{"title":"心理治疗干预对子宫内膜异位症患者疼痛和生活质量的影响：一项系统回顾和荟萃分析研究。","authors":"Handan Özcan, Ayşe Çuvadar, Sevda Uzun","doi":"10.1007/s11845-025-03985-6","DOIUrl":null,"url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to determine the effect of psychotherapeutic interventions on pain, quality of life and health profile in women diagnosed with endometriosis.</p><p><strong>Methods: </strong>For this systematic review and meta-analysis study, studies were obtained by searching PubMed, Web of Science, EBSCOhost, Google Scholar, and YÖK Thesis Center databases between August and October 2024 without any year limitation. After the review, 10 studies were included in the study. The data were synthesized by meta-analysis and narrative methods.</p><p><strong>Results: </strong>In this systematic review and meta-analysis, psychotherapeutic interventions for the treatment and management of endometriosis were found to be effective on quality of life (SMD = 0.515, 95% CI = 0.035 to 0.995; Z = 2.104, I<sup>2</sup> = 67.523%, p < 0.05), pain (SMD = - 0.454, 95% CI = - 1.600 to - 0.179; Z = - 1.566, I<sup>2</sup> = 84.463, p > 0.05), and health profile (SMD = 0.041, 95% CI = - 0.363 to 0.281; Z = - 0.250759, I<sup>2</sup> = 56.876%, p > 0.05). In subgroup analyses, it was determined that the types of psychotherapeutic interventions were not effective, but the number of sessions was effective.</p><p><strong>Conclusion: </strong>Psychotherapeutic interventions to reduce symptoms in endometriosis are effective in improving quality of life but not pain and health profile.</p>","PeriodicalId":14507,"journal":{"name":"Irish Journal of Medical Science","volume":" ","pages":""},"PeriodicalIF":1.7000,"publicationDate":"2025-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The effect of psychotherapeutic interventions on pain and quality of life in endometriosis: a systematic review and meta-analysis study.\",\"authors\":\"Handan Özcan, Ayşe Çuvadar, Sevda Uzun\",\"doi\":\"10.1007/s11845-025-03985-6\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Aim: </strong>This study aimed to determine the effect of psychotherapeutic interventions on pain, quality of life and health profile in women diagnosed with endometriosis.</p><p><strong>Methods: </strong>For this systematic review and meta-analysis study, studies were obtained by searching PubMed, Web of Science, EBSCOhost, Google Scholar, and YÖK Thesis Center databases between August and October 2024 without any year limitation. After the review, 10 studies were included in the study. The data were synthesized by meta-analysis and narrative methods.</p><p><strong>Results: </strong>In this systematic review and meta-analysis, psychotherapeutic interventions for the treatment and management of endometriosis were found to be effective on quality of life (SMD = 0.515, 95% CI = 0.035 to 0.995; Z = 2.104, I<sup>2</sup> = 67.523%, p < 0.05), pain (SMD = - 0.454, 95% CI = - 1.600 to - 0.179; Z = - 1.566, I<sup>2</sup> = 84.463, p > 0.05), and health profile (SMD = 0.041, 95% CI = - 0.363 to 0.281; Z = - 0.250759, I<sup>2</sup> = 56.876%, p > 0.05). In subgroup analyses, it was determined that the types of psychotherapeutic interventions were not effective, but the number of sessions was effective.</p><p><strong>Conclusion: </strong>Psychotherapeutic interventions to reduce symptoms in endometriosis are effective in improving quality of life but not pain and health profile.</p>\",\"PeriodicalId\":14507,\"journal\":{\"name\":\"Irish Journal of Medical Science\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":1.7000,\"publicationDate\":\"2025-06-28\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Irish Journal of Medical Science\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1007/s11845-025-03985-6\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"MEDICINE, GENERAL & INTERNAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Irish Journal of Medical Science","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s11845-025-03985-6","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
引用次数: 0
摘要
目的：本研究旨在确定心理治疗干预对诊断为子宫内膜异位症的妇女疼痛、生活质量和健康状况的影响。方法：本研究采用系统评价和荟萃分析方法，检索PubMed、Web of Science、EBSCOhost、谷歌Scholar和YÖK Thesis Center数据库，检索时间为2024年8月至10月，无年份限制。经综述，纳入10项研究。采用元分析和叙述方法对数据进行综合。结果：在本系统综述和荟萃分析中，发现心理治疗干预治疗和管理子宫内膜异位症对生活质量有效(SMD = 0.515, 95% CI = 0.035 ~ 0.995；Z = 2.104, I2 = 67.523%, p 2 = 84.463, p > 0.05),健康状况(SMD = 0.041, 95% CI = - 0.363到0.281;Z = - 0.250759, I2 = 56.876%, p < 0.05)。在亚组分析中，确定了心理治疗干预的类型无效，但疗程的数量有效。结论：心理治疗干预减轻子宫内膜异位症的症状对改善生活质量有效，但对改善疼痛和健康状况无效。
The effect of psychotherapeutic interventions on pain and quality of life in endometriosis: a systematic review and meta-analysis study.
Aim: This study aimed to determine the effect of psychotherapeutic interventions on pain, quality of life and health profile in women diagnosed with endometriosis.
Methods: For this systematic review and meta-analysis study, studies were obtained by searching PubMed, Web of Science, EBSCOhost, Google Scholar, and YÖK Thesis Center databases between August and October 2024 without any year limitation. After the review, 10 studies were included in the study. The data were synthesized by meta-analysis and narrative methods.
Results: In this systematic review and meta-analysis, psychotherapeutic interventions for the treatment and management of endometriosis were found to be effective on quality of life (SMD = 0.515, 95% CI = 0.035 to 0.995; Z = 2.104, I2 = 67.523%, p < 0.05), pain (SMD = - 0.454, 95% CI = - 1.600 to - 0.179; Z = - 1.566, I2 = 84.463, p > 0.05), and health profile (SMD = 0.041, 95% CI = - 0.363 to 0.281; Z = - 0.250759, I2 = 56.876%, p > 0.05). In subgroup analyses, it was determined that the types of psychotherapeutic interventions were not effective, but the number of sessions was effective.
Conclusion: Psychotherapeutic interventions to reduce symptoms in endometriosis are effective in improving quality of life but not pain and health profile.
期刊介绍：
The Irish Journal of Medical Science is the official organ of the Royal Academy of Medicine in Ireland. Established in 1832, this quarterly journal is a contribution to medical science and an ideal forum for the younger medical/scientific professional to enter world literature and an ideal launching platform now, as in the past, for many a young research worker.
The primary role of both the Academy and IJMS is that of providing a forum for the exchange of scientific information and to promote academic discussion, so essential to scientific progress.
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