapy to acknowledge the chronicity and impact of symptoms, to enlist multidisciplinary support and to consider alternative options. Further advocacy is required to educate women on the benefits of psychological therapy for endometriosis.

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学会应对子宫内膜异位症的现实：对子宫内膜异位症妇女心理治疗的混合方法分析。

研究目的尽管患有子宫内膜异位症的妇女需要并接受心理健康支持，但迄今为止还没有研究探讨过她们的心理治疗体验。我们旨在了解预测澳大利亚子宫内膜异位症妇女参与心理治疗的因素，并从定性角度探讨她们对心理支持的体验：设计：混合方法设计：方法：从社区招募了200名自述患有子宫内膜异位症的妇女。我们探讨了：(1) 参与心理治疗的人口统计学和临床预测因素；(2) 对妇女治疗子宫内膜异位症最有价值的心理方法；(3) 她们参与子宫内膜异位症心理治疗的经历：结果：近一半的妇女表示在过去一年中看过心理医生，尤其是在疼痛方面。年轻（OR，0.94；95% CI，0.886-0.993）、抑郁症状（OR，1.05；95% CI，1.002-1.099）、非全职工作（OR，2.17；95% CI，1.012-4.668）增加了接受心理治疗的可能性。模板主题分析确定了三个主题：（1）子宫内膜异位症和疼痛具有多方面的心理影响；（2）寻求心理支持，以适应子宫内膜异位症并与之共存；（3）对患有子宫内膜异位症的妇女来说，有有用和无用的心理工具：我们的研究结果支持在子宫内膜异位症的治疗中使用心理疗法，并支持心理疗法需要承认症状的长期性和影响，需要寻求多学科的支持并考虑其他选择。需要进一步宣传，让妇女了解心理治疗对子宫内膜异位症的益处。

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来源期刊

British Journal of Health Psychology PSYCHOLOGY, CLINICAL-

CiteScore

14.10

自引率

1.30%

发文量

期刊介绍： The focus of the British Journal of Health Psychology is to publish original research on various aspects of psychology that are related to health, health-related behavior, and illness throughout a person's life. The journal specifically seeks articles that are based on health psychology theory or discuss theoretical matters within the field.