关键词: Endometriosis Partners Psychosocial outcomes Sexual outcomes Systematic review

来  源:   DOI:10.1016/j.jpsychores.2020.110213   PDF(Sci-hub)

Abstract:
OBJECTIVE: To summarize the available qualitative and quantitative evidence regarding the impact of endometriosis on women\'s partners.
METHODS: A systematic electronic search of PubMed and PsycINFO was conducted. All the available evidence regarding partners\' psychological condition, quality of life, social and intimate relationships, and sexuality was included, and a narrative synthesis of the findings was provided.
RESULTS: Of 127 studies retrieved through electronic search, only 5 (3 qualitative/semi-qualitative and 2 quantitative studies) matched the inclusion criteria and were included in our review. In total, participants were 399 male partners. Endometriosis negatively affects partners\' psychological wellbeing and quality of life, with significant individual differences. Partners of women with endometriosis may experience isolation and lack of engagement in treatment decision-making. Partners also experience the economic burden of the disease, with negative consequences on work functioning and daily life. Sexuality is also negatively affected, although with contradictory findings. Positive aspects of personal and relationship growth were also reported.
CONCLUSIONS: Endometriosis is an important cause of physical and psychological pain for women, but it may also have a negative impact on their partners. Although the effects of other chronic diseases on partners and caregivers have been largely explored, the small number of articles included in this review indicates that this topic remains understudied in endometriosis research. Endometriosis should be investigated and managed within a systemic framework, with a specific focus on the complex dynamic interaction between individual, relational, sociocultural and environmental factors.
摘要:
目的:总结关于子宫内膜异位症对女性伴侣影响的现有定性和定量证据。
方法:对PubMed和PsycINFO进行系统的电子检索。所有关于伴侣心理状况的现有证据,生活质量,社交和亲密关系,性也包括在内,并提供了研究结果的叙述性综合。
结果:在通过电子搜索检索到的127项研究中,只有5项(3项定性/半定性研究和2项定量研究)符合纳入标准,被纳入我们的综述.总的来说,参与者是399名男性伴侣.子宫内膜异位症对伴侣的心理健康和生活质量产生负面影响,具有显著的个体差异。子宫内膜异位症女性的伴侣可能会经历孤立和缺乏参与治疗决策。合作伙伴也经历了疾病的经济负担,对工作功能和日常生活产生负面影响。性也受到负面影响,虽然有矛盾的发现。还报告了个人和关系增长的积极方面。
结论:子宫内膜异位症是女性身心疼痛的重要原因,但这也可能对他们的伴侣产生负面影响。尽管其他慢性疾病对伴侣和照顾者的影响已得到广泛探讨,这篇综述中包含的少量文章表明,该主题在子宫内膜异位症研究中仍未得到充分研究。子宫内膜异位症应在系统框架内进行调查和管理。特别关注个体之间复杂的动态互动,关系,社会文化和环境因素。
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