Psychological Morbidity in Endometriosis: A Couple’s Study

Abstract

Endometriosis is a chronic gynecological disease that impacts more than 176 million women worldwide, having a strong impact on psychological morbidity. This study aimed to evaluate the contribution of psychological morbidity, in women with endometriosis, taking into consideration the duration of the couple’s relationship and the duration of the disease and also examine whether women’s sexual satisfaction had an impact on their psychological morbidity (actor effect) and on their sexual partners’ psychological morbidity (partner effect) and vice versa. Participants were 105 women and their partners, who answered the Hospital Anxiety and Depression Scale (HADS); Couple Satisfaction Index (CSI-4) and the Global Measure of Sexual Satisfaction (GMSEX). The results revealed a direct effect between the perception of symptom severity, marital satisfaction, and women’s psychological morbidity. Sexual activity and the presence of infertility had an indirect effect on the relationship between sexual satisfaction, diagnosis duration, and psychological morbidity, respectively. Finally, women’s sexual satisfaction had a direct effect on their own and partner’s marital satisfaction that predicted less psychological morbidity, in each. Thus, multidisciplinary interventions focused on the couple’s sexual and marital relationship, as well as illness representations, are needed to promote psychological well-being in this population.

My Catastrophizing and Your Catastrophizing

“…Couples coping with endometriosis report decreased levels of satisfaction and well-being within their lives both individually and as a dyad. 49 This study presented the associations between catastrophizing, a cognitive processing method, and depressive symptoms, sexual satisfaction, partner responses to pain, and pain intensity and unpleasantness for couples coping with endometriosis. Aligning with the Communal Coping Model, our study illustrates the impact of a cognitive load, specifically perceptions of pain and pain catastrophizing, on well-being.…”

“…Our study aims were guided by the knowledge that pain catastrophizing is associated with poorer well-being outcomes and quality of life among persons with endometriosis [43][44][45][46][47] and that couples coping with endometriosis have reported challenges with their psychological and relational well-being. 23,24,48,49 Thus, we hypothesized that more pain catastrophizing from both members of the couple would be associated with higher pain intensity and unpleasantness for persons with endometriosis. In addition, we hypothesized that when persons with endometriosis reported more catastrophizing about their pain, they and their partners would report more depressive symptoms, less sexual satisfaction, fewer facilitative partner responses, and more negative partner responses.…”

“…The current study examined the associations between pain catastrophizing and pain intensity and unpleasantness, depressive symptoms, sexual satisfaction, and partner responses to pain in a sample of persons with endometriosis and their partners. Our study aims were guided by the knowledge that pain catastrophizing is associated with poorer well-being outcomes and quality of life among persons with endometriosis 43–47 and that couples coping with endometriosis have reported challenges with their psychological and relational well-being 23,24,48,49 . Thus, we hypothesized that more pain catastrophizing from both members of the couple would be associated with higher pain intensity and unpleasantness for persons with endometriosis.…”

Internet-based cognitive behavioral therapy for improving health-related quality of life in patients with endometriosis: study protocol for a randomized controlled trial

“…Endometriosis is associated with symptoms of depression, anxiety [ 14 , 15 ], and heightened feelings of uncertainty [ 16 ], leading to substantial reduction [ 3 ] in health-related quality of life (HRQoL). Dyspareunia, infertility, or decreased general ability to cope with everyday life [ 17 ] might put a strain especially on intimate relationships [ 18 ], impairing relationship satisfaction [ 19 ], and adding to the social burden of endometriosis [ 20 ]. The presentation of physical symptoms seems consistent across populations with different cultural backgrounds and geographical locations [ 7 , 21 ].…”