Cognitive-affective changes mediated the Mindfulness-Based Intervention effect on endometriosis-related pain and mental health: A path analysis approach.

This paper analyzes data from a randomized controlled trial to test whether cognitive-affective changes explain the effect of a mindfulness-based intervention on endometriosis-related pain and mental health. Using a path analysis approach, it evaluates mediating pathways linking the intervention to outcomes through changes in cognitive and affective processes. The authors report that cognitive-affective changes mediated the mindfulness-based intervention effects on both endometriosis-related pain and mental health, while the main limitation is that the study is a secondary analysis rather than a primary trial explicitly designed around mediation testing. This paper is centrally about endometriosis — it examines how mindfulness-induced cognitive-affective changes mediate outcomes related specifically to endometriosis-related pain and mental health.

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