Behavioral, cognitive, and emotional coping strategies of women with endometriosis: a critical narrative review
This review synthesized nine studies on women with endometriosis, finding pain is a major stressor, and adaptive/maladaptive coping strategies, emotional repression, and pain catastrophizing relate to pain and mental health outcomes.
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This PRISMA-guided critical narrative review examined quantitative and qualitative studies (9 papers) on how behavioral, cognitive, and emotional coping strategies, as well as related constructs (emotional intelligence and metacognition), relate to psychological and life functioning in women with endometriosis. The review found that pain is commonly treated as the major stressor; women reported using both adaptive and maladaptive coping strategies; and compared with healthy individuals, women with endometriosis or related chronic pain appear more likely to repress emotions, with emotional suppression, pain catastrophizing, and passive coping associated with higher self-reported pain, while problem- or emotion-focused positive coping and detached/rational styles were associated with better mental health. The authors note that only a few studies with mixed results and methodological flaws addressed coping strategies, and that no studies on metacognition or emotional intelligence were found. This paper is centrally about endometriosis — it reviews coping strategies and their links to mental health and functioning in women with the condition.
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References (59)
- A life shaped by pain: women and endometriosis via openalex
- Catastrophizing: a predictor of persistent pain among women with endometriosis at 1 year via openalex
- Clinicians’ perceptions of women's experiences of endometriosis and of psychosocial care for endometriosis via openalex
- Coping strategies employed by women with endometriosis in a public health-care setting via openalex
- Endometriosis and pelvic pain: epidemiological evidence of the relationship and implications via openalex
- Endometriosis: epidemiology and aetiological factors via openalex
- ESHRE guideline for the diagnosis and treatment of endometriosis via openalex
- Incidence of Laparoscopically Confirmed Endometriosis by Demographic, Anthropometric, and Lifestyle Factors via openalex
- Patients with endometriosis using positive coping strategies have less depression, stress and pelvic pain via openalex
- Psychological aspects of endometriosis: Differences between patients with or without pain on four psychological variables via openalex
- Systematic reviews of qualitative evidence: What are the experiences of women with endometriosis? via openalex
- The Patient-Centeredness of Endometriosis Care and Targets for Improvement: A Systematic Review via openalex
- The social and psychological impact of endometriosis on women's lives: a critical narrative review via openalex
- Women's experience of endometriosis via openalex
- W2010040675 via openalex
- W2014231794 via openalex
- W2016708144 via openalex
- W2017358503 via openalex
- W2021657339 via openalex
- W2026380842 via openalex
- W2055789382 via openalex
- W2056209597 via openalex
- W2077261610 via openalex
- W2082192971 via openalex
- W2084274867 via openalex
- W2086063798 via openalex
- W2093062487 via openalex
- W2093395366 via openalex
- W2093950336 via openalex
- W2100851858 via openalex
- W2106952837 via openalex
- W2107188037 via openalex
- W2127352681 via openalex
- W2145233313 via openalex
- W2156784580 via openalex
- W2168276179 via openalex
- W2168924589 via openalex
- W2169530275 via openalex
- W2180096882 via openalex
- W2187103524 via openalex
- W2482557440 via openalex
- W2559163165 via openalex
- W3036588604 via openalex
- W4252057315 via openalex
- W48237717 via openalex
- W4285719527 via openalex
- W145325731 via openalex
- W607231019 via openalex
- W926968868 via openalex
- W1495430932 via openalex
- W1514470862 via openalex
- W1606658051 via openalex
- W1946459050 via openalex
- W1974213192 via openalex
- W1976695231 via openalex
- W1983033016 via openalex
- W1989597713 via openalex
- W2007872832 via openalex
- W2008831885 via openalex
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- Psychosocial factors associated with pain and health‐related quality of life in Endometriosis: A systematic review 2022
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- Internet-based cognitive behavioral therapy for improving health-related quality of life in patients with endometriosis: study protocol for a randomized controlled trial 2022
- Incremental validity of acceptance over coping in predicting adjustment to endometriosis 2022
- Emotional dysregulation in women with endometriosis with cyclical and non-cyclical chronic pelvic pain 2022
- Psychological adaptation in women with endometriosis: current knowledge and future research perspectives 2022
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- Endometriosis diagnosis buffers reciprocal effects of emotional distress on pain experience 2022
- Effectiveness of intracavitary monopolar dielectric radiofrequency in women with endometriosis-associated pain: A case series 2021
- Psychological and cognitive factors implicated in pain experience in women with endometriosis 2021
- Delineating sociodemographic, medical and quality of life factors associated with psychological distress in individuals with endometriosis 2021
- Mental health in women undergoing gynecological surgery at risk of infertility 2021
- Predictors of Psychological Distress in Women with Endometriosis: The Role of Multimorbidity, Body Image, and Self-Criticism 2021
- Fatigue-management strategies among women with endometriosis in South Africa: a qualitative study 2021
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