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Yet investigations in endometriosis are lacking. We aimed to assess: (1) perceived cognitive functioning, (2) the association of cognitive functioning with fatigue, pain and depressive symptoms, and (3) whether endometriosis treatments moderated these relationships. Participants (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    \u2009=\u20091239) with diagnosed endometriosis completed an online survey assessing perceived cognitive functioning [Functional Assessment of Cancer Therapy-Cognitive Function (FACT-Cog)], pain, fatigue and depression. FACT-Cog scores indicated cognitive impairments in 80% of participants. Hierarchical regression analyses demonstrated that greater pain, fatigue, and depressive symptoms were associated with poorer perceived cognitive functioning. Moderation analyses indicated that taking hormonal treatments or pain medications diminished the adverse effects of depression, but exacerbated the adverse effects of pain, on cognitive functioning. The extensive perceived cognitive difficulties evident in this sample suggests that supportive interventions to enhance cognitive functioning may be warranted.\n                  <\/jats:p>","DOI":"10.1177\/13591053251331826","type":"journal-article","created":{"date-parts":[[2025,4,24]],"date-time":"2025-04-24T05:40:41Z","timestamp":1745473241000},"page":"4314-4332","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Perceived cognitive functioning difficulties in individuals living with endometriosis"],"prefix":"10.1177","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-6570-6703","authenticated-orcid":false,"given":"Mary","family":"Horn","sequence":"first","affiliation":[{"name":"Macquarie University, Australia"},{"name":"Lifespan Health and Wellbeing Research Centre, 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