{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T20:23:53Z","timestamp":1790972633625,"version":"4.1.0"},"reference-count":120,"publisher":"MDPI AG","issue":"12","license":[{"start":{"date-parts":[[2023,6,15]],"date-time":"2023-06-15T00:00:00Z","timestamp":1686787200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"German Society of Behavioral Medicine (DGVM)","award":["SFB1158"],"award-info":[{"award-number":["SFB1158"]}]},{"name":"German Research Foundation","award":["SFB1158"],"award-info":[{"award-number":["SFB1158"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Endometriosis is currently the second most common gynecological disease and is associated with severe pain, vegetative impairment, and infertility. In association, there are considerable psychological symptoms that limit the quality of life of those affected. In this narrative review, the Research Domain Criteria (RDoC) framework was utilized to display the different transdiagnostic processes involved in disease progression and maintenance in regard to psychosocial functioning. Using the RDoC framework, it becomes clear that immune\/endocrinological dysregulation is interlocked with (pelvic) pain chronification processes and psychological symptoms such as depressive mood, loss of control, higher vigilance toward the onset or worsening of symptoms, social isolation, and catastrophizing. This paper will discuss and identify promising treatment approaches, in addition to medical care, as well as further research implications. Endometriosis can come with substantial psychosomatic and social burden, requiring more research to understand the interdependence of different factors involved in its chronic development pathway. However, it is already clear that standard care should be extended with multifaceted treatments addressing pain, as well as the psychological and social burden, in order to halt the cycle of aggravation of symptoms and to improve quality of life for patients.<\/jats:p>","DOI":"10.3390\/jcm12124056","type":"journal-article","created":{"date-parts":[[2023,6,15]],"date-time":"2023-06-15T02:03:19Z","timestamp":1686794599000},"page":"4056","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":38,"title":["Understanding Psychological Symptoms of Endometriosis from a Research Domain Criteria Perspective"],"prefix":"10.3390","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0860-8654","authenticated-orcid":false,"given":"Katharina","family":"van Stein","sequence":"first","affiliation":[{"name":"Heidelberg University Hospital, Institute for Medical Psychology, 69115 Heidelberg, Germany"},{"name":"Faculty of Behavioral and Cultural Studies, Ruprecht Karls-University, 69115 Heidelberg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathrin","family":"Schubert","sequence":"additional","affiliation":[{"name":"Department of Psychology, Division of Clinical Psychology and Psychotherapy, Philipps University of Marburg, 35032 Marburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beate","family":"Ditzen","sequence":"additional","affiliation":[{"name":"Heidelberg University Hospital, Institute for Medical Psychology, 69115 Heidelberg, Germany"},{"name":"Faculty of Behavioral and Cultural Studies, Ruprecht Karls-University, 69115 Heidelberg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cornelia","family":"Weise","sequence":"additional","affiliation":[{"name":"Department of Psychology, Division of Clinical Psychology and Psychotherapy, Philipps University of Marburg, 35032 Marburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,6,15]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"235","DOI":"10.1016\/S0889-8545(05)70302-8","article-title":"Epidemiology of Endometriosis","volume":"24","author":"Eskenazi","year":"1997","journal-title":"Obstet. Gynecol. Clin. N. Am."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"477","DOI":"10.1007\/s00482-016-0154-1","article-title":"Endometriose: Eine oft verkannte Schmerzerkrankung","volume":"30","author":"Mechsner","year":"2016","journal-title":"Schmerz"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"2389","DOI":"10.1056\/NEJMcp1000274","article-title":"Clinical practice","volume":"362","author":"Giudice","year":"2010","journal-title":"Endometr. N. Engl. J. Med."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1016\/j.ijgo.2013.07.033","article-title":"Biopsychosocial correlates of persistent postsurgical pain in women with endometriosis","volume":"124","author":"Carey","year":"2013","journal-title":"Int. J. Gynaecol. Obstet."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1016\/S0015-0282(16)53232-4","article-title":"Stage and localization of pelvic endometriosis and pain","volume":"53","author":"Fedele","year":"1990","journal-title":"Fertil. Steril."},{"key":"ref_6","first-page":"153","article-title":"Chronic Pelvic Pain in Endometriosis: An Overview","volume":"5","author":"Triolo","year":"2013","journal-title":"J. Clin. Med. Res."},{"key":"ref_7","doi-asserted-by":"crossref","unstructured":"Netzl, J., Gusy, B., Voigt, B., Sehouli, J., and Mechsner, S. (2022). Chronic Pelvic Pain in Endometriosis: Cross-Sectional Associations with Mental Disorders, Sexual Dysfunctions and Childhood Maltreatment. J. Clin. Med., 11.","DOI":"10.3390\/jcm11133714"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"135","DOI":"10.3109\/0167482X.2015.1074173","article-title":"Impact of endometriosis on quality of life and mental health: Pelvic pain makes the difference","volume":"36","author":"Facchin","year":"2015","journal-title":"J. Psychosom. Obstet. Gynecol."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"1006","DOI":"10.1016\/S1701-2163(16)30050-0","article-title":"A Systematic Review of the Association between Psychiatric Disturbances and Endometriosis","volume":"37","author":"Pope","year":"2015","journal-title":"J. Obstet. Gynaecol. Can."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"712","DOI":"10.1093\/humrep\/dev335","article-title":"The direct and indirect costs associated with endometriosis: A systematic literature review","volume":"31","author":"Soliman","year":"2016","journal-title":"Hum. Reprod."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1016\/j.recli.2015.12.002","article-title":"Quality of life of the woman carrier of endometriosis: Systematized review","volume":"31","author":"Ferreira","year":"2016","journal-title":"Reprodu\u00e7\u00e3o Clim."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1080\/01674820400002279","article-title":"The impact of endometriosis upon quality of life: A qualitative analysis","volume":"25","author":"Jones","year":"2004","journal-title":"J. Psychosom. Obstet. Gynecol."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"282","DOI":"10.1016\/j.jad.2015.10.030","article-title":"Risk of developing major depression and anxiety disorders among women with endometriosis: A longitudinal follow-up study","volume":"190","author":"Chen","year":"2016","journal-title":"J. Affect. Disord."},{"key":"ref_14","doi-asserted-by":"crossref","unstructured":"Carbone, M.G., Campo, G., Papaleo, E., Marazziti, D., and Maremmani, I. (2021). The Importance of a Multi-Disciplinary Approach to the Endometriotic Patients: The Relationship between Endometriosis and Psychic Vulnerability. J. Clin. Med., 10.","DOI":"10.3390\/jcm10081616"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"105","DOI":"10.5301\/jeppd.5000276","article-title":"Endometriosis psychological aspects: A literature review","volume":"9","author":"Bahrami","year":"2017","journal-title":"J. Endometr. Pelvic Pain Disord."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"625","DOI":"10.1093\/humupd\/dmt027","article-title":"The social and psychological impact of endometriosis on women\u2019s lives: A critical narrative review","volume":"19","author":"Culley","year":"2013","journal-title":"Hum. Reprod. Update"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1159\/000516517","article-title":"Does Endometriosis Disturb Mental Health and Quality of Life? A Systematic Review and Meta-Analysis","volume":"86","author":"Wang","year":"2021","journal-title":"Gynecol. Obstet. Investig."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"748","DOI":"10.1176\/appi.ajp.2010.09091379","article-title":"Research Domain Criteria (RDoC): Toward a New Classification Framework for Research on Mental Disorders","volume":"167","author":"Insel","year":"2010","journal-title":"Am. J. Psychiatry Online"},{"key":"ref_19","first-page":"241","article-title":"The Utility of Research Domain Criteria in Diagnosis and Management of Dual Disorders: A Mini-Review. Front","volume":"13","author":"Tamrakar","year":"2022","journal-title":"Psychiatry"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1016\/j.copsyc.2015.01.004","article-title":"Integrating NIMH Research Domain Criteria (RDoC) into depression research","volume":"4","author":"Woody","year":"2015","journal-title":"Curr. Opin. Psychol."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1016\/j.janxdis.2016.09.006","article-title":"Using a cultural and RDoC framework to conceptualize anxiety in Asian Americans","volume":"48","author":"Liu","year":"2017","journal-title":"J. Anxiety Disord."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1007\/s40675-016-0056-x","article-title":"Understanding Recent Insights in Sleep and Posttraumatic Stress Disorder from a Research Domain Criteria (RDoC) Framework","volume":"2","author":"Kelly","year":"2016","journal-title":"Curr. Sleep Med. Rep."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"1827","DOI":"10.1002\/ejp.2006","article-title":"Psychosocial factors associated with pain and health-related quality of life in Endometriosis: A systematic review","volume":"26","author":"Kalfas","year":"2022","journal-title":"Eur. J. Pain"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1016\/j.freeradbiomed.2019.03.027","article-title":"Mitochondria and oxidative stress in ovarian endometriosis","volume":"136","author":"Chen","year":"2019","journal-title":"Free Radic. Biol. Med."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"7053521","DOI":"10.1155\/2022\/7053521","article-title":"A Comparative Study of Gene Expression in Menstrual Blood-Derived Stromal Cells between Endometriosis and Healthy Women","volume":"2022","author":"Sahraei","year":"2022","journal-title":"Biomed Res. Int."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1177\/1529100617727266","article-title":"Three Approaches to Understanding and Classifying Mental Disorder: ICD-11, DSM-5, and the National Institute of Mental Health\u2019s Research Domain Criteria (RDoC)","volume":"18","author":"Clark","year":"2017","journal-title":"Psychol. Sci. Public Interes."},{"key":"ref_27","doi-asserted-by":"crossref","unstructured":"Sanislow, C.A., Quinn, K.J., and Sypher, I. (2015). NIMH Research Domain Criteria (RDoC). Encycl. Clin. Psychol., 1\u20136.","DOI":"10.1002\/9781118625392.wbecp541"},{"key":"ref_28","doi-asserted-by":"crossref","unstructured":"Brosschot, J.F., Verkuil, B., and Thayer, J.F. (2018). Generalized Unsafety Theory of Stress: Unsafe Environments and Conditions, and the Default Stress Response. Int. J. Environ. Res. Public Health, 15.","DOI":"10.3390\/ijerph15030464"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1007\/s00281-007-0077-0","article-title":"Neuroendocrine-immune disequilibrium and endometriosis: An interdisciplinary approach","volume":"29","author":"Tariverdian","year":"2007","journal-title":"Semin. Immunopathol."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1007\/s43032-019-00053-0","article-title":"Is Stress a Cause or a Consequence of Endometriosis?","volume":"27","author":"Reis","year":"2020","journal-title":"Reprod. Sci."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"1675","DOI":"10.1007\/s43032-020-00205-7","article-title":"The Link between Stress and Endometriosis: From Animal Models to the Clinical Scenario","volume":"27","author":"Appleyard","year":"2020","journal-title":"Reprod. Sci."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"1657","DOI":"10.1093\/humrep\/dey248","article-title":"Early life abuse and risk of endometriosis","volume":"33","author":"Harris","year":"2018","journal-title":"Hum. Reprod."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"360","DOI":"10.3389\/fnins.2021.625490","article-title":"How Processing of Sensory Information from the Internal and External Worlds Shape the Perception and Engagement with the World in the Aftermath of Trauma: Implications for PTSD","volume":"15","author":"Harricharan","year":"2021","journal-title":"Front. Neurosci."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"1449","DOI":"10.1093\/humrep\/dey111","article-title":"Maltreatment during childhood: A risk factor for the development of endometriosis?","volume":"33","author":"Liebermann","year":"2018","journal-title":"Hum. Reprod."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"111202","DOI":"10.1016\/j.jpsychores.2023.111202","article-title":"Examining the associations between self and body compassion and health related quality of life in people diagnosed with endometriosis","volume":"167","author":"Dell","year":"2023","journal-title":"J. Psychosom. Res."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"216","DOI":"10.1016\/j.psyneuen.2018.01.001","article-title":"Hair cortisol and the relationship with chronic pain and quality of life in endometriosis patients","volume":"89","author":"Oosterman","year":"2018","journal-title":"Psychoneuroendocrinology"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"335","DOI":"10.3389\/fncel.2020.590823","article-title":"Pain in Endometriosis","volume":"14","author":"Maddern","year":"2020","journal-title":"Front. Cell. Neurosci."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1159\/000368776","article-title":"Endometriosis and perceived stress: Impact of surgical and medical treatment","volume":"79","author":"Lazzeri","year":"2015","journal-title":"Gynecol. Obstet. Investig."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"471","DOI":"10.1080\/09513590.2021.1892632","article-title":"Dienogest versus continuous oral levonorgestrel\/EE in patients with endometriosis: What\u2019s the best choice?","volume":"37","author":"Piacenti","year":"2021","journal-title":"Gynecol. Endocrinol."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1016\/j.jsxm.2021.11.015","article-title":"Assessment of Quality of Life, Sexual Quality of Life, and Pain Symptoms in Deep Infiltrating Endometriosis Patients with or without Associated Adenomyosis and the Influence of a Flexible Extended Combined Oral Contraceptive Regimen: Results of a Prospective, Observational Study","volume":"19","author":"Alcalde","year":"2022","journal-title":"J. Sex. Med."},{"key":"ref_41","first-page":"641","article-title":"Impact of laparoscopic colorectal segment resection on quality of life in women with deep endometriosis: One year follow-up","volume":"23","author":"Ribeiro","year":"2013","journal-title":"Qual. Life Res."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"682","DOI":"10.1016\/j.jmig.2014.02.005","article-title":"Long-Term Outcomes on Quality of Life in Women Submitted to Laparoscopic Treatment for Bowel Endometriosis","volume":"21","author":"Ribeiro","year":"2014","journal-title":"J. Minim. Invasive Gynecol."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1186\/s10397-021-01096-5","article-title":"Medical and surgical interventions to improve the quality of life for endometriosis patients: A systematic review","volume":"18","author":"Saponara","year":"2021","journal-title":"Gynecol. Surg."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1080\/01443610701811761","article-title":"Laparoscopic surgery for endometriosis: How often do we need to re-operate?","volume":"28","author":"Cheong","year":"2008","journal-title":"J. Obstet. Gynaecol."},{"key":"ref_45","doi-asserted-by":"crossref","unstructured":"Techatraisak, K., Hestiantoro, A., Ruey, S., Banal-Silao, M.J., Kim, M.-R., Seong, S.J., Thaufik, S., Ahlers, C., Shin, S.Y., and Lee, B.S. (2019). Effectiveness of dienogest in improving quality of life in Asian women with endometriosis (ENVISIOeN): Interim results from a prospective cohort study under real-life clinical practice. BMC Womens Health, 19.","DOI":"10.1186\/s12905-019-0758-6"},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"571","DOI":"10.1177\/1049732307299907","article-title":"Relational patterns of couples living with chronic pelvic pain from endometriosis","volume":"17","author":"Butt","year":"2007","journal-title":"Qual. Health Res."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"1787","DOI":"10.1185\/030079906X121084","article-title":"Health-related quality of life burden of women with endometriosis: A literature review","volume":"22","author":"Gao","year":"2006","journal-title":"Curr. Med. Res. Opin."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"905","DOI":"10.1177\/1359105316643069","article-title":"Salient aspects of quality of life among women diagnosed with endometriosis: A qualitative study","volume":"23","author":"Roomaney","year":"2018","journal-title":"J. Health Psychol."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1080\/15325020802537468","article-title":"Trauma of Pregnancy Loss and Infertility among Mothers and Involuntarily Childless Women in the United States","volume":"14","author":"Schwerdtfeger","year":"2009","journal-title":"J. Loss Trauma"},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1016\/j.srhc.2018.06.002","article-title":"Living with painful endometriosis\u2014A struggle for coherence. A qualitative study","volume":"17","year":"2018","journal-title":"Sex. Reprod. Healthc."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1080\/07399332.2017.1397671","article-title":"Examining subjective wellbeing and health-related quality of life in women with endometriosis","volume":"39","author":"Rush","year":"2018","journal-title":"Health Care Women Int."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1016\/j.ajog.2018.11.123","article-title":"Depressive symptoms among women with endometriosis: A systematic review and meta-analysis","volume":"220","author":"Gambadauro","year":"2019","journal-title":"Am. J. Obstet. Gynecol."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"1432","DOI":"10.1093\/humrep\/dex091","article-title":"Physical pain and emotion regulation as the main predictive factors of health-related quality of life in women living with endometriosis","volume":"32","author":"Bokor","year":"2017","journal-title":"Hum. Reprod."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1089\/jwh.2021.0021","article-title":"Depression, Anxiety, and Correlating Factors in Endometriosis: A Systematic Review and Meta-Analysis","volume":"31","author":"Manders","year":"2022","journal-title":"J. Womens Health"},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"575","DOI":"10.1007\/s00737-018-0928-9","article-title":"Negative metacognitive beliefs predict sexual distress over and above pain in women with endometriosis","volume":"22","author":"Zarbo","year":"2019","journal-title":"Arch. Womens Ment. Health"},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1590\/s1679-45082017ao3911","article-title":"Patients with endometriosis using positive coping strategies have less depression, stress and pelvic pain","volume":"15","author":"Donatti","year":"2017","journal-title":"Einstein"},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1080\/0167482X.2018.1450384","article-title":"Impact of coping strategies on quality of life of adolescents and young women with endometriosis","volume":"40","author":"Rosario","year":"2019","journal-title":"J. Psychosom. Obstet. Gynecol."},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"538","DOI":"10.1177\/1359105316688952","article-title":"\u201cFree butterflies will come out of these deep wounds\u201d: A grounded theory of how endometriosis affects women\u2019s psychological health","volume":"23","author":"Facchin","year":"2018","journal-title":"J. Health Psychol."},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"497","DOI":"10.1037\/0033-2909.117.3.497","article-title":"The Need to Belong: Desire for Interpersonal Attachments as a Fundamental Human Motivation","volume":"117","author":"Baumeister","year":"1995","journal-title":"Psychol. Bull."},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1192\/bjp.130.3.201","article-title":"The Making and Breaking of Affectional Bonds: I. Aetiology and Psychopathology in the Light of Attachment Theory","volume":"130","author":"Bowlby","year":"1977","journal-title":"Br. J. Psychiatry"},{"key":"ref_61","first-page":"17","article-title":"Self-management strategies amongst Australian women with endometriosis: A national online survey. BMC Complement","volume":"19","author":"Armour","year":"2019","journal-title":"Altern. Med."},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1037\/h0035142","article-title":"Pleasant activities and depression","volume":"41","author":"Lewinsohn","year":"1973","journal-title":"J. Consult. Clin. Psychol."},{"key":"ref_63","doi-asserted-by":"crossref","unstructured":"Moradi, M., Parker, M., Sneddon, A., Lopez, V., and Ellwood, D. (2014). Impact of endometriosis on women\u2019s lives: A qualitative study. BMC Womens Health, 14.","DOI":"10.1186\/1472-6874-14-123"},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"1459","DOI":"10.1093\/humrep\/dey115","article-title":"Fatigue\u2014A symptom in endometriosis","volume":"33","author":"Schwartz","year":"2018","journal-title":"Hum. Reprod."},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"274","DOI":"10.1111\/ajo.13447","article-title":"The impact of surgically diagnosed symptomatic endometriosis on women\u2019s social lives, work and education: An inductive classical content analysis","volume":"62","author":"Mastrangelo","year":"2022","journal-title":"Aust. New Zeal. J. Obstet. Gynaecol."},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1016\/j.ijgo.2015.08.024","article-title":"Social isolation in women with endometriosis and chronic pelvic pain","volume":"133","author":"Mellado","year":"2016","journal-title":"Int. J. Gynecol. Obstet."},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"366","DOI":"10.1016\/j.fertnstert.2011.05.090","article-title":"Impact of endometriosis on quality of life and work productivity: A multicenter study across ten countries","volume":"96","author":"Nnoaham","year":"2011","journal-title":"Fertil. Steril."},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1783\/147118907781004831","article-title":"Endometriosis-associated dyspareunia: The impact on women\u2019s lives","volume":"33","author":"Denny","year":"2007","journal-title":"J. Fam. Plan. Reprod. Health Care"},{"key":"ref_69","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1186\/s12955-022-01991-1","article-title":"Partners matter: The psychosocial well-being of couples when dealing with endometriosis","volume":"20","author":"Schick","year":"2022","journal-title":"Health Qual. Life Outcomes"},{"key":"ref_70","doi-asserted-by":"crossref","unstructured":"Rossi, V., Galizia, R., Tripodi, F., Simonelli, C., Porpora, M.G., and Nimbi, F.M. (2022). Endometriosis and Sexual Functioning: How Much Do Cognitive and Psycho-Emotional Factors Matter?. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph19095319"},{"key":"ref_71","doi-asserted-by":"crossref","unstructured":"Pereira, M.G., Ribeiro, I., Ferreira, H., Os\u00f3rio, F., Nogueira-Silva, C., and Almeida, A.C. (2021). Psychological Morbidity in Endometriosis: A Couple\u2019s Study. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph182010598"},{"key":"ref_72","doi-asserted-by":"crossref","first-page":"762","DOI":"10.1093\/humupd\/dmw031","article-title":"Sexual function in endometriosis patients and their partners: Effect of the disease and consequences of treatment","volume":"22","author":"Pluchino","year":"2016","journal-title":"Hum. Reprod. Update"},{"key":"ref_73","doi-asserted-by":"crossref","first-page":"1503","DOI":"10.1016\/j.fertnstert.2012.07.1129","article-title":"\u201cI Can\u2019t Get No Satisfaction\u201d: Deep dyspareunia and sexual functioning in women with rectovaginal endometriosis","volume":"98","author":"Vercellini","year":"2012","journal-title":"Fertil. Steril."},{"key":"ref_74","doi-asserted-by":"crossref","first-page":"392","DOI":"10.1016\/j.ejogrb.2013.04.001","article-title":"More than just bad sex: Sexual dysfunction and distress in patients with endometriosis","volume":"169","author":"Fritzer","year":"2013","journal-title":"Eur. J. Obstet. Gynecol. Reprod. Biol."},{"key":"ref_75","first-page":"135910532210850","article-title":"Health-related quality of life in endometriosis: The influence of endometriosis-related symptom presence and distress","volume":"27","author":"Johnstone","year":"2022","journal-title":"J. Health Psychol."},{"key":"ref_76","doi-asserted-by":"crossref","unstructured":"M\u00e1rki, G., V\u00e1s\u00e1rhelyi, D., Rig\u00f3, A., Kal\u00f3, Z., \u00c1cs, N., and Bokor, A. (2022). Challenges of and possible solutions for living with endometriosis: A qualitative study. BMC Womens Health, 22.","DOI":"10.1186\/s12905-022-01603-6"},{"key":"ref_77","doi-asserted-by":"crossref","first-page":"110502","DOI":"10.1016\/j.jpsychores.2021.110502","article-title":"Quality of intimate relationships, dyadic coping, and psychological health in women with endometriosis: Results from an online survey","volume":"146","author":"Facchin","year":"2021","journal-title":"J. Psychosom. Res."},{"key":"ref_78","doi-asserted-by":"crossref","first-page":"1021","DOI":"10.1002\/ejp.1926","article-title":"Living with endometriosis: Comorbid pain disorders, characteristics of pain and relevance for daily life","volume":"26","author":"Leuenberger","year":"2022","journal-title":"Eur. J. Pain"},{"key":"ref_79","doi-asserted-by":"crossref","first-page":"2424","DOI":"10.1016\/j.fertnstert.2009.09.017","article-title":"Patients\u2019 report on how endometriosis affects health, work, and daily life","volume":"93","author":"Fourquet","year":"2010","journal-title":"Fertil. Steril."},{"key":"ref_80","doi-asserted-by":"crossref","first-page":"722740","DOI":"10.3389\/fpsyg.2021.722740","article-title":"Dyadic Coping in Couples Facing Chronic Physical Illness: A Systematic Review","volume":"12","author":"Weitkamp","year":"2021","journal-title":"Front. Psychol."},{"key":"ref_81","doi-asserted-by":"crossref","first-page":"1637","DOI":"10.1007\/s10508-021-02150-1","article-title":"An Exploration of Dyadic Relationship Approach-Avoidance Goals and Relationship and Sexual Satisfaction in Couples Coping with Endometriosis","volume":"51","author":"McKay","year":"2022","journal-title":"Arch. Sex. Behav."},{"key":"ref_82","doi-asserted-by":"crossref","first-page":"370","DOI":"10.1080\/15398285.2020.1816803","article-title":"Living with Endometriosis: The Role of the Internet in Supporting the Diagnosis and Treatment Process","volume":"24","author":"Sbaffi","year":"2020","journal-title":"J. Consum. Health Internet"},{"key":"ref_83","doi-asserted-by":"crossref","first-page":"525","DOI":"10.1002\/casp.1067","article-title":"Online we are all able bodied: Online psychological sense of community and social support found through membership of disability-specific websites promotes well-being for people living with a physical disability","volume":"20","author":"Obst","year":"2010","journal-title":"J. Community Appl. Soc. Psychol."},{"key":"ref_84","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1530\/RAF-21-0040","article-title":"Nocebo effects in the treatment of endometriosis","volume":"2","author":"Thiel","year":"2021","journal-title":"Reprod. Fertil."},{"key":"ref_85","doi-asserted-by":"crossref","unstructured":"Mills, J., Shu, C., Misajon, R., and Rush-Privitera, G. (Psychol. Health, 2023). \u201cMy body is out to wreck everything I have\u201d: A qualitative study of how women with endometriosis feel about their bodies, Psychol. Health, preprint.","DOI":"10.1080\/08870446.2023.2218404"},{"key":"ref_86","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1111\/bjhp.12472","article-title":"Parallel worlds and personified pain: A mixed-methods analysis of pain metaphor use by women with endometriosis","volume":"26","author":"Bullo","year":"2021","journal-title":"Br. J. Health Psychol."},{"key":"ref_87","doi-asserted-by":"crossref","first-page":"104062","DOI":"10.1016\/j.jrp.2020.104062","article-title":"Storying endometriosis: Examining relationships between narrative identity, mental health, and pain","volume":"91","author":"Marschall","year":"2021","journal-title":"J. Res. Pers."},{"key":"ref_88","doi-asserted-by":"crossref","first-page":"111197","DOI":"10.1016\/j.jpsychores.2023.111197","article-title":"Body image, self-compassion, and sexual distress in individuals living with endometriosis","volume":"167","author":"Sherman","year":"2023","journal-title":"J. Psychosom. Res."},{"key":"ref_89","doi-asserted-by":"crossref","first-page":"518","DOI":"10.1016\/j.bodyim.2022.10.014","article-title":"Endometriosis and body image: Comparing people with and without endometriosis and exploring the relationship with pelvic pain","volume":"43","author":"Volker","year":"2022","journal-title":"Body Image"},{"key":"ref_90","doi-asserted-by":"crossref","unstructured":"Sayer-Jones, K., and Sherman, K.A. (2022). \u201cMy body\u2026tends to betray me sometimes\u201d: A Qualitative Analysis of Affective and Perceptual Body Image in Individuals Living with Endometriosis. Int. J. Behav. Med.","DOI":"10.1007\/s12529-022-10118-1"},{"key":"ref_91","doi-asserted-by":"crossref","unstructured":"Geller, S., Levy, S., Ashkeloni, S., Roeh, B., Sbiet, E., and Avitsur, R. (2021). Predictors of Psychological Distress in Women with Endometriosis: The Role of Multimorbidity, Body Image, and Self-Criticism. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph18073453"},{"key":"ref_92","doi-asserted-by":"crossref","first-page":"202","DOI":"10.1177\/22840265221139909","article-title":"What is the evidence of effectiveness of non-pharmaceutical, non-surgical, biopsychosocial interventions for body image and pain management in individuals with endometriosis? A systematic review","volume":"14","author":"Falconer","year":"2022","journal-title":"J. Endometr. Pelvic. Pain. Disord."},{"key":"ref_93","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1016\/j.jad.2019.11.012","article-title":"Negative view of the self and symptoms of depression in adolescents","volume":"262","author":"Hards","year":"2020","journal-title":"J. Affect. Disord."},{"key":"ref_94","doi-asserted-by":"crossref","first-page":"327","DOI":"10.1093\/humupd\/dmq050","article-title":"Chronic pelvic pain and endometriosis: Translational evidence of the relationship and implications","volume":"17","author":"Stratton","year":"2011","journal-title":"Hum. Reprod. Update"},{"key":"ref_95","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1016\/j.bpobgyn.2018.01.008","article-title":"Psychosocial impact of endometriosis: From co-morbidity to intervention","volume":"50","author":"Aerts","year":"2018","journal-title":"Best Pract. Res. Clin. Obstet. Gynaecol."},{"key":"ref_96","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1016\/j.jpsychores.2019.109756","article-title":"Psychological and mind-body interventions for endometriosis: A systematic review","volume":"124","author":"Evans","year":"2019","journal-title":"J. Psychosom. Res."},{"key":"ref_97","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1089\/acm.2015.0343","article-title":"The Practice of Hatha Yoga for the Treatment of Pain Associated with Endometriosis","volume":"23","author":"Barros","year":"2017","journal-title":"J. Altern. Complement. Med."},{"key":"ref_98","doi-asserted-by":"crossref","first-page":"1147","DOI":"10.1002\/ejp.1939","article-title":"A single-blind, randomized, pilot study of a brief mindfulness-based intervention for the endometriosis-related pain management","volume":"26","author":"Moreira","year":"2022","journal-title":"Eur. J. Pain"},{"key":"ref_99","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1080\/19012276.2016.1181562","article-title":"Long-term effects of mindfulness-based psychological intervention for coping with pain in endometriosis: A six-year follow-up on a pilot study","volume":"69","author":"Hansen","year":"2017","journal-title":"Nord. Psychol."},{"key":"ref_100","doi-asserted-by":"crossref","first-page":"2096","DOI":"10.1111\/imj.15494","article-title":"Treatment use and satisfaction in Australian women with endometriosis: A mixed-methods study","volume":"52","author":"Evans","year":"2021","journal-title":"Intern. Med. J."},{"key":"ref_101","doi-asserted-by":"crossref","first-page":"295","DOI":"10.1055\/s-0042-1742406","article-title":"Cognitive Behavioral Therapy in Endometriosis, Psychological Based Intervention: A Systematic Review","volume":"44","author":"Donatti","year":"2022","journal-title":"Rev. Bras. Ginecol. Obstet."},{"key":"ref_102","first-page":"CD007407","article-title":"Psychological therapies for the management of chronic pain (excluding headache) in adults","volume":"8","author":"Williams","year":"2020","journal-title":"Cochrane Database Syst. Rev."},{"key":"ref_103","doi-asserted-by":"crossref","first-page":"563","DOI":"10.1037\/ccp0000654","article-title":"Cognitive restructuring, behavioral activation and cognitive-behavioral therapy in the treatment of adult depression: A network meta-analysis","volume":"89","author":"Ciharova","year":"2021","journal-title":"J. Consult. Clin. Psychol."},{"key":"ref_104","doi-asserted-by":"crossref","unstructured":"Bhui, K.S., Dinos, S., Stansfeld, S.A., and White, P.D. (2012). A synthesis of the evidence for managing stress at work: A review of the reviews reporting on anxiety, depression, and absenteeism. J. Environ. Public Health, 515874.","DOI":"10.1155\/2012\/515874"},{"key":"ref_105","doi-asserted-by":"crossref","first-page":"102360","DOI":"10.1016\/j.janxdis.2021.102360","article-title":"Efficacy of third wave cognitive behavioral therapies in the treatment of posttraumatic stress: A meta-analytic study","volume":"78","author":"Benfer","year":"2021","journal-title":"J. Anxiety Disord."},{"key":"ref_106","doi-asserted-by":"crossref","first-page":"e054896","DOI":"10.1136\/bmjopen-2021-054896","article-title":"Determining the effectiveness of cognitive behavioural therapy in improving quality of life in patients undergoing endometriosis surgery: A study protocol for a randomised controlled trial","volume":"11","author":"Boersen","year":"2021","journal-title":"BMJ Open"},{"key":"ref_107","doi-asserted-by":"crossref","first-page":"300","DOI":"10.1186\/s13063-022-06204-0","article-title":"Internet-based cognitive behavioral therapy for improving health-related quality of life in patients with endometriosis: Study protocol for a randomized controlled trial","volume":"23","author":"Schubert","year":"2022","journal-title":"Trials"},{"key":"ref_108","doi-asserted-by":"crossref","first-page":"264","DOI":"10.1093\/humrep\/deab257","article-title":"Predictors of self-compassion in endometriosis: The role of psychological health and endometriosis symptom burden","volume":"37","author":"Johnstone","year":"2022","journal-title":"Hum. Reprod."},{"key":"ref_109","doi-asserted-by":"crossref","unstructured":"Bourdel, N., Chauvet, P., Billone, V., Douridas, G., Fauconnier, A., Gerbaud, L., and Canis, M. (2019). Systematic review of quality of life measures in patients with endometriosis. PLoS ONE, 14.","DOI":"10.1371\/journal.pone.0208464"},{"key":"ref_110","doi-asserted-by":"crossref","first-page":"473","DOI":"10.1097\/00005650-199206000-00002","article-title":"The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection","volume":"30","author":"Ware","year":"1992","journal-title":"Med. Care"},{"key":"ref_111","first-page":"258","article-title":"Development of an endometriosis quality-of-life instrument: The Endometriosis Health Profile-30","volume":"98","author":"Jones","year":"2001","journal-title":"Obstetr. Gynecol."},{"key":"ref_112","doi-asserted-by":"crossref","first-page":"705","DOI":"10.1023\/B:QURE.0000021316.79349.af","article-title":"Evaluating the responsiveness of the endometriosis health profile questionnaire: The EHP-30. Qual","volume":"13","author":"Jones","year":"2004","journal-title":"Life Res."},{"key":"ref_113","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1016\/j.rbms.2021.07.003","article-title":"The missed disease? Endometriosis as an example of \u2018undone science\u2019","volume":"14","author":"Hudson","year":"2022","journal-title":"Reprod. Biomed. Soc. Online"},{"key":"ref_114","doi-asserted-by":"crossref","first-page":"6585","DOI":"10.1038\/s41467-021-26905-5","article-title":"The reduction of race and gender bias in clinical treatment recommendations using clinician peer networks in an experimental setting","volume":"12","author":"Centola","year":"2021","journal-title":"Nat. Commun."},{"key":"ref_115","doi-asserted-by":"crossref","first-page":"4296","DOI":"10.1073\/pnas.1516047113","article-title":"Racial bias in pain assessment and treatment recommendations, and false beliefs about biological differences between blacks and whites","volume":"113","author":"Hoffman","year":"2016","journal-title":"Proc. Natl. Acad. Sci. USA"},{"key":"ref_116","doi-asserted-by":"crossref","first-page":"C7","DOI":"10.1530\/RAF-21-0096","article-title":"Endometriosis in transmasculine individuals","volume":"3","author":"Ferrando","year":"2022","journal-title":"Reprod. Fertil."},{"key":"ref_117","doi-asserted-by":"crossref","first-page":"1579","DOI":"10.1016\/j.jmig.2021.01.018","article-title":"Preoperative Pain Symptoms and the Incidence of Endometriosis in Transgender Men Undergoing Hysterectomy for Gender Affirmation","volume":"28","author":"Ferrando","year":"2021","journal-title":"J. Minim. Invasive Gynecol."},{"key":"ref_118","doi-asserted-by":"crossref","unstructured":"Delanerolle, G., Ramakrishnan, R., Hapangama, D., Zeng, Y., Shetty, A., Elneil, S., Chong, S., Hirsch, M., Oyewole, M., and Phiri, P. (2021). A systematic review and meta-analysis of the Endometriosis and Mental-Health Sequelae; The ELEMI Project. Womens Health, 17.","DOI":"10.1177\/17455065211019717"},{"key":"ref_119","doi-asserted-by":"crossref","first-page":"1935","DOI":"10.3389\/fpsyt.2022.943049","article-title":"Why mental disorders are brain disorders. And why they are not: ADHD and the challenges of heterogeneity and reification","volume":"13","author":"Schleim","year":"2022","journal-title":"Front. Psychiatry"},{"key":"ref_120","doi-asserted-by":"crossref","first-page":"810","DOI":"10.1038\/nrn3621","article-title":"DSM-5 and RDoC: Progress in psychiatry research? Nat","volume":"14","author":"Casey","year":"2013","journal-title":"Rev. Neurosci."}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/12\/12\/4056\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T19:55:15Z","timestamp":1760126115000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/12\/12\/4056"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6,15]]},"references-count":120,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2023,6]]}},"alternative-id":["jcm12124056"],"URL":"https:\/\/doi.org\/10.3390\/jcm12124056","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,6,15]]}}}