{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T15:37:56Z","timestamp":1792856276686,"version":"4.5.0"},"reference-count":46,"publisher":"Akademiai Kiado Zrt.","issue":"42","content-domain":{"domain":["www.akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2026,10,18]]},"abstract":"<jats:p>Az endometriosis gyakori, kr\u00f3nikus n\u0151gy\u00f3gy\u00e1szati betegs\u00e9g, amelynek egyik\n                    legjelent\u0151sebb t\u00fcnete a f\u00e1jdalom. B\u00e1r a kutat\u00e1sok hagyom\u00e1nyosan a betegs\u00e9g\n                    gyullad\u00e1sos, hormon\u00e1lis \u00e9s neurobiol\u00f3giai mechanizmusaira \u00f6sszpontos\u00edtottak,\n                    egyre t\u00f6bb bizony\u00edt\u00e9k utal arra, hogy a pszichol\u00f3giai t\u00e9nyez\u0151k \u00e9s a\n                    stresszfolyamatok is szerepet j\u00e1tszhatnak a t\u00fcnetek kialakul\u00e1s\u00e1ban \u00e9s\n                    fennmarad\u00e1s\u00e1ban. A jelen narrat\u00edv \u00e1ttekint\u00e9s az akut pszichol\u00f3giai stressz \u00e9s az\n                    endometriosissal \u00f6sszef\u00fcgg\u0151 f\u00e1jdalom kapcsolat\u00e1t foglalja \u00f6ssze\n                    biopszichoszoci\u00e1lis megk\u00f6zel\u00edt\u00e9sben, k\u00fcl\u00f6n\u00f6s tekintettel a felt\u00e9telezett\n                    pszichol\u00f3giai k\u00f6zvet\u00edt\u0151mechanizmusokra \u00e9s a j\u00f6v\u0151beli kutat\u00e1si ir\u00e1nyokra. A\n                    rendelkez\u00e9sre \u00e1ll\u00f3 szakirodalom alapj\u00e1n a stressz \u00e9s a f\u00e1jdalom kapcsolata\n                    komplex, k\u00f6lcs\u00f6n\u00f6s folyamatk\u00e9nt \u00e9rtelmezhet\u0151, amelyben a kognit\u00edv ki\u00e9rt\u00e9kel\u00e9s, a\n                    megk\u00fczd\u00e9si strat\u00e9gi\u00e1k \u00e9s k\u00fcl\u00f6n\u00f6sen a f\u00e1jdalomkatasztrofiz\u00e1ci\u00f3 fontos szerepet\n                    j\u00e1tszanak. A jelenlegi bizony\u00edt\u00e9kok arra utalnak, hogy az akut pszichol\u00f3giai\n                    stressz els\u0151sorban e pszichol\u00f3giai mechanizmusokon kereszt\u00fcl j\u00e1rulhat hozz\u00e1 a\n                    f\u00e1jdalom r\u00f6vid t\u00e1v\u00fa fluktu\u00e1ci\u00f3j\u00e1hoz, ugyanakkor az id\u0151beli \u00f6sszef\u00fcgg\u00e9sek\n                    empirikus vizsg\u00e1lata tov\u00e1bbra is korl\u00e1tozott. Az Ecological Momentary Assessment\n                    \u00e9s m\u00e1s longitudin\u00e1lis m\u00f3dszerek \u00faj lehet\u0151s\u00e9get k\u00edn\u00e1lnak a stressz \u00e9s a f\u00e1jdalom\n                    dinamikus kapcsolat\u00e1nak vizsg\u00e1lat\u00e1ra. Az akut pszichol\u00f3giai stressz szerep\u00e9nek\n                    pontosabb meg\u00e9rt\u00e9se hozz\u00e1j\u00e1rulhat az endometriosissal \u00f6sszef\u00fcgg\u0151 f\u00e1jdalom\n                    komplexebb \u00e9rtelmez\u00e9s\u00e9hez \u00e9s a szem\u00e9lyre szabott, interdiszciplin\u00e1ris\n                    betegell\u00e1t\u00e1s fejleszt\u00e9s\u00e9hez. Orv Hetil. 2026; 167(42): 1693\u20131701.<\/jats:p>","DOI":"10.1556\/650.2026.33666","type":"journal-article","created":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T15:08:28Z","timestamp":1792854508000},"page":"1693-1701","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":0,"title":["Az akut pszichol\u00f3giai stressz szerepe az endometriosissal \u00f6sszef\u00fcgg\u0151 f\u00e1jdalomban"],"prefix":"10.1556","volume":"167","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-0323-5732","authenticated-orcid":true,"given":"Fruzsina","family":"Varga","sequence":"first","affiliation":[{"name":"Baker Hughes Hungary Kft. Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Szilvia","family":"\u00c1d\u00e1m","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, Eg\u00e9szs\u00e9g\u00fcgyi Menedzserk\u00e9pz\u0151 K\u00f6zpont Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"R1","unstructured":"K\u00f6rnyei-Horv\u00e1th P, Ill\u00e9s Sz, Csenki-Knyih\u00e1r A. Summarising the\n                    efficiency of psychological interventions in the treatment of endometriosis. [Az\n                    endometriosis pszichol\u00f3giai ell\u00e1t\u00e1s\u00e1ban haszn\u00e1latos beavatkoz\u00e1sok\n                    hat\u00e9konys\u00e1g\u00e1nak \u00f6sszegz\u00e9se.] Neuropsychopharmacol Hung. 2024; 26: 182-188.\n                    [Hungarian]"},{"key":"R2","unstructured":"World Health Organization. Endometriosis. Available from:\n                        https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/endometriosis\n                    [accesses: June 6, 2026]."},{"key":"R3","doi-asserted-by":"crossref","unstructured":"Saunders PT, Horne AW. Endometriosis: etiology, pathobiology, and\n                    therapeutic prospects. Cell 2021; 184: 2807-2824.\n                        https:\/\/doi.org\/10.1016\/j.cell.2021.04.041","DOI":"10.1016\/j.cell.2021.04.041"},{"key":"R4","doi-asserted-by":"crossref","unstructured":"Andres MP, Arcoverde FV, Souza CC, et al. Extrapelvic endometriosis:\n                    a systematic review. J Minim Invasive Gynecol. 2020; 27: 373-389.\n                        https:\/\/doi.org\/10.1016\/j.jmig.2019.10.004","DOI":"10.1016\/j.jmig.2019.10.004"},{"key":"R5","doi-asserted-by":"crossref","unstructured":"Szyp\u0142owska M, Tarkowski R, Ku\u0142ak K. Impact of endometriosis on\n                    depressive and anxiety symptoms and quality of life: a systematic review. Front\n                    Public Health 2023; 11: 1230303.\n                        https:\/\/doi.org\/10.3389\/fpubh.2023.1230303","DOI":"10.3389\/fpubh.2023.1230303"},{"key":"R6","doi-asserted-by":"crossref","unstructured":"Kalfas M, Chisari C, Windgassen S. Psychosocial factors associated\n                    with pain and health-related quality of life in endometriosis: a systematic\n                    review. Eur J Pain 2022; 26: 1827-1848.\n                        https:\/\/doi.org\/10.1002\/ejp.2006","DOI":"10.1002\/ejp.2006"},{"key":"R7","doi-asserted-by":"crossref","unstructured":"Ashkenazi MS, Huseby OL, Kroken G, et al. The clinical presentation\n                    of endometriosis and its association to current surgical staging. J Clin Med.\n                    2023; 12: 2688. https:\/\/doi.org\/10.3390\/jcm12072688","DOI":"10.3390\/jcm12072688"},{"key":"R8","doi-asserted-by":"crossref","unstructured":"Zheng P, Zhang W, Leng J, et al. Research on central sensitization\n                    of endometriosis-associated pain: a systematic review of the literature. J Pain\n                    Res. 2019; 12: 1447-1456.\n                    https:\/\/doi.org\/10.2147\/JPR.S197667","DOI":"10.2147\/JPR.S197667"},{"key":"R9","doi-asserted-by":"crossref","unstructured":"Thiel P, Kobylianskii A, McGrattan M, et al. Entrapped by pain: the\n                    diagnosis and management of endometriosis affecting somatic nerves. Best Pract\n                    Res Clin Obstet Gynaecol. 2024; 95: 102502.\n                        https:\/\/doi.org\/10.1016\/j.bpobgyn.2024.102502","DOI":"10.1016\/j.bpobgyn.2024.102502"},{"key":"R10","doi-asserted-by":"crossref","unstructured":"Ellsworth PC, Scherer KR. Appraisal processes in emotion. In:\n                    Davidson RJ, Scherer KR, Goldsmith HH (eds.) Handbook of affective sciences.\n                    Oxford University Press, Oxford, 2003; pp. 572-595.\n                        https:\/\/doi.org\/10.1093\/oso\/9780195126013.003.0029","DOI":"10.1093\/oso\/9780195126013.003.0029"},{"key":"R11","doi-asserted-by":"crossref","unstructured":"Maddern J, Grundy L, Castro J, et al. Pain in endometriosis. Front\n                    Cell Neurosci. 2020; 14: 590823.\n                        https:\/\/doi.org\/10.3389\/fncel.2020.590823","DOI":"10.3389\/fncel.2020.590823"},{"key":"R12","doi-asserted-by":"crossref","unstructured":"As-Sanie S, Black R, Giudice LC, et al. Assessing research gaps and\n                    unmet needs in endometriosis. Am J Obstet Gynecol. 2019; 221: 86-94.\n                        https:\/\/doi.org\/10.1016\/j.ajog.2019.02.033","DOI":"10.1016\/j.ajog.2019.02.033"},{"key":"R13","doi-asserted-by":"crossref","unstructured":"Volcheck MM, Graham SM, Fleming KC, et al. Central sensitization,\n                    chronic pain, and other symptoms: better understanding, better management. Cleve\n                    Clin J Med. 2023; 90: 245-254.\n                    https:\/\/doi.org\/10.3949\/ccjm.90a.22019","DOI":"10.3949\/ccjm.90a.22019"},{"key":"R14","doi-asserted-by":"crossref","unstructured":"Cetera GE, Merli CE, Barbara G, et al. Questionnaires for the\n                    assessment of central sensitization in endometriosis: What is the available\n                    evidence? A systematic review with a narrative synthesis. Reprod Sci. 2024; 31:\n                    633-644. https:\/\/doi.org\/10.1007\/s43032-023-01343-4","DOI":"10.1007\/s43032-023-01343-4"},{"key":"R15","doi-asserted-by":"crossref","unstructured":"Mayer TG, Neblett R, Cohen H, et al. The development and\n                    psychometric validation of the central sensitization inventory. Pain Pract.\n                    2012; 12: 276-285.\n                    https:\/\/doi.org\/10.1111\/j.1533-2500.2011.00493.x","DOI":"10.1111\/j.1533-2500.2011.00493.x"},{"key":"R16","doi-asserted-by":"crossref","unstructured":"Nijs J, Lahousse A, Kapreli E, et al. Nociplastic pain criteria or\n                    recognition of central sensitization? Pain phenotyping in the past, present and\n                    future. J Clin Med. 2021; 10: 3203.\n                        https:\/\/doi.org\/10.3390\/jcm10153203","DOI":"10.3390\/jcm10153203"},{"key":"R17","doi-asserted-by":"crossref","unstructured":"Raimondo D, Raffone A, Renzulli F, et al. Prevalence and risk\n                    factors of central sensitization in women with endometriosis. J Minim Invasive\n                    Gynecol. 2023; 30: 73-80. e1.\n                        https:\/\/doi.org\/10.1016\/j.jmig.2022.10.007","DOI":"10.1016\/j.jmig.2022.10.007"},{"key":"R18","doi-asserted-by":"crossref","unstructured":"M\u00e4ntyl\u00e4 MV, Graziotin D, Kuutila M. The evolution of sentiment\n                    analysis - a review of research topics, venues, and top cited papers. Comput Sci\n                    Rev. 2018; 27: 16-32 .\n                    https:\/\/doi.org\/10.1016\/j.cosrev.2017.10.002","DOI":"10.1016\/j.cosrev.2017.10.002"},{"key":"R19","doi-asserted-by":"crossref","unstructured":"Dipankar SP, Kushram B, Unnikrishnan P, et al. Psychological\n                    distress and quality of life in women with endometriosis: a narrative review of\n                    therapeutic approaches and challenges. Cureus 2025; 17: e80180.\n                        https:\/\/doi.org\/10.7759\/cureus.80180","DOI":"10.7759\/cureus.80180"},{"key":"R20","unstructured":"Steiner G, Markovic O. Psychological and social aspects of\n                    endometriosis. In: Grandi G, Ferrero S. (eds.) Endometriosis: pathogenesis,\n                    clinical impact and management. Academic Press, Cambridge, MA, 2023; pp.\n                    281-296."},{"key":"R21","doi-asserted-by":"crossref","unstructured":"Agorastos A, Chrousos GP. The neuroendocrinology of stress: the\n                    stress-related continuum of chronic disease development. Mol Psychiatry 2022;\n                    136: 27: 502-513.\n                    https:\/\/doi.org\/10.1038\/s41380-021-01224-9","DOI":"10.1038\/s41380-021-01224-9"},{"key":"R22","doi-asserted-by":"crossref","unstructured":"Engel GL. The need for a new medical model: a challenge for\n                    biomedicine. Science 1977; 196: 129-136.\n                        https:\/\/doi.org\/10.1126\/science.847460","DOI":"10.1126\/science.847460"},{"key":"R23","doi-asserted-by":"crossref","unstructured":"Borrell-Carri\u00f3 F, Suchman AL, Epstein RM. The biopsychosocial model\n                    25 years later: principles, practice, and scientific inquiry. Ann Fam Med. 2004;\n                    2: 576-582. https:\/\/doi.org\/10.1370\/afm.245","DOI":"10.1370\/afm.245"},{"key":"R24","unstructured":"Urban R. Health psychology. [Eg\u00e9szs\u00e9gpszichol\u00f3gia.] ELTE E\u00f6tv\u00f6s\n                    Kiad\u00f3, Budapest, 2022. [Hungarian]"},{"key":"R25","doi-asserted-by":"crossref","unstructured":"McEwen BS, Akil H. Revisiting the stress concept: implications for\n                    affective disorders. J Neurosci. 2020; 40: 12-21.\n                        https:\/\/doi.org\/10.1523\/JNEUROSCI.0733-19.2019","DOI":"10.1523\/JNEUROSCI.0733-19.2019"},{"key":"R26","doi-asserted-by":"crossref","unstructured":"Beese S, Postma J, Graves JM. Allostatic load measurement: a\n                    systematic review of reviews, database inventory, and considerations for\n                    neighborhood research. Int J Environ Res Public Health 2022; 19: 17006.\n                        https:\/\/doi.org\/10.3390\/ijerph192417006","DOI":"10.3390\/ijerph192417006"},{"key":"R27","doi-asserted-by":"crossref","unstructured":"Moors A. Theories of emotion causation: a review. Cogn Emot. 2009;\n                    23; 625-662.\n                    https:\/\/doi.org\/10.1080\/02699930802645739","DOI":"10.1080\/02699930802645739"},{"key":"R28","unstructured":"Lazarus RS, Folkman S. Stress, appraisal, and coping. Springer, New\n                    York, NY, 1984."},{"key":"R29","doi-asserted-by":"crossref","unstructured":"Alkhawaldeh A, Al Omari O, Al Aldawi S, et al. Stress factors,\n                    stress levels, and coping mechanisms among university students. Sci World J.\n                    2023; 2023: 2026971.\n                    https:\/\/doi.org\/10.1155\/2023\/2026971","DOI":"10.1155\/2023\/2026971"},{"key":"R30","doi-asserted-by":"crossref","unstructured":"Sullivan MJL, Bishop SR, Pivik J. The Pain Catastrophizing Scale:\n                    development and validation. Psychol Assess 1995; 7: 524-532.\n                        https:\/\/doi.org\/10.1037\/1040-3590.7.4.524","DOI":"10.1037\/1040-3590.7.4.524"},{"key":"R31","unstructured":"Markfelder T, Pauli P. Fear of pain and avoidance behavior in\n                    chronic pain: a systematic review. Eur J Pain 2020; 24:\n                    1223-1238."},{"key":"R32","unstructured":"Lazarus RS. Stress and emotion: a new synthesis. Springer, New York,\n                    NY, 2006."},{"key":"R33","doi-asserted-by":"crossref","unstructured":"Chrousos GP. Stress and disorders of the stress system. Nat Rev\n                    Endocrinol. 2009; 5: 374-381.\n                    https:\/\/doi.org\/10.1038\/nrendo.2009.106","DOI":"10.1038\/nrendo.2009.106"},{"key":"R34","doi-asserted-by":"crossref","unstructured":"McEwen BS. Neurobiological and systemic effects of chronic stress.\n                    Chronic Stress (Thousand Oaks) 2017; 1: 2470547017692328.\n                        https:\/\/doi.org\/10.1177\/2470547017692328","DOI":"10.1177\/2470547017692328"},{"key":"R35","doi-asserted-by":"crossref","unstructured":"Van Barneveld E, Lim A, van Hanegem N, et al. Real-time symptom\n                    assessment in patients with endometriosis: psychometric evaluation of an\n                    electronic patient-reported outcome measure, based on the experience sampling\n                    method. JMIR Form Res. 2023; 7: e29480.\n                    https:\/\/doi.org\/10.2196\/29480","DOI":"10.2196\/29480"},{"key":"R36","doi-asserted-by":"crossref","unstructured":"Van Stein K, Stoffel M, Marshall A, et al. Psychoneuroendocrine\n                    associations with momentary pelvic pain in endometriosis. Int J Behav Med. 2026;\n                    33: 236-250.\n                    https:\/\/doi.org\/10.1007\/s12529-025-10402-w","DOI":"10.1007\/s12529-025-10402-w"},{"key":"R37","doi-asserted-by":"crossref","unstructured":"Shiffman S, Stone AA, Hufford MR. Ecological momentary assessment.\n                    Annu Rev Clin Psychol. 2008; 4: 1-32.\n                        https:\/\/doi.org\/10.1146\/annurev.clinpsy.3.022806.091415","DOI":"10.1146\/annurev.clinpsy.3.022806.091415"},{"key":"R38","doi-asserted-by":"crossref","unstructured":"Stone AA, Shiffman S. Ecological momentary assessment in behavioral\n                    medicine. Ann Behav Med. 1994; 16: 199-202.\n                        https:\/\/doi.org\/10.1093\/abm\/16.3.199","DOI":"10.1093\/abm\/16.3.199"},{"key":"R39","unstructured":"Bolger N, Laurenceau JP. Intensive longitudinal methods: an\n                    introduction to diary and experience sampling research. Guilford Press, New\n                    York, NY, 2013."},{"key":"R40","doi-asserted-by":"crossref","unstructured":"Laborde S, Mosley E, Thayer JF. Heart rate variability and cardiac\n                    vagal tone in psychophysiological research - Recommendations for experiment\n                    planning, data analysis, and data reporting. Front Psychol. 2017; 8: 213.\n                        https:\/\/doi.org\/10.3389\/fpsyg.2017.00213","DOI":"10.3389\/fpsyg.2017.00213"},{"key":"R41","doi-asserted-by":"crossref","unstructured":"Miller G. The smartphone psychology manifesto. Perspect Psychol Sci.\n                    2012; 7: 221-237.\n                    https:\/\/doi.org\/10.1177\/1745691612441215","DOI":"10.1177\/1745691612441215"},{"key":"R42","doi-asserted-by":"crossref","unstructured":"Grundstr\u00f6m H, Engman L, Rimhagen E, et al. Experiences of\n                    communication in women with endometriosis: perceived validation and invalidation\n                    in different contexts, and associations with health-related quality of life. J\n                    Psychosom Obstet Gynaecol. 2023; 44: 2264483.\n                        https:\/\/doi.org\/10.1080\/0167482X.2023.2264483","DOI":"10.1080\/0167482X.2023.2264483"},{"key":"R43","doi-asserted-by":"crossref","unstructured":"Lumley MA, Cohen JL, Borszcz GS, et al. Pain and emotion: a\n                    biopsychosocial review of recent research. J Clin Psychol. 2011; 67: 942-968.\n                        https:\/\/doi.org\/10.1002\/jclp.20816","DOI":"10.1002\/jclp.20816"},{"key":"R44","doi-asserted-by":"crossref","unstructured":"Zondervan KT, Becker CM, Missmer SA. Endometriosis. N Engl J Med.\n                    2020; 382: 1244-1256.\n                    https:\/\/doi.org\/10.1056\/NEJMra1810764","DOI":"10.1056\/NEJMra1810764"},{"key":"R45","unstructured":"Becker CM, Bokor A, Heikinheimo O, et al. ESHRE guideline.\n                    Endometriosis. Hum Reprod Open 2022; 2022: hoac009."},{"key":"R46","doi-asserted-by":"crossref","unstructured":"Del Pino-Sede\u00f1o T, Cabrera-Maroto M, Abrante-Luis A, et al.\n                    Effectiveness of psychological interventions in endometriosis: a systematic\n                    review with meta-analysis. Front Psychol. 2024; 15: 1457842.\n                        https:\/\/doi.org\/10.3389\/fpsyg.2024.1457842","DOI":"10.3389\/fpsyg.2024.1457842"}],"container-title":["Orvosi Hetilap"],"original-title":[],"link":[{"URL":"https:\/\/www.akjournals.com\/view\/journals\/650\/167\/42\/article-p1693.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.akjournals.com\/downloadpdf\/journals\/650\/167\/42\/article-p1693.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/www.akjournals.com\/downloadpdf\/journals\/650\/167\/42\/article-p1693.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T15:08:36Z","timestamp":1792854516000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.akjournals.com\/view\/journals\/650\/167\/42\/article-p1693.xml"}},"subtitle":["Biopszichoszoci\u00e1lis mechanizmusok \u00e9s kutat\u00e1si\n                    ir\u00e1nyok"],"short-title":[],"issued":{"date-parts":[[2026,10,18]]},"references-count":46,"journal-issue":{"issue":"42"},"URL":"https:\/\/doi.org\/10.1556\/650.2026.33666","relation":{},"ISSN":["0030-6002","1788-6120"],"issn-type":[{"value":"0030-6002","type":"print"},{"value":"1788-6120","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,18]]}}}