Stopping suffering: An exploration of suicidal ideation and its clinical, cognitive and relational correlates among women with a diagnosis of endometriosis

IF 4.9 2区医学 Q1 CLINICAL NEUROLOGY

Journal of affective disorders Pub Date : 2025-07-20 DOI:10.1016/j.jad.2025.119964

Cristina Zarbo , Alessandra Santona , Laura Parolin , Rita Secomandi , Ilario Candeloro , Chiara Malandrino , Luigi Frigerio

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引用次数: 0

Abstract

Background

Women with endometriosis are at risk for poor mental health and suicidal ideation and behaviour. This manuscript includes two studies aimed to: (i) investigate the differences in suicidal ideation (SI) frequencies between women with (EN) and without (CG) endometriosis; and (ii) identify clinical, cognitive and relational factors associated with SI in the EN group.

Methods

Study 1 included 171 EN and 62 CG participants, while Study 2 included 38 EN and 71 CG participants. Participants completed self-reported instruments to assess SI, pain, cognitive emotion regulation strategies, and attachment styles. Both studies included sociodemographic and clinical forms. Statistical analyses included the chi-square test and logistic hierarchical regressions.

Results

In both studies, about 20 % of the EN group reported SI, with a frequency of occurrence significantly higher than CG (respectively p = 0.03 and p = 0.002). EN with SI, when compared to EN without SI, showed lower health (respectively p = 0.018; p = 0.006), and higher occurrence of backache (p = 0.031), surgeries for endometriosis (p = 0.040), and lifetime abortion (p = 0.043). Moreover, among the EN group, higher levels of self-blame (OR = 1.36) and avoidant attachment (OR = 18.95) and lower levels of acceptance (OR = 0.68) were associated with a higher likelihood of having SI, over and above clinical variables.

Discussion

SI among the EN group is significantly linked to attachment insecurity and cognitive emotional regulation strategies (i.e. self-blame, acceptance), in addition to disease-related factors (i.e. pain, surgical treatments). These findings highlight the complex interplay between clinical symptoms, cognitive emotion regulation, and relational functioning and underscore the need for integrated psychological assessment and care.

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停止痛苦：子宫内膜异位症女性的自杀意念及其临床、认知和相关相关性的探索

患有子宫内膜异位症的女性存在心理健康状况不佳、自杀意念和行为的风险。本文包括两项研究，旨在：(i)调查（EN）和（CG）子宫内膜异位症妇女自杀意念（SI）频率的差异；（ii）确定与EN组SI相关的临床、认知和相关因素。方法研究1纳入171例EN和62例CG受试者，研究2纳入38例EN和71例CG受试者。参与者完成了评估SI、疼痛、认知情绪调节策略和依恋类型的自我报告工具。两项研究都包括社会人口学和临床形式。统计分析包括卡方检验和逻辑层次回归。结果两项研究中，EN组出现SI的比例均约为20%，发生率显著高于CG组（分别p = 0.03和p = 0.002）。与未注射SI的EN相比，注射SI的EN健康状况较差(p = 0.018；P = 0.006)，腰痛（P = 0.031）、子宫内膜异位症手术（P = 0.040）和终生流产（P = 0.043）的发生率较高。此外，在EN组中，较高水平的自责（OR = 1.36）和回避依恋（OR = 18.95）以及较低水平的接受（OR = 0.68）与较高的SI可能性相关，超出了临床变量。讨论EN组中的si与依恋不安全感和认知情绪调节策略（如自责、接受）以及疾病相关因素（如疼痛、手术治疗）显著相关。这些发现强调了临床症状、认知情绪调节和关系功能之间复杂的相互作用，并强调了综合心理评估和护理的必要性。

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 affective disorders 医学-精神病学

CiteScore

10.90

自引率

6.10%

发文量

1319

审稿时长

9.3 weeks

期刊介绍： The Journal of Affective Disorders publishes papers concerned with affective disorders in the widest sense: depression, mania, mood spectrum, emotions and personality, anxiety and stress. It is interdisciplinary and aims to bring together different approaches for a diverse readership. Top quality papers will be accepted dealing with any aspect of affective disorders, including neuroimaging, cognitive neurosciences, genetics, molecular biology, experimental and clinical neurosciences, pharmacology, neuroimmunoendocrinology, intervention and treatment trials.