Department of Psychology, Université de Montréal.
Department of Psychology and Neuroscience, Dalhousie University.
J Sex Res. 2021 Feb;58(2):235-247. doi: 10.1080/00224499.2020.1761936. Epub 2020 May 20.
Although facilitative and negative partner responses are known to impact couples' adaptation to provoked vestibulodynia (PVD), a chronic genito-pelvic pain condition, it is still unknown what leads individuals to adopt or perceive such adaptative or detrimental behaviors. Attachment influences sexual and relationship adjustment, emotional reactivity and perceived support in romantic relationships, and as such could be associated with partner responses. This study aimed at examining the mediating role of facilitative and negative partner responses in the associations between attachment and relationship and sexual adjustment in 125 couples coping with PVD. Couples completed self-report questionnaires on attachment, partner responses, sexual satisfaction and distress, and relationship satisfaction. Results indicated that partners' attachment avoidance was negatively associated with facilitative partner-reported responses, which in turn was associated with partners' sexual and relationship satisfaction. Attachment anxiety in women and partners was associated with greater women-perceived negative partner responses, which in turn was associated with women's and partners' greater sexual distress and lower sexual satisfaction, and women's lower relationship satisfaction. Partners' greater attachment anxiety was also associated with greater partner-reported facilitative responses, which was associated with partners' lower and women's greater relationship satisfaction. Assessing attachment orientations may help clinicians better understand couples' dyadic coping.
尽管促进和消极的伴侣反应被认为会影响夫妻对诱发的阴道痉挛（PVD）的适应，这是一种慢性生殖器-骨盆疼痛疾病，但仍然不知道是什么导致个人采用或感知到这种适应性或有害的行为。依恋影响性关系和情感反应的调整，以及在浪漫关系中感知到的支持，因此它可能与伴侣的反应有关。本研究旨在探讨在 125 对患有 PVD 的夫妇中，依恋和关系与性适应之间的关系中，促进和消极伴侣反应的中介作用。夫妇们完成了关于依恋、伴侣反应、性满意度和困扰以及关系满意度的自我报告问卷。结果表明，伴侣的回避型依恋与促进型伴侣报告的反应呈负相关，而这种反应又与伴侣的性和关系满意度相关。女性和伴侣的焦虑型依恋与女性感知到的消极伴侣反应呈正相关，而这种反应又与女性和伴侣的更大性困扰和更低的性满意度以及女性更低的关系满意度相关。伴侣更大的焦虑型依恋也与伴侣报告的更大促进反应相关，这与伴侣的较低和女性的更大关系满意度相关。评估依恋取向可以帮助临床医生更好地理解夫妻的二元应对方式。
