Psychological and mind-body interventions for endometriosis: A systematic review

Subhadra Evans, Stephanie Fernandez, Fernandez S, Lisa Olive, Payne LA, Laura A. Payne, Antonina Mikocka-Walus, Mikocka-Walus A, Antonina Mikocka‐Walus
Journal of Psychosomatic Research · 2019 · vol. 124 , pp. 109756 · doi:10.1016/j.jpsychores.2019.109756 · PMID:31443810 · W2956016625
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This systematic review examined psychological and mind-body interventions for endometriosis, assessing their efficacy and impact on symptoms.

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Abstract

Endometriosis is a common gynecological condition associated with debilitaing pain and poor mental health. This review examines the evidence for psychological and mind-body (PMB) interventions to improve endometriosis pain, psychological distress, sleep and fatigue. Electronic databases searched included PsychINFO, MEDLINE, CINAHL, EMBASE, Cochrane Library, Scopus, and PubMed. Inclusion criteria were women with endometriosis, and interventions that used psychological or mind-body interventions; there were no exclusion criteria regarding study design. Studies were identified and coded using standard criteria, and risk of bias was assessed with established tools relevant to the study design. A total of 12 publications relating to 9 separate studies were identified:- 3 randomized controlled trials, 1 controlled trial, 2 single-arm studies, 1 retrospective cohort study, and 2 case series. Interventions included yoga, mindfulness, relaxation training, cognitive behavioural therapy combined with physical therapy, Chinese medicine combined with psychotherapy, and biofeedback. Results indicate that no studies have yet used gold-standard methodology and, thus, definitive conclusions cannot be offered about PMB efficacy. However, the results of these pilot studies suggest that PMB interventions show promise in alleviating pain, anxiety, depression, stress and fatigue in women with endometriosis, and future well-designed RCTs including active control groups are warranted.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Endometriosis Mind-Body Therapies Endometriosis Female Humans

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 (55)

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