Fear Avoidance and Self-efficacy in Relation to Pain and Sexual Impairment in Women With Provoked Vestibulodynia
BACKGOUNDProvoked vestibulodynia is believed to be the most frequent cause of vulvodynia in women of childbearing age, with prevalence rates of up to 12% in the general population. Despite this high prevalence and the fact that vestibulodynia impacts negatively on quality of life, in particular sexu...
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| Veröffentlicht in: | The Clinical journal of pain 2009-07, Vol.25 (6), p.520-527 |
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| creator | Desrochers, Geneviève Bergeron, Sophie Khalifé, Samir Dupuis, Marie-Josée Jodoin, Mélanie |
| description | BACKGOUNDProvoked vestibulodynia is believed to be the most frequent cause of vulvodynia in women of childbearing age, with prevalence rates of up to 12% in the general population. Despite this high prevalence and the fact that vestibulodynia impacts negatively on quality of life, in particular sexual functioning, there has been a paucity of sound research to elucidate the conditionʼs etiology. More specifically, few studies have focused on the role of psychologic factors in the experience of vulvo-vaginal pain and associated sexual impairment.
OBJECTIVESThe present study aimed to determine the extent to which fear avoidance variables (catastrophizing, anxiety, fear of pain, hypervigilance) and self-efficacy differentially influenced changes in levels of induced and intercourse pain and also associated sexual dysfunction in these women.
METHODSData were obtained from 75 vestibulodynia participants who completed a gynecologic examination, structured interview, and standardized questionnaires.
RESULTSThe results of regression analyses revealed that higher catastrophizing, fear of pain, and hypervigilance in addition to lower self-efficacy together accounted for 15% of the variation in increased intercourse pain intensity. Among these, only catastrophizing contributed unique variance to intercourse pain. Results also showed that higher state anxiety and fear of pain (escape/avoidance) and also lower self-efficacy explained 22% of the variation in womenʼs sexual impairment. However, only self-efficacy was found to be an independent correlate of sexual impairment.
CONCLUSIONFindings support a theoretical model of vestibulodynia as a pain disorder influenced among others by cognitive and affective factors. |
| doi_str_mv | 10.1097/AJP.0b013e31819976e3 |
| format | Article |
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OBJECTIVESThe present study aimed to determine the extent to which fear avoidance variables (catastrophizing, anxiety, fear of pain, hypervigilance) and self-efficacy differentially influenced changes in levels of induced and intercourse pain and also associated sexual dysfunction in these women.
METHODSData were obtained from 75 vestibulodynia participants who completed a gynecologic examination, structured interview, and standardized questionnaires.
RESULTSThe results of regression analyses revealed that higher catastrophizing, fear of pain, and hypervigilance in addition to lower self-efficacy together accounted for 15% of the variation in increased intercourse pain intensity. Among these, only catastrophizing contributed unique variance to intercourse pain. Results also showed that higher state anxiety and fear of pain (escape/avoidance) and also lower self-efficacy explained 22% of the variation in womenʼs sexual impairment. However, only self-efficacy was found to be an independent correlate of sexual impairment.
CONCLUSIONFindings support a theoretical model of vestibulodynia as a pain disorder influenced among others by cognitive and affective factors.</description><identifier>ISSN: 0749-8047</identifier><identifier>EISSN: 1536-5409</identifier><identifier>DOI: 10.1097/AJP.0b013e31819976e3</identifier><identifier>PMID: 19542801</identifier><identifier>CODEN: CJPAEU</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins, Inc</publisher><subject>Adult ; Anxiety - etiology ; Anxiety - psychology ; Biological and medical sciences ; Disability Evaluation ; Dyspareunia - complications ; Dyspareunia - psychology ; Fear - psychology ; Female ; Fundamental and applied biological sciences. Psychology ; Humans ; Linear Models ; Medical sciences ; Multiple sclerosis and variants. Guillain barré syndrome and other inflammatory polyneuropathies. Leukoencephalitis ; Neurology ; Pain - etiology ; Pain Measurement - methods ; Sexual Dysfunctions, Psychological - etiology ; Somesthesis and somesthetic pathways (proprioception, exteroception, nociception); interoception; electrolocation. Sensory receptors ; Surveys and Questionnaires ; Vertebrates: nervous system and sense organs ; Vulvar Diseases - complications ; Vulvar Diseases - psychology ; Young Adult</subject><ispartof>The Clinical journal of pain, 2009-07, Vol.25 (6), p.520-527</ispartof><rights>2009 Lippincott Williams & Wilkins, Inc.</rights><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4061-810ee201b34741f314a8ee3c9e8a11d0925d056274cc1ca94380b1761923bf593</citedby><cites>FETCH-LOGICAL-c4061-810ee201b34741f314a8ee3c9e8a11d0925d056274cc1ca94380b1761923bf593</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21654137$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19542801$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Desrochers, Geneviève</creatorcontrib><creatorcontrib>Bergeron, Sophie</creatorcontrib><creatorcontrib>Khalifé, Samir</creatorcontrib><creatorcontrib>Dupuis, Marie-Josée</creatorcontrib><creatorcontrib>Jodoin, Mélanie</creatorcontrib><title>Fear Avoidance and Self-efficacy in Relation to Pain and Sexual Impairment in Women With Provoked Vestibulodynia</title><title>The Clinical journal of pain</title><addtitle>Clin J Pain</addtitle><description>BACKGOUNDProvoked vestibulodynia is believed to be the most frequent cause of vulvodynia in women of childbearing age, with prevalence rates of up to 12% in the general population. Despite this high prevalence and the fact that vestibulodynia impacts negatively on quality of life, in particular sexual functioning, there has been a paucity of sound research to elucidate the conditionʼs etiology. More specifically, few studies have focused on the role of psychologic factors in the experience of vulvo-vaginal pain and associated sexual impairment.
OBJECTIVESThe present study aimed to determine the extent to which fear avoidance variables (catastrophizing, anxiety, fear of pain, hypervigilance) and self-efficacy differentially influenced changes in levels of induced and intercourse pain and also associated sexual dysfunction in these women.
METHODSData were obtained from 75 vestibulodynia participants who completed a gynecologic examination, structured interview, and standardized questionnaires.
RESULTSThe results of regression analyses revealed that higher catastrophizing, fear of pain, and hypervigilance in addition to lower self-efficacy together accounted for 15% of the variation in increased intercourse pain intensity. Among these, only catastrophizing contributed unique variance to intercourse pain. Results also showed that higher state anxiety and fear of pain (escape/avoidance) and also lower self-efficacy explained 22% of the variation in womenʼs sexual impairment. However, only self-efficacy was found to be an independent correlate of sexual impairment.
CONCLUSIONFindings support a theoretical model of vestibulodynia as a pain disorder influenced among others by cognitive and affective factors.</description><subject>Adult</subject><subject>Anxiety - etiology</subject><subject>Anxiety - psychology</subject><subject>Biological and medical sciences</subject><subject>Disability Evaluation</subject><subject>Dyspareunia - complications</subject><subject>Dyspareunia - psychology</subject><subject>Fear - psychology</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Humans</subject><subject>Linear Models</subject><subject>Medical sciences</subject><subject>Multiple sclerosis and variants. Guillain barré syndrome and other inflammatory polyneuropathies. Leukoencephalitis</subject><subject>Neurology</subject><subject>Pain - etiology</subject><subject>Pain Measurement - methods</subject><subject>Sexual Dysfunctions, Psychological - etiology</subject><subject>Somesthesis and somesthetic pathways (proprioception, exteroception, nociception); interoception; electrolocation. Sensory receptors</subject><subject>Surveys and Questionnaires</subject><subject>Vertebrates: nervous system and sense organs</subject><subject>Vulvar Diseases - complications</subject><subject>Vulvar Diseases - psychology</subject><subject>Young Adult</subject><issn>0749-8047</issn><issn>1536-5409</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkN-L1DAQgIMo3rr6H4jkRd96zjRp0zwuh6cnBy7-useSplM2XtqsSXvn_vfm2MUDA0Nmwjcz4WPsNcI5glbvN5-359ABChLYoNaqJvGErbASdVFJ0E_ZCpTURQNSnbEXKf0CwKps4Dk7Q13JnOGK7S_JRL65C643kyVupp5_Iz8UNAzOGnvgbuJfyZvZhYnPgW9NfjhSfxbj-dW4Ny6ONM0P5E3IGb9x845vY7gLt9Tzn5Rm1y0-9IfJmZfs2WB8olene81-XH74fvGpuP7y8epic11YCTUWDQJRCdgJqSQOAqVpiITV1BjEHnRZ9VDVpZLWojVaigY6VDXqUnRDpcWavTvO3cfwe8lfaEeXLHlvJgpLamslAeusb83kEbQxpBRpaPfRjSYeWoT2wXSbTbf_m85tb07zl26k_rHppDYDb0-ASdb4IWa_Lv3jSqwriUI97r8PfqaYbv1yT7HdkfHzroV8ygqaogTQoHJV5EAUfwGfP5Xm</recordid><startdate>200907</startdate><enddate>200907</enddate><creator>Desrochers, Geneviève</creator><creator>Bergeron, Sophie</creator><creator>Khalifé, Samir</creator><creator>Dupuis, Marie-Josée</creator><creator>Jodoin, Mélanie</creator><general>Lippincott Williams & Wilkins, Inc</general><general>Lippincott Williams & Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200907</creationdate><title>Fear Avoidance and Self-efficacy in Relation to Pain and Sexual Impairment in Women With Provoked Vestibulodynia</title><author>Desrochers, Geneviève ; Bergeron, Sophie ; Khalifé, Samir ; Dupuis, Marie-Josée ; Jodoin, Mélanie</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4061-810ee201b34741f314a8ee3c9e8a11d0925d056274cc1ca94380b1761923bf593</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adult</topic><topic>Anxiety - etiology</topic><topic>Anxiety - psychology</topic><topic>Biological and medical sciences</topic><topic>Disability Evaluation</topic><topic>Dyspareunia - complications</topic><topic>Dyspareunia - psychology</topic><topic>Fear - psychology</topic><topic>Female</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Humans</topic><topic>Linear Models</topic><topic>Medical sciences</topic><topic>Multiple sclerosis and variants. Guillain barré syndrome and other inflammatory polyneuropathies. Leukoencephalitis</topic><topic>Neurology</topic><topic>Pain - etiology</topic><topic>Pain Measurement - methods</topic><topic>Sexual Dysfunctions, Psychological - etiology</topic><topic>Somesthesis and somesthetic pathways (proprioception, exteroception, nociception); interoception; electrolocation. Sensory receptors</topic><topic>Surveys and Questionnaires</topic><topic>Vertebrates: nervous system and sense organs</topic><topic>Vulvar Diseases - complications</topic><topic>Vulvar Diseases - psychology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Desrochers, Geneviève</creatorcontrib><creatorcontrib>Bergeron, Sophie</creatorcontrib><creatorcontrib>Khalifé, Samir</creatorcontrib><creatorcontrib>Dupuis, Marie-Josée</creatorcontrib><creatorcontrib>Jodoin, Mélanie</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Clinical journal of pain</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Desrochers, Geneviève</au><au>Bergeron, Sophie</au><au>Khalifé, Samir</au><au>Dupuis, Marie-Josée</au><au>Jodoin, Mélanie</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Fear Avoidance and Self-efficacy in Relation to Pain and Sexual Impairment in Women With Provoked Vestibulodynia</atitle><jtitle>The Clinical journal of pain</jtitle><addtitle>Clin J Pain</addtitle><date>2009-07</date><risdate>2009</risdate><volume>25</volume><issue>6</issue><spage>520</spage><epage>527</epage><pages>520-527</pages><issn>0749-8047</issn><eissn>1536-5409</eissn><coden>CJPAEU</coden><abstract>BACKGOUNDProvoked vestibulodynia is believed to be the most frequent cause of vulvodynia in women of childbearing age, with prevalence rates of up to 12% in the general population. Despite this high prevalence and the fact that vestibulodynia impacts negatively on quality of life, in particular sexual functioning, there has been a paucity of sound research to elucidate the conditionʼs etiology. More specifically, few studies have focused on the role of psychologic factors in the experience of vulvo-vaginal pain and associated sexual impairment.
OBJECTIVESThe present study aimed to determine the extent to which fear avoidance variables (catastrophizing, anxiety, fear of pain, hypervigilance) and self-efficacy differentially influenced changes in levels of induced and intercourse pain and also associated sexual dysfunction in these women.
METHODSData were obtained from 75 vestibulodynia participants who completed a gynecologic examination, structured interview, and standardized questionnaires.
RESULTSThe results of regression analyses revealed that higher catastrophizing, fear of pain, and hypervigilance in addition to lower self-efficacy together accounted for 15% of the variation in increased intercourse pain intensity. Among these, only catastrophizing contributed unique variance to intercourse pain. Results also showed that higher state anxiety and fear of pain (escape/avoidance) and also lower self-efficacy explained 22% of the variation in womenʼs sexual impairment. However, only self-efficacy was found to be an independent correlate of sexual impairment.
CONCLUSIONFindings support a theoretical model of vestibulodynia as a pain disorder influenced among others by cognitive and affective factors.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins, Inc</pub><pmid>19542801</pmid><doi>10.1097/AJP.0b013e31819976e3</doi><tpages>8</tpages></addata></record> |
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| subjects | Adult Anxiety - etiology Anxiety - psychology Biological and medical sciences Disability Evaluation Dyspareunia - complications Dyspareunia - psychology Fear - psychology Female Fundamental and applied biological sciences. Psychology Humans Linear Models Medical sciences Multiple sclerosis and variants. Guillain barré syndrome and other inflammatory polyneuropathies. Leukoencephalitis Neurology Pain - etiology Pain Measurement - methods Sexual Dysfunctions, Psychological - etiology Somesthesis and somesthetic pathways (proprioception, exteroception, nociception) interoception electrolocation. Sensory receptors Surveys and Questionnaires Vertebrates: nervous system and sense organs Vulvar Diseases - complications Vulvar Diseases - psychology Young Adult |
| title | Fear Avoidance and Self-efficacy in Relation to Pain and Sexual Impairment in Women With Provoked Vestibulodynia |
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