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Title: Psychological variables and quality of life in women with endometriosis
Author: Rees, Madeleine
ISNI:       0000 0004 5369 0789
Awarding Body: University of Liverpool
Current Institution: University of Liverpool
Date of Award: 2015
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Background and Objectives: Extensive research has shown that chronic pelvic pain (CPP) can have a detrimental impact on a woman’s quality of life (QoL). QoL is a subjective, multidimensional concept that refers to an individuals’ perception of their social, emotional, physical and psychological wellbeing. There is currently very little literature exploring the possible psychological predictors of QoL in this patient group. Therefore the purpose of this report was to provide a systematic review of the literature concerning predictors of QoL in women who experience CPP. Design: Systematic review. Method: Relevant papers were obtained through scanning five electronic databases and searching references and bibliographic lists. Studies were selected if they included women who had a diagnosis of CPP, included a standardised QoL measurement tool and predictors (psychological, social or clinical features), used a quantitative design and were available in English. A total of 12 studies were eligible for the review. All 12 papers were assessed for their quality using the 16 item Quality Assessment Tool for Studies with Diverse Designs (QATSDD; Sirriyeh, Lawton, Gardner & Armitage, 2011). Results: Similarly to other studies investigating QoL, income, number of years of education, the effect of CPP on a woman’s job and having a partner present were found to be statistically significantly associated with improved QoL. The frequency and intensity of pain, sexual dysfunction, comorbid physical health conditions, higher BMI, higher number of physician visits and surgical procedures were statistically related to a lower QoL. Dyspareunia and intermenstrual pelvic pain were both found to be statistically significantly related to a poorer QoL. Having a diagnoses of endometriosis or deep infiltrating endometriosis (DIE) or fibromyalgia were also found statistically to be significant predictors of a poorer QoL. Psychological factors found to be statistically associated with a poorer QoL included increased catastrophizing, depression, anxiety, perception of poorer pain control and a history of sexual and physical abuse and other lifetime trauma. Conclusions: This review has demonstrated that there are a number of possible predictors of poorer QoL in women with CPP. Interventions to target these predictors, may be worthy of further investigation.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (D.Clin.Psy.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available
Keywords: BF Psychology ; RG Gynecology and obstetrics