A systematic review and meta-analysis of the relationship between emotion regulation, pain, depressive symptoms and quality of life in women with endometriosis

IF 3.3 2区医学 Q2 PSYCHIATRY

Journal of Psychosomatic Research Pub Date : 2025-06-30 DOI:10.1016/j.jpsychores.2025.112205

Sérgio A. Carvalho, Inês Eulálio, Raquel Guiomar

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引用次数: 0

Abstract

Background

Endometriosis is a chronic gynecological condition with a broad spectrum of symptomatology resulting from a complex pathophysiology and biopsychosocial etiology, to which emotion regulation (ER) seems to contribute. This systematic review aims to summarize and meta-analyse the empirical evidence for the relationship between (mal)adaptive ER strategies, pain (intensity and impact), depressive symptoms, and quality of life of women with endometriosis.

Design and methods

After registering to PROSPERO (ID: CRD42023427936; redacted), four databases were searched (PubMed, PsycINFO, Web of Knowledge, Scopus) from inception until 30th May 2025. All screening steps were performed by two researchers independently. The quality of the studies was examined using the National Heart, Lung and Blood Institute tool, and statistical analyses were performed on R.

Results

Sixteen studies (N = 3687) were included. Pooled correlations found ER to be significantly correlated with all outcomes, with adaptive (e.g., acceptance, mindfulness, self-compassion) and maladaptive (e.g., rumination, catastrophizing) ER strategies being associated with the outcomes in the expected direction. Age moderated the association between ER and quality of life, showing that ER especially moderates quality of life in younger women with endometriosis.

Conclusions

This meta-analysis provides evidence that adaptive ER skills might positively influence symptomatology in younger women with endometriosis. To foster mental health and pain coping, psychological management with a focus on emotion regulation may help the field further.

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子宫内膜异位症患者情绪调节、疼痛、抑郁症状和生活质量关系的系统回顾和荟萃分析

背景子宫内膜异位症是一种慢性妇科疾病，具有广泛的症状，由复杂的病理生理和生物心理社会病因引起，其中情绪调节（ER）似乎起作用。本系统综述旨在总结和荟萃分析子宫内膜异位症患者（不良）适应性雌激素受体策略、疼痛（强度和影响）、抑郁症状和生活质量之间关系的经验证据。设计和方法注册到PROSPERO (ID: CRD42023427936；编辑)，检索了四个数据库（PubMed, PsycINFO, Web of Knowledge, Scopus），从成立到2025年5月30日。所有筛选步骤均由两名研究人员独立完成。使用国家心肺和血液研究所的工具对研究质量进行检查，并对r进行统计分析。结果纳入16项研究（N = 3687）。综合相关发现，内质反应策略与所有结果显著相关，适应性内质反应策略（如接纳、正念、自我同情）和非适应性内质反应策略（如反刍、灾难化）与预期方向的结果相关。年龄调节了雌激素受体与生活质量之间的关系，表明雌激素受体尤其能调节年轻子宫内膜异位症女性的生活质量。结论：本荟萃分析提供了适应性ER技能可能对年轻子宫内膜异位症患者的症状有积极影响的证据。为了促进心理健康和应对疼痛，关注情绪调节的心理管理可能会进一步帮助该领域。

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

Journal of Psychosomatic Research 医学-精神病学

CiteScore

7.40

自引率

6.40%

发文量

314

审稿时长

6.2 weeks

期刊介绍： The Journal of Psychosomatic Research is a multidisciplinary research journal covering all aspects of the relationships between psychology and medicine. The scope is broad and ranges from basic human biological and psychological research to evaluations of treatment and services. Papers will normally be concerned with illness or patients rather than studies of healthy populations. Studies concerning special populations, such as the elderly and children and adolescents, are welcome. In addition to peer-reviewed original papers, the journal publishes editorials, reviews, and other papers related to the journal''s aims.