The Impact of a Woman's Dyspareunia and Its Treatment on Her Intimate Partner: A Qualitative Analysis

Sadownik, Leslie; Smith, Kelly B.; Hui, Amber; Brotto, Lori A.

doi:10.1080/0092623x.2016.1208697

Cited by 36 publications

(10 citation statements)

References 24 publications

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“…According to the Interpersonal Emotion Regulation Model of women's sexual dysfunction , both distal and proximal interpersonal processes could act interdependently to determine couples' adjustment to GPPPD. Given the high negative affect (e.g., shame, guilt, anxiety) and threat value of the pain experienced by both partners in relation to GPPPD (Sadownik et al, 2017), PPR may facilitate adjustment by providing a secure context within which to share more openly about their sexuality and downregulate the pain-related negative emotions, resulting in greater sexual function and satisfaction for both partners and less pain for the woman. Gordon et al (2003) showed that, among a sample of 428 women with GPPPD, 65% reported that having an understanding partner was the most helpful factor in coping with their pain.…”

Section: Ppr and Gpppdmentioning

confidence: 99%

“…Studying PPR in distressed couples may inform intervention development. Second, we focused on a context where responsiveness is particularly salient and significantly challenged—GPPPD, given that sexuality is a key way in which couples build and nurture intimacy, on the one hand (Birnbaum & Reis, 2019), and that pain during sexual activity can make both partners feel rejected and inadequate, on the other hand (Sadownik et al, 2017). Specifically, we examined PPR on days when couples experienced a barrier to their intimacy (i.e., pain/sex days), whereas previous work has linked daily PPR to broader daily outcomes (e.g., relationship satisfaction) (Gadassi et al, 2016).…”

Section: The Current Studymentioning

confidence: 99%

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Perceived partner responsiveness is associated with sexual well-being in couples with genito-pelvic pain.

Bergeron¹,

Pâquet²,

Steben³

et al. 2021

Journal of Family Psychology

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Intimacy is vital to romantic relationships, yet is often thwarted by relational challenges, such as sexual difficulties. With prevalence estimates ranging from 10% to 28%, genito-pelvic pain/penetration disorder (GPPPD) is an important sexual problem resulting in negative consequences for affected women and their partners, including significant sexual dysfunction and dissatisfaction. Findings from cross-sectional studies indicate that higher levels of intimacy are associated with better sexuality outcomes in couples coping with GPPPD. However, single-occasion measurements may not capture the daily variations in intimacy that could have important implications for couples' sexual well-being. The present study focused on a key intimacy-building component-perceived partner responsiveness (PPR)-and its daily associations with women's pain and both partners' sexual function and satisfaction. Using daily diaries over an 8-week period, 160 women (M age = 26.23, SD = 6.26) with GPPPD and their partners (M age = 27.73, SD = 7.35) reported on PPR, sexual function and satisfaction, as well as women's pain, on days when sexual activity occurred (M = 8.87, SD = 5.87). Drawing on the Actor-Partner Interdependence Model, a multivariate multilevel modeling approach was adopted. Controlling for trait-level PPR, when women and partners reported greater PPR, women reported greater sexual function and satisfaction and partners reported greater sexual function. When partners reported greater PPR, they reported greater sexual satisfaction. No association was found between PPR and women's pain. PPR may facilitate better sexual function and satisfaction and could be an important target in sex and couple therapy for GPPPD.

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Section: Ppr and Gpppdmentioning

confidence: 99%

Section: The Current Studymentioning

confidence: 99%

Perceived partner responsiveness is associated with sexual well-being in couples with genito-pelvic pain.

Bergeron¹,

Pâquet²,

Steben³

et al. 2021

Journal of Family Psychology

View full text Add to dashboard Cite

show abstract

“…This finding mirrors qualitative inquiries of vulvodynia where patients identified shame, guilt, communication difficulties, and relationship strain due to dyspareunia. 54,55 There are initial indications of self-management interventions improving IC/ BPS symptoms and quality of life. 15,51,53 Our study provides additional insight into specific elements of focus for psychosocial intervention.…”

Section: Treatment Implicationsmentioning

confidence: 99%

Qualitative analysis of treatment needs in interstitial cystitis/bladder pain syndrome: Implications for intervention

McKernan

Bonnet

Finn

et al. 2020

Canadian Journal of Pain

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Background: Interstitial cystitis/bladder pain syndrome (IC/BPS) is a debilitating condition carrying substantial psychosocial burden. Psychological treatment for IC/BPS is little studied, and there are barriers to its use in clinical management. Whether psychological treatments benefit patients with IC/BPS is unclear and we do not know whether such treatments would meet patient needs. Aims: Incorporating patient-reported needs and acknowledging diversity in pain experiences can inform patient-centered interventions for IC/BPS. This project characterized the experience of living with IC/BPS and patient perceptions of needs in its treatment, with the goal of informing patientcentered treatment for IC/BPS. Methods: Using both quantitative and qualitative methods, 27 females with IC/BPS participated in a focus group and completed validated self-report assessments evaluating urinary symptoms, pain, and emotional functioning. Focus groups were audio recorded and transcribed and then coded and analyzed using an iterative inductive/deductive approach. Linear regression models evaluated the relationship between psychological functioning and symptom severity. Results: We conducted six focus groups between August and December 2017. Five major themes emerged from qualitative analysis: managing physical symptoms, emotional symptoms, impact on daily life and socio-contextual factors, responding to illness, and addressing needs in treatment. The physiological and emotional consequences of IC/BPS were reported, highlighting their impact on interpersonal relationships and challenges in obtaining appropriate treatment for IC/BPS. Quantitative analysis showed that depression levels were significantly associated with worsened IC/BPS symptomology, after controlling for known confounding factors. Conclusion: Individuals with IC/BPS could benefit from tailored psychological interventions focusing on pain management, emotion regulation, communications skills, along with sexual dysfunction and intimacy fears. RÉSUMÉ Contexte: La cystite interstitielle / syndrome de la vessie douloureuse (CI / SVD) est une affection débilitante qui entraine un fardeau psychosocial important. Le traitement psychologique de la CI / SVD est peu étudié. De plus, il existe certains obstacles à son utilisation dans la prise en charge clinique. Il n'est pas clair si les traitements psychologiques sont bénéfiques pour les patients et nous ne savons pas si de tels traitements répondraient à leurs besoins. Objectifs: L'intégration des besoins exprimés par les patients et la reconnaissance de la diversité des expériences de la douleur peuvent éclairer les interventions centrées sur le patient pour la CI / SVD. Ce projet a caractérisé la vie avec la CI / SVD et les perceptions qu'a le patient de ses besoins pendant son traitement, dans le but d'éclairer le traitement de la CI / SVD centré sur le patient. Méthodes: En utilisant à la fois des méthodes quantitatives et qualitatives, 27 femmes atteintes de CI / SVD ont participé à un groupe de discussion et ont répondu ...

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“… 8 , 21 , 22 , 23 In addition, pelvic and genital pain involves loss of sexual pleasure and challenges women's intimate relationships. 24 , 25 , 26 Indeed, higher distress levels are associated with lower relationship quality. 27 …”

Section: Introductionmentioning

confidence: 99%

Conceptualization and Inventory of the Sexual and Psychological Burden of Women With Pelvic Floor Complaints; A Mixed-Method Study

et al. 2022

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Introduction Despite the fact that the literature reports various restrictions and types of distress in women with pelvic floor complaints, a comprehensive overview of women's sexual and psychological burden emerging from these complaints is lacking, which compromises our ability to assess and grasp the impact to women. Aim This study was performed to conceptualize women's sexual and psychological burden and create a more comprehensive overview on this topic from both women's and health care providers’ perspectives. Furthermore, this research intended to identify items to populate a to-be-developed instrument to assess sexual and psychological burden. Methods In Group Concept Mapping, 125 statements were used about restrictions and distress that women with pelvic floor complaints experienced. Women with, and health care providers with and without pelvic floor complaints (13 women and 3 men) sorted the statements into comprehensive self-labeled clusters and rated their nature and severity. Multidimensional scaling and hierarchical cluster analyses were performed to identify a conceptual model of coherent clusters of statements. Item-total correlations of severity scores were calculated to identify statements that can be used in future research to represent women's sexual and psychological burden. Main Outcome Measure A conceptual model emerged, and outcomes of item-total correlations were then examined again using the conceptual model. Results Seven distress clusters were identified, namely, loss of control, sexual distress, feeling insecure, feeling wronged, feeling helpless, feeling angry, and feeling disappointed. Feeling insecure appeared more pervasive than other distresses. Furthermore, 33 statements were identified that can be used in future research to develop an instrument to assess sexual and psychological burden representing both women's and health care providers’ perspectives. Conclusion The conceptual model and list of statements may concisely represent the sexual and psychological burden of women with pelvic floor complaints from both women's and health care providers’ perspectives on this topic.

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The Impact of a Woman's Dyspareunia and Its Treatment on Her Intimate Partner: A Qualitative Analysis

Cited by 36 publications

References 24 publications

Perceived partner responsiveness is associated with sexual well-being in couples with genito-pelvic pain.

Perceived partner responsiveness is associated with sexual well-being in couples with genito-pelvic pain.

Qualitative analysis of treatment needs in interstitial cystitis/bladder pain syndrome: Implications for intervention

Conceptualization and Inventory of the Sexual and Psychological Burden of Women With Pelvic Floor Complaints; A Mixed-Method Study

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