a Department of Psychology and Neuroscience , Dalhousie University.
b Department of Obstetrics and Gynecology , IWK Health Centre.
J Sex Res. 2019 May-Jun;56(4-5):440-461. doi: 10.1080/00224499.2018.1513987. Epub 2018 Sep 25.
Researchers and clinicians alike widely acknowledge the inherently interpersonal nature of women's sexual dysfunctions given that both partners impact and are impacted by these difficulties. Yet theoretical models for understanding the role of interpersonal factors in women's sexual dysfunctions are severely lacking and have the potential to guide future research and inform more effective interventions. The most widely studied sexual dysfunction in women that has espoused a dyadic approach by including both members of affected couples is genito-pelvic pain/penetration disorder (GPPPD). In this article we use the example of GPPPD to introduce a novel interpersonal emotion regulation model of women's sexual dysfunction. We first review current knowledge regarding distal and proximal interpersonal factors in GPPPD. Then, we describe our theoretical model and consider relevant pain and sex-related research on emotion regulation processes-emotional awareness, expression, and experience-in the context of GPPPD, including sexual function, satisfaction, and distress. Next, we review how existing theories from the fields of chronic pain and sex and relationships research have informed our model and how our model further builds on them. Finally, we discuss the implications of our model and its applications, including to other sexual dysfunctions in women.
研究人员和临床医生都广泛承认女性性功能障碍具有内在的人际性质，因为双方都会影响这些困难，也会受到这些困难的影响。然而，理解人际因素在女性性功能障碍中的作用的理论模型严重缺乏，并有潜力指导未来的研究，并为更有效的干预措施提供信息。最广泛研究的女性性功能障碍是生殖器疼痛/插入障碍（GPPPD），它通过包括受影响夫妇的双方成员来采用对偶方法。在本文中，我们使用 GPPPD 的例子来介绍一种女性性功能障碍的新的人际情绪调节模型。我们首先回顾 GPPPD 中远程和近端人际因素的现有知识。然后，我们描述我们的理论模型，并考虑与 GPPPD 相关的疼痛和与性相关的研究，包括情绪调节过程中的情感意识、表达和体验对性功能、满意度和困扰的影响。接下来，我们回顾慢性疼痛和性与关系研究领域的现有理论如何为我们的模型提供信息，以及我们的模型如何进一步建立在这些理论之上。最后，我们讨论了我们的模型及其应用的意义，包括对女性的其他性功能障碍的应用。
