Effect of self-care counselling on depression and anxiety in women with endometriosis: a randomized controlled trial

Nooshin Farshi, Shirin Hasanpour, Mojgan Mirghafourvand, Mojgan Mirghafourvand‬‬‬‬‬‬‬‬‬‬‬‬‬‬, Khalil Esmaeilpour
BMC psychiatry · 2020 · vol. 20(1) , pp. 391 · doi:10.1186/s12888-020-02795-7 · PMID:32727601 · PMC7391809 · W3045670013
article OA: gold CC0 ⤵ 18 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

Self-care counselling significantly reduced state and trait anxiety and improved physical and mental quality of life in women with endometriosis compared to routine care.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 ⓘ

This randomized controlled trial studied whether seven weekly sessions of Orem-model self-care counselling, compared with routine care, would change depression, anxiety (primary outcomes), and quality of life (secondary outcome) in 76 women with laparoscopically diagnosed endometriosis recruited from a single treatment center in Tabriz. Depression was assessed with the Beck Depression Inventory and anxiety with the Spielberger State–Trait Anxiety Inventory before and 4 weeks after the intervention, alongside SF-36 quality-of-life measures. Post-intervention, state and trait anxiety scores were significantly lower in the counselling group than controls, and quality of life was significantly higher for both physical and mental health domains, while depression decreased but not significantly; the paper’s limitations include the short 4-week follow-up and selection/exclusion criteria (including excluding those with very severe anxiety/depression and certain comorbid conditions). This paper is centrally about endometriosis — it tests self-care counselling’s effects on depression, anxiety, and quality of life in women with endometriosis.

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Abstract

BACKGROUND: Considering the prevalence of endometriosis and consequent depression and anxiety as well as the resultant effects on the body, mind, and quality of life of patients, this study aimed to determine the effects of self-care counselling on depression and anxiety (primary outcome) and on quality of life (secondary outcome) among women with endometriosis. METHOD: This randomized controlled clinical trial was conducted on 76 women with endometriosis who were treated at Al-Zahra Teaching and Treatment Center of Tabriz within the 2015-2019 period. The random blocking method was employed to divide the patients into intervention (counselling) and control groups. In the intervention group, seven self-care group counselling sessions were held on a weekly basis. The control group received routine care. A sociodemographic questionnaire, Beck Depression Inventory, Spielberger State-Trait Anxiety Inventory (STAI) and the SF-36 Quality of Life Questionnaire were completed by the researcher through an interview before and 4 weeks after the intervention. RESULTS: There was no significant difference between the intervention and control groups in terms of sociodemographic characteristics (p > 0.05). After the intervention, the mean scores of state anxiety (mean difference: - 0.12, 95% confidence interval: - 9.6 to - 14.4, p < 0.001) and trait anxiety (mean difference: - 10.9: 95% confidence interval: - 9.1 to - 12.7, p = 0.001) were significantly lower in the counselling group than those of the control group. The mean score of depression was lower in the counselling group than in the control group; however, it was not significant (p = 0/565). The mean score of quality of life for physical health (mean difference = 17.2, 95% confidence interval: 13.8 to 20.5, p < 0.001) and for mental health (mean difference = 12.0, 95% confidence interval: 9.0 to 14.9, p < 0.001) were significantly higher in the counselling group than in the control group. CONCLUSION: Self-care counselling affects the anxiety and quality of life of women with endometriosis. Therefore, in addition to other therapies, this method is proposed to improve quality of life and mental health of patients with endometriosis. TRIAL REGISTRATION: IRCT Registration Number: IRCT 20111219008459 N13, registered on February 10, 2019 ( https://irct.ir/user/trial/35915 ).

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Endometriosis Endometriosis Quality of Life Anxiety Anxiety Counseling Depression Depression Female Humans Self Care

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.

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