Bień Agnieszka, Pokropska Aleksandra, Grzesik-Gąsior Joanna, Korżyńska-Piętas Magdalena, Pieczykolan Agnieszka, Zarajczyk Marta, Ali Pour Roya, Frydrysiak-Brzozowska Adrianna, Rzońca Ewa
Chair of Obstetrics Development, Faculty of Health Sciences, Medical University of Lublin, 20-081 Lublin, Poland.
GEMELLI Private Health Care Center of Gynecology and Obstetrics, 31-559 Cracow, Poland.
J Clin Med. 2025 Jun 16;14(12):4268. doi: 10.3390/jcm14124268.
: Endometriosis is a chronic, estrogen-dependent inflammatory condition, that not only leads to significant physical symptoms but also exerts a profound psychological and social burden. This study aimed to asjsess the relationship between quality of life (QoL) in women with endometriosis and selected socio-demographic, diagnostic-therapeutic, and psychological factors, emphasizing self-efficacy and dispositional optimism as potential protective resources. : A cross-sectional survey was conducted between 2020 and 2022 in healthcare facilities in eastern Poland. The study included 425 women diagnosed with endometriosis. The research tools were the Endometriosis Health Profile, the General Self-Efficacy Scale, and the Life Orientation Test-Revised, as well as an original socio-demographic and clinical questionnaire. Data were analyzed using descriptive statistics, linear regression, and hierarchical regression to assess the predictive role of psychological resources beyond sociodemographic and clinical variables. : A higher number of physicians from various specialties consulted before diagnosis was significantly associated with lower QoL in all EHP-30 domains except infertility ( < 0.05). The perceived economic burden of treatment was significantly related to lower QoL across all domains ( < 0.05). In contrast, higher levels of self-efficacy and dispositional optimism emerged as independent protective factors, positively associated with emotional well-being, social support, sexual functioning, and relationships with medical staff ( < 0.05). Psychological variables accounted for an additional 8.1% of the variance in QoL beyond socio-demographic and clinical predictors. : The findings support the relevance of a biopsychosocial framework in managing endometriosis. Psychological resources play a critical role in coping with the disease and should be integrated into personalized care strategies.
子宫内膜异位症是一种慢性的、雌激素依赖性炎症性疾病，不仅会导致严重的身体症状，还会带来沉重的心理和社会负担。本研究旨在评估子宫内膜异位症女性的生活质量（QoL）与选定的社会人口统计学、诊断治疗及心理因素之间的关系，强调自我效能感和特质乐观主义作为潜在的保护资源。：2020年至2022年期间在波兰东部的医疗机构进行了一项横断面调查。该研究纳入了425名被诊断为子宫内膜异位症的女性。研究工具包括子宫内膜异位症健康概况、一般自我效能量表、修订后的生活取向测试，以及一份原始的社会人口统计学和临床问卷。使用描述性统计、线性回归和层次回归分析数据，以评估心理资源在社会人口统计学和临床变量之外的预测作用。：在除不孕不育外的所有EHP - 30领域中，诊断前咨询的不同专科医生数量较多与较低的生活质量显著相关（<0.05）。治疗的经济负担感与所有领域较低的生活质量显著相关（<0.05）。相比之下，较高水平的自我效能感和特质乐观主义成为独立的保护因素，与情绪健康、社会支持、性功能以及与医护人员的关系呈正相关（<0.05）。心理变量在社会人口统计学和临床预测因素之外，还占生活质量变异的另外8.1%。：研究结果支持了生物心理社会框架在管理子宫内膜异位症方面的相关性。心理资源在应对该疾病中起着关键作用，应纳入个性化护理策略。
