Institute for Family and Sexuality Studies, Department of Development and Regeneration, KU Leuven, Leuven, Belgium.
J Sex Med. 2013 Sep;10(9):2255-64. doi: 10.1111/jsm.12237. Epub 2013 Jul 11.
Although it is known that women with dyspareunia suffer from impaired psychological and sexual functioning, the study of the various dimensions of sexual self-schema and their associations with these outcomes has been neglected.
To examine whether self-image cognitions about vaginal penetration, body image, and feelings and beliefs about one's own genitals contribute to the variance in pain, sexual functioning, and sexual distress.
Premenopausal women (n = 231; M age = 24.85, SD = 5.55) with self-reported dyspareunia completed an online survey focusing on self-image cognitions about vaginal penetration, body image, female genital self-image, pain during intercourse, sexual functioning, sexual distress, anxiety, and catastrophizing.
(i) Pain intensity during intercourse, (ii) the Female Sexual Function Index without the Pain subscale, and (iii) the Female Sexual Distress Scale.
Controlling for anxiety and catastrophizing, negative self-image cognitions about vaginal penetration, negative body image, and negative genital self-image together accounted for a portion of the variance in increased pain intensity, sexual dysfunction, and sexual distress. However, only self-image cognitions about vaginal penetration (β = 0.25, P = 0.005) contributed uniquely to the variance in pain intensity, whereas self-image cognitions about vaginal penetration (β = -0.18, P = 0.048) and genital self-image (β = 0.21, P = 0.008) contributed independently to the variance in sexual functioning. Finally, self-image cognitions about vaginal penetration (β = 0.28, P < 0.001), body image (β = 0.24, P < 0.001) and genital self-image (β = -0.14, P = 0.006) each contributed independently to the variance in sexual distress.
Findings suggest that self-image cognitions about vaginal penetration and feelings and beliefs about one's own body and genitals are associated with pain and sexuality outcomes in women with dyspareunia.
尽管人们知道性交疼痛的女性会遭受心理和性功能障碍，但对性自我图式的各个维度及其与这些结果的关联的研究却被忽视了。
研究阴道插入、身体形象、对自身生殖器的感觉和信念等自我意象认知是否有助于解释疼痛、性功能和性困扰的差异。
231 名（M 年龄=24.85，SD=5.55）有自报告性交疼痛的绝经前妇女完成了一项在线调查，重点关注阴道插入、身体形象、女性生殖器自我形象、性交疼痛、性功能、性困扰、焦虑和灾难化等自我意象认知。
（i）性交时的疼痛强度，（ii）不包括疼痛子量表的女性性功能指数，和（iii）女性性困扰量表。
控制焦虑和灾难化后，阴道插入的消极自我意象认知、消极身体形象和消极生殖器自我形象共同解释了疼痛强度增加、性功能障碍和性困扰的部分差异。然而，只有阴道插入的自我意象认知（β=0.25，P=0.005）对疼痛强度的差异有独特的贡献，而阴道插入的自我意象认知（β=0.18，P=0.048）和生殖器自我形象（β=0.21，P=0.008）对性功能的差异有独立的贡献。最后，阴道插入的自我意象认知（β=0.28，P<0.001）、身体形象（β=0.24，P<0.001）和生殖器自我形象（β=-0.14，P=0.006）对性困扰的差异都有独立的贡献。
研究结果表明，阴道插入的自我意象认知以及对自身身体和生殖器的感觉和信念与性交疼痛的女性的疼痛和性结果有关。
