Childhood trauma and dissociation among women with genito-pelvic pain/penetration disorder

Özen, Beliz; Özdemir, Y Özay; Beştepe, Emrem

doi:10.2147/ndt.s151920

Cited by 15 publications

(12 citation statements)

References 39 publications

(66 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Recently, Farina et al (36) conceptualized dyspareunia as a somatoform dissociative symptom and found an odds ratio of 6.15 of psychoform dissociation in women with dyspareunia. Similarly, Özen et al (37) found high rates of somatoform dissociation in dyspareunia patients. Our study corroborates these data and is, to our knowledge, the first study specifically assessing perinatal dissociation in women with dyspareunia.…”

Section: Discussionmentioning

confidence: 85%

Obstetric Outcome and Emotional Adjustment to Childbirth in Women with Dyspareunia: A Cross-sectional Study

Padoa

Tomashev

Brenner

et al. 2022

Preprint

View full text Add to dashboard Cite

Objective: To assess obstetrical outcomes, perceptions of childbirth experience and emotional adjustment in women with dyspareunia. Design: Cross-sectional study. Setting: The maternity ward of a single medical center. Population: Four-hundred forty women, recruited within two days postpartum. Methods: We administered self-report questionnaires addressing demographic and reproductive background, dyspareunia, pain and perceived threat during delivery, sense of control during labour, perceived professional support, and maternal adjustment (i.e., perinatal dissociation, acute stress disorder (ASD), bonding, anticipated maternal self-efficacy depression and positive and negative affect). Obstetrical information was retrieved from clinical files. Main outcomes measures: Obstetrical outcomes and emotional adjustment to childbirth in women with dyspareunia versus comparisons. Results: Three-hundred eighty-eight women filled the dyspareunia questionnaire. The dyspareunia group included 71 women (18.3%) and the comparison group 317 (81.7%). Demographic data were similar between groups. No difference was observed in labour onset, analgesia, route of delivery and perineal tears. More participants with dyspareunia had premature delivery versus comparisons (14.1% vs 5.6%, p=0.02). Women with dyspareunia reported lower sense of control (p=0.01), lower perceived support (p<0.001), more perinatal dissociation (p<0.001), ASD symptoms (p<0.001), depression (p=0.02), negative affect (p<0.001), lower maternal bonding (p<0.001) and anticipated maternal self-efficacy (p=0.01). Women who experienced pain during pelvic exams were less likely to have spontaneous labor onset, more likely to need cervical ripening (p=0.02), and reported higher levels of negative affect (p=0.03). Conclusion: Dyspareunia was associated with more premature deliveries, more emotional distress and poorer maternal adjustment. Perinatal caregivers should be cognizant of such emotional reactions during prenatal care.

show abstract

Section: Discussionmentioning

confidence: 85%

Obstetric Outcome and Emotional Adjustment to Childbirth in Women with Dyspareunia: A Cross-sectional Study

Padoa

Tomashev

Brenner

et al. 2022

Preprint

View full text Add to dashboard Cite

show abstract

“…A educação sexual inadequada contribui para expectativas sexuais irreais, relativas a como, a quando e ao que deve acontecer em uma relação sexual, sendo esse um dos principais motivos pelos quais os indivíduos enfrentam problemas sexuais (Vaishnav et al, 2020). Em relação às disfunções sexuais, o vaginismo possui etiologia desconhecida (Pacik, 2014;Batista, 2017), entretanto, estudos mostram correlações com a presença de crenças disfuncionais e atitudes negativas em relação ao sexo, aversão à genitália, restrita educação familiar e religiosa, estigmas culturais e familiares, medo da (primeira) penetração, virgindade, medo de engravidar, sexo só depois do casamento, ansiedade e medo ante a possibilidade de dor e a realização de exames ginecológicos, e ausência ou inadequada educação sexual (Alizadeh et al, 2019;Fadul et al, 2018;Özen et al, 2018;Pacik, 2014;Rahman, 2018;Vaishnav et al, 2020).…”

Section: Educação Sexualunclassified

“…A maioria desses autores também considerou traumas no desenvolvimento infantil, como abuso sexual (Özen et al, 2018;Pacik, 2014;Rahman, 2018;Vaishnav et al, 2020). No entanto, Fadul et al (2018) analisaram que a maioria dos estudos que consideram esse histórico não possui dados estatisticamente signifi- 2014).…”

Section: Educação Sexualunclassified

“…Entre essas disfunções, destaca-se o transtorno da dor genitopélvica/penetração, que consiste na combinação do vaginismo e da dispareunia, presentes no DSM-IV-TR (APA, 2002). A nomenclatura e os critérios diagnósticos foram substituídos na edição mais recente do DSM por conta da comorbidade e dificuldade de diferenciação entre essas duas disfunções, já que ainda há muitas discussões acerca da classificação e denominação do vaginismo (Özen, Özdemir, & Bestepe, 2018).…”

Section: Introductionunclassified

See 1 more Smart Citation

Family, religion, and sex education among women with vaginismus: A qualitative study

Silva

Sei

Vieira

2021

PTP

View full text Add to dashboard Cite

“…As a result, dissociative disorders occur. 3 , 4 Only 3% of the diagnosed patients are under 12 years old, and 8% are aged between 12 and 19. 5 There are many advantages of early detection and accurate diagnosis.…”

Section: Introductionmentioning

confidence: 99%

Analysis of Demographic and Clinical Characteristics of Patients with Dissociative Identity Disorder

Fedai

Asoğlu

2022

NDT

View full text Add to dashboard Cite

The prevalence of dissociative identity disorder (DID) is 1%. However, the diagnosis can be made less frequently. This rate is similar to that of schizophrenia, and it is a public health problem that should receive attention. In the wake of the research results and clinical experiences, it was determined that DID diagnosis was challenging. Despite prevalence rates being similar to those seen in schizophrenia, DID remains under-researched. This study aims to determine the sociodemographic features, complaints, aetiological traumas, comorbid psychiatric disorders, and previous psychiatric applications of patients who had DID diagnosis, as well as to increase the awareness and recognisability of DID. Patients and Methods: Seventy patients who were diagnosed with DID based on the DSM 5 criteria and admitted to the outpatient clinic of the Department of Psychiatry Harran University Faculty of Medicine agreed to participate in this study. Patients filled out dissociative experiences scale, dissociation scale, and sociodemographic data form. Results: Of the 70 patients, 47 (67.14%) were female, and 23 (32.85%) were male. The mean age was 26.5 ± 9.63, the age range was 18-62. It was the first psychiatric application for 34 (48.57%) patients. Of the 70 patients, 27 (38.57%) had four or more applications. Only 17 patients (24.28%) had the sole diagnosis of DID, while 47 patients (67.14%) had comorbid depressive symptoms. Regarding the first complaints, 35 patients (50.00%) had dissociative symptoms; 49 patients (70.00%) had depressive symptoms. As for the trauma types, 45 patients (64.28%) had histories of physical abuse, while 34 patients (48.57%) had histories of chronic neglect. Conclusion:The symptoms of DID can be related to many psychiatric disorders. DID patients can be classified under many different symptom groups. Treatments for symptoms fail when the diagnosis of DID is neglected. Patients are generally misdiagnosed, as determined in this study and in previous studies. Dissociative symptoms should be checked regularly during psychiatric interviews to prevent misdiagnosis.

show abstract

Childhood trauma and dissociation among women with genito-pelvic pain/penetration disorder

Cited by 15 publications

References 39 publications

Obstetric Outcome and Emotional Adjustment to Childbirth in Women with Dyspareunia: A Cross-sectional Study

Obstetric Outcome and Emotional Adjustment to Childbirth in Women with Dyspareunia: A Cross-sectional Study

Family, religion, and sex education among women with vaginismus: A qualitative study

Analysis of Demographic and Clinical Characteristics of Patients with Dissociative Identity Disorder

Contact Info

Product

Resources

About