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Pain-focused psychological interventions in women with endometriosis: A systematic review.

Neuropsychopharmacology reports
September 1, 2023
Elahe Samami et al. (4 authors)
Systematic ReviewJournal ArticleReviewResearch Support, Non-U.S. Gov'tHuman Study
Study Details

Study Goal

The researchers aimed to investigate the effectiveness of pain-focused psychological interventions, including mindfulness therapy, in alleviating pain among women with endometriosis.

Results Summary

The study found that mindfulness therapy, along with other psychological interventions, improved and reduced pain in women with endometriosis. Four studies specifically focused on mindfulness therapy, showing positive outcomes.

Population

Women with endometriosis (EMS) experiencing pain.

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (5)
InterventionDirectionEndpointPopulationDosageImpactClaim #
cognitive-behavioral therapy (CBT)
decrease
pain
women living with endometriosis (EMS)
-
improved and reduced
#1
mindfulness therapy
decrease
pain
women living with endometriosis (EMS)
-
improved and reduced
#2
yoga
decrease
pain
women living with endometriosis (EMS)
-
improved and reduced
#3
psychoeducation
decrease
pain
women living with endometriosis (EMS)
-
improved and reduced
#4
progressive muscle relaxation (PMR) training
decrease
pain
women living with endometriosis (EMS)
-
improved and reduced
#5
Abstract

AIMS: As a chronic inflammatory disease, endometriosis (EMS) is often associated with pain affecting different aspects of women's lives. Up to now, a wide variety of interventions have been implemented to alleviate pain in patients with this condition, including pharmacological, surgical, and rarely non-pharmacological ones. Against this background, this review aimed to investigate pain-focused psychological interventions among EMS women. METHODS: A systematic review of the articles published in this field was conducted through a comprehensive search on the databases of Scopus, PubMed, MEDLINE, Web of Science, ScienceDirect, the Cochrane Library, PsycINFO, Google Scholar, and Scientific Information Database (SID). The quality of studies was then assessed by the Jadad Scale. RESULTS: In total, 10 articles were entered into this systematic review. The findings further revealed that the pain-focused psychological interventions in patients with EMS were cognitive-behavioral therapy (CBT) (n = 2), mindfulness therapy (n = 4), yoga (n = 2), psychoeducation (n = 1), and progressive muscle relaxation (PMR) training (n = 1). Besides, the findings established that all the given interventions had improved and reduced pain in women living with this condition. Moreover, five articles were of good quality based on the Jadad Scale. CONCLUSION: The study results demonstrated that all the listed psychological interventions had affected pain relief and improvement in women suffering from EMS. Considering the limited number of studies in this field and the fact that there were only five articles endowed with good quality, more high-quality studies could provide stronger evidence to support the implementation of the mentioned interventions influencing pain in patients.

Medical Subject Headings (MeSH)
HumansFemaleEndometriosisPsychosocial InterventionCognitive Behavioral TherapyPain ManagementPain
Study Links
Quality Scores
SafetyNot Assessed
Efficacy80/10
Quality70/10
Citation Metrics
Total Citations14
Citations/Year7.0
Relative Citation Ratio4.78
NIH Percentile92.5%
Research Impact Scores
APT Score0.95
Weight Score2.67
Normalized Score0.66
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Pain-focused psychological interventions in women with endom... | Panacea Index