Rosen Natalie O, Bergeron Sophie, Sadikaj Gentiana, Delisle Isabelle
Department of Psychology and Neuroscience, Dalhousie University, Halifax, Nova Scotia, Canada; Department of Obstetrics and Gynecology, IWK Health Centre, Halifax, Nova Scotia, Canada.
Department of Psychology, Université de Montréal, Montréal, Québec, Canada.
J Pain. 2015 Dec;16(12):1312-1320. doi: 10.1016/j.jpain.2015.09.003. Epub 2015 Sep 25.
Vulvodynia is a prevalent vulvovaginal pain condition that disrupts the sexual and psychological health of affected women and their partners. Cross-sectional and daily experience studies suggest that partner responses to this pain influence the psychological and sexual sequelae of affected couples. However, their daily impact on pain and anxiety remain unknown. Using a daily diary method, 69 women (M age = 28.12, SD = 6.68) diagnosed with vulvodynia and their cohabiting partners (M age = 29.67, SD = 8.10) reported on male partner responses to women's pain and anxiety symptoms on sexual intercourse days (M = 6.54, SD = 4.99) over 8 weeks. Women also reported their pain during intercourse. Results indicated that women reported greater pain on days when they perceived higher solicitous and negative male partner responses, and on days when their male partner reported greater solicitous and lower facilitative responses. Women indicated higher anxiety symptoms on days when they perceived more negative male partner responses; men's anxiety symptoms were greater on days when they reported higher negative male partner responses. Targeting partner responses may enhance the quality and efficacy of interventions aimed at reducing pain in women with vulvodynia and couples' psychological distress.
This article examines the daily associations among male partner responses, women's pain during intercourse, and anxiety in couples coping with vulvodynia. Targeting male partner responses may enhance the quality of interventions aimed at reducing women's pain and the psychological distress of couples coping with vulvodynia.
外阴痛是一种常见的外阴阴道疼痛病症，会扰乱受影响女性及其伴侣的性健康和心理健康。横断面研究和日常经验研究表明，伴侣对这种疼痛的反应会影响受影响夫妻的心理和性方面的后遗症。然而，它们对疼痛和焦虑的日常影响尚不清楚。采用每日日记法，69名被诊断患有外阴痛的女性（平均年龄=28.12，标准差=6.68）及其同居伴侣（平均年龄=29.67，标准差=8.10）报告了男性伴侣在8周内性交日（平均次数=6.54，标准差=4.99）对女性疼痛和焦虑症状的反应。女性也报告了她们性交时的疼痛。结果表明，当女性察觉到男性伴侣有更高的关切和负面反应时，以及当她们的男性伴侣报告有更高的关切和更低的促进性反应时，女性报告的疼痛更强烈。当女性察觉到男性伴侣有更多负面反应时，她们表现出更高的焦虑症状；当男性报告有更高的负面伴侣反应时，他们的焦虑症状更严重。针对伴侣的反应可能会提高旨在减轻外阴痛女性疼痛以及夫妻心理困扰的干预措施的质量和效果。
本文探讨了男性伴侣反应、女性性交时的疼痛以及应对外阴痛的夫妻的焦虑之间的日常关联。针对男性伴侣的反应可能会提高旨在减轻女性疼痛以及应对外阴痛的夫妻心理困扰的干预措施的质量。
