Patients with endometriosis using positive coping strategies have less depression, stress and pelvic pain

Lilian Donatti, Denise Gimenez Ramos, Marina de Paula Andres, Marina Paula Andres, Leigh Jonathan Passman, Leigh J. Passman, Sérgio Podgaec
Einstein (Sao Paulo, Brazil) · 2017 · vol. 15(1) , pp. 65–70 · doi:10.1590/s1679-45082017ao3911 · PMID:28444092 · PMC5433310 · W2606835879
article OA: gold CC0 ⤵ 53 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

Women with endometriosis who employed positive coping strategies reported less depression, stress, and pelvic pain compared to those using maladaptive strategies.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 ⓘ

This prospective exploratory study evaluated 171 women aged 18–45 with endometriosis who were recruited from an outpatient clinic between April and August 2014, using the Brief COPE, Beck Depression Inventory, Lipp’s Stress Symptom Inventory for Adults, and a Visual Analogue Scale for multiple pain symptoms, with clinical data abstracted from electronic medical records. Patients who reported positive coping strategies showed better adaptation to stress and less depression, and depression, stress, and acyclic pelvic pain were directly associated; dysmenorrhea intensity was associated with depression, while acyclic pelvic pain intensity was associated with depression and stress level/type. The paper’s limitation is that questionnaire-based correlational findings are reported from a single study period/outpatient setting, with exclusions based on incomplete questionnaires and missing records. This paper is centrally about endometriosis — it examines how coping strategies relate to depression, stress, and pelvic pain in patients with endometriosis.

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Abstract

Objective: To determine the correlations between coping strategies, depression, stress levels and pain perception in patients with endometriosis. Methods: This prospective and exploratory study included 171 women undergoing treatment for endometriosis between April and August 2014. The questionnaires used were Brief COPE, Beck Depression Inventory, Lipp's Stress Symptom Inventory for Adults and Visual Analogue Scale. Clinical data were collected from electronic medical records. Results: Patients with endometriosis who used positive coping strategies had better adaptation to stress (p<0.004) and less depression (p<0.004). The presence and intensity of depression, stress and acyclic pelvic pain were directly associated (p<0.05). The intensity of dysmenorrhea was associated with the degree of depression (p<0.001), whereas acyclic pelvic pain was associated with the degree of depression (p<0.001), stress level (p<0.001) and stress type (p<0.001). Conclusion: We found a positive association between coping, depression levels, type and levels of stress and pain intensity in patients with endometriosis. The use of maladaptive coping strategies focused on emotion is correlated with increase in depression and stress.

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Condition tags

endometriosischronic_pelvic_paindysmenorrhea

MeSH descriptors

Adaptation, Psychological Depression Endometriosis Endometriosis Pelvic Pain Stress, Psychological Adaptation, Psychological Adult Depression Depression Endometriosis Female Humans Pelvic Pain Pelvic Pain Prospective Studies Psychiatric Status Rating Scales Reproducibility of Results Severity of Illness Index Stress, Psychological

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (31)

Cited by (50)

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