Discussion
endometriosis, pelvic pain, constipation, pain, endometriosis-related, chronic pain
CHRONIC PAIN, ENDOMETRIOSIS
In this rigorous three-armed design we have demonstrated that psychological intervention (PI) does not significantly reduce pelvic pain in women suffering from endometriosis. Instead, PI led to large and significant improvements in QoL despite an ongoing experience of severe CPP.Cochrane meta-analyses of psychological interventions have found that in a range of chronic pain conditions, lasting on average 9 years, Cognitive and Behavioral Therapy (CBT) shows small benefits in pain compared to active control conditions. Behavioral Therapy and ACT did not show such effects [The present study also found significant improvements in the endometriosis-related symptoms “dyschezia” and “constipation”. Studies indicate that bowel symptoms are frequent in endometriosis with interruptions in daily functioning [Contrary to the majority of previous studies comparing mindfulness- and acceptance-based intervention to an active control [