IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v18y2021i7p3453-d524725.html
   My bibliography  Save this article

Predictors of Psychological Distress in Women with Endometriosis: The Role of Multimorbidity, Body Image, and Self-Criticism

Author

Listed:
  • Shulamit Geller

    (School of Behavioral Sciences, The Academic College of Tel Aviv-Yaffo, Tel-Aviv 68182, Israel)

  • Sigal Levy

    (Statistical Education Unit, The Academic College of Tel Aviv-Yaffo, Tel-Aviv 68182, Israel)

  • Sapir Ashkeloni

    (School of Behavioral Sciences, The Academic College of Tel Aviv-Yaffo, Tel-Aviv 68182, Israel)

  • Bar Roeh

    (School of Behavioral Sciences, The Academic College of Tel Aviv-Yaffo, Tel-Aviv 68182, Israel)

  • Ensherah Sbiet

    (School of Behavioral Sciences, The Academic College of Tel Aviv-Yaffo, Tel-Aviv 68182, Israel)

  • Ronit Avitsur

    (School of Behavioral Sciences, The Academic College of Tel Aviv-Yaffo, Tel-Aviv 68182, Israel)

Abstract

While large numbers of women report high levels of psychological distress associated with endometriosis, others report levels of distress that are comparable to those of healthy women. Thus, the aim of the current study was to develop an explanatory model for the effect of endometriosis on women’s psychological distress. Furthermore, it sought to further investigate the role of body image, self-criticism, and pain intensity on the psychological distress associated with endometriosis and establish the effect of chronic illness load on the development of this distress. This study comprised a total of 247 women aged 20–49 ( M = 31.3, SD = 6.4)—73 suffering from endometriosis only, 62 suffering from endometriosis and an additional chronical illness (ACI), and 112 healthy peers (HP)—who completed the Patient Health Questionnaire, the Generalized Anxiety Disorder-Item Scale, the Body Appreciation Scale-2, and the Self-Criticism Sub-Scale. When comparing each endometriosis group to their HP’s, we found that the differences between HP and endometriosis ACI in depression and anxiety were mediated by body image (Betas = 0.17 and 0.09, respectively, p ’s < 0.05) and self-criticism (Betas = 0.23 and 0.26, respectively, p ’s < 0.05). When comparing endometriosis participants to endometriosis ACI participants, differences in depression were mediated by body image, self-criticism, and pain intensity (Betas = 0.12, 0.13, 0.13 respectively, p ’s < 0.05), and the differences in anxiety were mediated by self-criticism and pain intensity (Betas = 0.19, 0.08, respectively, p ’s < 0.05). Physicians and other health professionals are advised to detect women with endometriosis ACI who are distressed, and to offer them appropriate intervention.

Suggested Citation

  • Shulamit Geller & Sigal Levy & Sapir Ashkeloni & Bar Roeh & Ensherah Sbiet & Ronit Avitsur, 2021. "Predictors of Psychological Distress in Women with Endometriosis: The Role of Multimorbidity, Body Image, and Self-Criticism," IJERPH, MDPI, vol. 18(7), pages 1-13, March.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:7:p:3453-:d:524725
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/18/7/3453/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/18/7/3453/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Julio Torales & Marcelo O’Higgins & João Mauricio Castaldelli-Maia & Antonio Ventriglio, 2020. "The outbreak of COVID-19 coronavirus and its impact on global mental health," International Journal of Social Psychiatry, , vol. 66(4), pages 317-320, June.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Fabio Panariello & Gianluca Borgiani & Concetta Bronte & Giovanni Cassero & Giulia Montanari & Marcella Falcieri & Michele Angelo Rugo & Ornella Trunfio & Diana De Ronchi & Anna Rita Atti, 2023. "Eating Disorders and Disturbed Eating Behaviors Underlying Body Weight Differences in Patients Affected by Endometriosis: Preliminary Results from an Italian Cross-Sectional Study," IJERPH, MDPI, vol. 20(3), pages 1-16, January.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Cudjoe, Dan & Wang, Hong & zhu, Bangzhu, 2022. "Thermochemical treatment of daily COVID-19 single-use facemask waste: Power generation potential and environmental impact analysis," Energy, Elsevier, vol. 249(C).
    2. Clemens Koestner & Viktoria Eggert & Theresa Dicks & Kristin Kalo & Carolina Zähme & Pavel Dietz & Stephan Letzel & Till Beutel, 2022. "Psychological Burdens among Teachers in Germany during the SARS-CoV-2 Pandemic—Subgroup Analysis from a Nationwide Cross-Sectional Online Survey," IJERPH, MDPI, vol. 19(15), pages 1-16, August.
    3. Francesco Demaria & Stefano Vicari, 2023. "Adolescent Distress: Is There a Vaccine? Social and Cultural Considerations during the COVID-19 Pandemic," IJERPH, MDPI, vol. 20(3), pages 1-11, January.
    4. Qingyuan Luo & Peng Zhang & Yijia Liu & Xiujie Ma & George Jennings, 2022. "Intervention of Physical Activity for University Students with Anxiety and Depression during the COVID-19 Pandemic Prevention and Control Period: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 19(22), pages 1-20, November.
    5. Lígia Passos & Filipe Prazeres & Andreia Teixeira & Carlos Martins, 2020. "Impact on Mental Health Due to COVID-19 Pandemic: Cross-Sectional Study in Portugal and Brazil," IJERPH, MDPI, vol. 17(18), pages 1-13, September.
    6. Jian-Bin Li & An Yang & Kai Dou & Rebecca Y. M. Cheung, 2020. "Self-Control Moderates the Association Between Perceived Severity of Coronavirus Disease 2019 (COVID-19) and Mental Health Problems Among the Chinese Public," IJERPH, MDPI, vol. 17(13), pages 1-10, July.
    7. Alessandro Germani & Livia Buratta & Elisa Delvecchio & Claudia Mazzeschi, 2020. "Emerging Adults and COVID-19: The Role of Individualism-Collectivism on Perceived Risks and Psychological Maladjustment," IJERPH, MDPI, vol. 17(10), pages 1-15, May.
    8. Chiara Consiglio & Nicoletta Massa & Valentina Sommovigo & Luigi Fusco, 2023. "Techno-Stress Creators, Burnout and Psychological Health among Remote Workers during the Pandemic: The Moderating Role of E-Work Self-Efficacy," IJERPH, MDPI, vol. 20(22), pages 1-23, November.
    9. Edmond Pui Hang Choi & Bryant Pui Hung Hui & Eric Yuk Fai Wan & Jojo Yan Yan Kwok & Tiffany Hei Lam Tam & Chanchan Wu, 2021. "COVID-19 and Health-Related Quality of Life: A Community-Based Online Survey in Hong Kong," IJERPH, MDPI, vol. 18(6), pages 1-12, March.
    10. Mihyeon Seong & Juyoung Park & Soojin Chung & Sohyune Sok, 2021. "Development of the Adult Pandemic Attitude Scale (A-PAS)," IJERPH, MDPI, vol. 18(12), pages 1-15, June.
    11. Dana Alonzo & Marciana Popescu, 2022. "A qualitative examination of the mental health impact of Covid-19 in marginalized communities in Guatemala: The Covid Care Calls survey," International Journal of Social Psychiatry, , vol. 68(7), pages 1435-1444, November.
    12. Martin Sanchez-Gomez & Gabriele Giorgi & Georgia Libera Finstad & Flavio Urbini & Giulia Foti & Nicola Mucci & Salvatore Zaffina & José M. León-Perez, 2021. "COVID-19 Pandemic as a Traumatic Event and Its Associations with Fear and Mental Health: A Cognitive-Activation Approach," IJERPH, MDPI, vol. 18(14), pages 1-14, July.
    13. Miller, J. Jay & Niu, Chunling & Moody, Shannon, 2020. "Child welfare workers and peritraumatic distress: The impact of COVID-19," Children and Youth Services Review, Elsevier, vol. 119(C).
    14. Yinghui Huang & Hui Liu & Lin Zhang & Shen Li & Weijun Wang & Zhihong Ren & Zongkui Zhou & Xueyao Ma, 2021. "The Psychological and Behavioral Patterns of Online Psychological Help-Seekers before and during COVID-19 Pandemic: A Text Mining-Based Longitudinal Ecological Study," IJERPH, MDPI, vol. 18(21), pages 1-19, November.
    15. Mäntymäki, Matti & Najmul Islam, A.K.M. & Turel, Ofir & Dhir, Amandeep, 2022. "Coping with pandemics using social network sites: A psychological detachment perspective to COVID-19 stressors," Technological Forecasting and Social Change, Elsevier, vol. 179(C).
    16. Marilena Mousoulidou & Michailina Siakalli & Andri Christodoulou & Marios Argyrides, 2021. "The Impact of the COVID-19 Pandemic on Mental Health: Evidence from Cyprus," IJERPH, MDPI, vol. 18(8), pages 1-13, April.
    17. Berasategi Sancho, Naiara & Idoiaga Mondragon, Nahia & Dosil Santamaria, Maria & Eiguren Munitis, Amaia, 2021. "The Well-being of children in lock-down: Physical, emotional, social and academic impact," Children and Youth Services Review, Elsevier, vol. 127(C).
    18. M. Dolores Merino & Coral Oliver-Hernández & M. Dolores Vallellano & Inmaculada Mateo, 2020. "Is It Possible to Find Something Positive in Being Confined Due to COVID-19? Implications for Well-Being," IJERPH, MDPI, vol. 17(23), pages 1-10, December.
    19. Irene (Eirini) Kamenidou & Aikaterini Stavrianea & Spyridon Mamalis & Ifigeneia Mylona, 2020. "Knowledge Assessment of COVID-19 Symptoms: Gender Differences and Communication Routes for the Generation Z Cohort," IJERPH, MDPI, vol. 17(19), pages 1-16, September.
    20. Ying Yang & Yanan Xiao & Yulu Liu & Qiong Li & Changshuo Shan & Shulin Chang & Philip H.-S. Jen, 2021. "Mental Health and Psychological Impact on Students with or without Hearing Loss during the Recurrence of the COVID-19 Pandemic in China," IJERPH, MDPI, vol. 18(4), pages 1-28, February.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:18:y:2021:i:7:p:3453-:d:524725. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.