Health-related quality of life of women with endometriosis: An Attachment-Diathesis Model of Chronic Pain perspective

İrem Berna Güvenç, Özlem Bozo
Health care for women international · 2023 · vol. 45(4) , pp. 412–429 · doi:10.1080/07399332.2023.2177295 · PMID:36794288 · W4321002276
Observational OA: green CC0 ⤵ 2 in-corpus citations
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-07-09 ⓘ

This study found that in women with endometriosis, attachment anxiety and pain catastrophizing were linked to poorer health-related quality of life, with problem-focused coping mediating this relationship.

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Abstract

Endometriosis is a common gynecological disorder that occurs in women of reproductive age, and negatively affects women's quality of life. We tested 'Attachment-Diathesis Model of Chronic Pain' in a sample of Turkish women with endometriosis by analyzing the paths among attachment styles, pain catastrophizing, coping strategies, and health-related quality of life (HRQoL). Attachment anxiety was related to using less problem-focused coping and seeking more social support, while attachment avoidance was associated with seeking less social support as a coping strategy. Moreover, attachment anxiety and higher pain catastrophizing were related to a worse HRQoL. Finally, problem-focused coping strategy mediated the relation between attachment anxiety and HRQoL, meaning that by employing less problem-focused coping strategies, anxiously attached women experienced a poorer HRQoL. In light of our findings, psychologists may develop intervention techniques that question attachment patterns, pain perception, and coping strategies in clients diagnosed with endometriosis.

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Condition tags

endometriosis

MeSH descriptors

Chronic Pain Chronic Pain Chronic Pain Chronic Pain Chronic Pain Chronic Pain Chronic Pain Chronic Pain Chronic Pain Chronic Pain Chronic Pain Chronic Pain Chronic Pain Chronic Pain Chronic Pain Chronic Pain Chronic Pain Chronic Pain Chronic Pain Chronic Pain

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 ]

References (70)

Cited by (2)

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europepmc
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