Farenga Elisa, Bulfon Matteo, Dalla Zonca Cristiana, Tersar Costanza, Ricci Giuseppe, Di Lorenzo Giovanni, Clarici Andrea
S.C.U. Obstetrics and Gynaecology Clinic, Institute for Maternal and Child Health, IRCCS "Burlo Garofolo", Via dell'Istria, 65, 34137 Trieste, Italy.
Department of Medical, Surgical and Health Sciences, University of Trieste (UniTS), Cattinara Hospital, Strada di Fiume, 447, 34149 Trieste, Italy.
J Pers Med. 2024 Apr 28;14(5):466. doi: 10.3390/jpm14050466.
Endometriosis is a chronic gynecological disorder with a multifactorial etiology that has not yet been fully elucidated. What is known, however, are the pathological tissue dynamics that lead to the complex symptoms that women suffer from. The known symptoms are mainly fertility problems and pain. Both dimensions have an impact that varies from case to case, but that is certainly decisive concerning a woman's health, specifically by affecting the overall quality of life (QoL). In this publication, we will deal with the descriptive aspects of endometriosis's pathology and then present a review of the aspects impacting QoL and their psycho-social consequences. Finally, the experience of pain in the context of the mind-brain-body relationship will be discussed, describing the complexity of this dimension and emphasizing the importance of a multi-professional approach that considers the relevance of the contribution that a psychotherapy intervention based on up-to-date neurobiological models can make for women with endometriosis. A review of the literature and current knowledge on the neural and psychological aspects of pain lead to the conclusion that it is of the utmost importance to provide informed psychological support, alongside medical treatments and sexual counseling, to patients with endometriosis.
子宫内膜异位症是一种病因多因素的慢性妇科疾病，其病因尚未完全阐明。然而，已知的是导致女性所遭受的复杂症状的病理组织动态变化。已知症状主要是生育问题和疼痛。这两个方面的影响因病例而异，但对女性健康肯定具有决定性影响，特别是通过影响整体生活质量（QoL）。在本出版物中，我们将探讨子宫内膜异位症病理学的描述性方面，然后对影响生活质量的方面及其心理社会后果进行综述。最后，将讨论在身心关系背景下的疼痛体验，描述这一方面的复杂性，并强调多专业方法的重要性，该方法考虑基于最新神经生物学模型的心理治疗干预对子宫内膜异位症女性的贡献的相关性。对有关疼痛的神经和心理方面的文献及当前知识的综述得出结论，为子宫内膜异位症患者提供明智的心理支持，同时辅以医疗治疗和性咨询，至关重要。
