2020
DOI: 10.1002/ejp.1668
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Psychosocial factors associated with pain and sexual function in women with Vulvodynia: A systematic review

Abstract: Background and objective: Vulvodynia is a prevalent chronic vulval pain condition affecting 10%-28% of women, and significantly impacting their health and quality of life. It is currently poorly understood and biomedical treatments achieve only modest benefits for pain and sexual functioning. A wider psychosocial conceptualization of this condition may improve outcomes. There is currently no coherent understanding of how psychosocial factors may contribute to outcomes in Vulvodynia. The aim of this review is t… Show more

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Cited by 51 publications
(47 citation statements)
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References 67 publications
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“…Disengagement from meaningful life activities may foster an unhelpful focus on unpleasant experiences and reinforce the experience of Vulvodynia as interfering with important life aspects, which in turn may result in greater depression. Since depression has been consistently reported in Vulvodynia (Chisari et al, 2021;Khandker et al, 2011;Masheb et al, 2005), including this study, committed action emerges as a potentially useful process to improve distress.…”
Section: Associations Between Psychosocial Factors and Outcomesmentioning
confidence: 82%
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“…Disengagement from meaningful life activities may foster an unhelpful focus on unpleasant experiences and reinforce the experience of Vulvodynia as interfering with important life aspects, which in turn may result in greater depression. Since depression has been consistently reported in Vulvodynia (Chisari et al, 2021;Khandker et al, 2011;Masheb et al, 2005), including this study, committed action emerges as a potentially useful process to improve distress.…”
Section: Associations Between Psychosocial Factors and Outcomesmentioning
confidence: 82%
“…Several reviews highlight the importance of psychosocial factors in Vulvodynia (Bergeron & Rosen, 2020;Chisari et al, 2021). Among these factors is perceived injustice found by Pâquet et al (2016) at high levels in Provoked Vestibulodynia (PVD), higher than earlier work on people with pain following whiplash injury (Sullivan et al, 2009).…”
Section: Introductionmentioning
confidence: 99%
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“…Other essential components include cognitive strategies to improve coping with negative emotions and thoughts, and structured exposure to pain associated activities. In a recent systematic review on psychosocial factors a broader approach to PVD was supported (25).…”
Section: Somatocognitive Therapy (Sct) Is An Existing Multimodal Physiotherapy Intervention Developed At Oslomentioning
confidence: 99%
“…There are also promising results for ACT delivered via the internet ( Buhrman et al, 2013 ; Buhrman et al, 2015 ; Carlbring et al, 2018 ; Lin et al, 2017 ; Trompetter et al, 2015a , Trompetter et al, 2015b ), but knowledge about if it is suitable for vulvar pain is lacking. Cognitive behavioural factors are associated with experience of pain and sexual functioning, suggesting that addressing emotional and sexual cognitive factors is important in vulvodynia management ( Chisari and Chilcot, 2017 ; Chisari et al, 2021 ).…”
Section: Introductionmentioning
confidence: 99%