Predictors of self-compassion in endometriosis: the role of psychological health and endometriosis symptom burden

Van Niekerk, Leesa, L Johnstone, Lucy Johnstone, Johnstone L, Mandy Matthewson, Matthewson M, M Matthewson
Human Reproduction · 2021 · vol. 37(2) , pp. 264–273 · doi:10.1093/humrep/deab257 · PMID:35102421 · W3216802115
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Psychological distress and specific endometriosis symptoms like dysmenorrhea and fatigue are significantly associated with lower self-compassion in women with endometriosis.

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Abstract

STUDY QUESTION: What is the relationship between self-compassion, endometriosis-related symptoms and psychological health in women with symptomatic endometriosis? SUMMARY ANSWER: Decreased self-compassion is associated with increased psychological distress, extended diagnostic delay and varies according to individual endometriosis-symptom profile. WHAT IS KNOWN ALREADY: Existing research indicates that endometriosis is associated with reduced psychological health and varied endometriosis-related symptom profiles. Examining the level of self-compassion reported by women with endometriosis is important as greater self-compassion has been found to improve psychological well-being in several chronic health populations. STUDY DESIGN, SIZE, DURATION: This study utilized a cross-sectional survey design to explore the relationship between self-compassion, psychological health and endometriosis-related symptoms (n = 318). PARTICIPANTS/MATERIALS, SETTING, METHODS: Women with a self-reported diagnosis of endometriosis were recruited via online advertising through social media platforms. Demographic and endometriosis-specific information (e.g. disease stage, diagnostic delay, symptom experience) was collected in addition to psychological health and self-compassion. Psychological health was measured by the PROMIS Emotional Distress and Anxiety short forms and the Patient Health Questionnaire (PHQ-15). Self-compassion was measured by the Self-Compassion Scale (26-item). Independent t-tests, bivariate correlations and linear regression analyses explored the relationship between specific endometriosis-related symptoms, psychological health and self-compassion. MAIN RESULTS AND THE ROLE OF CHANCE: Hierarchical multiple regression indicated that psychological symptoms accounted for the greatest variance in levels of self-compassion in the current sample. Depression and anxiety were found to be significant negative predictors of self-compassion. Notable symptoms that were significant in the final model were the presence of dysmenorrhea, lower back pain, dyspareunia, pain after sexual intercourse, fatigue and nausea. LIMITATIONS, REASONS FOR CAUTION: The cross-sectional nature of the findings prevents direct findings of causality. The information pertaining to endometriosis was self-report in nature and was not medically verified. WIDER IMPLICATIONS OF THE FINDINGS: These preliminary findings indicate the importance of clinical interventions aimed at enhancing self-compassion and the importance of individual case conceptualization and treatment planning based on endometriosis-related symptomatic profiles. STUDY FUNDING/COMPETING INTEREST(S): The study was not associated with research funding. Author L.V.N. is a member of the Endometriosis Australia Clinical Advisory Committee. TRIAL REGISTRATION NUMBER: N/A.

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Condition tags

endometriosisdysmenorrheadyspareunia

MeSH descriptors

Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Cross-Sectional Studies Cross-Sectional Studies Delayed Diagnosis Delayed Diagnosis Female Female Humans Humans Mental Health Mental Health Self-Compassion Self-Compassion

Citation neighborhood (2-hop)

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. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

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