Psycho-emotional status in patients with endometriosis-associated pain syndrome in various disease phenotypes

Maria A. Shalina, Maria I. Yarmolinskaya, Elena A. Netreba, Alexandra K. Beganova
In: Journal of obstetrics and women's diseases · 2023 · vol. 72(3) , pp. 53–64 · doi:10.17816/jowd346683 · W4384155820
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⚙ AI-generated summary by claude@2026-06, 2026-06-06 ⓘ

Patients with endometriosis combined with external genital endometriosis exhibited higher anxiety, depression, and pain scores, along with lower quality of life, compared to those with isolated adenomyosis or controls.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-06 ⓘ

This study assessed psycho-emotional status, pain severity, and quality of life in 81 women (ages 22–45) stratified into three groups: isolated adenomyosis, adenomyosis combined with external genital endometriosis, and a control group without chronic gynecological disease, using VAS/NRS pain scales, HADS, Beck Depression Inventory, Spielberger anxiety inventories, and SF-36. The main finding was that women with adenomyosis plus external genital endometriosis had the highest anxiety and depression scores across questionnaires and poorer overall quality of life compared with controls, with dysmenorrhea pain scores also higher in this combined group than in isolated adenomyosis. In the isolated adenomyosis group, results were described as less unambiguous and overall somewhat better than the combined group, but still worse than controls. This paper is centrally about endometriosis — it focuses on psycho-emotional status and pain in adenomyosis phenotypes including adenomyosis with external genital endometriosis.

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Abstract

BACKGROUND: Patients with endometriosis-associated pain syndrome in combination with anxiety or depression have lower treatment effectiveness and satisfaction with both the disease itself and the pain syndrome compared to patients with pain syndrome but without depression or anxiety. AIM: The aim of the study is to assess the relationship between psychosocial status and endometriosis-associated pain syndrome in patients with different phenotypes of endometriosis using pain assessment scales, psychosocial state assessment scales, and quality of life assessment scales. MATERIALS AND METHODS: We examined 81 patients using a number of questionnaires: Visual Analogue Scale, Numeric Rating Scale, Hospital Anxiety and Depression Scale, Beck Depression Scale, Spielberger State-Trait Anxiety Inventory, and Short Form-36 quality of life assessment. The patients were divided into three groups: isolated adenomyosis (n = 39), adenomyosis combined with external genital endometriosis (n = 21), and the control group (n = 21). RESULTS: Our study has shown that patients with adenomyosis combined with external genital endometriosis had the highest scores on all questionnaires for assessing anxiety and depression, as well as a low quality of life in general, which significantly differed from those in the control group (p 0.05). The results in the group of women with isolated adenomyosis are not so unambiguous and, overall, somewhat better than in the group of patients with adenomyosis combined with external genital endometriosis, but significantly worse compared to the control group. When assessing the severity of dysmenorrhea, higher scores were also found in the group of women with adenomyosis combined with external genital endometriosis: 6.64 2.11 cm (Visual Analogue Scale) and 6.9 2.05 cm (Numeric Rating Scale), while in the group of women with isolated adenomyosis, the scores were 5.29 1.9 cm and 5.83 1.72 cm, respectively (p = 0.028). Women in the control group had no pain syndrome. CONCLUSIONS: Poor mental and physical health scores obtained in this study in women with external genital endometriosis dictate the need for an objective and multicomponent assessment of the psycho-emotional status in patients, followed by complex treatment and team management with related specialists.

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endometriosisadenomyosisdysmenorrhea

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last seen: 2026-06-10T17:14:06.276822+00:00
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