Study Reveals High Prevalence of Depression and Anxiety in Endometriosis Patients

Patients with endometriosis often experience comorbid depression and anxiety, yet the underlying mechanisms connecting these conditions are unclear. Recent research from Fudan University in Shanghai, China, aimed to address this knowledge gap by examining the prevalence of depression and anxiety in endometriosis patients and exploring neuroimmune mechanisms mediated by inflammatory biomarkers.

Key Takeaways:

  • The study found that approximately 42.5% of patients with endometriosis-associated chronic pain exhibited clinically significant depression, and 51.0% showed anxiety symptoms.
  • Serum levels of inflammatory biomarkers such as interleukin-6 (IL-6), interleukin-1 beta (IL-1b), tumor necrosis factor-alpha, and C-reactive protein were significantly higher in patients with comorbid depression and anxiety compared to those without psychological symptoms.
  • The research concluded that therapeutic targets for managing psychological comorbidities in patients with endometriosis should be explored through anti-inflammatory interventions, and an integrated treatment approach addressing both physical and psychological symptoms is emphasized.
  • The study involved a retrospective cohort study of 200 patients with endometriosis-associated chronic pain from June 2020 to December 2024.
  • The researchers used validated psychological instruments to assess depression and anxiety, as well as visual analog scales to measure pain severity.

Statistics:

  • 42.5% of patients exhibited clinically significant depression.
  • 51.0% of patients showed anxiety symptoms.
  • Serum levels of IL-6, IL-1b, tumor necrosis factor-alpha, and C-reactive protein were 2.5 times higher in patients with comorbid depression and anxiety compared to those without psychological symptoms.
  • The study involved a cohort of 200 patients with endometriosis-associated chronic pain from June 2020 to December 2024.

Sources:

  • World Journal of Psychiatry, 2025;15(10):107147.
  • NewsRx, "Study Results from Fudan University Update Understanding of Chronic Pain (Depression and anxiety in patients with endometriosis-associated chronic pain: Neuroimmune mechanisms mediated by inflammatory factors)".
  • Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, Ca, United States (publisher of World Journal of Psychiatry).