Cognitive Behaviour Therapy (CBT) and Mindfulness for Endometriosis.

Not Applicable

Completed

• Conditions: Endometriosis; Persistent Pain; Mental Health - Studies of normal psychology, cognitive function and behaviour; Renal and Urogenital - Other renal and urogenital disorders

• Registration Number: ACTRN12618001894280
• Lead Sponsor: niversity of Tasmania

Brief Summary

Endometriosis is long-term condition experienced by about one in nine people assigned female at birth. Even with medical treatment, symptoms of endometriosis cause poorer health-related quality of life and psychological wellbeing, suggesting the need for psychological treatment. This study aimed to create and run an 8-week group cognitive-behavioural therapy and mindfulness psychological therapy program for people with endometriosis. This study also aimed to determine whether the program was practical, appropriate, and could improve participant’s health-related quality of life and psychological wellbeing. Sixty-four participants with medically confirmed endometriosis chose to join either the group therapy program or continue care as usual, and all participants answered questionnaires at the baseline, 8 weeks, one-month follow-up, and 6 months follow-up. Participants who completed the group therapy program reported significantly improved health-related quality of life, anxiety, stress, and mindfulness scores over time. The group therapy program for endometriosis was found to be practical and appropriate, with evidence that it was more effective than care as usual in improving health-related quality of life and psychological wellbeing over time. The findings provide further evidence for the benefit of psychological treatment in the management of endometriosis.

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2018-11-21
• Study Completion: 2021-05-28
• Last Update Posted: 29 January 2024

Recruitment & Eligibility

• Status: Completed
• Sex: Female
• Target Recruitment: 77

Inclusion Criteria

Participants will be women, aged 18 years or over, who experience symptoms of endometriosis. Inclusion criteria for all women will include information regarding diagnostic classification (e.g., diagnostic category, disease stage/classification) and a referral letter completed by their general practitioner for treatment participation.

Exclusion Criteria

Exclusion criteria for all women will be current engagement in group psychological treatment, current experience of psychosis, substance abuse, mania, or suicidal ideation and intent. Women with significant cognitive deficits will also be excluded due to the ethical requirements of informed consent and a potential inability to self-select and due to the cognitive nature of the specific interventions. Pregnant women will be excluded to minimise the possibility of an inability to complete the program due to pregnancy-related factors. However, due to ethical and professional duty of care, women who conceive while completing the program will be able to continue.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Quality of Life:<br><br>Endometriosis Health Profile (EHP-30): This is a health- related quality-of-life (HRQoL) questionnaire developed to specifically address the impact of the disease on the physical, psychological, and social aspects of women’s lives.[ Baseline (7 days prior to completing week one), Posttreatment (within 7 days of completion of the final intervention session) and at six-month follow-up.]