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  • Review Article

    Cognitive Behavioral Therapy in Endometriosis, Psychological Based Intervention: A Systematic Review

    Revista Brasileira de Ginecologia e Obstetrícia. 2022;44(3):295-303

    Summary

    Review Article

    Cognitive Behavioral Therapy in Endometriosis, Psychological Based Intervention: A Systematic Review

    Revista Brasileira de Ginecologia e Obstetrícia. 2022;44(3):295-303

    DOI 10.1055/s-0042-1742406

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    Abstract

    Introduction

    Endometriosis is an inflammatory disease that affects women of reproductive age, causing pain and the possibility of infertility. Endometriosis was associated to low life quality and research shows the impact of endometriosis in several areas of life, justifying how these patients are more likely to develop depression, anxiety, and stress.

    Objective

    The aim of the present systematic review was to explore the field of psychology in endometriosis, identifying studies that used the cognitive behavioral therapy technique as a treatment for endometriosis and chronic pelvic pain.

    Methods

    The keywords used were Endometriosis and Behavioral Therapy; Behavioral Disciplines and Activities; Cognitive Behavioral Therapy; Mental Health; Psychological Techniques; Psychology; Psychotherapy; Mental Health Services; and the search was performed in the following databases: PubMed/Medline, Scielo, Lilacs, and Capes. The study followed the PRISMA guidelines and all studies whose intervention strategy used was related to cognitive-behavioral therapy were considered.

    Results

    Of the 129 articles found, only 5 were selected, and it was possible to identify that the psychological intervention whose approach brought cognitive-behavioral therapy techniques promoted a decrease in the sensation of pain, improvements in the scores of depression and stress, and significant changes in aspects of quality of life such as vitality, physical and social functioning, emotional well-being, control, and autonomy.

    Conclusion

    Cognitive-behavioral therapy can be very promising to take care of the emotional side of those who have endometriosis However, the present systematic review highlights the need to develop more structured studies with consistent, clear and replicablemethods to reach a psychological intervention protocol for patients who live with this gynecological-physical-emotional condition.

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    Cognitive Behavioral Therapy in Endometriosis, Psychological Based Intervention: A Systematic Review

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