Patient-specific affect-abdominal pain interactions in endometriosis: an experience sampling method (ESM) study.
E van Barneveld1,2,3, M de Hertogh1, L Vork4,5
1Department of Gynaecology and Obstetrics, Maastricht University Medical Centre, Maastricht, the Netherlands.
Journal of Psychosomatic Obstetrics and Gynaecology
|March 28, 2022
Summary
Endometriosis patients experience more pain and emotional distress. Real-time assessments reveal pain worsens negative affect and positive affect may reduce endometriosis pain.
Area of Science:
- Gynecology
- Psychology
- Pain Management
Background:
- Cross-sectional studies indicate a link between endometriosis pain and affect.
- Longitudinal, real-time data are needed to understand the temporal relationship between pain and affect in endometriosis.
Purpose of the Study:
- To investigate the association between affect and abdominal pain in endometriosis patients.
- To utilize the Experience Sampling Method (ESM) for real-time, repeated symptom assessment.
Main Methods:
- Thirty-four endometriosis patients and 31 healthy controls completed up to 10 real-time self-assessments over seven days.
- Assessments captured abdominal pain and affective symptoms.
Main Results:
- Endometriosis patients reported more abdominal pain, negative affect, and lower positive affect than controls.
- Significant associations between abdominal pain and affect were found in endometriosis patients.
- In endometriosis patients, pain predicted subsequent negative affect, and positive affect appeared to alleviate pain.
Conclusions:
- A concurrent and temporal relationship exists between affect and abdominal pain in endometriosis.
- Real-time symptom assessment is valuable for understanding factors influencing endometriosis pain.
Keywords:
Endometriosisanxietydepressionexperience sampling methodmomentary assessmentnegative effectpainpositive affectMore Related Videos
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