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患有外阴痛的意大利女性的心理、人际关系及生育相关特征:一项与对照组的比较研究

Psychological, Relational, and Fertility-Related Characteristics of Italian Women with Vulvodynia: A Comparative Study with Controls.

作者信息

Gattamelata Antonio, Fioravanti Giulia, Zurkirch Vanessa Prisca, Moyano Nieves

机构信息

Escuela de Doctorado en Psicología, Universidad de Jaén, Campus Las Lagunillas s/n, 23071 Jaén, Spain.

Department of Psychology, Universidad de Jaén, Campus Las Lagunillas s/n, Ed.C5, 23071 Jaén, Spain.

出版信息

Int J Environ Res Public Health. 2025 Mar 30;22(4):527. doi: 10.3390/ijerph22040527.

DOI:10.3390/ijerph22040527
PMID:40283753
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12026852/
Abstract

Vulvodynia, a chronic pain condition affecting the vulvar area, is associated with significant psychological distress and profoundly impacts women's quality of life. This study examines the psychological and relational experiences of women with vulvodynia, focusing on attachment styles, resilience, fertility-related distress, and sexual functioning. A total of 203 women (96 with vulvodynia and 107 controls), aged 19 to 50 years, were recruited and completed a series of validated psychological measures. The results revealed that women with vulvodynia reported higher levels of attachment anxiety and avoidance, lower resilience, greater fertility-related distress, impaired sexual function, reduced dyadic adjustment, and elevated depressive symptoms compared to the controls. These findings underscore the complex interplay of psychological, relational, and fertility-related challenges experienced by women with vulvodynia. This study highlights the need for integrated, multidisciplinary approaches to address the medical, psychological, and relational dimensions of the condition, ultimately improving the well-being and quality of life for affected women.

摘要

外阴痛是一种影响外阴区域的慢性疼痛病症,与严重的心理困扰相关,对女性的生活质量产生深远影响。本研究考察了患有外阴痛的女性的心理和人际关系体验,重点关注依恋风格、复原力、生育相关困扰和性功能。共招募了203名年龄在19至50岁之间的女性(96名患有外阴痛,107名作为对照),她们完成了一系列经过验证的心理测量。结果显示,与对照组相比,患有外阴痛的女性报告出更高水平的依恋焦虑和回避、更低的复原力、更大的生育相关困扰、性功能受损、二元调适能力下降以及抑郁症状加剧。这些发现强调了患有外阴痛的女性在心理、人际关系和生育相关方面所经历的复杂相互作用。本研究凸显了采用综合、多学科方法来解决该病症的医学、心理和人际关系层面问题的必要性,最终改善受影响女性的幸福感和生活质量。

相似文献

1
Psychological, Relational, and Fertility-Related Characteristics of Italian Women with Vulvodynia: A Comparative Study with Controls.患有外阴痛的意大利女性的心理、人际关系及生育相关特征:一项与对照组的比较研究
Int J Environ Res Public Health. 2025 Mar 30;22(4):527. doi: 10.3390/ijerph22040527.
2
Daily Anxiety and Depressive Symptoms in Couples Coping With Vulvodynia: Associations With Women's Pain, Women's Sexual Function, and Both Partners' Sexual Distress.患有外阴痛的夫妻的日常焦虑和抑郁症状:与女性疼痛、女性性功能和双方的性困扰的关联。
J Pain. 2018 May;19(5):552-561. doi: 10.1016/j.jpain.2017.12.264. Epub 2018 Jan 5.
3
Communal motivation in couples coping with vulvodynia: Sexual distress mediates associations with pain, depression, and anxiety.夫妻共同应对外阴痛的群体动机:性困扰中介了与疼痛、抑郁和焦虑的关联。
J Psychosom Res. 2018 Mar;106:34-40. doi: 10.1016/j.jpsychores.2018.01.006. Epub 2018 Jan 10.
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Aggravating and protective factors in patients' experiences of vulvodynia: a qualitative study with Italian women.外阴痛患者经历中的加重因素和保护因素:一项针对意大利女性的定性研究
BMC Psychol. 2025 Mar 17;13(1):260. doi: 10.1186/s40359-024-02318-z.
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J Sex Med. 2015 Aug;12(8):1781-90. doi: 10.1111/jsm.12948. Epub 2015 Jul 14.
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Clin J Pain. 2018 Jul;34(7):629-637. doi: 10.1097/AJP.0000000000000579.
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Daily Associations Among Male Partner Responses, Pain During Intercourse, and Anxiety in Women With Vulvodynia and Their Partners.外阴痛女性及其伴侣中男性伴侣反应、性交疼痛与焦虑之间的日常关联
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Sexual function, relationship adjustment, and the relational impact of pain in male partners of women with provoked vulvar pain.诱发性外阴疼痛女性伴侣的性功能、关系调适及疼痛的关系影响
J Sex Med. 2014 May;11(5):1283-93. doi: 10.1111/jsm.12484. Epub 2014 Feb 26.

本文引用的文献

1
Aggravating and protective factors in patients' experiences of vulvodynia: a qualitative study with Italian women.外阴痛患者经历中的加重因素和保护因素:一项针对意大利女性的定性研究
BMC Psychol. 2025 Mar 17;13(1):260. doi: 10.1186/s40359-024-02318-z.
2
Central sensitization symptoms in vulvodynia: exploring the role of temperament, personality traits, childhood adverse events, defense mechanisms, and mental pain on quality of life.外阴痛中的中枢敏化症状:探讨气质、人格特质、童年不良事件、防御机制和精神痛苦对生活质量的影响。
J Sex Med. 2024 Sep 28;21(10):912-921. doi: 10.1093/jsxmed/qdae096.
3
Role of sexuality in women with chronic pain: Results from an Italian cross-sectional study on chronic headache, fibromyalgia, and vulvodynia.性在慢性疼痛女性中的作用:一项关于慢性头痛、纤维肌痛和外阴痛的意大利横断面研究结果
Int J Clin Health Psychol. 2024 Apr-Jun;24(2):100472. doi: 10.1016/j.ijchp.2024.100472. Epub 2024 Jun 7.
4
Psychosocial Factors Associated With Vulvodynia.与外阴痛相关的心理社会因素。
J Low Genit Tract Dis. 2024 Jul 1;28(3):264-275. doi: 10.1097/LGT.0000000000000822. Epub 2024 May 2.
5
A Qualitative Study on the Experience of Assisted Reproductive Technology in Women with Dyspareunia.一项关于性交困难女性辅助生殖技术体验的定性研究。
Int J Womens Health. 2024 Mar 26;16:543-553. doi: 10.2147/IJWH.S449830. eCollection 2024.
6
Help-seeking experiences and intimate partner support in vulvodynia: A qualitative exploration.阴痛患者的求助经历和伴侣支持:一项定性研究
Womens Health (Lond). 2024 Jan-Dec;20:17455057241241866. doi: 10.1177/17455057241241866.
7
Attachment patterns, self-compassion, and coping strategies in patients with chronic pain.慢性疼痛患者的依恋模式、自我同情和应对策略
Pain Rep. 2023 Aug 18;8(5):e1087. doi: 10.1097/PR9.0000000000001087. eCollection 2023 Sep.
8
Associations Between Adult Attachment, Pain Catastrophizing, Psychological Inflexibility and Disability in Adults with Chronic Pain.成人依恋、疼痛灾难化、心理不灵活性与慢性疼痛成人残疾的相关性。
J Clin Psychol Med Settings. 2024 Sep;31(3):571-584. doi: 10.1007/s10880-023-09989-7. Epub 2024 Jan 5.
9
Assessment of anxiety, depression and somatization in women with vulvodynia: A systematic review and META-analysis.评估外阴痛女性的焦虑、抑郁和躯体化症状:系统评价和 META 分析。
J Affect Disord. 2024 Jan 1;344:122-131. doi: 10.1016/j.jad.2023.10.025. Epub 2023 Oct 11.
10
The role of catastrophizing in chronic cyclical pelvic pain: A systematic review and meta-analysis.灾难化在慢性周期性盆腔痛中的作用:系统评价和荟萃分析。
Womens Health (Lond). 2023 Jan-Dec;19:17455057231199949. doi: 10.1177/17455057231199949.