Program in Human Sexuality, Department of Family Medicine and Community Health, University of Minnesota Medical School, Twin Cities, Minnesota, USA.
Department of Epidemiology, Boston University School of Public Health, Boston, Massachusetts, USA.
J Sex Marital Ther. 2020;46(6):589-598. doi: 10.1080/0092623X.2020.1766611. Epub 2020 May 28.
Vulvodynia affects about 8% of women, many of whom report a negative impact on their ability to have sexually satisfying relationships. In this study, we examined predictors of sexual satisfaction in 207 women with clinically confirmed vulvodynia. We adapted a model examining resilience in chronic pain patients originally developed by Sturgeon and Zautra to include resilience factors (communication with partner about sexual health and coping strategies) and vulnerable factors (abuse history, pain intensity, rumination). These variables were regressed onto sexual satisfaction. In the full model, only emotion-based rumination was predictive of sexual satisfaction. Thus, focusing on emotion-based rumination in clinical intervention may improve sexual satisfaction.
外阴痛影响约 8%的女性,其中许多人报告说这对她们拥有满意的性关系的能力有负面影响。在这项研究中,我们调查了 207 名经临床确诊的外阴痛患者的性满意度预测因素。我们改编了一个原本由 Sturgeon 和 Zautra 开发的用于检查慢性疼痛患者适应力的模型,纳入了适应力因素(与伴侣沟通性健康和应对策略)和脆弱因素(虐待史、疼痛强度、反刍思维)。这些变量被回归到性满意度上。在全模型中,只有基于情绪的反刍思维对性满意度有预测作用。因此,在临床干预中关注基于情绪的反刍思维可能会提高性满意度。