Moderate and severe pain do not impact resilience in women with endometriosis

Renate Schwab, Kathrin Stewen, Annette Hasenburg
In: Geburtshilfe und Frauenheilkunde · 2022 · vol. 82(10) , pp. e160–e161 · doi:10.1055/s-0042-1757046 · W4307891330
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-10 ⓘ

This study found that moderate and severe pain intensity did not impact resilience in women diagnosed with endometriosis compared to those experiencing no or low pain.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-10 · read from full text ⓘ

The study investigated whether moderate or severe pain intensity affects resilience in women with endometriosis, using an online survey recruited via patient support groups. Pain was measured with a visual analogue pain scale (no/low, moderate, severe) and resilience was assessed with the Brief Resilience Score (BRS). The authors found that neither moderate nor severe pain significantly influenced resilience levels across multiple pain-related symptoms, with resilience scores (median and percentile cutoffs) not differing by pain intensity. This paper is centrally about endometriosis — it specifically tests whether moderate and severe pain intensity are associated with resilience in women with endometriosis.

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Abstract

Objectives Resilience is described as a trait, an outcome, or a process, and allows people to bounce back from adversity. The goal of this study was to assess, if moderate and severe pain intensity may affect resilience in women with endometriosis compared to those experiencing no or low pain intensity.
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Objectives

Resilience is described as a trait, an outcome, or a process, and allows people to bounce back from adversity. The goal of this study was to assess, if moderate and severe pain intensity may affect resilience in women with endometriosis compared to those experiencing no or low pain intensity.

Materials and methods

An online survey was conducted through patient support groups of women with endometriosis. The Brief Resilience Score (BRS) was employed to evaluate resilience. Pain intensity was assessed by the visual analogue pain scale (VAS; VAS=0-44: no or low pain; VAS=45-74: moderate pain; VAS=75-100: severe pain).

Results

In this study population, the median BRS score was 2.66 and the score representing the 75th percentile was 3.33. Univariate analyses were conducted to identify predictors for high (BRS>2.66) and very high (BRS>3.33) resilience. Neither moderate nor severe pain intensity significantly influenced resilience levels (BRS>2.66 and BRS>3.33) in women with endometriosis, when compared to those experiencing no or low pain with respect to various pain symptoms, such as dysmenorrhea, non-cyclic pain, dysuria, dyschezia, dyspareunia, and lower back pain (all p<0.05).

Conclusion

High and very high resilience levels were not affected by moderate and severe pain intensity in women with endometriosis. Nevertheless, as resilience can restore a person's equilibrium after adverse chronic or acute life events, we recommend to evaluate resilience in patients with endometriosis on a regular basis: at diagnosis, throughout treatment and follow-up. Publication History Article published online: 11 October 2022 © 2022. Thieme. All rights reserved. Georg Thieme Verlag Rüdigerstraße 14, 70469 Stuttgart, Germany

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endometriosis

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