Molaeinezhad Mitra, Khoei Effat Merghati, Salehi Mehrdad, Yousfy Alireza, Roudsari Robab Latifnejad
Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
Family and Sexual Health Unit in the Brain and Spinal Injury Research Center, Iranian National Center of Addiction Studies, Tehran University of Medical Sciences, Tehran, Iran.
J Educ Health Promot. 2014 Nov 29;3:114. doi: 10.4103/2277-9531.145913. eCollection 2014.
The role of spousal response in woman's experience of pain during the vaginal penetration attempts believed to be an important factor; however, studies are rather limited in this area. The aim of this study was to develop and investigate the psychometric indexes of the partner version of a multidimensional vaginal penetration disorder questionnaire (PV-MVPDQ); hence, the clinical assessment of spousal psychosexual reactions to vaginismus by specialists will be easier.
A mixed-methods sequential exploratory design was used, through that, the findings from a thematic qualitative research with 20 unconsummated couples, which followed by an extensive literature review used for development of PV-MVPDQ. A consecutive sample of 214 men who their wives' suffered from lifelong vaginismus (LLV) based on Diagnostic and Statistical Manual of Mental Disorders 4(th) version (DSM)-IVTR criteria during a cross-sectional design, completed the questionnaire and additional questions regarding their demographic and sexual history. Validation measures and reliability were conducted by exploratory factor analysis (EFA) and Cronbach's alpha coefficient through SPSS version 16 manufactured by SPSS Inc. (IBM corporation, Armonk, USA).
After conducting EFA PV-MVPDQ emerged as having 40 items and 7 dimensions: Helplessness, sexual information, vicious cycle of penetration, hypervigilance and solicitous, catastrophic cognitions, sexual and marital adjustment and optimism. Subscales of PV-MVPDQ showed a significant reliability (0.71-0.85) and results of test-retest were satisfactory.
The present study shows PV-MVPDQ is a multi-dimensional valid and reliable self-report questionnaire for assessment of cognitions, sexual and marital relations related to vaginal penetrations in spouses of women with LLV. It may assist specialists to base on which clinical judgment and appropriate planning for clinical management.
配偶反应在女性阴道插入尝试时的疼痛体验中被认为是一个重要因素；然而，该领域的研究相当有限。本研究的目的是开发并调查多维阴道插入障碍问卷伴侣版（PV-MVPDQ）的心理测量指标；因此，专家对阴道痉挛配偶的性心理反应进行临床评估将更加容易。
采用混合方法序列探索性设计，通过对20对未完成性行为的夫妇进行主题定性研究，并随后进行广泛的文献综述以开发PV-MVPDQ。在横断面设计中，根据《精神疾病诊断与统计手册》第4版（DSM）-IVTR标准，对214名妻子患有终身性阴道痉挛（LLV）的男性进行连续抽样，他们完成了问卷以及关于其人口统计学和性史的附加问题。通过探索性因子分析（EFA）和SPSS公司（美国纽约州阿蒙克市IBM公司）生产的SPSS 16版本中的克朗巴哈α系数进行效度测量和信度分析。
进行EFA后，PV-MVPDQ呈现出40个条目和7个维度：无助感、性信息、插入恶性循环、过度警觉与关切、灾难性认知、性与婚姻调适以及乐观主义。PV-MVPDQ的分量表显示出显著的信度（0.71 - 0.85），重测结果令人满意。
本研究表明，PV-MVPDQ是一种用于评估LLV女性配偶与阴道插入相关的认知、性与婚姻关系的多维有效且可靠的自陈问卷。它可能有助于专家据此进行临床判断并为临床管理制定适当计划。
