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对一组自我报告有生殖器-盆腔疼痛和性交障碍的意大利女性的心理社会及性健康状况的研究。

Psychosocial and sexual well-being in a sample of Italian women with self-reported genito-pelvic pain and penetration disorder.

作者信息

Smorti Martina, Ghinassi Simon, Del Cherico Chiara, Dèttore Davide

机构信息

Department of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa, 56126 Pisa, Italy.

Department of Experimental and Clinical Medicine, University of Florence, 50134 Florence, Italy.

出版信息

Sex Med. 2025 Jun 2;13(3):qfaf042. doi: 10.1093/sexmed/qfaf042. eCollection 2025 Jun.

Abstract

BACKGROUND

Genito-pelvic pain and penetration disorder (GPPPD) affects multiple aspects of a woman's life, yet its biopsychosocial impact in the Italian context remains underexplored.

AIM

This study aimed to investigate differences in psychosocial and sexual well-being between women with and without self-reported GPPPD.

METHODS

A sample of 310 women (  = 29.08 ± 7.93, range = 18-57) was recruited and divided into two groups: 141 women who self-reported suffering from GPPPD and 169 women who reported not suffering from it. Data were collected through online platforms and the Italian versions of the Vaginal Penetration Cognition Questionnaire, the Toronto Alexithymia Scale, the Parental Bonding Instrument, the Romance Qualities Scale, the Female Sexual Function Index, and the Satisfaction with Life Scale were administered. Since there is no Italian version of the Vaginal Penetration Cognition Questionnaire, its psychometric properties were preliminarily evaluated in an independent and convenience sample of 170 women (  = 28.28 ± 7.64, Range = 18-49). To explore whether the two groups differed on the study variables, a series of multivariate analyses of variance were carried out.

OUTCOMES

The outcomes of the study were the levels of the vaginal penetration-related cognitions, alexithymia, relationships with mother and partner, and life and sexual satisfaction.

RESULTS

Women with GPPPD reported higher negative cognitions related to penetration, higher levels of alexithymia, a lower quality of the relationship with both the partner and the mother, as well as lower life and sexual satisfaction than the control group.

CLINICAL TRANSLATION

These findings emphasize the need for multidisciplinary approaches addressing cognitive, emotional, and relational factors to improve the well-being of women with GPPPD.

STRENGTHS AND LIMITATIONS

Strengths include the comprehensive assessment of biopsychosocial factors. Limitations involve reliance on self-reported diagnosis, potential recruitment bias, and the cross-sectional nature of the study.

CONCLUSION

The study highlights the extensive impact of GPPPD on women's well-being, emphasizing the importance of tailored interventions targeting the disorder's psychological and relational dimensions.

摘要

背景

生殖器盆腔疼痛与插入障碍(GPPPD)会影响女性生活的多个方面,但在意大利背景下其生物心理社会影响仍未得到充分探索。

目的

本研究旨在调查自我报告患有GPPPD的女性与未患该疾病的女性在心理社会和性健康方面的差异。

方法

招募了310名女性样本(年龄=29.08±7.93,范围=18 - 57岁),并将其分为两组:141名自我报告患有GPPPD的女性和169名报告未患该疾病的女性。通过在线平台收集数据,并发放意大利语版的阴道插入认知问卷、多伦多述情障碍量表、父母教养方式问卷、浪漫特质量表、女性性功能指数和生活满意度量表。由于没有意大利语版的阴道插入认知问卷,其心理测量学特性在170名女性(年龄=28.28±7.64,范围=18 - 49岁)的独立便利样本中进行了初步评估。为了探究两组在研究变量上是否存在差异,进行了一系列多变量方差分析。

结果

研究结果为与阴道插入相关的认知水平、述情障碍、与母亲和伴侣的关系以及生活和性满意度。

结果

与对照组相比,患有GPPPD的女性报告了更高的与插入相关的负面认知、更高的述情障碍水平、与伴侣和母亲关系的较低质量,以及更低的生活和性满意度。

临床转化

这些发现强调了需要采用多学科方法来解决认知、情感和关系因素,以改善患有GPPPD的女性的健康状况。

优点和局限性

优点包括对生物心理社会因素的全面评估。局限性包括依赖自我报告的诊断、潜在的招募偏差以及研究的横断面性质。

结论

该研究突出了GPPPD对女性健康的广泛影响,强调了针对该疾病心理和关系维度的定制干预措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d54/12128918/d2c9fc02c7ec/qfaf042f1.jpg

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