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Learning to cope with the reality of endometriosis: A mixed‐methods analysis of psychological therapy in women with endometriosis.

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Title: Learning to cope with the reality of endometriosis: A mixed‐methods analysis of psychological therapy in women with endometriosis.
Authors: Dowding, Charlotte (AUTHOR), Mikocka‐Walus, Antonina (AUTHOR), Skvarc, David (AUTHOR), O'Shea, Melissa (AUTHOR), Olive, Lisa (AUTHOR), Evans, Subhadra (AUTHOR)
Source: British Journal of Health Psychology. Sep2024, Vol. 29 Issue 3, p644-661. 18p.
Subjects: Psychotherapy, Women's mental health, Women executives, Endometriosis, Thematic analysis
Abstract: Objectives: Despite the need and uptake of mental health support by women with endometriosis, no research to date has explored their experience of psychological therapy. We aimed to understand the factors that predict engagement in psychological therapy by Australian women with endometriosis and to qualitative explore their experience of psychological support. Design: Mixed‐methods design. Methods: A total of 200 women with self‐reported endometriosis were recruited from the community. We explored; (1) the demographic and clinical predictors of engagement in psychological therapy, (2) the psychological approaches that seem most valuable to women in the management of endometriosis and (3) their experience engaging in psychological therapy for endometriosis. Results: Nearly half of women reported to have seen a psychologist within the past year, particularly for pain. Younger age (OR,.94; 95% CI,.886–.993), depressive symptoms (OR, 1.05; 95% CI, 1.002–1.099), and working part time compared to full time (OR, 2.17, 95% CI, 1.012–4.668), increased the likelihood of engaging in psychological therapy. Template thematic analysis identified three themes; (1) endometriosis and pain have multi‐faceted psychological effects, (2) psychological support is sought to adjust and live with endometriosis and (3) there are helpful and unhelpful psychological tools for women with endometriosis. Conclusions: Our findings support the use of psychological therapy in the management of endometriosis, and the need for psychological therapy to acknowledge the chronicity and impact of symptoms, to enlist multidisciplinary support and to consider alternative options. Further advocacy is required to educate women on the benefits of psychological therapy for endometriosis. [ABSTRACT FROM AUTHOR]
Copyright of British Journal of Health Psychology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Learning to cope with the reality of endometriosis: A mixed‐methods analysis of psychological therapy in women with endometriosis.
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  Data: <searchLink fieldCode="AR" term="%22Dowding%2C+Charlotte%22">Dowding, Charlotte</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Mikocka‐Walus%2C+Antonina%22">Mikocka‐Walus, Antonina</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Skvarc%2C+David%22">Skvarc, David</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22O'Shea%2C+Melissa%22">O'Shea, Melissa</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Olive%2C+Lisa%22">Olive, Lisa</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Evans%2C+Subhadra%22">Evans, Subhadra</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22British+Journal+of+Health+Psychology%22">British Journal of Health Psychology</searchLink>. Sep2024, Vol. 29 Issue 3, p644-661. 18p.
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  Data: <searchLink fieldCode="DE" term="%22Psychotherapy%22">Psychotherapy</searchLink><br /><searchLink fieldCode="DE" term="%22Women's+mental+health%22">Women's mental health</searchLink><br /><searchLink fieldCode="DE" term="%22Women+executives%22">Women executives</searchLink><br /><searchLink fieldCode="DE" term="%22Endometriosis%22">Endometriosis</searchLink><br /><searchLink fieldCode="DE" term="%22Thematic+analysis%22">Thematic analysis</searchLink>
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  Data: Objectives: Despite the need and uptake of mental health support by women with endometriosis, no research to date has explored their experience of psychological therapy. We aimed to understand the factors that predict engagement in psychological therapy by Australian women with endometriosis and to qualitative explore their experience of psychological support. Design: Mixed‐methods design. Methods: A total of 200 women with self‐reported endometriosis were recruited from the community. We explored; (1) the demographic and clinical predictors of engagement in psychological therapy, (2) the psychological approaches that seem most valuable to women in the management of endometriosis and (3) their experience engaging in psychological therapy for endometriosis. Results: Nearly half of women reported to have seen a psychologist within the past year, particularly for pain. Younger age (OR,.94; 95% CI,.886–.993), depressive symptoms (OR, 1.05; 95% CI, 1.002–1.099), and working part time compared to full time (OR, 2.17, 95% CI, 1.012–4.668), increased the likelihood of engaging in psychological therapy. Template thematic analysis identified three themes; (1) endometriosis and pain have multi‐faceted psychological effects, (2) psychological support is sought to adjust and live with endometriosis and (3) there are helpful and unhelpful psychological tools for women with endometriosis. Conclusions: Our findings support the use of psychological therapy in the management of endometriosis, and the need for psychological therapy to acknowledge the chronicity and impact of symptoms, to enlist multidisciplinary support and to consider alternative options. Further advocacy is required to educate women on the benefits of psychological therapy for endometriosis. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of British Journal of Health Psychology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Text: English
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      – SubjectFull: Women executives
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              M: 09
              Text: Sep2024
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