Pain Characteristics,Psychosocial Wellbeing,and Sexual Wellbeing of Women Diagnosed With Provoked Vestibulodynia and a History of Sexual Abuse |
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| Authors: | Robyn A. Jackowich Kelly B. Smith Lori A. Brotto |
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| Affiliation: | 1. Department of Psychology, Queen''s University, Kingston, ON;2. BC Centre for Vulvar Health, Vancouver, BC;3. Department of Obstetrics and Gynaecology, University of British Columbia, Vancouver, BC;1. Department of Obstetrics and Gynecology, McGill University, Montréal, QC;2. Department of Obstetrics and Gynecology, King Abdulaziz University, Jeddah, Saudi Arabia;3. Inserm, Centre of Research in Epidemiology and Population Health (CESP), Faculty of Medicine, University Paris Sud, Le Kremlin Bicêtre, France;1. Servicio de Ginecología y Obstetricia, Osakidetza Servicio Vasco de Salud, Hospital Universitario Basurto, Bilbao, Spain;2. Departamento de Especialidades Médico–Quirúrgicas, Universidad de País Vasco, Bilbao, Spain;3. Unidad de Investigación, Osakidetza Servicio Vasco de Salud, Hospital Universitario Basurto (HUB), Bilbao, Spain;4. Red de Investigación en Servicios de Salud en Enfermedades Crónicas, Bilbao, Spain;1. Department of Obstetrics and Gynecology, University of Toronto, Toronto, ON;2. Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON;3. Genetics Program, North York General Hospital, Toronto, ON;4. Maternal-Fetal Medicine Unit, Department of Obstetrics and Gynecology, North York General Hospital, University of Toronto, Toronto, ON;1. Department of Obstetrics and Gynecology, Jewish General Hospital, McGill University, Montréal, QC;2. Centre for Clinical Epidemiology and Community Studies, Jewish General Hospital, Montréal, QC;1. Department of Obstetrics and Gynecology, University of Ottawa, Ottawa, ON;2. Division of Urology, Department of Surgery, University of Ottawa, Ottawa, ON;1. Midwives Association of British Columbia, Vancouver, BC;2. School of Leadership Studies, Royal Roads University, Victoria, BC |
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| Abstract: | ObjectiveProvoked vestibulodynia (PVD) is a common chronic pain condition characterized by pain at the vulvar vestibule elicited by touch. Both PVD and sexual abuse lead to negative psychosocial and sexual consequences. However, little is known about the wellbeing of women with PVD and a history of sexual abuse. The aim of this study was to characterize a sample of women seeking treatment for PVD who have experienced sexual abuse.MethodsA total of 404 women diagnosed with PVD completed self-report questionnaires of PVD symptoms and psychosocial and sexual wellbeing before and after participating in a multidisciplinary PVD treatment program. History of sexual abuse was assessed via self-report, and women were dichotomized into groups.ResultsNo significant differences were found on sociodemographic variables, baseline psychosocial or sexual functioning between women with and without a self-reported history of sexual abuse (n = 40 and n = 364, respectively). Significantly more women with a history of sexual abuse than without reported other comorbid chronic pain conditions and radiating PVD pain. History of sexual abuse did not affect improvements in sexual distress scores following multidisciplinary treatment for their PVD.ConclusionTen percent of women in our sample self-reported a history of sexual abuse, but the two groups did not differ significantly with respect to their baseline psychosocial or sexual functioning concerns, and both groups reported reductions in sexual distress following treatment for PVD. These findings indicate that a history of sexual abuse does not significantly affect the efficacy of multidisciplinary treatment approaches for PVD. |
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