Jodoin Mélanie, Bergeron Sophie, Khalifé Samir, Dupuis Marie-José, Desrochers Geneviève, Leclerc Bianca
Department of Sexology, University of Quebec at Montreal, Montreal, QC, Canada.
J Sex Med. 2008 Dec;5(12):2862-70. doi: 10.1111/j.1743-6109.2008.00950.x. Epub 2008 Jul 15.
Provoked vestibulodynia is a female genital pain condition that results in sexual dysfunction and impacts negatively on the couple. Although patients' causal attributions have been linked to worse psychosexual outcomes, no study has documented the male partners' perspective of this distressing problem and its potential influence on their psychosexual adaptation.
To identify whether male partners' attributions for vestibulodynia are possible predictors of their dyadic adjustment, sexual functioning, sexual satisfaction, and psychological distress, as well as of women's pain and sexual functioning.
Thirty-eight women with vestibulodynia first completed measures of pain intensity and sexual functioning. Male partners responded to mailed questionnaires assessing their own attributions for genital pain as well as their psychological distress, relationship adjustment, sexual functioning, and sexual satisfaction.
Women completed the McGill-Melzack Pain Questionnaire (MPQ) and the Female Sexual Function Index (FSFI). Attributions of male partners were measured using an adapted version of the Attributional Style Questionnaire (ASQ)-Partner Version. Men also filled out the Brief Symptom Inventory (BSI), the Dyadic Adjustment Scale (DAS), the Sexual History Form (SHF), and the Global Measure of Sexual Satisfaction (GMSEX).
All four negative attribution dimensions and higher levels of women's pain intensity successfully predicted increased psychological distress in male partners. Higher levels of both internal and global attributions were associated with men's poorer dyadic adjustment, whereas global and stable attributions were related to their lower sexual satisfaction. Attributions failed to significantly predict sexual functioning in male partners and women's pain and sexual functioning.
Evaluation and treatment of sexual pain problems should involve both partners and should explore the role of negative attributions.
诱发性前庭疼痛是一种女性生殖器疼痛病症，会导致性功能障碍，并对伴侣关系产生负面影响。尽管患者的因果归因与较差的性心理结果有关，但尚无研究记录男性伴侣对这一令人苦恼问题的看法及其对他们性心理适应的潜在影响。
确定男性伴侣对前庭疼痛的归因是否可能预测他们的二元调适、性功能、性满意度和心理困扰，以及女性的疼痛和性功能。
38名患有前庭疼痛的女性首先完成了疼痛强度和性功能的测量。男性伴侣回复了邮寄的问卷，评估他们对生殖器疼痛的自身归因以及他们的心理困扰、关系调适、性功能和性满意度。
女性完成了麦吉尔-梅尔扎克疼痛问卷（MPQ）和女性性功能指数（FSFI）。男性伴侣的归因使用归因风格问卷（ASQ）伴侣版的改编版本进行测量。男性还填写了简明症状量表（BSI）、二元调适量表（DAS）、性史表格（SHF）和性满意度总体测量量表（GMSEX）。
所有四个负面归因维度以及女性较高的疼痛强度均成功预测了男性伴侣心理困扰的增加。较高水平的内部归因和总体归因与男性较差的二元调适相关，而总体归因和稳定归因与他们较低的性满意度相关。归因未能显著预测男性伴侣的性功能以及女性的疼痛和性功能。
性疼痛问题的评估和治疗应涉及双方伴侣，并应探讨负面归因的作用。
