阴蒂疼痛患者手术后持续性疼痛的性心理相关因素。
Psychosexual correlates of persistent postsurgical pain in patients with vulvodynia.
机构信息
Department of Obstetrics and Gynecology, Pelvic Pain Research Unit, Division of Advanced Laparoscopy and Pelvic Pain, University of North Carolina School of Medicine, Chapel Hill, USA.
出版信息
Int J Gynaecol Obstet. 2011 Jun;113(3):225-8. doi: 10.1016/j.ijgo.2010.12.018. Epub 2011 Apr 9.
OBJECTIVE
To examine long-term reports of pain and psychologic correlates of pain in women after vestibulectomy.
METHODS
In a retrospective cross-sectional exploratory study, 37 women who had undergone vestibulectomy between January 1989 and January 2008 completed questionnaires assessing demographic information, self-reported levels of pain, anxiety, somatization, psychologic distress, and sexual function.
RESULTS
Eight women reported being completely pain free after surgery. The remaining 29 women reported various levels of pain during intercourse (as measured by the Gracely pain scale) and decreased sexual function (as measured by a sexual functioning questionnaire). Various measures of psychologic distress were associated with average intercourse-related pain, including brief symptom inventory (P=0.002), Pennebaker inventory of limbic languidness (P=0.002), perceived stress scale (P=0.04), and Spielberger trait-anxiety inventory (P=0.01). These same measures of psychological distress were similarly associated with general, unprovoked vaginal pain.
CONCLUSION
The present data suggest that the pathophysiology of localized vulvodynia may be more complex in some women, leading to a suboptimal response to surgical treatment.
目的
调查外阴切开术后女性长期疼痛和疼痛相关心理因素的报告。
方法
在回顾性的横断面探索性研究中，1989 年 1 月至 2008 年 1 月期间进行外阴切开术的 37 名女性完成了评估人口统计学信息、自我报告疼痛水平、焦虑、躯体化、心理困扰和性功能的问卷。
结果
8 名女性报告手术后完全无痛。其余 29 名女性在性交时报告了不同程度的疼痛（格拉西疼痛量表测量）和性功能下降（性功能问卷测量）。包括简明症状量表（P=0.002）、彭内贝克肢体语言抑制量表（P=0.002）、感知压力量表（P=0.04）和斯皮尔伯格特质焦虑量表（P=0.01）在内的各种心理困扰指标与平均性交相关疼痛相关。这些同样的心理困扰指标与一般、无诱因阴道疼痛也相关。
结论
目前的数据表明，局部性外阴痛的发病机制在某些女性中可能更为复杂，导致手术治疗效果不理想。
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