Psychological Morbidity in Endometriosis: A Couple’s Study

M. Graça Pereira, Inês Ribeiro, Hélder Ferreira, Filipa Osório, Cristina Nogueira‐Silva, Ana C. Almeida
International journal of environmental research and public health · 2021 · vol. 18(20) , pp. 10598 · doi:10.3390/ijerph182010598 · PMID:34682344 · PMC8535360 · W3205643512
article OA: gold CC0 ⤵ 13 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This study found that perceived symptom severity and marital satisfaction directly impact women's psychological morbidity, with sexual satisfaction positively influencing both partners' marital satisfaction and reducing psychological morbidity.

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Abstract

Endometriosis is a chronic gynecological disease that impacts more than 176 million women worldwide, having a strong impact on psychological morbidity. This study aimed to evaluate the contribution of psychological morbidity, in women with endometriosis, taking into consideration the duration of the couple's relationship and the duration of the disease and also examined whether women's sexual satisfaction had an impact on their psychological morbidity (actor effect) and on their sexual partners' psychological morbidity (partner effect) and vice versa. Participants were 105 women and their partners, who answered the Hospital Anxiety and Depression Scale (HADS); Couple Satisfaction Index (CSI-4) and the Global Measure of Sexual Satisfaction (GMSEX). The results revealed a direct effect between the perception of symptom severity, marital satisfaction, and women's psychological morbidity. Sexual activity and the presence of infertility had an indirect effect on the relationship between sexual satisfaction, diagnosis duration, and psychological morbidity, respectively. Finally, women's sexual satisfaction had a direct effect on their own and their partner's marital satisfaction that predicted less psychological morbidity, in both. Thus, a multidisciplinary intervention focused on the couple's sexual and marital relationship is needed to promote psychological well-being in this population.

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Condition tags

endometriosisinfertility

MeSH descriptors

Endometriosis Endometriosis Adaptation, Psychological Female Humans Morbidity Personal Satisfaction Sexual Behavior Sexual Partners Surveys and Questionnaires

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 (56)

Cited by (13)

Source provenance

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