학술논문

Pain‐focused psychological interventions in women with endometriosis: A systematic review
Document Type
Report
Source
Neuropsychopharmacology Reports. September 2023, Vol. 43 Issue 3, p310, 10 p.
Subject
Online database
Online databases
Behavioral medicine
Behavior modification
Cognitive-behavioral therapy
Pain management
Endometriosis
Cognitive therapy
Behavioral health care
Pain -- Care and treatment
Language
English
Abstract
INTRODUCTION As a painful, chronic inflammatory disease, endometriosis (EMS) is characterized by the proliferation of endometrial glands and stroma outside the uterine cavity.[sup.1–3] The prevalence rate of this health condition [...]
: 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.