(113) The Application of the Stable-Modifiable Model of Vulnerability and Resilience Processes in the Ovarian Endometriosis Population
Notice bibliographique
Résumé
Abstract Introduction Endometriosis is a painful, chronic inflammatory condition characterized by the presence of tissue similar to the lining of the uterus growing outside of the uterus, with the most common location being the ovaries (Audebert et al., 2018; O’Hara et al., 2021). Endometriosis can significantly disrupt sexual function and is associated with negative outcomes in mental health, relationship satisfaction, and quality of life (Friggi Sebe Petrelluzi et al., 2012; Smorgick et al., 2013). Although up to 10% of women are affected by endometriosis (As-Sanie et al., 2019), there is little research on the experience of sexual distress in people with endometriosis, especially in women who identify as sexual minorities. Most work in the area of pain has identified the risks that make one more susceptible to developing pain and pain-related distress, while little work has focused on potentially protective factors that might mitigate these risks and promote resilience (Darnell, 2021). By enlisting women who identify as a sexual minority (e.g., non-heterosexual), and thus taking a broader view of women’s healthy sexual activity, we may gain insight into ways in which any woman (with ovaries) may mitigate their sexual distress related to endometriosis. Objective The current study examined vulnerability and resilience factors contributing to sexual distress within an inclusive sample of women with ovarian endometriosis. It was hypothesized that women with ovarian endometriosis who reported lower levels of sexual self-consciousness and higher levels of sexual flexibility would experience lower levels of sexual distress, and women who identify as a sexual minority would report higher levels of sexual flexibility and lower levels of sexual distress resulting from ovarian endometriosis. Methods The current study was online in nature and recruited individuals with a self-reported clinician-identified diagnosis, or a self-reported suspected diagnosis, of ovarian endometriosis. All eligible participants completed measures assessing pain characteristics, sexual distress, and various resiliency and vulnerability constructs. Associations among these variables were examined via correlational analyses (Pearson’s r), differences between groups were examined via independent samples t-tests, and several moderated mediation models were run to determine what factor(s) predicted adaptive outcomes related to less sexual distress. Results Participants were 265 women who identified as a sexual majority (75.1%) or sexual minority (24.9%) with a confirmed (99.2%) or suspected (.8%) diagnosis of ovarian endometriosis. Results of the correlational analyses indicated: (1) sexual flexibility was negatively associated with sexual distress, r(226) = -.23, p <.001; (2) sexual flexibility was negatively associated with sexual self-consciousness, r(226) = -.19, p <.005; and (3) sexual self-consciousness was positively associated with sexual distress, r(227) = .45, p <.001. Results from independent samples t-tests and moderated mediation models were nonsignificant. Conclusions As the first investigation of the role of cognitive-affective factors in influencing sexual distress in an inclusive ovarian endometriosis population, the results of this study will contribute significantly to clinical practice in terms of providing novel targets for psychotherapeutic treatment options. Through investigating resilience processes, we may be able to ascertain whether adaptive factors (such as pain self-efficacy) account for functional health, independent of vulnerability factors (such as sexual self-consciousness). Disclosure No
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,004 | 0,011 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,002 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,002 | 0,002 |
| Communication savante | 0,002 | 0,001 |
| Science ouverte | 0,001 | 0,003 |
| Intégrité de la recherche | 0,001 | 0,002 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,020 | 0,001 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».