Objective

To explore the associations between intimate relationships, psychological health, and endometriosis-related variables such as pelvic pain and infertility.

Methods

In this cross-sectional study, data were collected with an online survey delivered through Qualtrics and posted on the Facebook page and website of a patient association (Associazione Progetto Endometriosi—APE) in August 2020. The survey was composed of a researcher-made questionnaire and four validated questionnaires assessing relational satisfaction (adapted Quality of Marriage Index), dyadic coping (Dyadic Coping Questionnaire), and psychological health (Hospital Anxiety and Depression Scale and Rosenberg Self-Esteem Scale).

Results

Participants were 316 women (age: 35.9 ± 6.7) with endometriosis, who reported being in an intimate relationship from at least one year. A greater perceived negative impact of the disease on past and current intimate relationships was associated with poorer psychological health, lower relational satisfaction and worse dyadic coping. Women who perceived their partner as more informed about endometriosis, more informed about and interested in their health conditions, and more likely to accompany them to the medical appointments, showed greater relational satisfaction and dyadic coping. Relational satisfaction and dyadic coping were associated with psychological health. A greater perceived negative impact of endometriosis on intimate relationships was associated with more severe pelvic pain (especially dyspareunia).

Conclusion

Endometriosis has a negative impact on intimate relationships, which is associated with poorer psychological health. For the women with the disease, partner's support is important, and our findings suggest that effort should be made to involve both members of the couple in multidisciplinary treatment.

中文翻译：

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子宫内膜异位症女性的亲密关系质量、二元应对和心理健康：来自在线调查的结果

客观的

探索亲密关系、心理健康和子宫内膜异位症相关变量（如骨盆疼痛和不孕症）之间的关联。

方法

在这项横断面研究中，数据是通过 Qualtrics 提供的在线调查收集的，并于 2020 年 8 月发布在患者协会 (Associazione Progetto Endometriosi-APE) 的 Facebook 页面和网站上。该调查由研究人员制作的问卷组成和四份经过验证的问卷，评估关系满意度（适应婚姻质量指数）、二元应对（Dyadic Coping Questionnaire）和心理健康（医院焦虑和抑郁量表和罗森伯格自尊量表）。

结果

参与者是 316 名患有子宫内膜异位症的女性（年龄：35.9 ± 6.7），她们报告有至少一年的亲密关系。这种疾病对过去和现在的亲密关系的更大负面影响与较差的心理健康、较低的关系满意度和较差的二元应对有关。认为伴侣更了解子宫内膜异位症、对自己的健康状况更了解和感兴趣、更有可能陪他们去看医生的女性表现出更高的关系满意度和二元应对。关系满意度和二元应对与心理健康有关。子宫内膜异位症对亲密关系的更大负面影响与更严重的盆腔疼痛（尤其是性交痛）有关。

结论

子宫内膜异位症对亲密关系有负面影响，这与较差的心理健康有关。对于患有这种疾病的女性，伴侣的支持很重要，我们的研究结果表明，应该努力让夫妻双方都参与多学科治疗。