Promoting physical activity and limiting sedentary behaviors to manage pain in endometriosis: what are the psychosocial variables to take into account?

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This study identifies psychosocial variables influencing the promotion of physical activity and limitation of sedentary behaviors for endometriosis pain management.

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The study examined differences in physical activity (PA), sedentary behavior (SED), and related psychosocial variables between women with endometriosis and women without it, using a comparative cross-sectional approach. Women with endometriosis reported lower SED, worse quality of life (QoL), greater kinesiophobia, more health-related barriers, lower physical self-concept, and more negative PA-related stereotypes, while PA associations were strongest for prior behavior and intention. In women with endometriosis specifically, PA was additionally linked to self-efficacy, perceived control, physical self-concept, health barriers, and kinesiophobia, whereas SED related to treatment-related stereotypes and to physical QoL for endometriosis. The paper’s caveat is that its findings are based on observed associations, limiting inference about directionality or causality. This paper is centrally about endometriosis — it analyzes psychosocial determinants of physical activity and sedentary behavior for pain/QoL management in women with endometriosis.

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Abstract

Promoting physical activity and limiting sedentary behaviors to manage pain
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DOI of the published article https://doi.org/10.1080/23293691.2025.2582496 Promoting physical activity and limiting sedentary behaviors to manage pain in endometriosis: what are the psychosocial variables to take into account? DOI: https://doi.org/10.51224/SRXIV.657Keywords: Endometriosis, physical activity, sedentary behavior, quality of life, psychosocial factorsAbstract Endometriosis may reduce physical activity (PA) due to its symptoms and psychosocial barriers. This study compared PA, sedentary behavior (SED), and psychosocial variables in women with and without endometriosis. Women with endometriosis reported lower specific SED, poorer quality of life (QoL), greater kinesiophobia, more health-related barriers, lower physical self-concept, and negative PA-related stereotypes (beliefs or perceptions). PA was most related to previous behavior (PA frequency over the past 3 months) and intention, and specifically in endometriosis, with self-efficacy, perceived control, physical self-concept, health barriers, and kinesiophobia. SED was linked to treatment-related stereotypes and, in endometriosis, to physical QoL. Findings highlight the importance of motivational and self-concept–related variables, which could be targeted to support engagement in PA for symptom management and improved QoL in women with endometriosis. Metrics References Allaire, C., Bedaiwy, M. A., & Yong, P. J. (2023). Diagnosis and management of endometriosis. CMAJ. Canadian Medical Association Journal, 195(10), E363–E371. https://doi.org/10.1503/cmaj.220637 Awad, E., Ahmed, H. A. H., Yousef, A., & Abbas, R. (2017). Efficacy of exercise on pelvic pain and posture associated with endometriosis: Within subject design. Journal of Physical Therapy Science, 29(12), 2112–2115. https://doi.org/10.1589/jpts.29.2112 Babic, M. 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International Journal of Women’s Health, 17, 497–506. https://doi.org/10.2147/IJWH.S492065 Downloads Posted Categories License Copyright (c) 2025 Tracy Milane, Ulysse Herbach, Marie-Anne Jean, Géraldine Escriva-Boulley (Author) This work is licensed under a Creative Commons Attribution 4.0 International License.

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