Relationship adjustment and dyadic interaction in couples with sexual pain disorders: a critical review of the literature

Davis, Hannah J.; Reissing, Elke D.

doi:10.1080/14681990601026601

Cited by 20 publications

(14 citation statements)

References 57 publications

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“…Not surprisingly, fear of pain because of previous painful experiences was universally and strongly endorsed as a cause for vaginal penetration problems. Interestingly, a sensitive and gentle partner was also indicated as a cause, which reflects recent findings of the important role of partner response in women with vulvodynia and the traditional implication of the partner collusion in maintaining vaginismus [33–35]. Overall, women in the LLV group indicated significantly more causal attributions compared to women with AQV.…”

Section: Discussionsupporting

confidence: 73%

Consultation and Treatment History and Causal Attributions in an Online Sample of Women with Lifelong and Acquired Vaginismus

Reissing

2012

The Journal of Sexual Medicine

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Introduction Very little information is available on the consultation and treatment histories of women with lifelong and acquired vaginismus. Aim This study was conducted to address three areas of interest: first, to collect information on which health care professionals women with acquired and lifelong vaginismus consult and how helpful such consultation were; second, to examine which treatments were typically received and how helpful patients rate such interventions; and third, to explore participants’ causal attributions of the vaginal penetration problems as those are what appear to guide patients towards consulting specific health care professionals as well as affecting the openness towards different interventions. Methods An online survey was conducted with 212 participants. Data were analyzed using the responses of 93 women with acquired vaginismus and 75 women with lifelong vaginismus. Main Outcome Measures The main outcomes were the results of the online survey. Results Gynecologists and family doctors were most frequently consulted, but only gynecologists were rated as helpful. Psychologists and sex therapists were also frequently consulted and rated as helpful. Physiotherapists were consulted by fewer women but considered most helpful. Women with lifelong vaginismus were significantly more likely to have received vaginal dilatation, sex education, and Kegel exercises as treatment. Women with acquired vaginismus were more likely to have received pharmacological interventions and to have tried a greater range of interventions. Educational gynecological examinations, talking about the meaning of the penetration problem, vaginal dilatation, and sex education were rated as most helpful interventions. Causal attributions were pain and fear- and disgust-based attributions for women with lifelong vaginismus. Conclusions Results highlight the importance of a biopsychosocial conceptualization of and multidisciplinary treatment approach to lifelong and acquired vaginismus.

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Section: Discussionsupporting

confidence: 73%

Consultation and Treatment History and Causal Attributions in an Online Sample of Women with Lifelong and Acquired Vaginismus

Reissing

2012

The Journal of Sexual Medicine

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“…8 A clinical review of relationship adjustment suggests that solicitous responses from the partner may help maintain and exacerbate sexual pain because of avoidance of sexual activity. 18 The assertion is that the woman chooses her partner because he is passive and unassertive. The partner's role in maintaining the symptoms through concern about the woman's fears remains to be explored.…”

Section: What Is the Role Of Pain In Vaginismus?mentioning

confidence: 99%

Diagnosing and managing vaginismus

Crowley¹,

Goldmeier

Hiller

2009

BMJ

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“…Finally, as expected, no significant differences between the groups emerged on dyadic adjustment. Previous research has repeatedly shown that dyadic adjustment, measured by a standardized questionnaire, did not discriminate women with dyspareunia and their partners from norms scores [11,18]. As suggested in qualitative research in women and couples with dyspareunia, the experience of pain may have a negative or a positive impact on certain aspects of the relationship [22–24].…”

Section: Discussionmentioning

confidence: 97%

“…To date, most research focusing on relationship factors has been restricted to dyadic adjustment and has yielded conflicting evidence [11,18,19]. While in controlled quantitative studies it was found that the quality of the relationship, as perceived by the women, is comparable with that of controls or within the normal range [12,15,20,21], in qualitative studies women report both a positive and negative impact of dyspareunia on the relationship [22][23][24][25].…”

Section: Introductionmentioning

confidence: 99%

Sexual Communication, Dyadic Adjustment, and Psychosexual Well‐Being in Premenopausal Women with Self‐Reported Dyspareunia and Their Partners: A Controlled Study

Pazmany

Bergeron

Verhaeghe

et al. 2014

The Journal of Sexual Medicine

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Relationship adjustment and dyadic interaction in couples with sexual pain disorders: a critical review of the literature

Cited by 20 publications

References 57 publications

Consultation and Treatment History and Causal Attributions in an Online Sample of Women with Lifelong and Acquired Vaginismus

Consultation and Treatment History and Causal Attributions in an Online Sample of Women with Lifelong and Acquired Vaginismus

Diagnosing and managing vaginismus

Sexual Communication, Dyadic Adjustment, and Psychosexual Well‐Being in Premenopausal Women with Self‐Reported Dyspareunia and Their Partners: A Controlled Study

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