Department of Psychology, Université de Montréal, Montréal, Québec, Canada.
J Sex Med. 2010 Nov;7(11):3715-24. doi: 10.1111/j.1743-6109.2010.01957.x.
Provoked vestibulodynia (PVD) is a highly prevalent vulvovaginal pain condition that results in significant sexual dysfunction, psychological distress, and reduced quality of life. Although some intra-individual psychological factors have been associated with PVD, studies to date have neglected the interpersonal context of this condition.
We examined whether partner responses to women's pain experience-from the perspective of both the woman and her partner-are associated with pain intensity, sexual function, and sexual satisfaction.
One hundred ninety-one couples (M age for women=33.28, standard deviation [SD]=12.07, M age for men=35.79, SD=12.44) in which the woman suffered from PVD completed the spouse response scale of the Multidimensional Pain Inventory, assessing perceptions of partners' responses to the pain. Women with PVD also completed measures of pain, sexual function, sexual satisfaction, depression, and dyadic adjustment.
Dependent measures were women's responses to: (i) a horizontal analog scale assessing the intensity of their pain during intercourse; (ii) the Female Sexual Function Index; and (iii) the Global Measure of Sexual Satisfaction Scale.
Controlling for depression, higher solicitous partner responses were associated with higher levels of women's vulvovaginal pain intensity. This association was significant for partner-perceived responses (β=0.29, P<0.001) and for woman-perceived partner responses (β=0.16, P=0.04). After controlling for sexual function and dyadic adjustment, woman-perceived greater solicitous partner responses (β=0.16, P=0.02) predicted greater sexual satisfaction. Partner-perceived responses did not predict women's sexual satisfaction. Partner responses were not associated with women's sexual function.
Findings support the integration of dyadic processes in the conceptualization and treatment of PVD by suggesting that partner responses to pain affect pain intensity and sexual satisfaction in affected women.
诱发性阴道痉挛（PVD）是一种普遍存在的外阴阴道疼痛疾病，会导致严重的性功能障碍、心理困扰和生活质量下降。尽管一些个体心理因素与 PVD 相关，但迄今为止的研究忽视了这种疾病的人际背景。
我们研究了从女性及其伴侣的角度来看，伴侣对女性疼痛体验的反应是否与疼痛强度、性功能和性满意度相关。
191 对夫妇（女性的平均年龄为 33.28 岁，标准差 [SD] = 12.07 岁，男性的平均年龄为 35.79 岁，SD = 12.44 岁），其中女性患有 PVD，完成了多维疼痛量表中的配偶反应量表，评估了伴侣对疼痛的反应。患有 PVD 的女性还完成了疼痛、性功能、性满意度、抑郁和夫妻适应度的测量。
依赖指标为女性对以下内容的反应：（i）评估性交时疼痛强度的水平模拟量表；（ii）女性性功能指数；（iii）全球性行为满意度量表。
控制抑郁后，更体贴的伴侣反应与女性外阴阴道疼痛强度的增加相关。这种关联在伴侣感知的反应（β=0.29，P<0.001）和女性感知的伴侣反应（β=0.16，P=0.04）中都具有统计学意义。在控制性功能和夫妻适应度后，女性感知到的伴侣更大的体贴反应（β=0.16，P=0.02）预测了更大的性满意度。伴侣感知的反应与女性的性满意度无关。伴侣反应与女性的性功能无关。
这些发现支持将二元过程纳入 PVD 的概念化和治疗中，表明伴侣对疼痛的反应会影响受影响女性的疼痛强度和性满意度。
