Psychoneuroendocrine Associations with Momentary Pelvic Pain in Endometriosis [data]

Katharina van Stein, Stoffel, Martin, Monika Eckstein, Beate Ditzen
2025 · doi:10.11588/data/qdohse · W7106526022
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⚙ AI-generated summary by claude@2026-07, 2026-07-14 ⓘ

This ecological momentary assessment study found that increased stress and both distracting and solicitous social support were associated with higher momentary pelvic pain ratings in women with endometriosis.

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⚙ AI-generated deep summary by claude@2026-07, 2026-07-14 · read from full text ⓘ

This ecological momentary assessment study examined how daily-life stress, partner social support styles, and psychoneuroendocrine measures (salivary cortisol and oxytocin) relate to momentary pelvic pain in women with chronic pelvic pain associated with endometriosis (N=66) over 7 days, yielding up to 2100 data points per variable. Stress showed positive correlations with pain ratings both within and between individuals, whereas salivary cortisol and oxytocin were not significantly associated with pain ratings. Partner social support (distracting and solicitous styles) was positively related to higher pain on a between-person level but had no or slightly negative within-person associations. The paper’s limitation is that findings are based on observed daily-life associations and the study focuses on women with chronic pelvic pain in an EMA design. This paper is centrally about endometriosis — it investigates psychoneuroendocrine and social support correlates of momentary pelvic pain using EMA in women with endometriosis-related chronic pelvic pain.

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Abstract

Abstract: Endometriosis is a gynecological condition which often causes chronic or recurrent pelvic pain (CPP). The disease can thereby impose a significant burden on affected individuals and their romantic relationships. Existing research highlights the substantial influence of stress, social support, and hormonal factors on pain experience, but data from daily life is scarce. This ecological momentary assessment (EMA) study aimed to explore the association of stress, partners’ social support styles, cortisol, and oxytocin in daily life with pain experiences among women with CPP (N = 66) across 7 days, resulting in a dataset with up to 2100 data points per variable across multiple measures. Stress was positively correlated with pain ratings both within and between individuals, while no significant associations were observed between salivary cortisol or oxytocin levels and pain ratings. Distracting as well as solicitous social support was positively related to higher pain ratings on a between-person level but showed no or slightly negative associations with pain on a within-person level. These findings suggest that both stress and social support can adversely impact pain experience in endometriosis. This knowledge is essential for developing comprehensive interventions: While stress management can be beneficial, the role of social support is more intricate, requiring tailored guidance for close others and their support behavior.
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| Persistent Identifier | doi:10.11588/DATA/QDOHSE | | Publication Date | 2025-11-24 | | Title | Psychoneuroendocrine Associations with Momentary Pelvic Pain in Endometriosis [data] | | Author | van Stein, Katharina (Medical Psychology, HMU Erfurt; Faculty of of Behavioural and Cultural Studies, Ruprecht Karls-University Heidelberg and Heidelberg University Hospital, Heidelberg, Germany) - ORCID: https://orcid.org/0000-0003-0860-8654 Stoffel, Martin (Faculty of of Behavioural and Cultural Studies, Ruprecht Karls-University Heidelberg and Heidelberg University Hospital, Heidelberg, Germany) - ORCID: 0000-0002-8935-0853 Eckstein, Monika (Faculty of of Behavioural and Cultural Studies, Ruprecht Karls-University Heidelberg and Heidelberg University Hospital, Heidelberg, Germany) - ORCID: 0000-0002-1846-4992 Ditzen, Beate (Faculty of of Behavioural and Cultural Studies, Ruprecht Karls-University Heidelberg and Heidelberg University Hospital, Heidelberg, Germany) - ORCID: 0000-0001-5853-4572 | | Point of Contact | Use email button above to contact. van Stein, Katharina (Medical Psychology, HMU Erfurt; Faculty of of Behavioural and Cultural Studies, Ruprecht Karls-University Heidelberg and Heidelberg University Hospital, Heidelberg, Germany) | | Description | Abstract: Endometriosis is a gynecological condition which often causes chronic or recurrent pelvic pain (CPP). The disease can thereby impose a significant burden on affected individuals and their romantic relationships. Existing research highlights the substantial influence of stress, social support, and hormonal factors on pain experience, but data from daily life is scarce. This ecological momentary assessment (EMA) study aimed to explore the association of stress, partners’ social support styles, cortisol, and oxytocin in daily life with pain experiences among women with CPP (N = 66) across 7 days, resulting in a dataset with up to 2100 data points per variable across multiple measures. Stress was positively correlated with pain ratings both within and between individuals, while no significant associations were observed between salivary cortisol or oxytocin levels and pain ratings. Distracting as well as solicitous social support was positively related to higher pain ratings on a between-person level but showed no or slightly negative associations with pain on a within-person level. These findings suggest that both stress and social support can adversely impact pain experience in endometriosis. This knowledge is essential for developing comprehensive interventions: While stress management can be beneficial, the role of social support is more intricate, requiring tailored guidance for close others and their support behavior. (2025-11-19) | | Subject | Medicine, Health and Life Sciences | | Keyword | social support endometriosis chronic pelvic pain oxytocin cortisol stress experience sampling | | Topic Classification | Personality Psychology, Clinical and Medical Psychology, Methodology (DFGFO) https://w3id.org/dfgfo/2024/122-05 | | Related Publication | Is Supplement To: van Stein, K., Stoffel, M., Marshall, A. et al. Psychoneuroendocrine Associations with Momentary Pelvic Pain in Endometriosis. Int.J. Behav. Med. (2025). doi 10.1007/s12529-025-10402-w https://doi.org/10.1007/s12529-025-10402-w | | Language | English | | Funding Information | Deutsche Forschungsgemeinschaft: SFB1158 | | Date of Collection | Start Date: 2020-12-01; End Date: 2023-06-30 | | Series | Social influence on pain: https://osf.io/a4etx/overview | | Software | SoSciSurvey R movisenseXS | | Related Material | see https://osf.io/a4etx/overview |

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