Meana M, Binik Y M, Khalifé S, Cohen D
Department of Psychology, McGill University, Montreal, Quebec, Canada.
J Nerv Ment Dis. 1997 Sep;185(9):561-9. doi: 10.1097/00005053-199709000-00005.
This study investigated the clinical attributes of dyspareunia and the variables used to classify it. A systematic clinical description of the pain symptomatology was obtained through the administration of a structured interview and standardized pain measures to 112 women suffering from dyspareunia, ranging in age from 19 to 65. Subjects also underwent three different gynecological examinations and completed standardized measures of psychopathology, marital adjustment, and sexual attitudes, the results of which were used to test the ability of three different classification systems, including the DSM-IV, to predict physical and psychosocial outcomes. Using classification analysis, temporal pattern and location of the pain were found to be the best predictors of physical diagnoses, although none of the taxa in the three classification systems tested were related to psychosocial outcomes. Sexual impairment of women suffering from dyspareunia notwithstanding, the results support the consideration of dyspareunia as primarily a pain syndrome, rather than a sexual dysfunction.
本研究调查了性交疼痛的临床特征以及用于对其进行分类的变量。通过对112名年龄在19至65岁之间患有性交疼痛的女性进行结构化访谈和标准化疼痛测量，获得了对疼痛症状学的系统临床描述。受试者还接受了三种不同的妇科检查，并完成了心理病理学、婚姻调适和性态度的标准化测量，其结果用于测试包括《精神疾病诊断与统计手册》第四版（DSM-IV）在内的三种不同分类系统预测身体和心理社会结果的能力。通过分类分析发现，疼痛的时间模式和部位是身体诊断的最佳预测指标，尽管所测试的三种分类系统中的任何一个分类单元均与心理社会结果无关。尽管患有性交疼痛的女性存在性功能障碍，但研究结果支持将性交疼痛主要视为一种疼痛综合征，而非性功能障碍。
