Health-related quality of life in individuals with endometriosis and mental health symptoms: A scoping review
Bibliographic record
Abstract
• Endometriosis with associated mental health symptoms lowers health-related quality of life. • Symptoms of anxiety and depression are associated with a greater number of endometriosis symptoms. • Further research is required and should report standardized outcomes that can be meta-analyzed and adjust for confounding. Individuals with endometriosis present a high prevalence of mental health symptoms, including depressive and anxiety symptoms, which may contribute to lower health-related quality of life (HRQoL). Therefore, we conducted a scoping review to determine the association between mental health symptoms and HRQoL in individuals with endometriosis. Seven databases were queried with the search strategy. Studies were eligible for inclusion if the population examined included people with endometriosis and mental health symptoms. All studies were screened and data synthesized by a minimum of two reviewers. The findings are reported narratively. Of the 10,847 records identified, five were included in this scoping review. A cross-sectional study found a moderate correlation between worse HRQoL and both depressive symptoms (r = −0.54, p < 0.001) and anxiety symptoms (r = −0.60, p < 0.001). Similarly, two small cross-sectional studies found a correlation between depressive symptoms and worse HRQoL (r = 0.701, p < 0.01; r = 0.515, p < 0.01), and between anxiety symptoms and worse HRQoL (r = 0.546, p < 0.01; r = 0.295, p < 0.01); these correlation coefficients are positive as this study utilized a scale in which a higher value indicated worse HRQoL. A larger cross-sectional study found that both depressive and anxiety symptoms were associated with a greater number of endometriosis symptoms. A recent cross-sectional study found that the HRQoL score was significantly higher (indicating worse HRQoL) in individuals with endometriosis with any of the six types of mental health symptoms considered than in those without mental health symptoms, 96.47(±28.37) and 72.41(±29.43) respectively (p < 0.001). The results of this scoping review suggest that depressive and anxiety symptoms negatively impact HRQoL in people with endometriosis. Further research in this field is required, and future studies should aim to report standardized outcomes that can be statistically assessed.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.010 | 0.062 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.006 | 0.007 |
| Bibliometrics | 0.017 | 0.016 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.004 | 0.003 |
| Open science | 0.002 | 0.003 |
| Research integrity | 0.003 | 0.002 |
| Insufficient payload (model declined to judge) | 0.004 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".