Psychosocial Factors in Vulvodynia

Bergeron, Sophie; Rosen, Natalie O.

doi:10.1002/9781119482598.ch11

Cited by 4 publications

(4 citation statements)

References 77 publications

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“…The lack of existing research on the association of social factors with pain and HRQoL was surprising, considering the clear interpersonal and social impact of genito‐pelvic pain (Rosen & Bergeron, 2019). Indeed, social and interpersonal factors influence a range of physiological and psychological outcomes in persistent pain (Gatchel et al, 2007) and Vulvodynia (Bergeron & Rosen, 2020). The significant psychosocial impact of Endometriosis has also been highlighted in qualitative research, which showed that Endometriosis disrupts the personal identity of women (Cole et al, 2021).…”

Section: Discussionmentioning

confidence: 99%

Psychosocial factors associated with pain and health‐related quality of life in Endometriosis: A systematic review

Kalfas

Chisari

Windgassen

2022

European Journal of Pain

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Background and Objective Endometriosis is associated with pain and impaired health‐related quality of life (HRQoL). Psychosocial factors have been associated with pain and HRQoL in other conditions, suggesting their potential relevance in Endometriosis. However, the role of psychosocial factors in this population has not been systematically explored yet. This systematic review aims to explore the association of psychosocial factors with pain intensity/severity and HRQoL in women with Endometriosis. Databases and Data Treatment Observational and experimental studies that explored the association of psychosocial factors with pain and HRQoL in women with Endometriosis were eligible. The following databases were searched: Medline, Embase, Cochrane library, Web of Science, PsychInfo and Cumulative index of nursing and allied health literature. The methodological quality was assessed, and findings were synthesized using narrative synthesis. Results Twenty‐seven studies were eligible for inclusion, which included 5419 women with Endometriosis. Catastrophising and anxiety were the factors most consistently associated with greater pain, whilst depression, anxiety and stress were related to worse HRQoL. Findings regarding depression and pain were mixed, and research on social factors was limited. Conclusions This systematic review highlights the role of psychosocial factors in Endometriosis. Anxiety, depression and catastrophising are suggested as potential treatment targets. The review also indicates the lack of research on other potentially important psychosocial factors, such as avoidance, perceived injustice and social support. Significance This systematic review explored the role of psychosocial factors in Endometriosis, suggesting that these are associated with pain and health‐related quality of life (HRQoL). Among the psychosocial factors included, anxiety, depression and catastrophising were the factors most often associated with pain and HRQoL in Endometriosis. These findings highlight the need to target psychological factors in the treatment of women with Endometriosis.

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Section: Discussionmentioning

confidence: 99%

Psychosocial factors associated with pain and health‐related quality of life in Endometriosis: A systematic review

Kalfas

Chisari

Windgassen

2022

European Journal of Pain

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“…The outcome variables were selected based on the IMMPACT recommendations and previous studies in Vulvodynia (Bergeron & Rosen, 2020; Dworkin et al., 2005), suggesting pain severity, pain interference, sexual functioning, sexual satisfaction and emotional functioning are key outcomes in this population.…”

Section: Methodsmentioning

confidence: 99%

“…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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The role of psychological flexibility, perceived injustice and body image in Vulvodynia: A longitudinal study

Chisari

Budhraja

Monajemi

et al. 2021

European Journal of Pain

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Background: Women with Vulvodynia experience pain, related impacts on sex and daily functioning, and depression. While psychosocial factors are associated with outcomes in Vulvodynia, longitudinal data are limited, especially in mixed/spontaneous Vulvodynia.Broad psychological models such as psychological flexibility (PF) and content-specific factors, such as body-exposure anxiety (BEA) and avoidance during sexual activities and perceived injustice, have not been adequately investigated in Vulvodynia. The aim of this study was to explore whether these factors assessed at baseline predict pain severity, pain interference, sexual functioning and satisfaction and depression 3 months later. Methods: A longitudinal study of 349 women with Vulvodynia was conducted.Participants completed online self-report measures of pain-related and sexual outcomes, depression, BEA, perceived injustice and facets of PF (present moment awareness, pain acceptance, committed action) at baseline and after 3 months, overlapping with the Coronavirus disease 2019 (COVID-19) pandemic. Results: Seventy percent of women responded at both assessments (n = 244). There were significant decreases in pain severity, pain interference, present moment awareness, committed action and a significant increase in depression at 3 months. All the baseline psychosocial factors significantly correlated with at least one outcome at 3 months. When adjusting for baseline outcome and demographics, committed action significantly positively predicted depression at 3 months and pain acceptance significantly positively predicted pain interference at 3 months. Conclusions: Among women with Vulvodynia, pain acceptance and committed action are prospectively associated with pain interference and depression. The reliability and generalizability of these results needs to be established given the overlap with the COVID-19 pandemic. Future studies should investigate whether targeting these factors enhances outcomes in Vulvodynia. Significance: This longitudinal study explored the role of PF, perceived injustice and body image during sexual activities in predicting pain severity, pain interference, This accompanies the following article: Jane Chalmers, K. Commentary on "The role of psychological flexibility, perceived injustice, and body-image in Vulvodynia: A longitudinal study" by Chisari et al.

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Investigation of the Relationships among Self-Efficacy, Stress, and Dyspareunia during the COVID-19 Pandemic

Yessick

Jackowich

Coyle

et al. 2022

Journal of Sex & Marital Therapy

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Psychosocial Factors in Vulvodynia

Cited by 4 publications

References 77 publications

Psychosocial factors associated with pain and health‐related quality of life in Endometriosis: A systematic review

Psychosocial factors associated with pain and health‐related quality of life in Endometriosis: A systematic review

The role of psychological flexibility, perceived injustice and body image in Vulvodynia: A longitudinal study

Investigation of the Relationships among Self-Efficacy, Stress, and Dyspareunia during the COVID-19 Pandemic

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