Rosen Natalie O, Dewitte Marieke, Merwin Kathleen, Bergeron Sophie
Department of Psychology and Neuroscience, Dalhousie Univeristy, 1355 Oxford St., P.O. Box 15000, Halifax, NS, B3H 4R2, Canada.
Department of Obstetrics and Gynaecology, IWK Health Centre, Halifax, NS, Canada.
Arch Sex Behav. 2017 Oct;46(7):2007-2019. doi: 10.1007/s10508-016-0877-1. Epub 2016 Dec 27.
In the context of genito-pelvic pain, consideration of interpersonal goals is particularly relevant given that couples' distress is often predicated upon the relational setting. However, relationship goals have not been examined in this population. We investigated (1) the associations between relationship goals and women's pain during intercourse as well as the sexual, relational, and psychological well-being of women with provoked vestibulodynia (PVD) and their partners and (2) the moderating role of sexual goals in these associations. Women with PVD (N = 134) and their partners completed measures of relationship goals, sexual goals, sexual satisfaction, relationship satisfaction, and depressive symptoms. Women also reported on their average pain intensity during intercourse. Women with stronger relationship approach goals reported more sexual satisfaction. When the partner pursued more relationship approach goals, both women and partners reported more sexual and relationship satisfaction and partners reported less depression. Stronger relationship avoidance goals in the partner were associated with less sexual satisfaction in women. Several significant interactions showed that the combination of relationship and sexual approach goals was associated with greater relationship and sexual satisfaction, and fewer depressive symptoms, whereas the combination of relationship and sexual avoidance goals was related to lower relationship satisfaction as well as to greater pain during intercourse for women. Targeting relationship approach and avoidance goals as well as those goals specific to sexual activity may improve the quality and efficacy of couples-based psychological interventions for PVD.
在生殖器盆腔疼痛的背景下，鉴于夫妻的痛苦往往基于关系背景，考虑人际目标就显得尤为重要。然而，尚未对这一人群的关系目标进行研究。我们调查了：（1）关系目标与性交时女性疼痛之间的关联，以及患有激发性前庭痛（PVD）的女性及其伴侣的性、关系和心理健康状况；（2）性目标在这些关联中的调节作用。患有PVD的女性（N = 134）及其伴侣完成了关系目标、性目标、性满意度、关系满意度和抑郁症状的测量。女性还报告了她们性交时的平均疼痛强度。关系趋近目标更强的女性报告的性满意度更高。当伴侣追求更多的关系趋近目标时，女性及其伴侣都报告了更高的性满意度和关系满意度，伴侣报告的抑郁症状更少。伴侣更强的关系回避目标与女性更低的性满意度相关。几项显著的交互作用表明，关系趋近目标和性趋近目标的结合与更高的关系满意度和性满意度以及更少的抑郁症状相关，而关系回避目标和性回避目标的结合则与更低的关系满意度以及女性性交时更强烈的疼痛相关。针对关系趋近和回避目标以及特定于性活动的目标，可能会提高基于夫妻的PVD心理干预的质量和效果。
