采用综合方法治疗持续性生殖器唤醒障碍/生殖器骨盆感觉异常的心理治疗。

Psychological Treatment of Persistent Genital Arousal Disorder/Genitopelvic Dysesthesia Using an Integrative Approach.

机构信息

Department of Psychology and Neuroscience, Dalhousie University, Halifax, NS, Canada.

Borderline Personality Disorder Treatment Program, Mental Health and Addictions Program, Nova Scotia Health Authority, Dartmouth, NS, Canada.

出版信息

Arch Sex Behav. 2023 Jul;52(5):2249-2260. doi: 10.1007/s10508-023-02617-3. Epub 2023 May 30.

Abstract

Persistent genital arousal disorder/genitopelvic dysesthesia (PGAD/GPD) is characterized by persistent, unwanted physiological genital arousal (i.e., sensitivity, fullness, and/or swelling) in the absence of sexual excitement or desire which can persist for hours to days and causes significant impairment in psychosocial well-being (e.g., distress) and daily functioning. The etiology and course of PGAD/GPD is still relatively unknown and, unsurprisingly, there are not yet clear evidence-based treatment recommendations for those suffering from PGAD/GPD. We present the case of a 58-year-old woman with acquired persistent genital arousal disorder, which began in March 2020; she believed she developed PGAD/GPD due to a period of significant distress and anxiety related to the COVID-19 pandemic. After seeking medical diagnosis and treatment from multiple healthcare providers and trying a combination of pharmacological and medical treatment modalities, she presented for psychological treatment. An integrative therapy approach (3 assessment sessions, 11 treatment sessions), which included cognitive behavior therapy, distress tolerance and emotion regulation skills from dialectical behavior therapy, and mindfulness practice, was utilized. The patient reported improvements anecdotally (e.g., decreased impact on occupational and social functioning, greater self-compassion, less frequent and shorter duration of PGAD/GPD flare-ups, improved ability to cope with PGAD/GPD symptoms, and decreased need for sleeping medication) and on self-report measures (e.g., lower PGAD/GPD catastrophizing, lower anxiety and depression, and greater overall quality of life).We report the use of an integrative (i.e., psychoeducational, cognitive behavioral, dialectical behavioral, and mindfulness-based) intervention, which may be an effective psychological treatment for PGAD/GPD.

摘要

持续性生殖器觉醒障碍/生殖器骨盆感觉异常(PGAD/GPD)的特征为持续的、不想要的生殖器生理觉醒(即敏感度、饱满度和/或肿胀),这种情况在没有性兴奋或欲望的情况下出现,可持续数小时至数天,并导致心理健康(如痛苦)和日常功能显著受损。PGAD/GPD 的病因和病程仍然相对未知,毫不奇怪,对于患有 PGAD/GPD 的人,目前还没有明确的基于证据的治疗建议。我们介绍了一位 58 岁女性获得性持续性生殖器觉醒障碍的病例,该障碍始于 2020 年 3 月;她认为自己是由于与 COVID-19 大流行相关的一段时期的严重痛苦和焦虑而患上 PGAD/GPD。在向多位医疗保健提供者寻求医疗诊断和治疗并尝试了多种药物和医疗治疗方式后,她接受了心理治疗。采用了一种综合治疗方法(3 次评估,11 次治疗),包括认知行为疗法、辩证行为疗法的痛苦耐受和情绪调节技巧以及正念练习。患者报告了一些改善(例如,对职业和社会功能的影响减小、更多的自我同情、PGAD/GPD 发作的频率和持续时间减少、应对 PGAD/GPD 症状的能力提高、对睡眠药物的需求减少)和自我报告措施的改善(例如,PGAD/GPD 灾难化程度降低、焦虑和抑郁程度降低、整体生活质量提高)。我们报告了一种综合治疗方法(即心理教育、认知行为、辩证行为和基于正念的方法)的使用,这种方法可能是治疗 PGAD/GPD 的有效心理治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e59c/10228892/daa6c26b7dea/10508_2023_2617_Fig1_HTML.jpg

相似文献

引用本文的文献

本文引用的文献

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索