Understanding Psychological Symptoms of Endometriosis from a Research Domain Criteria Perspective
Open accessAbstract
Endometriosis is currently the second most common gynecological disease and is associated with severe pain, vegetative impairment, and infertility. In association, there are considerable psychological symptoms that limit the quality of life of those affected. In this narrative review, the Research Domain Criteria (RDoC) framework was utilized to display the different transdiagnostic processes involved in disease progression and maintenance in regard to psychosocial functioning. Using the RDoC framework, it becomes clear that immune/endocrinological dysregulation is interlocked with (pelvic) pain chronification processes and psychological symptoms such as depressive mood, loss of control, higher vigilance toward the onset or worsening of symptoms, social isolation, and catastrophizing. This paper will discuss and identify promising treatment approaches, in addition to medical care, as well as further research implications. Endometriosis can come with substantial psychosomatic and social burden, requiring more research to understand the interdependence of different factors involved in its chronic development pathway. However, it is already clear that standard care should be extended with multifaceted treatments addressing pain, as well as the psychological and social burden, in order to halt the cycle of aggravation of symptoms and to improve quality of life for patients.
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These psychic aspects of endometriosis can be allotted to the different facets of a disease as set out in the Research Domain Criteria (RDoC) and used to evaluate holistic therapy approaches at these levels.
“These psychic aspects of endometriosis can also be allotted to the different facets of a disease as set out in the Research Domain Criteria (RDoC) and used to evaluate holistic therapy approaches at these levels [16].”
From Endometriosis: patient–doctor communication and psychological counselling (2023) · cites this paper as [16]
The Introduction maps psychological symptoms of endometriosis to two RDoC domains and specifies levels of analysis from circuits to self-report. The Discussion (section 4.1) considers multimodal and mind–body treatments, but does not say that the RDoC levels were used to evaluate holistic therapies. (LLM, conf=0.82)
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Self-citation
- Authors
- van Stein, K., Schubert, K., Ditzen, B., & Weise, C.
- Affiliations
- Heidelberg University Hospital, Institute for Medical Psychology, 69115 Heidelberg, Germany
- Philipps University of Marburg (DE)
- Heidelberg University (DE)
- Venue
- Journal of Clinical Medicine
- Publisher
- MDPI AG
- Published
- 2023-06-15
- Volume
- 12
- Issue
- 12
- Pages
- 4056
- ISSN
- 2077-0383 (ISSN-L)
- PMC
- PMC10299570
- OpenAlex
- W4380997595
- Cited by
- 40
- References
- 123
- Citations by year
- 2026: 14 · 2025: 10 · 2024: 11 · 2023: 5
- FWCI
- 1.60
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Journal of Clinical Medicine (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- German Society of Behavioral Medicine (DGVM) (SFB1158)
- German Research Foundation (SFB1158)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Menstrual Health and Disorders
- Keywords
- endometriosis, psychological symptoms, Research Domain Criteria, chronic pelvic pain, pain chronification, depressive mood, loss of control, sustained attention, social isolation, pain catastrophizing, psychosocial burden, quality of life, transdiagnostic mechanisms
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