Journal of psychosomatic obstetrics and gynaecology最新文献

{"title":"A cross-sectional study on prevalence of menstrual problems, lifestyle, mental health, and PCOS awareness among rural and urban population of Punjab, India.","authors":"Priya Sharma,&nbsp;Mandeep Kaur,&nbsp;Sachin Kumar,&nbsp;Preeti Khetarpal","doi":"10.1080/0167482X.2021.1965983","DOIUrl":"https://doi.org/10.1080/0167482X.2021.1965983","url":null,"abstract":"<p><strong>Introduction: </strong>Menstrual cycle gets affected by various modifiable risk factors. To assess prevalence of various types of menstrual problems, lifestyle and mental health status, identification of variables as predictors for menstrual problems and level of polycystic ovary syndrome (PCOS) awareness among rural and urban population of Punjab, the present study has been carried out.</p><p><strong>Methods: </strong>The study was conducted from November 2019 to July 2020 in the Malwa region of Punjab, India, with 2673 participants (15-25 years). Epidemiological information was collected using predesigned questionnaire along with depression, anxiety and stress (DASS-21) score mental health assessment tool. MS-Excel (2019) and IBM SPSS 18.0 (SPSS Inc., Chicago, IL) was used for statistical analysis.</p><p><strong>Results: </strong>The overall prevalence of different menstrual problems was 60.61%, with dysmenorrhea (50.64%) being most common problem. Body mass index (BMI), menarche age, physical activity, and mental health status are significant (<i>p</i> < 0.05) predictors of menstrual problem both in rural and urban population. Overall, only 3.30% subjects were aware about PCOS.</p><p><strong>Conclusion: </strong>Dysmenorrhea is the most common menstrual problem, both in rural and urban population. BMI, sedentary lifestyle, electronic gadgets usage, and mental health are associated with menstrual problems. Low awareness on PCOS indicates need to create awareness as the condition can be easily managed with early intervention.</p>","PeriodicalId":426950,"journal":{"name":"Journal of psychosomatic obstetrics and gynaecology","volume":" ","pages":"349-358"},"PeriodicalIF":3.1,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39357002","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction to: Hizli et al., Hyperemesis gravidarum and depression in pregnancy: is there an association?","authors":"","doi":"10.1080/0167482X.2018.1446391","DOIUrl":"https://doi.org/10.1080/0167482X.2018.1446391","url":null,"abstract":"","PeriodicalId":426950,"journal":{"name":"Journal of psychosomatic obstetrics and gynaecology","volume":" ","pages":"384"},"PeriodicalIF":3.1,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40698508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of anxiety and depression among pregnant women during the COVID-19 pandemic: a meta-analysis.","authors":"Masumeh Ghazanfarpour,&nbsp;Fereshteh Bahrami,&nbsp;Farzaneh Rashidi Fakari,&nbsp;Farzane Ashrafinia,&nbsp;Masoudeh Babakhanian,&nbsp;Mohammad Dordeh,&nbsp;Fatemeh Abdi","doi":"10.1080/0167482X.2021.1929162","DOIUrl":"https://doi.org/10.1080/0167482X.2021.1929162","url":null,"abstract":"<p><strong>Purpose: </strong>Coronavirus disease (COVID-19) is a newly emerged respiratory illness, which has spread around the world. Pregnant women are exposed to additional pressure due to the indirect adverse effects of this pandemic on their physical and mental health. Since the psychological wellness framework is weak in developing countries, it is likely that geographical factors affect the prevalence. Therefore, the goal of this meta-analysis is to investigate the prevalence of anxiety and depression among pregnant women during the COVID-19 pandemic.</p><p><strong>Methods: </strong>We searched databases including PubMed/MEDLINE, Web of Science, Cochrane Library for articles. The quality of studies was determined based on the STROBE checklist. I2 and Cochrane Q-test were used to determine heterogeneity. Fixed effects and/or random effects models were also employed to estimate pooled prevalence.</p><p><strong>Results: </strong>Since heterogeneity was fairly high in all analyses, the random effect model was used. According to the results of random effects in the meta-analysis, the pooled prevalence was 18.7% (95% CI: 0.06-0.36%; <math><msup><mrow><mi>I</mi></mrow><mrow><mn>2</mn></mrow></msup><mo>=</mo><mn>99</mn><mi>%</mi><mo>,</mo><mi>P</mi><mo><</mo><mn>0.001</mn></math>) for anxiety and 25.1% (95% CI: 0.18-0.33%; <math><msup><mrow><mi>I</mi></mrow><mrow><mn>2</mn></mrow></msup><mo>=</mo><mn>97</mn><mi>%</mi><mo>,</mo><mi> </mi><mi>P</mi><mo><</mo><mn>0.001</mn></math>) for depression. The results of continent subgroup analysis showed that the prevalence of anxiety was higher in western country (38%) than in Asia country (7.8%). The prevalence of anxiety in Italy (38%), Canada (56%), Pakistan (14%), Greece (53%), Sri Lanka (17.5%), and China (0.3-29%) and Iran 3.8% as well as the prevalence of depression in Canada (37%), Belgium (25%), Turkey (35.4%), Sri Lanka (19.5%), and China (11-29%) has been reported.</p><p><strong>Conclusion: </strong>Covid-19 may impose extra pressure on the emotional wellbeing of pregnant women. Therefore, there is an urgent need for resources to help mitigate anxiety and depression in pregnant women.</p>","PeriodicalId":426950,"journal":{"name":"Journal of psychosomatic obstetrics and gynaecology","volume":" ","pages":"315-326"},"PeriodicalIF":3.1,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/0167482X.2021.1929162","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39103048","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationships between anxiety induced by COVID-19 and perceived social support among Iranian pregnant women.","authors":"Vahideh Behmard,&nbsp;Narjes Bahri,&nbsp;Fatemeh Mohammadzadeh,&nbsp;Ali Delshad Noghabi,&nbsp;Nasrin Bahri","doi":"10.1080/0167482X.2021.1918671","DOIUrl":"https://doi.org/10.1080/0167482X.2021.1918671","url":null,"abstract":"<p><strong>Background: </strong>The rapid spread of COVID-19 and the time needed to develop a vaccine or definitive treatment for the disease have caused great anxiety in communities, especially in pregnant women whose high levels of distress may have short and/or long-term maternal and fetal consequence. This study was conducted to investigate the relationship between anxiety induced by COVID-19 and perceived social support in Iranian pregnant women.</p><p><strong>Methods: </strong>This online cross-sectional study was conducted on 801 pregnant women from all over Iran in 2020. The data were collected using a demographic questionnaire, the multidimensional scale of perceived social support, and the coronavirus disease anxiety scale. A standard multiple linear regression model was used to identify the association between perceived social support and anxiety, controlling for possible confounding variables. Partial <i>r</i> was used as an estimate of effect size.</p><p><strong>Results: </strong>The mean anxiety score was 10.7 ± 8.0, in which its level was moderate in 122 (15.2%; 95% confidence interval (CI): 12.8-17.9%)) of the participants, and severe in 28 (3.4%; 95% CI: 2.3-5.0%) of them. The mean score of perceived social support was 48.2 ± 7.6. 6.9% (95% CI: 5.2-8.8%) and 93.1% (95% CI: 91.2-94.8%) of the participants reported mild and moderate levels of perceived social support, respectively. The results of the multiple linear model showed a significant negative correlation between perceived social support and anxiety levels in a way that for every 10 units increase in the perceived social support score, the anxiety level of pregnant women was decreased by 0.8 units (<i>B</i>= -0.08, <i>t</i>= -2.08, <i>p</i> = 0.037), which was a small effect size (partial <i>r</i> = -0.07).</p><p><strong>Conclusion: </strong>There was a small significant relationship between the perceived social support and COVID-19 anxiety. Further studies are required to identify associated factors of anxiety level during COVID-19 in pregnant women.</p>","PeriodicalId":426950,"journal":{"name":"Journal of psychosomatic obstetrics and gynaecology","volume":" ","pages":"307-314"},"PeriodicalIF":3.1,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/0167482X.2021.1918671","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38879535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Individualizing management in women's health - taking time to understand everyone's personal needs.","authors":"Julie A Quinlivan,&nbsp;Mijke Lambregtse-van den Berg","doi":"10.1080/0167482X.2022.2117920","DOIUrl":"https://doi.org/10.1080/0167482X.2022.2117920","url":null,"abstract":"For many years we have appreciated that no two people experience pain or a variety of other symptoms the same way. It can be confusing as a clinician when one patient talks about excruciating agony and a second with a similar disease profile talks about a manageable discomfort. These divergences have frequently been explained as being due to cognitive factors or perception. However, the science remains unclear. In this edition we highlight why each patient must be managed as an individual. In some areas of medicine this is already well established. For example, we direct infectious disease pharmacology to the underlying cause of infection. In other areas it is emerging. For example, progress in understanding the mutations in specific tumors is helping redefine chemotherapy and immunotherapy for some malignancies. However, in other areas, especially pain, we still apply a general model of care. Yet we need to consider whether a more individualized approach may lead to better outcomes in women’s health. In a study by Barneveld et al., the authors explored how patient-specific affect impacts upon the lived pain experience in endometriosis [1]. Using 10 real time assessments across 7 days, women with endometriosis and healthy controls evaluated their perception of pain and affect. A concurrent and temporal relationship was identified. In some endometriosis patients this was almost linear, and in others less so. This suggests using real time assessments and managing according to both affect and pain perception may be required to enhance pain management [1]. If there is a strong relationship in an individual patient, then pain relief may be difficult to achieve without strategies that also promote a positive affect. In another study in this edition, Class, 2022 reported on a data linkage study involving the electronic medical records of 25,604 women evaluating the impact of overweight and obesity on the rate of cesarean section birth [2]. They found that cesarean section birth rates increased serially with each increase in body mass index category even after adjusting for maternal age, year of birth, gestational diabetes, and hypertensive disorders of pregnancy [2]. However, limiting gestational weight gain in overweight and obese women was able to mitigate the risk to some degree. How do we translate this into individualized care? Certainly, we should advise women that BMI does increase the risk of cesarean section birth and also advise that we can mitigate this risk to some degree through management of gestational weight gain. But should we go further and individualize advice to the woman’s circumstances? Rather than telling them of risks, can we instead ask how we can help work with them to reduce the risk of intervention in childbirth? Some women may seek reassurance that limiting weight gain in pregnancy is safe. Others may need help planning meals to optimize their diets. Others may just need our support. In an interesting study by Glidden et al.","PeriodicalId":426950,"journal":{"name":"Journal of psychosomatic obstetrics and gynaecology","volume":" ","pages":"235-236"},"PeriodicalIF":3.1,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40374774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychosocial outcomes of COVID-19 pandemic on healthcare workers in maternity services.","authors":"Recep Erin,&nbsp;Yeşim Bayoğlu Tekin","doi":"10.1080/0167482X.2021.1940944","DOIUrl":"https://doi.org/10.1080/0167482X.2021.1940944","url":null,"abstract":"<p><strong>Aim: </strong>We investigated the effects of the COVID-19 outbreak on social support and anxiety levels in healthcare professionals working in maternity services situated in Trabzon, Turkey.</p><p><strong>Materials and methods: </strong>Our study was designed retrospectively and observationally. Social support to the participants was measured using a scale called the multidimensional scale of perceived social support (MSPSS). State anxiety scale (STAI TX-1) and trait anxiety scale (STAI TX-2) were used to determine the level of anxiety. All scales were measured before and during the pandemic. Independent <i>t</i>-test and one-way ANOVA were used to analyze the data where <i>p</i> < 0.05 was considered significant.</p><p><strong>Results: </strong>The participants' demographic data (<i>n</i> = 96) included the mean age of doctors (<i>n</i> = 30), midwives (<i>n</i> = 34), and nurses (<i>n</i> = 32) which were 41.38 ± 4.16/38.58 ± 1.79/37.34 ± 2.19, respectively. Mean gravida was 1.69 ± 2.87/2.23 ± 0.12/2.31 ± 0.14, respectively. Mean BMI was 24.69 ± 2.87/26.04 ± 0.8/25.69 ± 1.98 in the same order (<i>p</i> > 0.05). The total mean values of the MSPSS, STAI TX-1, STAI TX-2 scales before and during the pandemic were found as 66.55 ± 6.63 - 55.25 ± 4.76, 36.71 ± 10.04 - 50.08 ± 11.65, 37.33 ± 8.09 - 53.32 ± 9.94, respectively. A significant difference was found for the mean of all scales amongst the groups (<i>p</i> < 0.05).</p><p><strong>Conclusion: </strong>During the COVID-19 pandemic, a significant number of healthcare workers were deprived of social support and their anxiety levels increased.</p>","PeriodicalId":426950,"journal":{"name":"Journal of psychosomatic obstetrics and gynaecology","volume":" ","pages":"327-333"},"PeriodicalIF":3.1,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/0167482X.2021.1940944","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39139246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Measuring psychosocial stress during pregnancy: a multiple-group confirmatory factor analysis across race/ethnicity among Medicaid-covered pregnant women in the United States.","authors":"Tamala Gondwe,&nbsp;Derek A Chapman","doi":"10.1080/0167482X.2020.1867846","DOIUrl":"https://doi.org/10.1080/0167482X.2020.1867846","url":null,"abstract":"<p><strong>Background: </strong>Differential experiences of psychosocial stress during pregnancy may contribute to racial inequities in adverse pregnancy outcomes in the US. Valid and unbiased measurement scales are needed to assess the effect of psychosocial stress on pregnancy outcomes, however, the numerous modified scales implemented to measure stress are not always validated.</p><p><strong>Methods: </strong>The construct validity and measurement invariance of maternal stress among Medicaid-covered pregnant women (<i>N</i> = 1,632) were examined. Model fit estimates of three confirmatory factor analysis (CFA) models were compared to determine the appropriate measurement structure. Multiple-group CFA assessed measurement invariance across Black or African American women (51.7%) and women of all other races.</p><p><strong>Results: </strong>Robust estimates of model fit supported a hierarchical CFA model composed of four latent domains of stress. Standardized factor loadings of three of these latent domains-external stress, perceived stress, and enhancers of stress- indicated positive correlations with a second-order latent factor for overall maternal stress, whereas the fourth domain, buffers of stress, had a negative association. Multiple-group CFA demonstrated strong measurement invariance.</p><p><strong>Conclusions: </strong>Among Medicaid-covered pregnant women, measures for psychosocial stress were unbiased across two subgroups of maternal race/ethnicity. These findings support the construct validity of overall maternal stress underlying the common variability among four latent domains of stress.</p>","PeriodicalId":426950,"journal":{"name":"Journal of psychosomatic obstetrics and gynaecology","volume":" ","pages":"285-291"},"PeriodicalIF":3.1,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/0167482X.2020.1867846","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38761392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patients' subjective assessment as a decisive predictor of malignancy in pelvic masses: results of a multicentric, prospective pelvic mass study.","authors":"Elisa Koch,&nbsp;Uwe Torsten,&nbsp;Herbert Mecke,&nbsp;Rolf Richter,&nbsp;Lars Hellmeyer,&nbsp;Gerhard Nohe,&nbsp;Bodo Müller,&nbsp;Janine Boeneß-Zaloum,&nbsp;Kerstin Ames,&nbsp;Frank Chen,&nbsp;Carmen Beteta,&nbsp;Kati Hasenbein,&nbsp;Adak Pirmorady,&nbsp;Mathias Zimmermann,&nbsp;Desislava Dimitrova,&nbsp;Rudolf Tauber,&nbsp;Jalid Sehouli,&nbsp;Catherine Linn Knieper,&nbsp;Elena Ioana Braicu","doi":"10.1080/0167482X.2020.1850684","DOIUrl":"https://doi.org/10.1080/0167482X.2020.1850684","url":null,"abstract":"<p><strong>Objective: </strong>The prognosis for ovarian cancer patients remains poor. A key to maximizing survival rates is early detection and treatment. This requires an accurate prediction of malignancy. Our study seeks to improve the accuracy of prediction by focusing on early subjective assessment of malignancy. We therefore investigated the assessment of patients themselves in comparison to the assessment of physicians.</p><p><strong>Methods: </strong>One thousand three hundred and thirty patients participated in a prospective and multicenter study in six hospitals in Berlin. Using univariate analysis and multivariate logistic regression models, we measured the accuracy of the early subjective assessment in comparison to the final histological outcome. Moreover, we investigated factors related to the assessment of patients and physicians.</p><p><strong>Results: </strong>The patients' assessment of malignancy is remarkably accurate. With a positive predictive value of 58%, the majority of patients correctly assessed a pelvic mass as malignant. With more information available, physicians achieved only a slightly more accurate prediction of 63%.</p><p><strong>Conclusions: </strong>For the first time, our study considered subjective factors in the diagnostic process of pelvic masses. This paper demonstrates that the patients' personal assessment should be taken seriously as it can provide a significant contribution to earlier diagnosis and thus improved therapy and overall prognosis.</p>","PeriodicalId":426950,"journal":{"name":"Journal of psychosomatic obstetrics and gynaecology","volume":" ","pages":"273-278"},"PeriodicalIF":3.1,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/0167482X.2020.1850684","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38656901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Similarities and differences between postpartum depression and depression at other stages of female life: a systematic review.","authors":"Alexandra Johann, Ulrike Ehlert","doi":"10.1080/0167482X.2021.1962276","DOIUrl":"10.1080/0167482X.2021.1962276","url":null,"abstract":"<p><strong>Background: </strong>Women are nearly twice as likely as men to suffer from depression throughout the life span. In particular, reproductive transition phases mark a period of vulnerability for female mood disorders. The life events of being pregnant and giving birth harbor multiple psychological and physiological challenges, and a lack of adjustment to these events can result in mood swings and depression. The purpose of this review is to provide an overview of the symptomatology of postpartum depression (PPD), including tools that have been used to assess PPD, and potential phenomenological differences to major depression during other life phases.</p><p><strong>Methods: </strong>A systematic literature search in the databases PubMed, Cochrane Library and PsycINFO was conducted with the keywords \"postpartum depression\" and \"symptomatology\". A total of 33 studies fulfilled the chosen criteria and were selected for the review.</p><p><strong>Results: </strong>Within the studies, 22 different tools were used to assess depressive symptoms throughout pregnancy and the postpartum period. A total of 29 questionnaires or interviews were applied to detect additional psychopathological symptoms present in the perinatal period, such as anxiety. Most studies that included a control group of non-perinatal women concluded that postpartum depression is nosologically distinct from depression occurring at other stages of female life.</p><p><strong>Discussion: </strong>Somatic symptoms in the puerperium contribute to psychopathological burden and might result in diverse clinical representations of postpartum depression. Anxiety frequently co-occurs with depression during the perinatal period. However, the diversity of screening instruments for postpartum depression does not allow for general conclusions to be drawn about similarities or differences in the psychopathological profiles of postpartum women with depression and women with depression at other stages of life.</p>","PeriodicalId":426950,"journal":{"name":"Journal of psychosomatic obstetrics and gynaecology","volume":" ","pages":"340-348"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39373151","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Managing endometriosis: a cross-sectional survey of women in Australia.","authors":"Rebecca O'Hara,&nbsp;Heather Rowe,&nbsp;Jane Fisher","doi":"10.1080/0167482X.2020.1825374","DOIUrl":"https://doi.org/10.1080/0167482X.2020.1825374","url":null,"abstract":"<p><strong>Purpose: </strong>Endometriosis is a chronic, inflammatory condition. The aim was to describe the self-reported disease characteristics and factors associated with the use of different treatment modalities among women with surgically diagnosed endometriosis.</p><p><strong>Method: </strong>A cross-sectional online survey featuring 58 fixed-response items measuring disease characteristics, self-efficacy, health service usage, and treatment approaches was conducted. Logistic regression was used to explore the factors associated with different treatment modalities.</p><p><strong>Results: </strong>Complete data were available from 620 respondents. Average delay to diagnosis was 6.4 years. Despite medical and surgical intervention, 65.8% reported dysmenorrhea and 61.1% reported dyspareunia, and 82.7% reported chronic pelvic pain in the last 3 months. Respondents had consulted an average of three different health practitioner specialties in the previous 12 months for their endometriosis.</p><p><strong>Discussion: </strong>A chronic disease management plan (CDMP) may be a useful mechanism to coordinate multidisciplinary care among women who experience ongoing symptoms.</p>","PeriodicalId":426950,"journal":{"name":"Journal of psychosomatic obstetrics and gynaecology","volume":" ","pages":"265-272"},"PeriodicalIF":3.1,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/0167482X.2020.1825374","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38586024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}