Negative metacognitive beliefs predict sexual distress over and above pain in women with endometriosis
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The aim of the study was to assess the predictive value of dyspareunia, general chronic pain, and metacognitive beliefs to sexual distress in a sample of women with endometriosis. Ninety-six women (mean age = 34.60 ± 6.44 years) with a diagnosis of endometriosis took part to this cross-sectional study. Sociodemographic and clinical data were collected by means of a structured ad hoc questionnaire. Metacognitive beliefs and sexual distress were assessed by means of the Metacognitions Questionnaire (MCQ30) and the Female Sexual Distress Scale-R (FSDS-r). General chronic pain intensity was collected by means of a Numeric Rating Scale. Data were subjected to Hierarchical logistic regression. We found high percentages of dyspareunia and sexual distress (i.e., 66% and 76%). Findings suggested that dyspareunia and chronic pain did not predict sexual distress, while negative beliefs about worries predicted sexual distress over and above them (p = .040, odd ratio 1.159). In the target population, metacognitive beliefs may have more influence on sexual distress than pain symptomatology.
KeywordsMetacognition Chronic disease Sexuality Pain Dyspareunia
Compliance with ethical standards
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Informed consent was obtained from all individual participants included in the study.
Conflict of interest
The authors declare that they have no conflicts of interest.
- Barbara G, Facchin F, Meschia M, Berlanda N, Frattaruolo MP, Vercellin IP (2017b) When love hurts. A systematic review on the effects of surgical and pharmacological treatments for endometriosis on female sexual functioning. Acta Obstet Gynecol Scand 96:668–687. https://doi.org/10.1111/aogs.13031 CrossRefPubMedGoogle Scholar
- Di Donato N, Montanari G, Benfenati A, Leonardi D, Bertoldo V, Monti G, Seracchioli R (2013) The impact of socioeconomic and anamnestic characteristics on quality of life and sexual function in women with endometriosis. J Endometr Pelvic Pain Disord 5Google Scholar
- Fritzer N, Haas D, Oppelt P, Renner S, Hornung D, Wölfler M, Ulrich U, Fischerlehner G, Sillem M, Hudelist G (2013) More than just bad sex: sexual dysfunction and distress in patients with endometriosis. Eur J Obstet Gynecol Reprod Biol 169:392–396. https://doi.org/10.1016/j.ejogrb.2013.04.001 CrossRefPubMedGoogle Scholar
- Quattropani MC, Lenzo V, Mucciardi M, Toffle ME (2014) Psychometric properties of the Italian version of the Short Form of the Metacognitions Questionnaire (MCQ-30). Bollettino di Psicologia Applicata 269:29–41Google Scholar
- Quattropani MC, Lenzo V, Mucciardi M, Toffle ME (2016) Metacognition as predictor of emotional distress in cancer patients. Life Span Disabil 19:221–239Google Scholar
- Ruggiero GM, Spada MM, Caselli G, Sassaroli S (2018) A historical and theoretical review of cognitive behavioral therapies: from structural self-knowledge to functional processes. J Ration Emot Cogn Behav Ther:1–26Google Scholar
- Tabachnick BG, Fidell LS (2007) Using multivariate statistics, 5th edn. Pearson Education, Inc, Boston, MAGoogle Scholar
- Wells A (2009) Metacognitive therapy for anxiety and depression. The Guilford Press, LondonGoogle Scholar
- Wells A, Simons M (2009) Metacognitive therapy. John Wiley & Sons, Ltd. https://doi.org/10.1002/9781118528563.wbcbt06
- Zarbo C, Brugnera A, Compare A, Candeloro I, Secomandi R, Betto E, Fusi F, Marabini R, Malandrino C, Carnelli M, Trezzi G, Bondi E, Rabboni M, Frigerio L (2018) Perfectionistic traits and importance given to parenthood are associated with infertility-related quality of life in a sample of infertile women with and without endometriosis. Sexual Reprod Healthc 17:86–90. https://doi.org/10.1016/j.srhc.2018.07.008 CrossRefGoogle Scholar