Psycho-emotional status of patients with endometriosis and chronic pelvic pain: relationship analysis and prospects for further research
Levakov S.A., Gromova T.A., Titova N.P., Aslanova M.S., Managadze I.J.
Endometriosis is a chronic inflammatory condition characterized by the presence of endometrial-like tissue outside the uterus. This condition can be accompanied by psychosomatic and social discomfort, that requires further research to understand the relationship between different factors influencing its development.
Objective: To explore the spectrum of psychopathological symptoms and syndromes in patients with endometriosis and assess their impact on the development of endometriosis for further determination of possible approaches to treatment in the framework of complex patient-oriented therapy.
Materials and methods: The study included 65 female patients with the diagnosis of endometriosis. Online survey was conducted using Google Forms, which included a set of psychometric tools to assess the levels of anxiety and depression, quality of life, pain catastrophizing in women with chronic pelvic pain (CPP) and its intensity. Statistical analysis was performed using Microsoft Excel and jamovi module for general linear models (GLM).
Results: As a result of the study, 8 general linear models with significance level of p<0.001 with a spectrum of reproductive and mental health indicators were created, and a hypothetical model of relationship between psychoemotional status and CPP in endometriosis was suggested.
Conclusion: The study of the psycho-emotional status of patients with endometriosis found a complex of psychosomatic factors affecting women with this condition. There is a strong relationship between the level of pain, quality of life and women’s mental health, that emphasizes the need for a complex approach to treatment aimed to eliminate psycho-emotional factors and improve the quality of life of patients with endometriosis.
Authors' contributions: Levakov S.A. – developing the concept and design of the study; Managadze I.J. – material collection and processing, article writing, statistical data processing; Aslanova M.S. – article writing, statistical data processing; Gromova T.A., Titova N.P. – article editing.
Conflicts of interest: The authors have no conflicts of interest to declare.
Funding: The study was carried out without any sponsorship.
Patient Consent for Publication: The patients have signed informed consent for publication of their data.
Authors' Data Sharing Statement: The data supporting the findings of this study are available on request from the corresponding author after approval from the principal investigator.
For citation: Levakov S.A., Gromova T.A., Titova N.P., Aslanova M.S., Managadze I.J. Psycho-emotional status of patients with endometriosis and chronic pelvic pain: relationship analysis and prospects for further research.
Akusherstvo i Gynekologiya/Obstetrics and Gynecology. 2025; (2): 68-80 (in Russian)
https://dx.doi.org/10.18565/aig.2024.186
Keywords
References
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Received 01.08.2024
Accepted 14.02.2025
About the Authors
Sergey A. Levakov, Dr. Med. Sci., Professor, Head of the Department of Obstetrics and Gynecology, N.V. Sklifosovsky ICM, I.M. Sechenov First MSMU, Ministry of Healthof Russia (Sechenov University), 119991, Russia, Moscow, Trubetskaya str., 8, bld. 2, +7(495)609-14-00, levakoff@yandex.ru, https://orcid.org/0000-0002-4591-838X
Tatyana A. Gromova, PhD, Teaching Assistant at the Department of Obstetrics and Gynecology of the Faculty of Medicine, I.M. Sechenov First MSMU, Ministry of Health
of Russia (Sechenov University), 119991, Russia, Moscow, Trubetskaya str. 8, bld. 2, +7(495)609-14-00, tgromova928@yandex.ru, https://orcid.org/0000-0001-6104-9842
Nana R. Titova, Deputy Head of the Center for Endometriosis and Pelvic Pain, Head of the Consultative and Diagnostic Department, Clinical Hospital No. 85 of the FMBA
of Russia, 115409, Russia, Moscow, Moskvorech’e str., 16, +7(499)782-85-85, titova_nana@mail.ru
Margarita S. Aslanova, Senior Lecturer at the Department of Pedagogy and Medical Psychology, Institute of Psychological and Social Work, I.M. Sechenov First MSMU, Ministry of Health of Russia (Sechenov University), 119991, Russia, Moscow, Trubetskaya str., 8, bld. 2, +7(495)609-14-00; Researcher at the Laboratory of Virtual Reality and Polymodal Perception, FSC PMR, 125009, Russia, Moscow, Mokhovaya str., 9, bld. 4, aslanova_m_s@staff.sechenov.ru, https://orcid.org/0000-0002-3150-221X
Ioanna J. Managadze, Student, N.V. Sklifosovsky ICM, I.M. Sechenov First MSMU, Ministry of Health of Russia (Sechenov University),
119991, Russia, Moscow, Trubetskaya str., 8, bld. 2, +7(495)609-14-00, ktb1966@mail.ru, https://orcid.org/0000-0001-8745-9372
Corresponding author: Ioanna J. Managadze, ktb1966@mail.ru