Skinner Chelsea M, Kuijer Roeline G
School of Psychology, Speech and Hearing, University of Canterbury, Christchurch, New Zealand.
Psychol Health. 2025 Sep;40(9):1479-1496. doi: 10.1080/08870446.2024.2325506. Epub 2024 Mar 12.
International research highlights the detrimental impact of endometriosis on health-related quality of life (HRQoL), yet few studies have examined positive resources such as self-compassion and resilience as correlates. This cross-sectional study aimed to examine the relationship between self-compassion and HRQoL in individuals with endometriosis in Aotearoa New Zealand. Resilience and perceived symptom severity were examined as potential mediators.
Six hundred and three individuals with endometriosis completed an online questionnaire measuring demographic and endometriosis-related information, endometriosis symptoms (number and severity), HRQoL, self-compassion and resilience.
In line with international research, the current sample reported significant impairment in all aspects of HRQoL. As expected, those with higher levels of self-compassion reported less impairment in HRQoL, and this relationship was partially mediated by perceived symptom severity (all aspects of HRQoL). Resilience mediated the relationship between self-compassion and two aspects of HRQoL (emotional wellbeing and control/powerlessness).
These findings confirm that HRQoL is significantly impaired in individuals with endometriosis in Aotearoa New Zealand and point to the potential role of self-compassion and resilience as protective factors in encouraging positive coping styles to manage symptoms and maintain high HRQoL. Interventions targeting self-compassion may be a promising tool to improve wellbeing in individuals with endometriosis.
国际研究强调了子宫内膜异位症对健康相关生活质量（HRQoL）的有害影响，但很少有研究将自我同情和心理韧性等积极因素作为相关因素进行考察。这项横断面研究旨在探讨新西兰奥特亚罗瓦患有子宫内膜异位症的个体中自我同情与健康相关生活质量之间的关系。心理韧性和感知症状严重程度被作为潜在中介因素进行考察。
603名患有子宫内膜异位症的个体完成了一份在线问卷，该问卷测量了人口统计学和与子宫内膜异位症相关的信息、子宫内膜异位症症状（数量和严重程度）、健康相关生活质量、自我同情和心理韧性。
与国际研究一致，当前样本在健康相关生活质量的各个方面均报告有显著损害。正如预期的那样，自我同情水平较高的个体在健康相关生活质量方面的损害较小，并且这种关系部分由感知症状严重程度（健康相关生活质量的各个方面）介导。心理韧性介导了自我同情与健康相关生活质量的两个方面（情绪健康和控制/无助感）之间的关系。
这些发现证实，在新西兰奥特亚罗瓦患有子宫内膜异位症的个体中，健康相关生活质量受到显著损害，并指出自我同情和心理韧性作为保护因素在鼓励积极应对方式以管理症状和维持高健康相关生活质量方面的潜在作用。针对自我同情的干预措施可能是改善子宫内膜异位症患者幸福感的一种有前景的工具。
