Psychological aspect of pain syndrome in endometriosis

Relevance. Endometriosis is a multifactorial gynecological disease characterized by a benign proliferation of endometrial cells outside the uterine cavity. At the present stage of the study of endometriosis, the etiology and pathogenesis of its development have not been studied enough. More and more attention is paid to the emotional and personal characteristics of patients, and the disease itself is gradually moving into the category of psychosomatic disorders.

The objective was to identify the features of the perception of pain syndrome, as well as emotional, personal characteristics and the level of adaptation of women with endometriosis.

Methods and materials. The study involved 76 respondents: 46 women with endometriosis and 30 women without gynecological pathology (conditionally). We used psychodiagnostic questionnaire methods aimed at studying the perception of pain syndrome, emotional sphere, level of adaptation, personal characteristics and gender identity.

Results. The personal profile of women with endometriosis is dominated by such traits as: anxiety, depression, difficulties in controlling life events, a decrease in the level of socio-psychological adaptation and satisfaction with the quality of life, a tendency to escape from reality in comparison with the personal profile of conditionally healthy women. It has been established that a higher assessment of the severity of pain syndrome in endometriosis is interconnected with such types of interpersonal interaction as «dependent-obedient» and «cooperating-conventional».

Conclusions. The treatment and rehabilitation of patients with endometriosis requires taking into account their psychological characteristics, as well as a multidisciplinary approach involving specialists of various profiles, including psychologists/ psychotherapists.

1. Becker C. M., Bokor A., Heikinheimo O. et al. ESHRE guideline: endometriosis // Human reproduction open. 2022; 2022(2):hoac009.

2. Kitajima M., Dolmans M.-M., Donnez O. et al. Enhanced follicular recruitment and atresia in cortex derived from ovaries with endometriomas // Fertility and Sterility. 2014;101(4):1031–1037.

3. Mezhlumova N. A., Bobrov M. Yu., Adamyan L. V. Biomarkers of endometriosis: problems and possibilities of early detection of disease recurrence (a review) // Problemy Reproduktsii. 2018;24(6):139. (In Russ.).

4. Sukhikh G. T., Serov V. N., Adamyan L. V. et al. Algorithms for the management of patients with endometriosis: an agreed position of experts from the Russian Society of Obstetricians and Gynecologists // Akusherstvo i Ginekologiia. 2023;(5):159–176. (In Russ.).

5. Damirov M. M. Genital endometriosis – a disease of active and business women. Moscow, BINOM Publishing House, 2010:191. – ISBN 978-5-9518-0413-6. – EDN QLXWIJ. (In Russ.).

6. Bogatova I. K., Semenova O. K. Psychological characteristics of women with genital endometriosis // Bulletin of new medical technologies. 2008;15(1):61–63. (In Russ.).

7. Gumenyuk L. N. Psychocorrection and psychoprophylaxis of mental maladjustment in the system of complex rehabilitation of women with genital endometriosis // Tauride Journal of Psychiatry. 2016;20(2(75)):30–34. (In Russ.).

8. Sandakova E.A., Chernyshova I.V. The anxious depressive accentuations in assessment of quality of life of patients with genital endometriosis // Lechenie i profilaktika. 2013; (2):54–58. (In Russ.).

9. Shao Ts. D. Psychological characteristics of women with gynecological pathology // State of health: medical, social and psychological and pedagogical aspects, Chita, 2016. Chita, Transbaikal State University, 2016:1015–1023. (In Russ.).

10. Zarbo C., Brugnera A., Compare A. et al. Psychological and cognitive factors implicated in pain experience in women with endometriosis // Health Care for Women International. 2021;43(1–3):142–159.

11. Startseva N. V., Shvetsow М. V., Beda Y. V. Contemporary aspects of pain syndrome in endometriosis // Journal of Obstetrics and Women’s Diseases. 2021;51(3):94–97. (In Russ.).