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首页> 外文期刊>The journal of sexual medicine >Sexual and relationship intimacy among women with provoked vestibulodynia and their partners: Associations with sexual satisfaction, sexual function, and pain self-efficacy
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Sexual and relationship intimacy among women with provoked vestibulodynia and their partners: Associations with sexual satisfaction, sexual function, and pain self-efficacy

机译：诱发性前遗症的妇女及其伴侣之间的性关系亲密关系：与性满意度，性功能和疼痛自我效能感相关

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Introduction: Provoked vestibulodynia (PVD) is the most frequent subtype of vulvodynia. Women report negative consequences of PVD on their sexual and romantic relationships. Researchers have recently highlighted the importance of examining interpersonal factors such as intimacy, and of including both women and their partners in study designs. Aim: The aim of this study was to investigate sexual and relationship intimacy as defined by the Interpersonal Process Model of Intimacy and their associations with sexual satisfaction, sexual function, pain self-efficacy, and pain intensity among women with PVD and their partners. Methods: Ninety-one heterosexual women (M age=27.38, SD=6.04) diagnosed with PVD and their partners (M age=29.37, SD=7.79) completed measures of sexual and relationship intimacy, sexual satisfaction, sexual function, pain self-efficacy, and pain intensity. Main Outcome Measures: Dependent measures were the (i) Global Measure of Sexual Satisfaction Scale; (ii) Female Sexual Function Index; (iii) Painful Intercourse Self-Efficacy Scale; and (iv) visual analog scale of pain intensity during intercourse. Results: After controlling for women's age, women's greater sexual intimacy (β=0.49, P<0.001) was associated with women's greater sexual satisfaction and higher pain self-efficacy (β=0.39, P=0.001), beyond the effects of partners' sexual intimacy. Also, women's greater sexual intimacy (β=0.24, P=0.05) and women's greater relationship intimacy (β=0.54, P=0.003) were associated with greater women's sexual function, beyond the effects of partners' sexual and relationship intimacy. Conclusions: Women's self-reported sexual and relationship intimacy in the couple relationship may promote higher sexual satisfaction, sexual function, and pain self-efficacy, as well as possibly foster greater sexual well-being among women with PVD. The authors discuss implications for the inclusion of emotional and interpersonal aspects of the couple's dynamic in clinical interventions and future research in PVD.
机译：简介：诱发性前庭不稳（PVD）是外阴痛最常见的亚型。妇女报告说，PVD对她们的性爱和浪漫关系有负面影响。研究人员最近强调了检查诸如亲密关系等人际因素的重要性，并且必须将妇女及其伴侣纳入研究设计中。目的：本研究的目的是调查“人际关系的人际关系过程模型”所定义的性和关系亲密性及其与PVD妇女及其伴侣之间的性满足感，性功能，疼痛自我效能和疼痛强度的关系。方法：诊断为PVD的91名异性恋女性（M年龄= 27.38，SD = 6.04）及其伴侣（M年龄= 29.37，SD = 7.79）完成了性和亲密关系，性满意度，性功能，疼痛自测的测量。功效和疼痛强度。主要结果指标：相关指标是（i）全球性满意度量表; ii女性性功能指数; （iii）性交自我痛苦量表; （iv）性交时疼痛强度的视觉模拟量表。结果：在控制了女性的年龄之后，女性的性亲密性较高（β= 0.49，P <0.001）与女性的较高的性满意度和较高的疼痛自我效能感相关（β= 0.39，P = 0.001），超出了伴侣的影响。性亲密关系。此外，除了伴侣的性和亲密关系外，女性更大的性亲密关系（β= 0.24，P = 0.05）和女性更大的亲密关系（β= 0.54，P = 0.003）与更大的女性性功能有关。结论：女性在夫妻关系中自我报告的性爱和亲密关系可能会促进更高的性满意度，性功能和疼痛自我效能感，并可能在PVD女性中促进更大的性健康。作者讨论了将夫妻动态的情感和人际关系纳入临床干预和PVD未来研究的意义。

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