Journal
INTERNATIONAL JOURNAL OF BEHAVIORAL MEDICINE
Volume 30, Issue 4, Pages 543-554Publisher
SPRINGER
DOI: 10.1007/s12529-022-10118-1
Keywords
Body image; Endometriosis; Qualitative; Chronic illness; Gynecology; Thematic analysis
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This study aimed to understand how endometriosis impacts on affective and perceptual aspects of body image. Through analyzing the written narratives of 40 participants with endometriosis, the study found that endometriosis has wide-ranging impacts on body image, highlighting the need for targeted interventions.
Background Endometriosis is a chronic reproductive disease manifesting in physical symptoms including pain, abdominal swelling, altered bowel and bladder function, and fatigue. These symptoms potentially threaten body image regarding subjective perceptions of functional, appearance, and sensory aspects of one's body. The aim of this study was to qualitatively understand how endometriosis impacts on affective and perceptual aspects of body image. Method Participants (N = 40) were recruited through endometriosis consumer organizations. In an online survey, participants completed demographic and health history questions, then provided written narratives about body image-related impacts of their endometriosis in response to open-ended questions. These data were thematically analyzed using the template approach. Findings The majority of participants (M-age = 28.3 years) were employed part-time, diagnosed on average for 4.2 years, and reported pelvic pain and bloating, fatigue, and nausea symptoms. Thematic analysis yielded three themes including My Body is a Barrier, Needing to Hide Myself, and Body as Healer and Teacher, all of which reflected affective and perceptual aspects of body image. Conclusion These findings highlight wide-ranging body image-related impacts of endometriosis, suggesting the need for targeted interventions to address these concerns.
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