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Somatization and psychological distress among women with vulvar vestibulitis syndrome
Authors:Denniz Zolnoun  Eliza M. Park  Cara A. Liebert  Sawson As-Sanie
Affiliation:a Division of Advanced Laparoscopy and Pelvic Pain, Department of Obstetrics and Gynecology, University of North Carolina, Chapel Hill, NC, USA
b Center for Women's Health Research, University of North Carolina, Chapel Hill, NC, USA
c University of North Carolina, Chapel Hill, NC, USA
d General Medicine and Epidemiology, Department of Medicine, University of North Carolina, Chapel Hill, NC, USA
e Department of Obstetrics and Gynecology, Feinberg School of Medicine at Northwestern University, Chicago, IL, USA
f Department of Physical Medicine and Rehabilitation, Feinberg School of Medicine at Northwestern University, Chicago, IL, USA
g Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI, USA
Abstract:

Objective

To investigate the distribution of psychological characteristics and pain reporting among women with vulvar vestibulitis syndrome (VVS).

Methods

In this exploratory study, 109 women with VVS completed a battery of questionnaires to assess pain with intercourse and psychological characteristics (e.g. somatization, anxiety, distress). The distribution of these characteristics was compared, first with a conventional binary classification schema (primary and secondary) and subsequently with a 3-category schema (primary, latent primary, secondary).

Results

Severity of pain with intercourse did not differ among the subgroups using either classification schema. Women with primary VVS consistently showed higher levels of somatization, anxiety, and distress compared with those with secondary VVS. Using a 3-tiered classification system, we found no difference between latent primary diagnosis and the other 2 groups (primary and secondary).

Conclusion

This study highlights the critical need for research on subtype definition and the role of psychological factors in VVS.
Keywords:Anxiety   Clinical classification   Idiopathic pain disorder   Somatization   Vulvar vestibulitis syndrome (VVS)   Vulvodynia
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