Mental Health and Social Support Are Key Predictors of Resilience in German Women with Endometriosis during the COVID-19 Pandemic

Background: Endometriosis is a multifaceted chronic pain disorder that can have an impact on both physical and mental health. Women suffering from chronic pain may be more susceptible to various health disorders, especially during adversity, such as the COVID-19 pandemic. Previous research has ident...
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Autor*in:	Roxana Schwab [verfasserIn] Kathrin Stewen [verfasserIn] Tanja Kottmann [verfasserIn] Katharina Anic [verfasserIn] Mona W. Schmidt [verfasserIn] Tania Elger [verfasserIn] Susanne Theis [verfasserIn] Stefanie R. Kalb [verfasserIn] Walburgis Brenner [verfasserIn] Annette Hasenburg [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2022

Schlagwörter:	endometriosis chronic pelvic pain resilience mental health COVID-19 pandemic

Übergeordnetes Werk:	In: Journal of Clinical Medicine - MDPI AG, 2013, 11(2022), 13, p 3684
Übergeordnetes Werk:	volume:11 ; year:2022 ; number:13, p 3684

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.3390/jcm11133684

Katalog-ID:	DOAJ039518221

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520			\|a Background: Endometriosis is a multifaceted chronic pain disorder that can have an impact on both physical and mental health. Women suffering from chronic pain may be more susceptible to various health disorders, especially during adversity, such as the COVID-19 pandemic. Previous research has identified resilience as a mediator between internal or external stressors and well-being. Methods: An online survey was conducted during the first wave of the COVID-19 pandemic in Germany through patient support groups of women with endometriosis. The Brief Resilience Score (BRS) was employed to evaluate resilience, while the PHQ-4 questionnaire was used to assess self-reported mental health. Univariate and multivariate logistic regression analyses were applied to determine resilience’s independent risk and protective parameters. Results: High educational level was found to be an independent supportive moderator of high resilience in women with a resilience score greater than the study population’s median (BRS < 2.66; OR 2.715; 95% CI 1.472–5.007; <i<p</i< = 0.001) but not in women in the highest resilience score quartile (BRS < 3.33). A decrease in perceived social support was detected to be the most powerful independent risk factor for low resilience: OR 0.541, 95% CI 0.307–0.952, <i<p</i< = 0.033 for predicting BRS < 2.66, and OR 0.397, 95% CI 0.189–0.832, <i<p</i< = 0.014 for predicting scores < 3.33 on the BRS scale. A high burden of mental health symptoms, as measured by the PHQ-4 scale, was negatively associated with resilience. Conclusions: Satisfying social support and good mental health were shown to be key resources for resilience. The results of this study may assist in the identification of women at risk for low resilience and the development of resilience-building strategies in patients with endometriosis.
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allfields	10.3390/jcm11133684 doi (DE-627)DOAJ039518221 (DE-599)DOAJ0053515e9d4a448b86aa4eec96785b84 DE-627 ger DE-627 rakwb eng Roxana Schwab verfasserin aut Mental Health and Social Support Are Key Predictors of Resilience in German Women with Endometriosis during the COVID-19 Pandemic 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Endometriosis is a multifaceted chronic pain disorder that can have an impact on both physical and mental health. Women suffering from chronic pain may be more susceptible to various health disorders, especially during adversity, such as the COVID-19 pandemic. Previous research has identified resilience as a mediator between internal or external stressors and well-being. Methods: An online survey was conducted during the first wave of the COVID-19 pandemic in Germany through patient support groups of women with endometriosis. The Brief Resilience Score (BRS) was employed to evaluate resilience, while the PHQ-4 questionnaire was used to assess self-reported mental health. Univariate and multivariate logistic regression analyses were applied to determine resilience’s independent risk and protective parameters. Results: High educational level was found to be an independent supportive moderator of high resilience in women with a resilience score greater than the study population’s median (BRS < 2.66; OR 2.715; 95% CI 1.472–5.007; <i<p</i< = 0.001) but not in women in the highest resilience score quartile (BRS < 3.33). A decrease in perceived social support was detected to be the most powerful independent risk factor for low resilience: OR 0.541, 95% CI 0.307–0.952, <i<p</i< = 0.033 for predicting BRS < 2.66, and OR 0.397, 95% CI 0.189–0.832, <i<p</i< = 0.014 for predicting scores < 3.33 on the BRS scale. A high burden of mental health symptoms, as measured by the PHQ-4 scale, was negatively associated with resilience. Conclusions: Satisfying social support and good mental health were shown to be key resources for resilience. The results of this study may assist in the identification of women at risk for low resilience and the development of resilience-building strategies in patients with endometriosis. endometriosis chronic pelvic pain resilience mental health COVID-19 pandemic Medicine R Kathrin Stewen verfasserin aut Tanja Kottmann verfasserin aut Katharina Anic verfasserin aut Mona W. Schmidt verfasserin aut Tania Elger verfasserin aut Susanne Theis verfasserin aut Stefanie R. Kalb verfasserin aut Walburgis Brenner verfasserin aut Annette Hasenburg verfasserin aut In Journal of Clinical Medicine MDPI AG, 2013 11(2022), 13, p 3684 (DE-627)718632478 (DE-600)2662592-1 20770383 nnns volume:11 year:2022 number:13, p 3684 https://doi.org/10.3390/jcm11133684 kostenfrei https://doaj.org/article/0053515e9d4a448b86aa4eec96785b84 kostenfrei https://www.mdpi.com/2077-0383/11/13/3684 kostenfrei https://doaj.org/toc/2077-0383 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 11 2022 13, p 3684
spelling	10.3390/jcm11133684 doi (DE-627)DOAJ039518221 (DE-599)DOAJ0053515e9d4a448b86aa4eec96785b84 DE-627 ger DE-627 rakwb eng Roxana Schwab verfasserin aut Mental Health and Social Support Are Key Predictors of Resilience in German Women with Endometriosis during the COVID-19 Pandemic 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Endometriosis is a multifaceted chronic pain disorder that can have an impact on both physical and mental health. Women suffering from chronic pain may be more susceptible to various health disorders, especially during adversity, such as the COVID-19 pandemic. Previous research has identified resilience as a mediator between internal or external stressors and well-being. Methods: An online survey was conducted during the first wave of the COVID-19 pandemic in Germany through patient support groups of women with endometriosis. The Brief Resilience Score (BRS) was employed to evaluate resilience, while the PHQ-4 questionnaire was used to assess self-reported mental health. Univariate and multivariate logistic regression analyses were applied to determine resilience’s independent risk and protective parameters. Results: High educational level was found to be an independent supportive moderator of high resilience in women with a resilience score greater than the study population’s median (BRS < 2.66; OR 2.715; 95% CI 1.472–5.007; <i<p</i< = 0.001) but not in women in the highest resilience score quartile (BRS < 3.33). A decrease in perceived social support was detected to be the most powerful independent risk factor for low resilience: OR 0.541, 95% CI 0.307–0.952, <i<p</i< = 0.033 for predicting BRS < 2.66, and OR 0.397, 95% CI 0.189–0.832, <i<p</i< = 0.014 for predicting scores < 3.33 on the BRS scale. A high burden of mental health symptoms, as measured by the PHQ-4 scale, was negatively associated with resilience. Conclusions: Satisfying social support and good mental health were shown to be key resources for resilience. The results of this study may assist in the identification of women at risk for low resilience and the development of resilience-building strategies in patients with endometriosis. endometriosis chronic pelvic pain resilience mental health COVID-19 pandemic Medicine R Kathrin Stewen verfasserin aut Tanja Kottmann verfasserin aut Katharina Anic verfasserin aut Mona W. Schmidt verfasserin aut Tania Elger verfasserin aut Susanne Theis verfasserin aut Stefanie R. Kalb verfasserin aut Walburgis Brenner verfasserin aut Annette Hasenburg verfasserin aut In Journal of Clinical Medicine MDPI AG, 2013 11(2022), 13, p 3684 (DE-627)718632478 (DE-600)2662592-1 20770383 nnns volume:11 year:2022 number:13, p 3684 https://doi.org/10.3390/jcm11133684 kostenfrei https://doaj.org/article/0053515e9d4a448b86aa4eec96785b84 kostenfrei https://www.mdpi.com/2077-0383/11/13/3684 kostenfrei https://doaj.org/toc/2077-0383 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 11 2022 13, p 3684
allfields_unstemmed	10.3390/jcm11133684 doi (DE-627)DOAJ039518221 (DE-599)DOAJ0053515e9d4a448b86aa4eec96785b84 DE-627 ger DE-627 rakwb eng Roxana Schwab verfasserin aut Mental Health and Social Support Are Key Predictors of Resilience in German Women with Endometriosis during the COVID-19 Pandemic 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Endometriosis is a multifaceted chronic pain disorder that can have an impact on both physical and mental health. Women suffering from chronic pain may be more susceptible to various health disorders, especially during adversity, such as the COVID-19 pandemic. Previous research has identified resilience as a mediator between internal or external stressors and well-being. Methods: An online survey was conducted during the first wave of the COVID-19 pandemic in Germany through patient support groups of women with endometriosis. The Brief Resilience Score (BRS) was employed to evaluate resilience, while the PHQ-4 questionnaire was used to assess self-reported mental health. Univariate and multivariate logistic regression analyses were applied to determine resilience’s independent risk and protective parameters. Results: High educational level was found to be an independent supportive moderator of high resilience in women with a resilience score greater than the study population’s median (BRS < 2.66; OR 2.715; 95% CI 1.472–5.007; <i<p</i< = 0.001) but not in women in the highest resilience score quartile (BRS < 3.33). A decrease in perceived social support was detected to be the most powerful independent risk factor for low resilience: OR 0.541, 95% CI 0.307–0.952, <i<p</i< = 0.033 for predicting BRS < 2.66, and OR 0.397, 95% CI 0.189–0.832, <i<p</i< = 0.014 for predicting scores < 3.33 on the BRS scale. A high burden of mental health symptoms, as measured by the PHQ-4 scale, was negatively associated with resilience. Conclusions: Satisfying social support and good mental health were shown to be key resources for resilience. The results of this study may assist in the identification of women at risk for low resilience and the development of resilience-building strategies in patients with endometriosis. endometriosis chronic pelvic pain resilience mental health COVID-19 pandemic Medicine R Kathrin Stewen verfasserin aut Tanja Kottmann verfasserin aut Katharina Anic verfasserin aut Mona W. Schmidt verfasserin aut Tania Elger verfasserin aut Susanne Theis verfasserin aut Stefanie R. Kalb verfasserin aut Walburgis Brenner verfasserin aut Annette Hasenburg verfasserin aut In Journal of Clinical Medicine MDPI AG, 2013 11(2022), 13, p 3684 (DE-627)718632478 (DE-600)2662592-1 20770383 nnns volume:11 year:2022 number:13, p 3684 https://doi.org/10.3390/jcm11133684 kostenfrei https://doaj.org/article/0053515e9d4a448b86aa4eec96785b84 kostenfrei https://www.mdpi.com/2077-0383/11/13/3684 kostenfrei https://doaj.org/toc/2077-0383 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 11 2022 13, p 3684
allfieldsGer	10.3390/jcm11133684 doi (DE-627)DOAJ039518221 (DE-599)DOAJ0053515e9d4a448b86aa4eec96785b84 DE-627 ger DE-627 rakwb eng Roxana Schwab verfasserin aut Mental Health and Social Support Are Key Predictors of Resilience in German Women with Endometriosis during the COVID-19 Pandemic 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Endometriosis is a multifaceted chronic pain disorder that can have an impact on both physical and mental health. Women suffering from chronic pain may be more susceptible to various health disorders, especially during adversity, such as the COVID-19 pandemic. Previous research has identified resilience as a mediator between internal or external stressors and well-being. Methods: An online survey was conducted during the first wave of the COVID-19 pandemic in Germany through patient support groups of women with endometriosis. The Brief Resilience Score (BRS) was employed to evaluate resilience, while the PHQ-4 questionnaire was used to assess self-reported mental health. Univariate and multivariate logistic regression analyses were applied to determine resilience’s independent risk and protective parameters. Results: High educational level was found to be an independent supportive moderator of high resilience in women with a resilience score greater than the study population’s median (BRS < 2.66; OR 2.715; 95% CI 1.472–5.007; <i<p</i< = 0.001) but not in women in the highest resilience score quartile (BRS < 3.33). A decrease in perceived social support was detected to be the most powerful independent risk factor for low resilience: OR 0.541, 95% CI 0.307–0.952, <i<p</i< = 0.033 for predicting BRS < 2.66, and OR 0.397, 95% CI 0.189–0.832, <i<p</i< = 0.014 for predicting scores < 3.33 on the BRS scale. A high burden of mental health symptoms, as measured by the PHQ-4 scale, was negatively associated with resilience. Conclusions: Satisfying social support and good mental health were shown to be key resources for resilience. The results of this study may assist in the identification of women at risk for low resilience and the development of resilience-building strategies in patients with endometriosis. endometriosis chronic pelvic pain resilience mental health COVID-19 pandemic Medicine R Kathrin Stewen verfasserin aut Tanja Kottmann verfasserin aut Katharina Anic verfasserin aut Mona W. Schmidt verfasserin aut Tania Elger verfasserin aut Susanne Theis verfasserin aut Stefanie R. Kalb verfasserin aut Walburgis Brenner verfasserin aut Annette Hasenburg verfasserin aut In Journal of Clinical Medicine MDPI AG, 2013 11(2022), 13, p 3684 (DE-627)718632478 (DE-600)2662592-1 20770383 nnns volume:11 year:2022 number:13, p 3684 https://doi.org/10.3390/jcm11133684 kostenfrei https://doaj.org/article/0053515e9d4a448b86aa4eec96785b84 kostenfrei https://www.mdpi.com/2077-0383/11/13/3684 kostenfrei https://doaj.org/toc/2077-0383 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 11 2022 13, p 3684
allfieldsSound	10.3390/jcm11133684 doi (DE-627)DOAJ039518221 (DE-599)DOAJ0053515e9d4a448b86aa4eec96785b84 DE-627 ger DE-627 rakwb eng Roxana Schwab verfasserin aut Mental Health and Social Support Are Key Predictors of Resilience in German Women with Endometriosis during the COVID-19 Pandemic 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Endometriosis is a multifaceted chronic pain disorder that can have an impact on both physical and mental health. Women suffering from chronic pain may be more susceptible to various health disorders, especially during adversity, such as the COVID-19 pandemic. Previous research has identified resilience as a mediator between internal or external stressors and well-being. Methods: An online survey was conducted during the first wave of the COVID-19 pandemic in Germany through patient support groups of women with endometriosis. The Brief Resilience Score (BRS) was employed to evaluate resilience, while the PHQ-4 questionnaire was used to assess self-reported mental health. Univariate and multivariate logistic regression analyses were applied to determine resilience’s independent risk and protective parameters. Results: High educational level was found to be an independent supportive moderator of high resilience in women with a resilience score greater than the study population’s median (BRS < 2.66; OR 2.715; 95% CI 1.472–5.007; <i<p</i< = 0.001) but not in women in the highest resilience score quartile (BRS < 3.33). A decrease in perceived social support was detected to be the most powerful independent risk factor for low resilience: OR 0.541, 95% CI 0.307–0.952, <i<p</i< = 0.033 for predicting BRS < 2.66, and OR 0.397, 95% CI 0.189–0.832, <i<p</i< = 0.014 for predicting scores < 3.33 on the BRS scale. A high burden of mental health symptoms, as measured by the PHQ-4 scale, was negatively associated with resilience. Conclusions: Satisfying social support and good mental health were shown to be key resources for resilience. The results of this study may assist in the identification of women at risk for low resilience and the development of resilience-building strategies in patients with endometriosis. endometriosis chronic pelvic pain resilience mental health COVID-19 pandemic Medicine R Kathrin Stewen verfasserin aut Tanja Kottmann verfasserin aut Katharina Anic verfasserin aut Mona W. Schmidt verfasserin aut Tania Elger verfasserin aut Susanne Theis verfasserin aut Stefanie R. Kalb verfasserin aut Walburgis Brenner verfasserin aut Annette Hasenburg verfasserin aut In Journal of Clinical Medicine MDPI AG, 2013 11(2022), 13, p 3684 (DE-627)718632478 (DE-600)2662592-1 20770383 nnns volume:11 year:2022 number:13, p 3684 https://doi.org/10.3390/jcm11133684 kostenfrei https://doaj.org/article/0053515e9d4a448b86aa4eec96785b84 kostenfrei https://www.mdpi.com/2077-0383/11/13/3684 kostenfrei https://doaj.org/toc/2077-0383 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 11 2022 13, p 3684
language	English
source	In Journal of Clinical Medicine 11(2022), 13, p 3684 volume:11 year:2022 number:13, p 3684
sourceStr	In Journal of Clinical Medicine 11(2022), 13, p 3684 volume:11 year:2022 number:13, p 3684
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topic_facet	endometriosis chronic pelvic pain resilience mental health COVID-19 pandemic Medicine R
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container_title	Journal of Clinical Medicine
authorswithroles_txt_mv	Roxana Schwab @@aut@@ Kathrin Stewen @@aut@@ Tanja Kottmann @@aut@@ Katharina Anic @@aut@@ Mona W. Schmidt @@aut@@ Tania Elger @@aut@@ Susanne Theis @@aut@@ Stefanie R. Kalb @@aut@@ Walburgis Brenner @@aut@@ Annette Hasenburg @@aut@@
publishDateDaySort_date	2022-01-01T00:00:00Z
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topic_title	Mental Health and Social Support Are Key Predictors of Resilience in German Women with Endometriosis during the COVID-19 Pandemic endometriosis chronic pelvic pain resilience mental health COVID-19 pandemic
topic	misc endometriosis misc chronic pelvic pain misc resilience misc mental health misc COVID-19 pandemic misc Medicine misc R
topic_unstemmed	misc endometriosis misc chronic pelvic pain misc resilience misc mental health misc COVID-19 pandemic misc Medicine misc R
topic_browse	misc endometriosis misc chronic pelvic pain misc resilience misc mental health misc COVID-19 pandemic misc Medicine misc R
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title	Mental Health and Social Support Are Key Predictors of Resilience in German Women with Endometriosis during the COVID-19 Pandemic
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title_full	Mental Health and Social Support Are Key Predictors of Resilience in German Women with Endometriosis during the COVID-19 Pandemic
author_sort	Roxana Schwab
journal	Journal of Clinical Medicine
journalStr	Journal of Clinical Medicine
lang_code	eng
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author_browse	Roxana Schwab Kathrin Stewen Tanja Kottmann Katharina Anic Mona W. Schmidt Tania Elger Susanne Theis Stefanie R. Kalb Walburgis Brenner Annette Hasenburg
container_volume	11
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author-letter	Roxana Schwab
doi_str_mv	10.3390/jcm11133684
author2-role	verfasserin
title_sort	mental health and social support are key predictors of resilience in german women with endometriosis during the covid-19 pandemic
title_auth	Mental Health and Social Support Are Key Predictors of Resilience in German Women with Endometriosis during the COVID-19 Pandemic
abstract	Background: Endometriosis is a multifaceted chronic pain disorder that can have an impact on both physical and mental health. Women suffering from chronic pain may be more susceptible to various health disorders, especially during adversity, such as the COVID-19 pandemic. Previous research has identified resilience as a mediator between internal or external stressors and well-being. Methods: An online survey was conducted during the first wave of the COVID-19 pandemic in Germany through patient support groups of women with endometriosis. The Brief Resilience Score (BRS) was employed to evaluate resilience, while the PHQ-4 questionnaire was used to assess self-reported mental health. Univariate and multivariate logistic regression analyses were applied to determine resilience’s independent risk and protective parameters. Results: High educational level was found to be an independent supportive moderator of high resilience in women with a resilience score greater than the study population’s median (BRS < 2.66; OR 2.715; 95% CI 1.472–5.007; <i<p</i< = 0.001) but not in women in the highest resilience score quartile (BRS < 3.33). A decrease in perceived social support was detected to be the most powerful independent risk factor for low resilience: OR 0.541, 95% CI 0.307–0.952, <i<p</i< = 0.033 for predicting BRS < 2.66, and OR 0.397, 95% CI 0.189–0.832, <i<p</i< = 0.014 for predicting scores < 3.33 on the BRS scale. A high burden of mental health symptoms, as measured by the PHQ-4 scale, was negatively associated with resilience. Conclusions: Satisfying social support and good mental health were shown to be key resources for resilience. The results of this study may assist in the identification of women at risk for low resilience and the development of resilience-building strategies in patients with endometriosis.
abstractGer	Background: Endometriosis is a multifaceted chronic pain disorder that can have an impact on both physical and mental health. Women suffering from chronic pain may be more susceptible to various health disorders, especially during adversity, such as the COVID-19 pandemic. Previous research has identified resilience as a mediator between internal or external stressors and well-being. Methods: An online survey was conducted during the first wave of the COVID-19 pandemic in Germany through patient support groups of women with endometriosis. The Brief Resilience Score (BRS) was employed to evaluate resilience, while the PHQ-4 questionnaire was used to assess self-reported mental health. Univariate and multivariate logistic regression analyses were applied to determine resilience’s independent risk and protective parameters. Results: High educational level was found to be an independent supportive moderator of high resilience in women with a resilience score greater than the study population’s median (BRS < 2.66; OR 2.715; 95% CI 1.472–5.007; <i<p</i< = 0.001) but not in women in the highest resilience score quartile (BRS < 3.33). A decrease in perceived social support was detected to be the most powerful independent risk factor for low resilience: OR 0.541, 95% CI 0.307–0.952, <i<p</i< = 0.033 for predicting BRS < 2.66, and OR 0.397, 95% CI 0.189–0.832, <i<p</i< = 0.014 for predicting scores < 3.33 on the BRS scale. A high burden of mental health symptoms, as measured by the PHQ-4 scale, was negatively associated with resilience. Conclusions: Satisfying social support and good mental health were shown to be key resources for resilience. The results of this study may assist in the identification of women at risk for low resilience and the development of resilience-building strategies in patients with endometriosis.
abstract_unstemmed	Background: Endometriosis is a multifaceted chronic pain disorder that can have an impact on both physical and mental health. Women suffering from chronic pain may be more susceptible to various health disorders, especially during adversity, such as the COVID-19 pandemic. Previous research has identified resilience as a mediator between internal or external stressors and well-being. Methods: An online survey was conducted during the first wave of the COVID-19 pandemic in Germany through patient support groups of women with endometriosis. The Brief Resilience Score (BRS) was employed to evaluate resilience, while the PHQ-4 questionnaire was used to assess self-reported mental health. Univariate and multivariate logistic regression analyses were applied to determine resilience’s independent risk and protective parameters. Results: High educational level was found to be an independent supportive moderator of high resilience in women with a resilience score greater than the study population’s median (BRS < 2.66; OR 2.715; 95% CI 1.472–5.007; <i<p</i< = 0.001) but not in women in the highest resilience score quartile (BRS < 3.33). A decrease in perceived social support was detected to be the most powerful independent risk factor for low resilience: OR 0.541, 95% CI 0.307–0.952, <i<p</i< = 0.033 for predicting BRS < 2.66, and OR 0.397, 95% CI 0.189–0.832, <i<p</i< = 0.014 for predicting scores < 3.33 on the BRS scale. A high burden of mental health symptoms, as measured by the PHQ-4 scale, was negatively associated with resilience. Conclusions: Satisfying social support and good mental health were shown to be key resources for resilience. The results of this study may assist in the identification of women at risk for low resilience and the development of resilience-building strategies in patients with endometriosis.
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container_issue	13, p 3684
title_short	Mental Health and Social Support Are Key Predictors of Resilience in German Women with Endometriosis during the COVID-19 Pandemic
url	https://doi.org/10.3390/jcm11133684 https://doaj.org/article/0053515e9d4a448b86aa4eec96785b84 https://www.mdpi.com/2077-0383/11/13/3684 https://doaj.org/toc/2077-0383
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author2	Kathrin Stewen Tanja Kottmann Katharina Anic Mona W. Schmidt Tania Elger Susanne Theis Stefanie R. Kalb Walburgis Brenner Annette Hasenburg
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up_date	2024-07-03T23:42:11.875Z
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