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Cortica

Revue de la littérature

Vol. 2 No. 1 (2023): Apprivoiser le cerveau pour mieux enseigner : Avoir et Être!

A PSYCHOSOMATIC PERSPECTIVE ON ENDOMETRIOSIS – A MINI REVIEW

DOI
https://doi.org/10.26034/cortica.2023.3778
Soumise
March 8, 2023
Publié-e
2023-03-20

Résumé

Objectif: L’endométriose est une affection médicale extrêmement invalidante et à long terme, caractérisée par la présence de tissu semblable à l’endomètre à l’extérieur de l’utérus, se manifestant généralement par des crampes, des douleurs menstruelles et ovulatoires, des douleurs abdominales inférieures et/ou pelviennes, une fatigue chronique, une dyspareunie et une infertilité. L’endométriose est souvent comorbide avec une détresse psychologique qui aggrave la qualité de vie des femmes touchées. Méthodes: L’objectif principal était d’examiner les preuves actuelles sur la prise en charge de l’endométriose d’un point de vue psychosomatique. La littérature a été synthétisée et résumée dans un format narratif. La recherche documentaire a été effectuée à l’aide de PubMed, à partir de rapports, d’articles de synthèse, de méta-analyses, de synthèses et de lignes directrices publiées en anglais au cours des 15 dernières années. Résultats : Cinq sujets principaux sont abordés et discutés : la pathogenèse de l’endométriose, l’endométriose et les caractéristiques psychologiques, l’endométriose et la comorbidité psychiatrique, le stress en début de vie comme facteur prédisposant à la sensibilisation à la douleur ; et les implications pour le traitement. Conclusions : La littérature disponible souligne clairement qu’il est important de considérer et de traiter la comorbidité de l’endométriose avec des facteurs psychologiques qui affectent la gestion de la douleur.

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