Introduction. Provoked vestibulodynia (PVD) is the most frequent subtype of vulvodynia.

The present research examined the role of autobiographical memory networks on negative emotional experiences. Results from 2 studies found support for an active but also discriminant role of autobiographical memories and their related networked memories on negative emotions. In addition, in line with self-determination theory, thwarting of the psychological needs for competence, autonomy, and relatedness was found to be the critical component of autobiographical memory affecting negative emotional experiences. Study 1 revealed that need thwarting in a specific autobiographical memory network related to the theme of loss was positively associated with depressive negative emotions, but not with other negative emotions. Study 2 showed within a prospective design a differential predictive validity between 2 autobiographical memory networks (an anger-related vs. a guilt-related memory) on situational anger reactivity with respect to unfair treatment. All of these results held after controlling for neuroticism (Studies 1 and 2), self-control (Study 2), and for the valence (Study 1) and emotions (Study 2) found in the measured autobiographical memory network. These findings highlight the ongoing emotional significance of representations of need thwarting in autobiographical memory networks.

Objective: Vulvodynia is a prevalent idiopathic pain condition with deleterious consequences for the sexuality of affected women and their spouses. Intimacy has been identified as a facilitator of adjustment to health difficulties in couples. Two components of intimacy were examined among couples with vulvodynia—empathic response and disclosure—in relation to their sexual satisfaction and sexual distress. Method: Using an observational design, 50 women (Mage = 24.50 years, SD = 4.03) diagnosed with vulvodynia and their spouses (Mage = 26.10 years, SD = 5.70) participated in a filmed discussion focusing on the impact of vulvodynia on their lives. Empathic response and disclosure were assessed by a trained observer and self-reported by participants after engaging in the discussion. The actor−partner interdependence model guided the data analyses. Results: Women’s and spouses’ higher observed and perceived empathic responses were associated with their own and their partners’ greater sexual satisfaction. Women’s and spouses’ higher perceived disclosures were associated with their own and their partners’ greater sexual satisfaction. Women’s and spouses’ higher observed empathic responses were associated with their own lower sexual distress. Women’s higher observed empathic responses were associated with their spouses’ lower sexual distress. Women and spouses’ perceived greater empathic responses were associated with their own lower sexual distress. Women’s and spouses’ greater perceived disclosures during the discussion were associated with their own and their partners’ lower sexual distress. Conclusion: Promoting empathic response and disclosure through couple interventions may buffer against the sexual distress and sexual dissatisfaction of couples coping with vulvodynia.

Background: Provoked vestibulodynia (PVD) is a common genital pain disorder in women, which is associated with sexual dysfunction and lowered sexual satisfaction. A potentially applicable cognitive-behavioral model of chronic pain and disability is the fearavoidance model (FAM) of pain. The FAM posits that cognitive variables, such as pain catastrophizing, fear, and anxiety lead to avoidance of pain-provoking behaviors (intercourse), resulting in continued pain and disability. Although some of the FAM variables have been shown to be associated with PVD pain and sexuality outcomes, the model as a whole has never been tested in this population. An additional protective factor, pain self-efficacy, is also associated with PVD, but has not been tested within the FAM model.

Introduction. Provoked vestibulodynia (PVD) is the most frequent cause of genito-pelvic