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首页> 外文期刊>The journal of sexual medicine >To say or not to say: Dyadic ambivalence over emotional expression and its associations with pain, sexuality, and distress in couples coping with provoked vestibulodynia
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To say or not to say: Dyadic ambivalence over emotional expression and its associations with pain, sexuality, and distress in couples coping with provoked vestibulodynia

机译：说或不说：夫妻在应对激怒的前庭性运动障碍时的情感表达及其与疼痛，性行为和痛苦的关联上存在二元矛盾

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Introduction: Provoked vestibulodynia (PVD) is a highly prevalent and taxing female genital pain condition. Despite the intimate nature of this pain and the fact that affective factors such as anxiety have been shown to modulate its manifestations, no study has yet explored the emotional regulation of couples in which the woman suffers from PVD. Aim: Ambivalence over emotional expression (AEE) is an emotional regulation variable that quantifies the extent to which a person is comfortable with the way she or he expresses emotions. We examined whether the dyadic AEE of couples in which the woman suffers from PVD was differentially associated with women's pain and couples' psychological, sexual, and relational functioning. Methods: Couples (N=254), in which the woman suffered from PVD, completed the AEE questionnaire. A couple typology of dyadic AEE was created. Main Outcome Measures: Dependent measures for both members of the couple were the global measure of sexual satisfaction scale, the Beck depression inventory II, and the revised dyadic adjustment scale. The female sexual function index and the sexual history form were used to assess the sexual function of women and men, respectively. Women also completed the pain rating index of the McGill pain questionnaire. Results: Couples, in which both partners were considered low on AEE, had the highest scores on sexual satisfaction (P=0.02) and function (P<0.01), the lowest depression scores (P<0.01), and the best dyadic adjustment (P=0.02). No difference in pain intensity was found between couples. Conclusions: Findings suggest that, for couples in which the woman suffers from PVD, an emotional regulation that is low in ambivalence in both partners is associated with better psychological, sexual, and relational outcomes. Results indicate that emotional regulation may be important to consider in the assessment and treatment of couples coping with PVD.
机译：简介：诱发性前庭不速动（PVD）是一种高度流行的女性生殖器疼痛病，且负担重。尽管这种疼痛具有亲密的性质，并且已经显示出诸如焦虑之类的情感因素可以调节其表现，但尚无研究探讨该妇女患有PVD的夫妇的情绪调节。目的：情绪表达上的矛盾（AEE）是一种情绪调节变量，可量化一个人对自己表达情绪的舒适程度。我们检查了妇女遭受PVD的夫妻的二元AEE是否与妇女的痛苦以及夫妻的心理，性和关系功能有差异。方法：该对患有PVD的女性夫妇（N = 254）填写了AEE问卷。创建了二元AEE的两种类型。主要结果指标：对夫妻双方的依赖指标是性满意度量表，贝克抑郁量表II和修订后的二元调整量表的全球量度。女性性功能指数和性病史表分别用于评估女性和男性的性功能。妇女还完成了麦吉尔疼痛问卷的疼痛等级指数。结果：夫妻双方均被视为AEE较低，其性满意度（P = 0.02）和功能得分（P <0.01）最高，抑郁得分最低（P <0.01），二进调节最佳（P <0.01）。 P ＝ 0.02）。夫妻之间的疼痛强度没有差异。结论：研究结果表明，对于女性患有PVD的夫妻，双方伴侣的矛盾情绪低落的情绪调节与更好的心理，性和关系结局相关。结果表明，情绪调节可能是评估应对PVD的夫妇的重要考虑因素。

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