Archives of Women's Mental Health

, Volume 22, Issue 5, pp 575–582 | Cite as

Negative metacognitive beliefs predict sexual distress over and above pain in women with endometriosis

  • Cristina ZarboEmail author
  • Agostino Brugnera
  • Angelo Compare
  • Rita Secomandi
  • Ilario Candeloro
  • Chiara Malandrino
  • Enrico Betto
  • Gaetano Trezzi
  • Massimo Rabboni
  • Emi Bondi
  • Luigi Frigerio
Original Article


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.


Metacognition 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.


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Copyright information

© Springer-Verlag GmbH Austria, part of Springer Nature 2018

Authors and Affiliations

  • Cristina Zarbo
    • 1
    Email author
  • Agostino Brugnera
    • 1
  • Angelo Compare
    • 1
  • Rita Secomandi
    • 2
  • Ilario Candeloro
    • 2
  • Chiara Malandrino
    • 2
  • Enrico Betto
    • 2
  • Gaetano Trezzi
    • 2
  • Massimo Rabboni
    • 3
  • Emi Bondi
    • 3
  • Luigi Frigerio
    • 2
  1. 1.Department of Human and Social ScienceUniversity of BergamoBergamoItaly
  2. 2.Department of Obstetrics & GynaecologyHospital Papa Giovanni XXIIIBergamoItaly
  3. 3.Department of PsychiatryHospital Papa Giovanni XXIIIBergamoItaly

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