Psychological Morbidity in Endometriosis: A Couple’s Study

Maria Graça Pereira, Inês Ribeiro, Hélder Ferreira, Filipa Osório, Cristina Nogueira-Silva and Ana C. Almeida
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Maria Graça Pereira: Psychology Research Center (CIPsi), School of Psychology, University of Minho, 4710-057 Braga, Portugal
Inês Ribeiro: School of Psychology, University of Minho, 4710-057 Braga, Portugal
Hélder Ferreira: Department of Gynecology, Centro Materno-Infantil do Norte, Centro Hospitalar Universitário do Porto, 4099-001 Porto, Portugal
Filipa Osório: Department of Gynecology and Obstetrics, Hospital da Luz, 1649-028 Lisboa, Portugal
Cristina Nogueira-Silva: Life and Health Sciences Research Institute, School of Medicine, University of Minho, 4710-057 Braga, Portugal
Ana C. Almeida: Psychology Research Center (CIPsi), School of Psychology, University of Minho, 4710-057 Braga, Portugal

IJERPH, 2021, vol. 18, issue 20, 1-13

Abstract: Endometriosis is a chronic gynecological disease that impacts more than 176 million women worldwide, having a strong impact on psychological morbidity. This study aimed to evaluate the contribution of psychological morbidity, in women with endometriosis, taking into consideration the duration of the couple’s relationship and the duration of the disease and also examined whether women’s sexual satisfaction had an impact on their psychological morbidity (actor effect) and on their sexual partners’ psychological morbidity (partner effect) and vice versa. Participants were 105 women and their partners, who answered the Hospital Anxiety and Depression Scale (HADS); Couple Satisfaction Index (CSI-4) and the Global Measure of Sexual Satisfaction (GMSEX). The results revealed a direct effect between the perception of symptom severity, marital satisfaction, and women’s psychological morbidity. Sexual activity and the presence of infertility had an indirect effect on the relationship between sexual satisfaction, diagnosis duration, and psychological morbidity, respectively. Finally, women’s sexual satisfaction had a direct effect on their own and their partner’s marital satisfaction that predicted less psychological morbidity, in both. Thus, a multidisciplinary intervention focused on the couple’s sexual and marital relationship is needed to promote psychological well-being in this population.

Keywords: endometriosis; psychological morbidity; patients; partners (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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