{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T20:16:46Z","timestamp":1789417006482,"version":"build-2803163510"},"reference-count":24,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,8,19]],"date-time":"2025-08-19T00:00:00Z","timestamp":1755561600000},"content-version":"vor","delay-in-days":18,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Evaluation Clinical Practice"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>This study aimed to determine the anxieties and coping methods of women diagnosed with endometriosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This qualitative study was conducted using a phenomenological approach. Sixteen women diagnosed with endometriosis were selected through criterion sampling. Data were analyzed using inductive analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean age of the participants was 32.62\u2009\u00b1\u20097.42 years, the mean age at diagnosis was 27.50\u2009\u00b1\u20096.87 years, and the mean age at symptom onset was 22.37\u2009\u00b1\u20098.13 years. Only four women had heard of endometriosis prior to diagnosis. All married participants who wished to conceive (<jats:italic>n<\/jats:italic> = 7) were diagnosed with infertility. Three main themes and nine sub\u2010themes were identified: i. Emotions at the time of diagnosis (fear, anxiety, sadness, feeling bad, surprise, relief, numbness, feeling incomplete, and depression); ii. Anxieties related to endometriosis (pregnancy, chronic pain, inability to cope, ovarian damage, medication side effects, delayed diagnosis, lack of information, cyst rupture, and fear of inheritance by children); iii. Coping strategies (researching, avoidance, changing physicians, psychological support, regular check\u2010ups, acceptance\/giving up, family support, positive thinking, and oocyte freezing).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Due to the long\u2010term nature of endometriosis treatment and follow\u2010up, it is essential to closely monitor women and provide social and psychological support. Increasing awareness among the general public and health professionals, organizing educational activities, and promoting interinstitutional cooperation are recommended.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jep.70198","type":"journal-article","created":{"date-parts":[[2025,8,20]],"date-time":"2025-08-20T05:59:08Z","timestamp":1755669548000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Women Affected by Endometriosis: Their Anxieties and Coping Methods"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7131-1856","authenticated-orcid":false,"given":"Handan","family":"\u00d6zcan","sequence":"first","affiliation":[{"name":"Faculty of Health Sciences, Department of Midwifery University of Health Sciences Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9569-8875","authenticated-orcid":false,"given":"Dilek","family":"Bilgi\u00e7","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences, Department of Nursing Dokuz Eyl\u00fcl University Izmir Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-4160-5836","authenticated-orcid":false,"given":"Enzel","family":"K\u00f6ksaldi","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences, Department of Midwifery University of Health Sciences Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,8,19]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41574-019-0245-z"},{"key":"e_1_2_10_3_1","unstructured":"B.Arslan Kad\u0131nlarda Endometriozisin Anksiyete ve Ya\u015fam Kalitesi \u00dczerine Etkisi Y\u00fcksek Lisans Tezi. T.C. Nev\u015fehir Hac\u0131 Bekta\u015f Veli \u00dcniversitesi Fen Bilimleri Fak\u00fcltesi Hem\u015firelik Ana Bilim Dal\u0131 Nev\u015fehir (2021) http:\/\/hdl.handle.net\/20.500.11787\/5455."},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare9010029"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.23736\/S2724-606X.21.04703-8"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.55543\/insan.1070022"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18158210"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.18229\/kocatepetip.532087"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17134683"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eurox.2023.100228"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwaa271"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12905-024-02237-3"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1080\/0167482X.2019.1708002"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12905-024-03369-5"},{"key":"e_1_2_10_15_1","volume-title":"Sosyal bilimlerde nitel ara\u015ft\u0131rma y\u00f6ntemleri","author":"Dixon Woods M.","year":"2016"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzm042"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.34108\/eujhs.681860"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/ejp.1997"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/17455065211019717"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2022.10.007"},{"issue":"4","key":"e_1_2_10_21_1","first-page":"211","article-title":"Infertil Olgulara Minimal \u0130nvaziv Yakla\u015f\u0131m ve Histerosalpingogram\u0131n Tan\u0131sal De\u011feri: Tek Merkez Deneyimleri","volume":"16","author":"\u0130\u015f\u00e7i Bostanc\u0131 E.","year":"2019","journal-title":"Journal of Gynecology Obstetrics and Neonatology"},{"key":"e_1_2_10_22_1","unstructured":"L.Yal\u00e7\u0131nkaya Endometriomas\u0131 Olan \u0130nfertil Hastalarda Yard\u0131mc\u0131 \u00dcreme Sikluslar\u0131nda Folik\u00fcl S\u0131v\u0131s\u0131 Sitokin Konsantrasyonlar\u0131n\u0131n ve Gebelik Sonu\u00e7lar\u0131 ile \u0130li\u015fkisinin De\u011ferlendirilmesi T\u0131pta Uzmanl\u0131k Tezi. T.C. Kocaeli \u00dcniversitesi T\u0131p Fak\u00fcltesi Kad\u0131n Hastal\u0131klar\u0131 ve Do\u011fum Ana Bilim Dal\u0131 Kocaeli (2019) https:\/\/tez.yok.gov.tr\/UlusalTezMerkezi\/TezGoster?key=jNRDC1RLfVd4_T7x7ZXmmcjeblyXd3Cqur8mzP4_gTvaiTfc3vwbO2TgWg1ie6-s."},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0041-1741400"},{"issue":"1","key":"e_1_2_10_24_1","first-page":"60","article-title":"Kad\u0131nlar\u0131n Kayg\u0131 D\u00fczeyleri ve Stres ile Ba\u015f Etme Y\u00f6ntemlerinin \u0130ncelenmesi","volume":"12","author":"Kara\u00e7am Z.","year":"2021","journal-title":"S\u00fcleyman Demirel \u00dcniversitesi Sa\u011fl\u0131k Bilimleri Dergisi"},{"key":"e_1_2_10_25_1","unstructured":"B. G.K\u0131na Ailesel Endometriozis Hastal\u0131\u011f\u0131 ile \u0130li\u015fkili Genlerin T\u00fcm Ekzom Dizilemesi ile Ara\u015ft\u0131r\u0131lmas\u0131 T.C. \u0130stanbul \u00dcniversitesi Sa\u011fl\u0131k Bilimleri Enstit\u00fcs\u00fc Genetik Ana Bilim Dal\u0131 \u0130stanbul (2021) https:\/\/tez.yok.gov.tr\/UlusalTezMerkezi\/image\/pdfizinli.png."}],"container-title":["Journal of Evaluation in Clinical Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jep.70198","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,26]],"date-time":"2025-09-26T11:06:38Z","timestamp":1758884798000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jep.70198"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8]]},"references-count":24,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025,8]]}},"alternative-id":["10.1111\/jep.70198"],"URL":"https:\/\/doi.org\/10.1111\/jep.70198","archive":["Portico"],"relation":{},"ISSN":["1356-1294","1365-2753"],"issn-type":[{"value":"1356-1294","type":"print"},{"value":"1365-2753","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8]]},"assertion":[{"value":"2024-11-14","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-06-14","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-19","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70198"}}