Body Image in Women with Primary and Secondary Provoked Vestibulodynia: A Controlled Study
| Autor: | Sophie Bergeron, Delphine L. Maillé, Bernard Lambert |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Adult
Pain Threshold Vulvodynia Urology Endocrinology Diabetes and Metabolism Population Psychological intervention Personal Satisfaction Pelvic Pain Severity of Illness Index Endocrinology Rating scale Surveys and Questionnaires Body Image medicine Humans education Depression (differential diagnoses) education.field_of_study Depression Coitus medicine.disease Psychiatry and Mental health Dyspareunia Sexual Partners Reproductive Medicine Psychosexual development Case-Control Studies Anxiety Female medicine.symptom Sexual function Psychology Follow-Up Studies Clinical psychology |
| Zdroj: | The Journal of Sexual Medicine. 12:505-515 |
| ISSN: | 1743-6109 1743-6095 |
| DOI: | 10.1111/jsm.12765 |
| Popis: | Introduction Provoked vestibulodynia (PVD) is a women's genito-pelvic pain condition associated with psychosexual impairments, including depression. Body image (BI) has been found to be different in women with primary (PVD1) and secondary (PVD2) PVD. No controlled study has compared BI in women with PVD1 and PVD2 and investigated its associations with sexual satisfaction, sexual function, and pain. Aims The aims of this study were to (i) compare BI in women with PVD1, PVD2, and asymptomatic controls and (ii) to examine associations between BI and sexual satisfaction, sexual function, and pain during intercourse in women with PVD. Methods Fifty-seven women (20 with PVD1, 19 with PVD2, and 18 controls) completed measures of BI, sexual satisfaction, sexual function, pain during intercourse, and depression. Main Outcome Measures The main outcome measures were (i) Global Measure of Sexual Satisfaction Scale, (ii) Female Sexual Function Index, and (iii) pain numerical rating scale. Results Controlling for depression, women with PVD1 reported more body exposure anxiety during sexual activities than women with PVD2 and controls F(2,51) = 4.23, P = 0.02. For women with PVD, more negative BI during sexual activities was associated with lower sexual satisfaction (β = −0.45, P = 0.02) and function (β = −0.39, P = 0.04) and higher pain during intercourse (β = 0.59, P = 0.004). More positive body esteem was associated with higher sexual function (β = 0.34, P = 0.05). Conclusions Findings suggest that women with PVD1 present more body exposure anxiety during sexual activities than women with PVD2 and asymptomatic women. Body esteem and general attitudes toward women's genitalia were not significantly different between groups. Higher body exposure anxiety during sexual activities was associated with poorer sexual outcomes in women with PVD. Further studies assessing interventions targeting BI during sexual activities in this population are needed, as improving BI during sexual interactions may enhance sexual outcomes in women with PVD. |
| Databáze: | OpenAIRE |
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