Turan Şenol, Usta Sağlam Nazife Gamze, Bakay Hasan, Gökler Mehmet Enes
Department of Psychiatry, Cerrahpaşa School of Medicine, Istanbul University-Cerrahpaşa, Istanbul, Turkey.
Department of Psychiatry, Gaziosmanpaşa Taksim Training and Research Hospital, Istanbul, Turkey.
J Sex Med. 2020 Dec;17(12):2434-2445. doi: 10.1016/j.jsxm.2020.08.018. Epub 2020 Sep 25.
Depression and anxiety levels, sexual dysfunctions, and affective temperament characteristics of women with lifelong vaginismus (LLV) and their male partners may have important effects on the development, maintenance, and exacerbation of LLV.
We aimed to investigate depression and anxiety levels, sexual dysfunctions, and affective temperament characteristics of both women with LLV and their male partners.
56 women with LLV, their 56 male partners, and 44 couples with no complaints of any sexual function as a control group were included in this study. Dyadic data were analyzed using the Actor-Partner Interdependence Model.
The Beck Depression Inventory, Beck Anxiety Inventory, Golombok Rust Inventory of Sexual Satisfaction, and Temperament Evaluation of Memphis, Pisa, Paris and San Diego Auto Questionnaire Scale were completed by all participants.
Women with LLV had higher levels of anxiety and depression and had more sexual dysfunctions except for avoidance than those of female controls. Temperament Evaluation of Memphis, Pisa, Paris and San Diego Auto Questionnaire Scale scores were significantly higher in women with LLV for depressive (odds ratio [OR] = 1.27, 95% CI = 1.09-1.49), cyclothymic (OR = 1.31, 95% CI = 1.15-1.49), anxious (OR = 1.22, 95% CI = 1.09-1.38), and irritable (OR = 1.22, 95% CI = 1.04-1.42) temperament than in female controls. It was found that anxiety levels of male partners of women with LLV were higher than those of male controls and that they experienced less sexual satisfaction. Depressive (OR = 1.31, 95% CI = 1.07-1.61) and cyclothymic (OR = 1.18, 95% CI = 1.04-1.34) temperament scores were significantly higher in male partners of women with LLV than in male controls. The Actor-Partner Interdependence Model analyses show that hyperthymic temperament in male partners of women with LLV and anxious and depressive temperament in women with LLV have a negative effect on their own sexual functions. In terms of partner effect, it was found that men with hyperthymic temperament had a negative effect on the sexual functions of women with LLV and men with depressive temperament had a positive effect.
The individual characteristics of both the women and their male partners have an impact on LLV.
STRENGTHS & LIMITATIONS: The sample size was relatively small to assess affective temperaments. The inclusion of male partners in the study contributed to our understanding of couples with LLV.
Our results indicate that affective temperaments detected in women with LLV (depressive, cyclothymic, anxious and irritable) and their male partners (depressive and cyclothymic) have an effect on the development, maintenance, and exacerbation of LLV, and affective temperaments have an effect on both their own and partner's sexual functions. Turan Ş, Usta Sağlam NG, Bakay H, et al. Levels of Depression and Anxiety, Sexual Functions, and Affective Temperaments in Women With Lifelong Vaginismus and Their Male Partners. J Sex Med 2020;17:2434-2445.
终身性阴道痉挛（LLV）女性及其男性伴侣的抑郁和焦虑水平、性功能障碍及情感气质特征可能对LLV的发生、维持及加重产生重要影响。
我们旨在调查LLV女性及其男性伴侣的抑郁和焦虑水平、性功能障碍及情感气质特征。
本研究纳入了56名LLV女性、她们的56名男性伴侣以及44对无任何性功能问题主诉的夫妇作为对照组。采用行为者-伴侣相互依赖模型分析二元数据。
与女性对照组相比，LLV女性的焦虑和抑郁水平更高，除回避外性功能障碍更多。LLV女性的孟菲斯、比萨、巴黎和圣地亚哥自动问卷量表的抑郁（优势比[OR]=1.27，95%置信区间[CI]=1.09-1.49）、环性心境（OR=1.31，95%CI=1.15-1.49）、焦虑（OR=1.22，95%CI=1.09-1.38）和易怒（OR=1.22，95%CI=1.04-1.42）气质得分显著高于女性对照组。研究发现，LLV女性的男性伴侣的焦虑水平高于男性对照组，且性满意度较低。LLV女性的男性伴侣的抑郁（OR=1.31，95%CI=1.07-1.61）和环性心境（OR=1.18，95%CI=1.04-1.34）气质得分显著高于男性对照组。行为者-伴侣相互依赖模型分析表明，LLV女性的男性伴侣的轻躁狂气质以及LLV女性的焦虑和抑郁气质对其自身性功能有负面影响。在伴侣效应方面，发现轻躁狂气质的男性对LLV女性的性功能有负面影响，而抑郁气质的男性有正面影响。
女性及其男性伴侣的个体特征均对LLV有影响。
样本量相对较小，难以评估情感气质。将男性伴侣纳入研究有助于我们了解LLV夫妇。
我们的结果表明，在LLV女性（抑郁、环性心境、焦虑和易怒）及其男性伴侣（抑郁和环性心境）中检测到的情感气质对LLV的发生、维持及加重有影响，且情感气质对其自身和伴侣的性功能均有影响。图兰·Ş、乌斯塔·萨格拉姆·NG、巴凯·H等。终身性阴道痉挛女性及其男性伴侣的抑郁和焦虑水平、性功能及情感气质。《性医学杂志》2020年；17:2434-2445。
