患有激发性前庭疼痛的女性的男性伴侣对疼痛的反应——一项横断面研究。

Partner responses to pain among male partners of women with provoked vestibulodynia-a cross-sectional study.

作者信息

Myrtveit-Stensrud Linn, Ekholm Elin, Flink Ida, Ter Kuile Moniek, Engman Linnéa, Suvaal Isabelle, Groven Karen Synne, Reme Silje Endresen

机构信息

Department of Rehabilitation Science and Health Technology, Oslo Metropolitan University, Oslo, Norway.

School of Behavioral, Social and Legal Sciences, University of Örebro, Örebro, Sweden.

出版信息

Pain Rep. 2025 Mar 17;10(2):e1265. doi: 10.1097/PR9.0000000000001265. eCollection 2025 Apr.

Abstract

INTRODUCTION

Provoked vestibulodynia (PVD) is a prevalent persistent pain disorder, localized to the vulva, not only affecting the sexual health of women suffering from it but also of their partners. Partner's behavioral response to the pain has implications for the affected woman's pain and sexual function, as well as the relational dynamics of the couple.

OBJECTIVES

The main aim of this study was to explore facilitative, solicitous, and negative male partner responses to women with PVD and their links to demographic and psychosexual characteristics. Further, we investigated the discrepancies in psychosexual health between currently sexually active and inactive participants, as well as levels of anxiety and depressive symptoms within our sample of male partners (N = 127). Cross-sectional associations were examined using bivariate correlations. Differences in psychosexual health between the two sub-samples were examined using Mann-Whitney test.

RESULTS

Our results showed that facilitative partner responses were significantly associated with higher relationship and sexual satisfaction, as well as with lower sexual distress and more approach goals. Negative partner responses were significantly associated with higher sexual distress, as well as with lower relationship and sexual satisfaction. Negative partner responses were the only responses significantly associated with the men's anxiety and depression, which suggests that mental health plays a role in partners' management of vulvodynia. In our sample, 10.2% scored above cut-off for clinical levels of depressive symptoms and 8.7% for anxiety, similar to a Swedish community sample. Partner responses were associated with psychosexual health. In our sample, male partners of women with PVD did not have more anxiety or depression than other men of the same age in the general population.

摘要

引言

激发性前庭痛(PVD)是一种常见的持续性疼痛障碍,局限于外阴,不仅影响患病女性的性健康,还会影响其伴侣的性健康。伴侣对疼痛的行为反应会对受影响女性的疼痛和性功能以及夫妻关系动态产生影响。

目的

本研究的主要目的是探讨男性伴侣对患有PVD的女性的促进性、关怀性和消极性反应及其与人口统计学和性心理特征的联系。此外,我们调查了目前有性行为和无性行为参与者在性心理健康方面的差异,以及我们样本中男性伴侣(N = 127)的焦虑和抑郁症状水平。使用双变量相关性检验横断面关联。使用曼-惠特尼检验检查两个子样本在性心理健康方面的差异。

结果

我们的结果表明,伴侣的促进性反应与更高的关系和性满意度显著相关,也与更低的性困扰和更多的趋近目标相关。消极的伴侣反应与更高的性困扰以及更低的关系和性满意度显著相关。消极的伴侣反应是与男性焦虑和抑郁显著相关的唯一反应,这表明心理健康在伴侣对外阴痛的管理中起作用。在我们的样本中,10.2%的人抑郁症状临床水平得分高于临界值,8.7%的人焦虑得分高于临界值,这与瑞典社区样本相似。伴侣反应与性心理健康相关。在我们的样本中,患有PVD的女性的男性伴侣并不比普通人群中同年龄的其他男性有更多的焦虑或抑郁。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6533/11918749/fad3dcbf2561/painreports-10-e1265-g001.jpg

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