Paslakis Georgios, Farré Josep M, Tolosa-Sola Iris, Palazón-Llecha Alba, Domínguez-Cagnon Helena, Jiménez Maria, Martínez Rosselló Berta, Barri-Soldevila Pere, Mestre-Bach Gemma
Toronto General Hospital, University Health Network, Toronto, ON M5G 2C4, Canada.
Department of Psychiatry, University of Toronto, Toronto, ON M5T 1R8, Canada.
J Clin Med. 2020 Jul 22;9(8):2340. doi: 10.3390/jcm9082340.
(1) Background: Female genital mutilation/cutting (FGM/C) is associated with physical and psychological complications. However, there is scarce literature on how women with FGM/C respond to treatment interventions. (2) Methods: In the present pilot longitudinal study, we assessed changes in general psychopathology (Symptom Check List-90-R), sexual functioning and distress (Female Sexual Function Index, Female Sexual Distress Scale-Revised, and Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) female sexual dysfunction criteria), body image (Body Shape Questionnaire), and sexual body image (Female Genital Self-Image Scale) in a sample of = 15 women with FGM/C before and after reconstructive surgery. (3) Results: Sexual distress was significantly improved following surgery. We also observed an improvement in general psychopathology and genital self-image. However, sexual function was not improved. (4) Conclusions: These results provide evidence for the benefits of reconstructive surgery on sexual distress in women with FGM/C. The impact of surgery on sexual function cannot be conclusively evaluated.
(1) 背景：女性生殖器切割与身体和心理并发症相关。然而，关于接受女性生殖器切割的女性如何应对治疗干预的文献很少。(2) 方法：在本纵向试点研究中，我们评估了15名接受女性生殖器切割的女性在重建手术前后，其一般精神病理学（症状自评量表-90-R）、性功能和痛苦（女性性功能指数、女性性痛苦量表修订版以及《精神疾病诊断与统计手册》第五版（DSM-5）女性性功能障碍标准）、身体意象（身体形状问卷）和性身体意象（女性生殖器自我意象量表）的变化。(3) 结果：手术后性痛苦显著改善。我们还观察到一般精神病理学和生殖器自我意象有所改善。然而，性功能并未改善。(4) 结论：这些结果为重建手术对接受女性生殖器切割的女性的性痛苦有益提供了证据。手术对性功能的影响无法得出结论性评估。
