Evidence map›Paper›PMID 41188592›Full record

ArticleInternational journal of behavioral medicine2026

Psychoneuroendocrine Associations with Momentary Pelvic Pain in Endometriosis.

Katharina van Stein, Martin Stoffel, Anne Marshall, Ariane Germeyer, Sabine Herpertz, Valery Grinevich, Monika Eckstein, Ditzen Beate

Abstract read
In one paragraph

Article in International journal of behavioral medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Katharina van SteinFaculty of of Behavioural and Cultural Studies, Ruprecht Karls-University Heidelberg and Heidelberg University Hospital, Heidelberg, Germany. katharina.vanstein@hmu-erfurt.de.
Martin StoffelFaculty of of Behavioural and Cultural Studies, Ruprecht Karls-University Heidelberg and Heidelberg University Hospital, Heidelberg, Germany.
Anne MarshallDepartment of Gynaecological Endocrinology and Fertility Disorders, University Women's Hospital, Heidelberg, Germany.
Ariane GermeyerDepartment of Gynaecological Endocrinology and Fertility Disorders, University Women's Hospital, Heidelberg, Germany.
Sabine HerpertzGerman Center for Mental Health (DZPG), partner site Heidelberg/Mannheim/Ulm, Germany.
Valery GrinevichGerman Center for Mental Health (DZPG), partner site Heidelberg/Mannheim/Ulm, Germany.
Monika EcksteinFaculty of of Behavioural and Cultural Studies, Ruprecht Karls-University Heidelberg and Heidelberg University Hospital, Heidelberg, Germany.
Ditzen BeateFaculty of of Behavioural and Cultural Studies, Ruprecht Karls-University Heidelberg and Heidelberg University Hospital, Heidelberg, Germany. Beate.Ditzen@med.uni-heidelberg.de.

Funding

Deutsche Forschungsgemeinschaft SFB1158
6 · The paper itself

Abstract

backgroundEndometriosis is a gynecological condition which often causes chronic or recurrent pelvic pain (CPP). The disease can thereby impose a significant burden on affected individuals and their romantic relationships. Existing research highlights the substantial influence of stress, social support, and hormonal factors on pain experience, but data from daily life is scarce.

methodsThis ecological momentary assessment (EMA) study aimed to explore the association of stress, partners' social support styles, cortisol, and oxytocin in daily life with pain experiences among women with CPP (N = 66) across 7 days, resulting in a dataset with up to 2100 data points per variable across multiple measures.

resultsStress was positively correlated with pain ratings both within and between individuals, while no significant associations were observed between salivary cortisol or oxytocin levels and pain ratings. Distracting as well as solicitous social support was positively related to higher pain ratings on a between-person level but showed no or slightly negative associations with pain on a within-person level.

conclusionThese findings suggest that both stress and social support can adversely impact pain experience in endometriosis. This knowledge is essential for developing comprehensive interventions: While stress management can be beneficial, the role of social support is more intricate, requiring tailored guidance for close others and their support behavior.

Indexed as

EndometriosisHydrocortisoneOxytocinPelvic PainSocial SupportStress, PsychologicalAdultEcological Momentary AssessmentFemaleHumansMiddle AgedPain MeasurementSalivaYoung AdultHydrocortisoneOxytocinEndometriosisExperience samplingPainPsychoneuroendocrinologySocial supportStress

Identifiers

PMID41188592
PMCPMC13161250

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.