Impact of a single-session psychosocial counseling intervention for women with vulvodynia.

Autor: Moravek MB; University of Michigan Department of Obstetrics and Gynecology, Ann Arbor, MI, USA., Legocki LJ; University of Michigan Department of Family Medicine, Ann Arbor, MI, USA., Piper CK; University of Michigan Department of Social Work, Ann Arbor, MI, USA., Bernard K; University of Michigan Department of Social Work, Ann Arbor, MI, USA., Reed BD; University of Michigan Department of Family Medicine, Ann Arbor, MI, USA., Haefner HK; University of Michigan Department of Obstetrics and Gynecology, Ann Arbor, MI, USA.
Jazyk: angličtina
Zdroj: International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics [Int J Gynaecol Obstet] 2023 Jan; Vol. 160 (1), pp. 202-208. Date of Electronic Publication: 2022 Jul 12.
DOI: 10.1002/ijgo.14321
Abstrakt: Objective: To evaluate the impact of a single session of psychosocial counseling on patients with vulvodynia.
Methods: Patients diagnosed with vulvodynia at a vulvovaginal specialty clinic were randomly assigned to receive either a one-on-one 30- to 45-min psychosocial counseling session with a psychosexual counselor plus written educational materials (intervention group) or written materials alone (control group). They completed a survey before and 6 weeks after randomization that included demographic information and validated measures of sexual function and illness perception.
Results: Thirty-one of 38 (81.6%) women approached chose to participate; 26 of the 31 (83.9%) completed the 6-week follow-up survey. Only the intervention group showed improvement in knowledge about vulvovaginal and sexual health, as well as in most measures of improvement in illness perception, as measured by the Brief Illness Perception Questionnaire (P < 0.05). When compared directly with those in the control group, patients in the intervention group reported increased understanding of their vulvar symptoms (P < 0.005) and lessened emotional impact of these symptoms (P = 0.035).
Conclusion: Patients receiving one session of the one-on-one psychosocial counseling intervention reported improved understanding and lessened emotional impact of their vulvar symptoms, compared with the control group. This study suggests that improvement may occur following minimal intervention and supports the need for further study.
(© 2022 The Authors. International Journal of Gynecology & Obstetrics published by John Wiley & Sons Ltd on behalf of International Federation of Gynecology and Obstetrics.)
Databáze: MEDLINE
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