Therapist‐Aided Exposure for Women with Lifelong Vaginismus: Mediators of Treatment Outcome: A Randomized Waiting List Control Trial

Kuile, Moniek M. ter; Melles, Reinhilde; Tuijnman‐Raasveld, Charlotte C.; Groot, H. Ellen de; Lankveld, J.J.D.M. van

doi:10.1111/jsm.12935

Cited by 25 publications

(12 citation statements)

References 39 publications

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“…expectancy violation is important to overcome anxiety (see for an overview of studies: 195 . This fits with the clinical experience applying therapist-aided exposure treatment in women with vaginismus 196 .…”

Section: Discussionsupporting

confidence: 83%

“…During therapist-aided exposure therapy expectancy violation towards vaginal penetration is one of the most important targets of treatment. Therapist-aided exposure has proved to be highly effective with success ratings of 89% 58,59 and the therapeutic outcome was mainly mediated by changes in catastrophic and pain related penetration beliefs 196 . Together these findings suggest that (modifying) expectations of genital pain sensations may predict (release of) genital pain.…”

Section: Discussionmentioning

confidence: 99%

“…This effect was similar for both types of stimuli, as evidenced by the absence of a significant interaction of Time x Stimulus Category, F (1, 40) = 2.02, p > .05, ηp² = 0.05. (151) Combined (n = 42) 725 (171) 764 (196) 651 (131) 692 (143) Note: AST scores are showed in untransformed mean reaction times in milliseconds. AST= Affective Simon Task; M = Mean, SD = standard deviation; WLC = Waiting List Condition…”

Section: Post-treatmentmentioning

confidence: 99%

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Vaginal penetration: pain or pleasure?

Melles¹

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Section: Discussionsupporting

confidence: 83%

Section: Discussionmentioning

confidence: 99%

Section: Post-treatmentmentioning

confidence: 99%

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Vaginal penetration: pain or pleasure?

Melles¹

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“…O conhecimento dos efeitos colaterais sexuais melhorou comparado ao início da intervenção (p < 0,001). Lerner 14 observou, entre mulheres com queixa de disfunção sexual submetidas à terapia cognitivo-comportamental (n = 106, idade média de 39,56 anos -±10, 15 As características deste estudo quanto as pesquisas de Bober et al 13 e Lerner 14 se relacionam aos resultados satisfatórios da aplicação do protocolo elaborado. O Grupo Teste, que recebeu as intervenções integrais, teve elevação positiva em todos os quesitos básicos da satisfação e desempenho sexual.…”

Section: Discussionunclassified

Terapia cognitivo-comportamental em grupo para a disfunção sexual na pós-menopausa

Almeida

Peixoto

Ribeiro

et al. 2018

J. bras. psiquiatr.

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RESUMO Objetivo Validação de protocolo de terapia cognitivo-comportamental breve em grupo para disfunção sexual feminina na pós-menopausa. Métodos Intervenção em grupo com mulheres (n = 14) na pós-menopausa (55 a 75 anos) com disfunção sexual, em acompanhamento ginecológico ambulatorial em um centro especializado para queixas relacionadas ao climatério. As pacientes foram divididas em grupos: o primeiro (Grupo Teste, n = 5) recebeu abordagem cognitivo-comportamental de 12 sessões. Os dois grupos (denominados igualmente Grupo Intervenção – n = 5 e n = 4) foram formados pela divisão dos sujeitos para melhor acomodação física e receberam 10 sessões, resultantes de ajuste e mensuração dos procedimentos do protocolo a partir do Grupo Teste. Foram aplicados a Escala de Índice de Funcionamento Sexual Feminino e o Questionário de Crenças Sexuais Disfuncionais antes e depois da intervenção. Resultados Houve frequente ocorrência de comportamentos/crenças de baixa autoestima, problemas com o parceiro e desinteresse ou dificuldade sexual. A disfunção sexual (problemas com o desejo e/ou lubrificação, orgasmo, satisfação e dor) e as crenças sexuais disfuncionais (conservadorismo, pecado, idade-crenças, imagem corporal, afetividade e maternidade) apresentaram melhora significativa com a aplicação do protocolo. Conclusão Considerando os aspectos particulares das mulheres com disfunção sexual na pós-menopausa, desenvolvemos um protocolo de terapia cognitivo-comportamental em grupo, com significativo potencial terapêutico. Embora não tenha sido utilizado um grupo controle e tenha sido aplicado em número reduzido de participantes, esse protocolo pode ser avaliado e utilizado em casos similares, cabendo novas pesquisas para verificar a aplicabilidade dele para disfunção sexual nesse estágio do desenvolvimento feminino.

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“…9 This kind of treatment is useful in cases in which psychological and/or relational issues are the predominant components, and several studies have proven its efficacy. 2,17,22,23,[28][29][30][31][32][33][34][35] The choice of the most appropriate intervention should be based on the assessment of the various dimensions of pain (►Table 2). 6 Another key point is the establishment of realistic therapeutic goals.…”

Section: Genito-pelvic Pain/penetration Disorder (Gpppd) Treatmentmentioning

confidence: 99%

Female Genito-Pelvic Pain/Penetration Disorder: Review of the Related Factors and Overall Approach

Dias-Amaral

Marques-Pinto

2018

Rev Bras Ginecol Obstet

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Genito-pelvic pain/penetration disorder (GPPPD) can be an extremely bothersome condition for patients, and a tough challenge for professionals regarding its assessment and treatment. The goal of the present paper is to review the etiology, assessment, and treatment of GPPPD, especially focusing on the cognitive aspects of the disease and cognitive-behavioral treatment options, through a non-systematic review of articles indexed to the Medline, Scopus and Web of Science databases, using the following MeSH queries: pelvic pain; dyspareunia; vaginismus; vulvodynia; and cognitive therapy. Altogether, 36 articles discussing the etiology, diagnosis and management of GPPPD were selected. We provide an overview of GPPPD based on biological, psychological and relational factors, emphasizing the last two. We also summarize the available medical treatments and provide strategies to approach the psychological trigger and persisting factors for the patient and the partner. Professionals should be familiarized with the factors underlining the problem, and should be able to provide helpful suggestions to guide the couple out of the GPPPD fear-avoidance circle.

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Therapist‐Aided Exposure for Women with Lifelong Vaginismus: Mediators of Treatment Outcome: A Randomized Waiting List Control Trial

Cited by 25 publications

References 39 publications

Vaginal penetration: pain or pleasure?

Vaginal penetration: pain or pleasure?

Terapia cognitivo-comportamental em grupo para a disfunção sexual na pós-menopausa

Female Genito-Pelvic Pain/Penetration Disorder: Review of the Related Factors and Overall Approach

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