Endometriosis is a chronic estrogen-dependent inflammatory disease with high prevalence (approximately 10% of women of reproductive age) that generates a substantial psychological burden, frequently underestimated in clinical practice. This article critically reviews the international scientific literature on the psychopathological consequences of endometriosis, with particular focus on body identity, sexuality, fertility, and the experience of chronic pain.Method. Critical narrative review of empirical studies, meta-analyses, and systematic reviews published between 2000 and 2024 on PubMed, PsycINFO, and Scopus databases. A total of 47 high-quality studies were included.Results. Endometriosis is associated with significantly elevated rates of major depressive disorder (OR 3.09), generalised anxiety disorder (OR 2.78), chronic pain-related PTSD, alexithymia, body image distortion, and reduced quality of life. The mean diagnostic delay (6-10 years) amplifies psychological trauma and fosters dysfunctional cognitive schemas. The psychodynamic and cognitive-behavioural mechanisms involved are analysed in depth.Conclusions. An integrated psychotherapeutic intervention model is proposed, based on the convergence of Acceptance and Commitment Therapy (ACT), EMDR for chronic pain, psychoeducation, and systemic-relational intervention, as an evidence-based protocol for the psychological care of patients with endometriosis.
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- Francesco Mappa (Author), 2025, Endometriosis and Clinical Psychology, Munich, GRIN Verlag, https://www.grin.com/document/1730618
