Patient-specific affect-abdominal pain interactions in endometriosis: an experience sampling method (ESM) study

Objectives Cross-sectional studies show that endometriosis-related pain is associated with affect. Measuring these symptoms in real-time in a longitudinal perspective yields the ability to analyze the temporal relationship between variables. The aim was to evaluate the association between affect and...

Full description

Bibliographic Details
Main Authors: E. van Barneveld, M. de Hertogh, L. Vork, N. van Hanegem, F. H. M. van Osch, J. W. Kruimel, M. Y. Bongers, C. Leue, A. C. Lim
Format: Article
Language:English
Published: Taylor & Francis Group 2022-07-01
Series:Journal of Psychosomatic Obstetrics and Gynecology
Subjects:
Online Access:http://dx.doi.org/10.1080/0167482X.2022.2053844
_version_ 1797685846360457216
author E. van Barneveld
M. de Hertogh
L. Vork
N. van Hanegem
F. H. M. van Osch
J. W. Kruimel
M. Y. Bongers
C. Leue
A. C. Lim
author_facet E. van Barneveld
M. de Hertogh
L. Vork
N. van Hanegem
F. H. M. van Osch
J. W. Kruimel
M. Y. Bongers
C. Leue
A. C. Lim
author_sort E. van Barneveld
collection DOAJ
description Objectives Cross-sectional studies show that endometriosis-related pain is associated with affect. Measuring these symptoms in real-time in a longitudinal perspective yields the ability to analyze the temporal relationship between variables. The aim was to evaluate the association between affect and abdominal pain, using the Experience Sampling Method (ESM) as a real-time, randomly repeated assessment. Methods Thirty-four endometriosis patients and 31 healthy subjects completed up to 10 real-time self-assessments concerning abdominal pain and affective symptoms during seven consecutive days. Results Endometriosis patients experienced more abdominal pain and negative affective symptoms, and scored lower on positive affect compared to healthy controls. A significant association was found between abdominal pain and both positive and negative affect in endometriosis patients. For healthy controls, less strong or non-significant associations were found. When looking at abdominal pain as a predictor for affect and vice versa, we found that only in endometriosis patients, pain was subsequently accompanied by negative affect, and positive affect may alleviate pain in these patients. Conclusions This study confirms a concurrent and temporal relationship between affect and abdominal pain in endometriosis patients and supports the use of real-time symptom assessment to interpret potential influencers of abdominal complaints in patients with endometriosis.
first_indexed 2024-03-12T00:57:13Z
format Article
id doaj.art-68fca00a52df4291816802ee09bdc176
institution Directory Open Access Journal
issn 0167-482X
1743-8942
language English
last_indexed 2024-03-12T00:57:13Z
publishDate 2022-07-01
publisher Taylor & Francis Group
record_format Article
series Journal of Psychosomatic Obstetrics and Gynecology
spelling doaj.art-68fca00a52df4291816802ee09bdc1762023-09-14T12:44:02ZengTaylor & Francis GroupJournal of Psychosomatic Obstetrics and Gynecology0167-482X1743-89422022-07-0143323724310.1080/0167482X.2022.20538442053844Patient-specific affect-abdominal pain interactions in endometriosis: an experience sampling method (ESM) studyE. van Barneveld0M. de Hertogh1L. Vork2N. van Hanegem3F. H. M. van Osch4J. W. Kruimel5M. Y. Bongers6C. Leue7A. C. Lim8Department of Gynaecology and Obstetrics, Maastricht University Medical CentreDepartment of Gynaecology and Obstetrics, Maastricht University Medical CentreNUTRIM School of Nutrition and Translational Research in MetabolismDepartment of Reproductive Medicine and Gynaecology, University Medical Centre Utrecht, Utrecht UniversityNUTRIM School of Nutrition and Translational Research in MetabolismNUTRIM School of Nutrition and Translational Research in MetabolismDepartment of Gynaecology and Obstetrics, Maastricht University Medical CentreDepartment of Psychiatry and Psychology, Maastricht University Medical CentreDepartment of Gynaecology and Obstetrics, Maastricht University Medical CentreObjectives Cross-sectional studies show that endometriosis-related pain is associated with affect. Measuring these symptoms in real-time in a longitudinal perspective yields the ability to analyze the temporal relationship between variables. The aim was to evaluate the association between affect and abdominal pain, using the Experience Sampling Method (ESM) as a real-time, randomly repeated assessment. Methods Thirty-four endometriosis patients and 31 healthy subjects completed up to 10 real-time self-assessments concerning abdominal pain and affective symptoms during seven consecutive days. Results Endometriosis patients experienced more abdominal pain and negative affective symptoms, and scored lower on positive affect compared to healthy controls. A significant association was found between abdominal pain and both positive and negative affect in endometriosis patients. For healthy controls, less strong or non-significant associations were found. When looking at abdominal pain as a predictor for affect and vice versa, we found that only in endometriosis patients, pain was subsequently accompanied by negative affect, and positive affect may alleviate pain in these patients. Conclusions This study confirms a concurrent and temporal relationship between affect and abdominal pain in endometriosis patients and supports the use of real-time symptom assessment to interpret potential influencers of abdominal complaints in patients with endometriosis.http://dx.doi.org/10.1080/0167482X.2022.2053844endometriosismomentary assessmentexperience sampling methodpositive affectnegative effectpaindepressionanxiety
spellingShingle E. van Barneveld
M. de Hertogh
L. Vork
N. van Hanegem
F. H. M. van Osch
J. W. Kruimel
M. Y. Bongers
C. Leue
A. C. Lim
Patient-specific affect-abdominal pain interactions in endometriosis: an experience sampling method (ESM) study
Journal of Psychosomatic Obstetrics and Gynecology
endometriosis
momentary assessment
experience sampling method
positive affect
negative effect
pain
depression
anxiety
title Patient-specific affect-abdominal pain interactions in endometriosis: an experience sampling method (ESM) study
title_full Patient-specific affect-abdominal pain interactions in endometriosis: an experience sampling method (ESM) study
title_fullStr Patient-specific affect-abdominal pain interactions in endometriosis: an experience sampling method (ESM) study
title_full_unstemmed Patient-specific affect-abdominal pain interactions in endometriosis: an experience sampling method (ESM) study
title_short Patient-specific affect-abdominal pain interactions in endometriosis: an experience sampling method (ESM) study
title_sort patient specific affect abdominal pain interactions in endometriosis an experience sampling method esm study
topic endometriosis
momentary assessment
experience sampling method
positive affect
negative effect
pain
depression
anxiety
url http://dx.doi.org/10.1080/0167482X.2022.2053844
work_keys_str_mv AT evanbarneveld patientspecificaffectabdominalpaininteractionsinendometriosisanexperiencesamplingmethodesmstudy
AT mdehertogh patientspecificaffectabdominalpaininteractionsinendometriosisanexperiencesamplingmethodesmstudy
AT lvork patientspecificaffectabdominalpaininteractionsinendometriosisanexperiencesamplingmethodesmstudy
AT nvanhanegem patientspecificaffectabdominalpaininteractionsinendometriosisanexperiencesamplingmethodesmstudy
AT fhmvanosch patientspecificaffectabdominalpaininteractionsinendometriosisanexperiencesamplingmethodesmstudy
AT jwkruimel patientspecificaffectabdominalpaininteractionsinendometriosisanexperiencesamplingmethodesmstudy
AT mybongers patientspecificaffectabdominalpaininteractionsinendometriosisanexperiencesamplingmethodesmstudy
AT cleue patientspecificaffectabdominalpaininteractionsinendometriosisanexperiencesamplingmethodesmstudy
AT aclim patientspecificaffectabdominalpaininteractionsinendometriosisanexperiencesamplingmethodesmstudy