Psychological variables and quality of life in women with endometriosis

Rees M, Rees, Madeleine, Kiemle, Gundi, Slade, Pauline
2016 · doi:10.17638/02034380 · W6906671570
Systematic review / meta-analysis OA: green CC0
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This systematic review of twelve studies examined psychological, social, and clinical predictors of quality of life in women with chronic pelvic pain associated with endometriosis.

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This thesis investigated how psychological factors influence quality of life in women diagnosed with endometriosis. Two hundred and thirty participants completed online questionnaires assessing pain self-efficacy, health locus of control, coping styles, and illness uncertainty. Statistical analysis revealed that these variables significantly predicted variance across physical, psychological, social, and environmental quality of life domains. Pain self-efficacy emerged as the strongest predictor, followed by illness uncertainty, particularly regarding physical functioning. This paper is centrally about endometriosis — specifically examining the impact of psychological variables on quality of life in affected women.

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Abstract

Background and Objectives: Extensive research has shown that chronic pelvic pain (CPP) can have a detrimental impact on a woman’s quality of life (QoL). QoL is a subjective, multidimensional concept that refers to an individuals’ perception of their social, emotional, physical and psychological wellbeing. There is currently very little literature exploring the possible psychological predictors of QoL in this patient group. Therefore the purpose of this report was to provide a systematic review of the literature concerning predictors of QoL in women who experience CPP. Design: Systematic review. Method: Relevant papers were obtained through scanning five electronic databases and searching references and bibliographic lists. Studies were selected if they included women who had a diagnosis of CPP, included a standardised QoL measurement tool and predictors (psychological, social or clinical features), used a quantitative design and were available in English. A total of 12 studies were eligible for the review. All 12 papers were assessed for their quality using the 16 item Quality Assessment Tool for Studies with Diverse Designs (QATSDD; Sirriyeh, Lawton, Gardner & Armitage, 2011). Results: Similarly to other ... (continues)
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Rees, Madeleine, Kiemle, Gundi and Slade, Pauline (2022) Psychological variables and quality of life in women with endometriosis Doctor of Clinical Psychology thesis, University of Liverpool. | Text ReesMad_Jun2015_2034380.pdf.pdf - Unspecified Available under License Creative Commons Attribution. Download (362kB) | Abstract Background: Endometriosis is a common gynecological condition which has been found to have a detrimental impact upon women’s quality of life (QoL). This study investigated the impact of pain self-efficacy, health locus of control (HLOC), coping style and illness uncertainty on QoL in women with endometriosis. Method: Two hundred and thirty women completed online questionnaires. Standard multiple regressions assessed the relationship between the psychological predictors and QoL. Results: The psychological variables accounted for a statistically significant proportion of the variance (p <.0005) in scores across the four QoL domains. The model accounted for 55, 26, 10 and 32% of the scores in physical, psychological, social and environmental QoL domains, respectively. Pain self-efficacy made the largest unique contribution, followed by illness uncertainty. Conclusions: Women’s perception of their ability to manage their pain and how uncertain they felt about their condition, were important factors in QoL, particularly in the physical domain. | Item Type: | Thesis (Doctor of Clinical Psychology) | |---|---| | Additional Information: | Date: 2015-06-08 (completed) | | Uncontrolled Keywords: | Chronic pelvic pain (CPP), endometriosis, psychological predictors, quality of life (QoL), gynecology, multiple regression | | Subjects: | ?? BF ?? ?? RG ?? | | Depositing User: | Symplectic Admin | | Date Deposited: | 20 Jan 2016 16:32 | | Last Modified: | 16 Jun 2026 07:24 | | DOI: | 10.1080/0167482X.2020.1784874 | | Related Websites: | | | URI: | https://livrepository.liverpool.ac.uk/id/eprint/2034380 | | Disclaimer: | The University of Liverpool is not responsible for content contained on other websites from links within repository metadata. Please contact us if you notice anything that appears incorrect or inappropriate. |

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