Ferahkaya Eda, Bayman Melike Geyik
Department of Psychiatry, Konya City Hospital, Konya, Turkey.
Department of Obstetrics and Gynaecology, Konya City Hospital, Konya, Turkey.
J Sex Marital Ther. 2025;51(5):502-512. doi: 10.1080/0092623X.2025.2511011. Epub 2025 May 30.
It is thought that anxiety sensitivity and temperament characteristics in women diagnosed with vaginismus may be determinant on the development, persistence and treatment processes of the condition. This study aims to examine anxiety sensitivity and temperament characteristics in women diagnosed with vaginismus. The study included 40 female participant diagnosed with vaginismus and 40 women without sexual dysfunction as control group. All participants were administered the Structured Clinical Interview for DSM-IV Axis-I Disorders, followed by the Golombok-Rust Sexual Satisfaction Scale, Anxiety Sensitivity Index-3, and Temperament Evaluation of Memphis, Pisa, Paris, and San Diego Autoquestionnaire. Anxiety sensitivity levels were significantly higher in the vaginismus group compared to the control group. It was determined that depressive, irritable and anxious temperament subscale scores were significantly higher in the vaginismus group compared to the control group. While anxiety sensitivity, depressive temperament and anxious temperament traits, which showed significant differences between the groups, maintained their significant differences after controlling for covariates the significant difference in irritable temperament disappeared. Vaginismus is not only an obstacle to sexual intercourse, but also a multidimensional clinical picture that affects couples in different areas and in its etiology individual factors such as anxiety sensitivity and temperamental characteristics may play a role.
据认为,被诊断为阴道痉挛的女性的焦虑敏感性和气质特征可能在该疾病的发展、持续和治疗过程中起决定性作用。本研究旨在探讨被诊断为阴道痉挛的女性的焦虑敏感性和气质特征。该研究纳入了40名被诊断为阴道痉挛的女性参与者以及40名无性功能障碍的女性作为对照组。所有参与者均接受了《精神疾病诊断与统计手册》第四版轴I障碍的结构化临床访谈,随后进行了戈伦伯克-拉斯特性满意度量表、焦虑敏感性指数-3以及孟菲斯、比萨、巴黎和圣地亚哥自动问卷气质评估。与对照组相比,阴道痉挛组的焦虑敏感性水平显著更高。结果确定,与对照组相比,阴道痉挛组的抑郁、易怒和焦虑气质子量表得分显著更高。虽然两组之间存在显著差异的焦虑敏感性、抑郁气质和焦虑气质特征在控制协变量后仍保持显著差异,但易怒气质的显著差异消失了。阴道痉挛不仅是性交的障碍,也是一种多维临床症状,在不同方面影响着夫妻,并且在其病因中,焦虑敏感性和气质特征等个体因素可能起作用。