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Perceived cognitive functioning difficulties in individuals living with endometriosis.

Mary Horn1,2, Kerry A Sherman1,2, Melissa J Pehlivan1,2,3

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Cognitive impairments are prevalent in endometriosis, significantly linked to pain, fatigue, and depression. Treatments may alter these cognitive effects, highlighting the need for supportive interventions.

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cognitive functioningcognitive impairmentdepressionendometriosisfatiguepain

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Area of Science:

  • Reproductive Medicine
  • Neuroscience
  • Psychiatry

Background:

  • Cognitive dysfunction is common in chronic pain conditions, affecting memory and attention.
  • Research on cognitive functioning in endometriosis, a chronic gynecological condition, is limited.
  • Endometriosis significantly impacts quality of life, often co-occurring with pain, fatigue, and depression.

Purpose of the Study:

  • To evaluate perceived cognitive functioning in individuals with endometriosis.
  • To determine the association between cognitive function and symptoms of pain, fatigue, and depression.
  • To investigate if endometriosis treatments moderate the relationship between symptoms and cognitive function.

Main Methods:

  • An online survey was administered to 1239 participants diagnosed with endometriosis.
  • The Functional Assessment of Cancer Therapy-Cognitive Function (FACT-Cog) scale assessed perceived cognitive function.
  • Hierarchical regression and moderation analyses examined symptom associations and treatment effects.

Main Results:

  • 80% of participants reported cognitive impairments using the FACT-Cog scale.
  • Increased pain, fatigue, and depressive symptoms were significantly associated with poorer cognitive function.
  • Hormonal treatments and pain medications mitigated depression's impact but worsened pain's impact on cognition.

Conclusions:

  • Significant perceived cognitive difficulties are evident in women with endometriosis.
  • Cognitive functioning is strongly linked to symptom burden in this population.
  • Interventions aimed at improving cognitive function in endometriosis patients may be beneficial.