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Psychobiological Correlates of Vaginismus: An Exploratory Analysis

机译：阴道病心理学相关性：探索性分析

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Abstract Background Evidence concerning the determinants of vaginismus (V), in particular medical conditions, is inconclusive. Aim To investigate, in a cohort of subjects consulting for female sexual dysfunction, whether there is a difference in medical and psychosocial parameters between women with V and women with other sexual complaints. Methods A series of 255 women attending our clinic for female sexual dysfunction was consecutively recruited. V was diagnosed according to Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision criteria. Lifelong and acquired V cases were included. Outcomes Patients underwent a structured interview and physical, gynecologic, laboratory, and clitoral ultrasound examinations; they completed the Female Sexual Function Index (FSFI), the Middlesex Hospital Questionnaire, the Female Sexual Distress Scale–Revised (FSDS), and the Body Uneasiness Test. Results V was diagnosed in 20 patients (7.8%). Women with V were significantly younger than the rest of the sample ( P P P ?=?.013). Women with V also showed higher FSFI pain and FSDS total scores, even after adjusting for age ( P ? P ?=?.032) but not as a function of its severity. All observations were confirmed in a case-control study (ratio?= 1:3). Clinical Implications Our data demonstrate that some novel contributors of V should be investigated, namely histrionic-hysterical traits. This psychological comorbidity could offer valuable insights for intervention and managing complications. Strengths and Limitations This is the first study to assess the role of many metabolic and hormonal parameters as potential determinants of V. The main limitation is its exploratory and cross-sectional nature; our data need to be confirmed in larger, more systematic analyses. Conclusion V was associated with histrionic-hysterical traits, FSFI pain domain, and sex-related distress. A history of abuse, relational parameters, gynecologic diseases, and hormonal and metabolic alterations do not seem to play a role in the development of V. Maseroli E, Scavello I, Cipriani S, et?al. Psychobiological Correlates of Vaginismus: An Exploratory Analysis. J Sex Med 2017;14:1392–1402.
机译：摘要关于阴道疾病（v），特别是医疗条件的决定因素的背景证据是不确定的。旨在调查，在咨询女性性功能障碍的主题队列中，是否存在妇女与其他性投诉的妇女的医疗和心理社会参数差异。方法招募了一系列参加诊所的255名妇女进行女性性功能障碍。 v根据精神障碍，第四版，文本修订标准的诊断和统计手册诊断出来。包括终身和收购的v病例。结果患者经历了结构化访谈和物理，妇科，实验室和阴蒂超声检查;他们完成了女性性功能指数（FSFI），米德列斯克医院问卷调查问卷，女性性困难规模修订（FSD），身体不安测试。结果v诊断为20名患者（7.8％）。 V族的妇女比样品的其余部分显着更年轻（P p？= 013）。 v的女性也表现出更高的FSFI疼痛和FSD总分，即使在调整年龄后（p？p？= 032），但也不是其严重程度的函数。在病例对照研究（比率α= 1：3）中确认所有观察结果。临床意义我们的数据表明，应调查v的一些新贡献者，即统治歇斯底里的特征。这种心理合并症可以为干预和管理并发症提供有价值的见解。优势和局限性这是评估许多代谢和激素参数的作用作为V的潜在决定因素的研究。主要限制是其探索性和横截面性质;我们的数据需要在更大，更系统的分析中确认。结论v与组织歇斯底特，FSFI疼痛域和性与性困扰有关。滥用，关系参数，妇科疾病和荷尔蒙和代谢改变的历史似乎在V.Maseroli E，Scavello I，Cipriani S，et？Al的发展中，似乎并不起到发挥作用。阴道病心理学相关性：探索性分析。 J SEX MED 2017; 14：1392-1402。

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