Resilience, anxiety, depression, and life satisfaction in women suffering from endometriosis: a mediation model

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This study found that in women with endometriosis, higher resilience was directly associated with greater life satisfaction and indirectly through lower anxiety and depression.

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Abstract

The main goal of this cross-sectional study was to assess the relationship between resilience and life satisfaction in women suffering from endometriosis and examine anxiety and depression as mediators in this relationship. The study sample included 349 Caucasian women aged from 18 to 56 years (M = 32.94; SD = 6.74) suffering from endometriosis surgically diagnosed and histologically confirmed. The life satisfaction level was assessed by the Satisfaction with Life Scale (SWLS). Unspecific anxiety was evaluated using the General Anxiety Disorder-7 scale (GAD-7). Depression symptoms were assessed using the Patient Health Questionnaire-9 (PHQ-9). Resilience was measured using the Resilience Assessment Scale (SPP-25). Life satisfaction correlated negatively with anxiety and depression, but positively with resilience. Resilience correlated negatively with anxiety and depression. Anxiety and resilience accounted for 25% of the life satisfaction variance. Depression and resilience explained 35% of the variance in life satisfaction. Among resilience components, personal coping skills, tolerance of negative affect, tolerance of failures and treating life as a challenge, openness to new experiences and a sense of humour, and optimistic life attitude and ability to mobilize in difficult situations were the best predictors of life satisfaction. Anxiety and depression may serve as mediators in the relationship between resilience and life satisfaction. Our results suggested that resilience may be related to life satisfaction in women suffering from endometriosis directly and indirectly as mediated by anxiety and depression.

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Condition tags

mesh:D004715endometriosis

MeSH descriptors

Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Resilience, Psychological Resilience, Psychological Resilience, Psychological Resilience, Psychological Resilience, Psychological

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (51)

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europepmc
last seen: 2026-06-04T01:30:01.192114+00:00
openalex
last seen: 2026-06-04T00:00:01.174412+00:00
pubmed
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License: CC0 · commercial use OK