Endometriosis and depressive symptoms: The role of quality of life in endometriosis, chronic illness-related shame, self-compassion, and psychological flexibility
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Introduction Endometriosis is a gynaecological pathology characterized by endometrial tissue similar to stroma and endometrium in extra endometrial and myometrial sites. This condition affects women’s mental health and quality of life and can elicit shame feelings. Objectives To explore the role of quality of life in endometriosis, chronic illness-related shame, self-compassion, and psychological flexibility in depressive symptoms. Methods 260 people diagnosed with endometriosis, aged 18 years or older, were recruited through patients’ associations. Participants completed an online sociodemographic and clinical questionnaire and the following self-report instruments: Anxiety, Depression, and Stress Scales (DASS-21), Endometrioses Health Profile (EHP-5), Chronic Illness-Related Shame Scale (CISS), Compassionate Engagement and Action Scales (EEAC-SC), and the Psy-Flex Scale. Results Regression analyses showed that years of education, endometriosis-related quality of life (pain, control, emotional well-being, social support, and self-image), chronic illness-related shame, and psychological flexibility were the significant predictors of depressive symptoms. On the other hand, endometriosis-related quality of life (work life, relationship with children, sexual life, relationship with healthcare professionals, treatment, and infertility) and self-compassion were not significantly associated with depressive symptoms. Conclusions The identification of chronic illness-related shame and quality of life related to endometriosis as relevant variables regarding the presence of symptoms of depression points to the relevance of early detection of these phenomena to prevent the development of depressive symptoms. Moreover, interventions targeting the development of psychological flexibility may contribute to the amelioration and prevention of depressive symptoms. Disclosure of Interest None Declared
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Introduction
Eating disorders are characterized by a persistent
disturbance in eating and/or eating-related behavior, resulting in
altered food consumption or absorption, which can significantly
compromise physical health as well as psychosocial functioning.
These disorders are closely linked with stressful experiences which
university students configure a group prone to development.
Objectives
The objective is to evaluate the impact of eating dis-
orders on young people when entering and staying at university.
Methods
This is an observational, quantitative, analytical and
cross-sectional study, in which 1300 (one thousand and three
hundred) medical students were invited, of both sexes and over
18 years of age from the 1st (first) to the 12th (twelfth) year. period
of the Medicine course at the University of Oeste Paulista
(UNOESTE) with 91 students joining. A structured interview was
applied via online, aiming at collecting sociodemographic and
occupational data in conjunction with the application of the Peri-
odic Eating Compulsion Scale - ECAP, assessing the existence and
degree of eating disorders in medical students.
Results
Mean age 22.7 ± 3.9 years, predominantly female (76.9%)
and white ethnicity (86.8%). Most live alone or with a parent
(82.5%). With regard to eating habits, 81 (89.0%) said they did
not follow a nutrition professional ’s diet, and 84 (92.3%) have at
least 3 meals a day. Lunch is eaten by 100% of the participants, while
supper is the least consumed meal (17.6%). A total of 24 (26.4%)
participants said they had little time to eat, and almost half (46.2%)
did not prepare their own meals, with 12.5% choosing to eat salted
or not. eating a certain meal. The ECAP binge eating score had a
median of 9 (11.5) points, with a minimum score equal to 1 and a
maximum equal to 41. Sixty-eight (74.7%) of the participants were
classified as having no binge eating, with moderate binge eating
15 (16.5%), and severe, 8 (8.8%).
Conclusions
There is a need for changes in lifestyle aspects in
order to present healthier meals in appropriate amounts, in add-
ition to an adequate therapeutic approach to these disorders.
Research funding agency We also declare that we received financial
support from the Institutional Program for Scientific Initiation
Scholarships (PROBIC).
Disclosure of Interest: None Declared
Women, Gender and Mental Health
EPP0310
Endometriosis and depressive symptoms: The role of
quality of life in endometriosis, chronic illness-related
shame, self-compassion, and psychological flexibility
A. Galhardo1,2, B. Simões1, C. Pinto-Gouveia3* and M. Cunha 1,2
1Psychology, Instituto Superior Miguel Torga; 2CINEICC, FPCEUC,
University of Coimbra and 3Psychiatry, Centro Hospitalar e
Universitário de Coimbra, Coimbra, Portugal
*Corresponding author.
doi: 10.1192/j.eurpsy.2024.489
Introduction
Endometriosis is a gynaecological pathology char-
acterized by endometrial tissue similar to stroma and endometrium
in extra endometrial and myometrial sites. This condition affects
women’s mental health and quality of life and can elicit shame
feelings.
Objectives
To explore the role of quality of life in endometriosis,
chronic illness-related shame, self-compassion, and psychological
flexibility in depressive symptoms.
Methods
260 people diagnosed with endometriosis, aged 18 years
or older, were recruited through patients ’ associations. Partici-
pants completed an online sociodemographic and clinical ques-
tionnaire and the following self -report instruments: Anxiety,
Depression, and Stress Scales (D ASS-21), Endometrioses Health
Profile (EHP-5), Chronic Illnes s-Related Shame Scale (CISS),
Compassionate Engagement and Action Scales (EEAC-SC), and
the Psy-Flex Scale.
Results
Regression analyses showed that years of education,
endometriosis-related quality of life (pain, control, emotional well-
being, social support, and self-image), chronic illness-related
shame, and psychological flexibility were the significant predictors
of depressive symptoms. On the other hand, endometriosis-related
quality of life (work life, relationship with children, sexual life,
relationship with healthcare professionals, treatment, and infertil-
ity) and self-compassion were not significantly associated with
depressive symptoms.
Conclusions
The identification of chronic illness-related shame
and quality of life related to endometriosis as relevant variables
regarding the presence of symptoms of depression points to the
relevance of early detection of these phenomena to prevent the
development of depressive symptoms. Moreover, interventions
targeting the development of psychological flexibility may contrib-
ute to the amelioration and prevention of depressive symptoms.
Disclosure of Interest: None Declared
EPP0312
From Loss to Healing: Navigating Perinatal Grief with
Enhanced Psychological Care
K. Razki*, Y. Zgueb, S. Ben Aissa , C. Najar and U. Ouali
psychiatry department, Razi hospital, manouba, Tunisia
*Corresponding author.
doi: 10.1192/j.eurpsy.2024.490
Introduction
Several factors can influence the journey of perinatal
grief in mothers, including the quality of care during this experi-
ence. The objective of our study was to investigate the factors
influencing the perception of grieving women during the perinatal
period and identify the role of medical and paramedical healthcare
professionals in psychological support.
Objectives
To determine the factors influencing the perception of
fetal loss in grieving mothers.
Methods
This was a descriptive, longitudinal, retrospective study
conducted between july 2021 and march 2022 at the Fetal Path-
ology Department of the Center for Maternity and Neonatology in
Tunis, Tunisia. The study included women who experienced peri-
natal loss and underwent fetal pathology examination.
The study was conducted in two stages: Initial consultation at the
Fetal Pathology Department, five weeks after the date of expulsion,
for perinatal grief counseling. Follow-up interview one year after
the date of expulsion: The participants were contacted via telephone
for an average duration of twenty minutes .The assessment of
perinatal grief during both interviews was conducted using the
shortened version of the Perinatal Grief Scale (PGS)
S230 e-Poster Presentation
https://doi.org/10.1192/j.eurpsy.2024.489 Published online by Cambridge University Press
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