Role of sexuality in women with chronic pain: Results from an Italian cross-sectional study on chronic headache, fibromyalgia, and vulvodynia

IF 5.3 1区心理学 Q1 PSYCHOLOGY, CLINICAL International Journal of Clinical and Health Psychology Pub Date : 2024-04-01 DOI:10.1016/j.ijchp.2024.100472

Filippo Maria Nimbi, Martina Mesce, Erika Limoncin, Alessia Renzi, Federica Galli

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Abstract

Background/objectives

To compare sexual functioning, genital pain, and satisfaction among women diagnosed with various Chronic pain (CP) conditions. Additionally, it seeks to explore the role of sexual factors in predicting levels of central sensitization (indicative of CP-related mental and physical distress), physical, and mental quality of life (QoL) for each condition individually.

Methods

From April 2023 to January 2024, 1006 women categorized into five groups (Chronic Headache - CH; Fibromyalgia - FM, Vulvodynia - VU, Comorbidity group - CO, and Healthy Controls - HC) completed an online protocol.

Results

All groups reported sexual impairment: VU group exhibited the highest genital pain prevalence (97.93 %), followed by CO (74.29 %) and FM (55.91 %). ANCOVAs indicated lower sexual functioning scores for FM, VU, and CO compared to HC and CH. VU and CO reported lower satisfaction scores than other groups. Genital pain emerged as the primary predictor of central sensitization across all groups except controls. Regarding mental QoL, sexual satisfaction was significant for CH and CO, while genital pain and sexual satisfaction were significant for VU.

Conclusion

This study emphasizes the importance of integrating genito-pelvic pain assessment and addressing related sexual difficulties in CP diagnostics and care to enhance overall well-being and QoL.

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性在慢性疼痛妇女中的作用：意大利一项关于慢性头痛、纤维肌痛和外阴炎的横断面研究结果

背景/目的比较被诊断患有各种慢性疼痛（CP）的女性的性功能、生殖器疼痛和满意度。方法从 2023 年 4 月到 2024 年 1 月，1006 名女性完成了一项在线协议，她们被分为五组（慢性头痛组（CH）、纤维肌痛组（FM）、外阴炎组（VU）、合并症组（CO）和健康对照组（HC））：VU 组生殖器疼痛发生率最高（97.93%），其次是 CO 组（74.29%）和 FM 组（55.91%）。方差分析显示，与 HC 和 CH 相比，FM、VU 和 CO 的性功能得分较低。VU 和 CO 的满意度得分低于其他组别。除对照组外，生殖器疼痛是所有组别中枢敏化的主要预测因素。结论：本研究强调了将生殖器盆腔疼痛评估和解决相关性困难纳入 CP 诊断和护理以提高整体福祉和 QoL 的重要性。

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来源期刊

International Journal of Clinical and Health Psychology PSYCHOLOGY, CLINICAL-

CiteScore

10.70

自引率

5.70%

发文量

审稿时长

33 days

期刊介绍： The International Journal of Clinical and Health Psychology is dedicated to publishing manuscripts with a strong emphasis on both basic and applied research, encompassing experimental, clinical, and theoretical contributions that advance the fields of Clinical and Health Psychology. With a focus on four core domains—clinical psychology and psychotherapy, psychopathology, health psychology, and clinical neurosciences—the IJCHP seeks to provide a comprehensive platform for scholarly discourse and innovation. The journal accepts Original Articles (empirical studies) and Review Articles. Manuscripts submitted to IJCHP should be original and not previously published or under consideration elsewhere. All signing authors must unanimously agree on the submitted version of the manuscript. By submitting their work, authors agree to transfer their copyrights to the Journal for the duration of the editorial process.