Journal Article Ppublish 5 citations
PubMed: 35341450 DOI: 10.1080/0167482X.2022.2053844
Patient-specific affect-abdominal pain interactions in endometriosis: an experience sampling method (ESM) study.
J Psychosom Obstet Gynaecol 43(3):237-243
Authors: E van Barneveld, M de Hertogh, L Vork, N van Hanegem, F H M van Osch, J W Kruimel, M Y Bongers, C Leue, A C Lim
Affiliations
- Department of Gynaecology and Obstetrics, Maastricht University Medical Centre, Maastricht, the Netherlands.
- Department of Gynaecology and Obstetrics, Máxima Medical Centre, Veldhoven, the Netherlands.
- GROW School for Oncology and Developmental Biology, Maastricht University Medical Centre, Maastricht, the Netherlands.
- NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht, the Netherlands.
- Department of Internal Medicine, Division of Gastroenterology and Hepatology, Maastricht University Medical Centre, Maastricht, the Netherlands.
- Department of Reproductive Medicine and Gynaecology, University Medical Centre Utrecht, Utrecht University, Utrecht, The Netherlands.
- Department of Clinical Epidemiology, VieCuri Medical Centre, Venlo, the Netherlands.
- Department of Psychiatry and Psychology, Maastricht University Medical Centre, Maastricht, the Netherlands.
- MeHNS School for Mental Health and Neuroscience, Maastricht University Medical Centre, Maastricht, the Netherlands.
Abstract
OBJECTIVES
Cross-sectional studies show that endometriosis-related pain is associated with affect. Measuring these symptoms in real-time in a longitudinal perspective yields the ability to analyze the temporal relationship between variables. The aim was to evaluate the association between affect and abdominal pain, using the Experience Sampling Method (ESM) as a real-time, randomly repeated assessment.
METHODS
Thirty-four endometriosis patients and 31 healthy subjects completed up to 10 real-time self-assessments concerning abdominal pain and affective symptoms during seven consecutive days.
RESULTS
Endometriosis patients experienced more abdominal pain and negative affective symptoms, and scored lower on positive affect compared to healthy controls. A significant association was found between abdominal pain and both positive and negative affect in endometriosis patients. For healthy controls, less strong or non-significant associations were found. When looking at abdominal pain as a predictor for affect and vice versa, we found that only in endometriosis patients, pain was subsequently accompanied by negative affect, and positive affect may alleviate pain in these patients.
CONCLUSIONS
This study confirms a concurrent and temporal relationship between affect and abdominal pain in endometriosis patients and supports the use of real-time symptom assessment to interpret potential influencers of abdominal complaints in patients with endometriosis.
MeSH
Gynecology, Depression, Affective Symptoms, Endometriosis, Abdominal Pain, Psychology, Medical, Psychosomatic Medicine, Cross-Sectional Studies, Obstetrics, Self-Assessment, Ecological Momentary Assessment