Boerner Katelynn E, Rosen Natalie O
Department of Psychology and Neuroscience, Dalhousie University, Halifax, Nova Scotia, Canada.
Department of Obstetrics and Gynecology, IWK Health Centre, Halifax, Nova Scotia, Canada.
J Sex Med. 2015 Jun;12(6):1450-62. doi: 10.1111/jsm.12889. Epub 2015 Apr 13.
Provoked vestibulodynia (PVD) is a common vulvovaginal pain condition associated with negative psychological and sexual consequences for affected women and their sexual partners. Greater pain acceptance has been found to be associated with better functional and psychological outcomes in individuals with chronic pain, and acceptance-based strategies are being increasingly incorporated into treatment protocols. The present study is a novel investigation of pain acceptance in PVD couples.
The aim was to examine the associations between acceptance of vulvovaginal pain and women's pain during intercourse, as well as the psychological and sexual adjustment of both women with PVD and their partners.
Sixty-one couples (M(age) for women = 27.95 years, SD = 5.87; M(age) for men = 30.48 years, SD = 6.70) in which the woman was diagnosed with PVD completed the Chronic Pain Acceptance Questionnaire, in reference to women's vulvovaginal pain. Women also rated their pain during intercourse, and couples completed measures of anxiety, depression, sexual function, and sexual satisfaction.
Dependent measures were (i) women's self-reported pain during intercourse on a numerical rating scale; (ii) State-Trait Anxiety Inventory trait subscale; (iii) Beck Depression Inventory-II; (iv) Derogatis Interview for Sexual Functioning; and (v) Global Measure of Sexual Satisfaction Scale.
Women's greater pain acceptance was associated with their lower self-reported pain during intercourse, controlling for partner's pain acceptance. Greater pain acceptance among women was associated with their own lower anxiety and depression, greater sexual functioning, as well as their own and their partner's greater sexual satisfaction, controlling for the partner's pain acceptance. Additionally, greater pain acceptance among male partners was associated with their own lower depression.
Findings suggest that psychological interventions for PVD should target increasing couples' vulvovaginal pain acceptance in order to improve women's pain and the sexual and psychological functioning of both members of the couple.
诱发性前庭痛（PVD）是一种常见的外阴阴道疼痛病症，会给患病女性及其性伴侣带来负面的心理和性方面的影响。研究发现，更高的疼痛接纳度与慢性疼痛患者更好的功能和心理结果相关，基于接纳的策略也越来越多地被纳入治疗方案中。本研究是对PVD夫妇疼痛接纳情况的一项新调查。
旨在研究外阴阴道疼痛接纳度与女性性交时疼痛之间的关联，以及患有PVD的女性及其伴侣的心理和性方面的调适情况。
61对夫妇（女性平均年龄 = 27.95岁，标准差 = 5.87；男性平均年龄 = 30.48岁，标准差 = 6.70），其中女性被诊断为PVD，他们完成了慢性疼痛接纳问卷，问卷涉及女性的外阴阴道疼痛。女性还对性交时的疼痛进行了评分，夫妇双方完成了焦虑、抑郁、性功能和性满意度的测量。
因变量包括：（i）女性在数字评分量表上自我报告的性交时疼痛；（ii）状态-特质焦虑量表特质子量表；（iii）贝克抑郁量表第二版；（iv）性功能障碍访谈量表；（v）性满意度总体测量量表。
在控制伴侣的疼痛接纳度后，女性更高的疼痛接纳度与她们自我报告的性交时较低疼痛相关。在控制伴侣的疼痛接纳度后，女性更高的疼痛接纳度与她们自身较低的焦虑和抑郁、更好的性功能以及她们自己和伴侣更高的性满意度相关。此外，男性伴侣更高的疼痛接纳度与他们自身较低的抑郁相关。
研究结果表明，针对PVD的心理干预应旨在提高夫妇对外阴阴道疼痛的接纳度，以改善女性的疼痛以及夫妇双方的性和心理功能。
