DSM-5 genito-pelvic pain/penetration disorder: Prevalence, comorbidities, and associated factors in university students

IF 5.3 1区 心理学 Q1 PSYCHOLOGY, CLINICAL International Journal of Clinical and Health Psychology Pub Date : 2025-01-01 DOI:10.1016/j.ijchp.2024.100529
Anna-Carlotta Zarski , Harald Baumeister , Fanny Kählke
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Abstract

Background/objective

Little is known about the prevalence of Genito-Pelvic Pain/Penetration Disorder (GPPPD), a female sexual dysfunction newly introduced in the DSM-5. This study aimed to estimate the 12-month prevalence of clinical and subclinical GPPPD among first-year university students in Germany, examining comorbidities and associated factors.

Method

As part of the WHO World Mental Health International College Student initiative, the 12-month prevalence of GPPPD was assessed in female university students in Germany during 2016/2017 (N = 521). Using propensity score weighting, 12-month prevalence rates were determined for clinical and subclinical GPPPD together with associated factors and mental health comorbidities using binary logistic regression.

Results

In the weighted female university student sample, 26.4 % reported experiencing at least one core symptom of GPPPD in the past 12 months. 12-month prevalence of clinical GPPPD was 2.1 % (n = 11/521; 95 % CI: 1.1 %-3.8 %), while subclinical GPPPD was 12.9 % (n = 67/521; 95 % CI: 10 %-16 %). Among women with clinical GPPPD, 25.8 % (n = 3/11) reported a comorbid lifetime mental disorder, compared to 64.6 % (n = 43/67) with subclinical GPPPD and 54.7 % (n = 243/444) without GPPPD. There were no significant differences in the odds of comorbid mental disorders between women with and without GPPPD symptoms. Subclinical and clinical GPPPD, compared to no GPPPD, were associated with being in a relationship (OR = 2.45, 95 % CI: 1.25–4.82, p = 0.009), sexual activity in the past 12 months (OR = 5.05, 95 % CI: 1.52–16.8, p = 0.008), severe distress in love life (OR=3.20, 95 % CI 1.44–7.11), and overall good compared to very good or very poor mental health (OR = 4.50, 95 % CI: 1.07–19.00, p = 0.041).

Conclusion

One in eight female students displays subclinical GPPPD, and 2 % meet full DSM-5 criteria. Future multinational longitudinal studies with standardized measures are needed to compare prevalence rates across countries and identify risk and protective factors for targeted prevention and treatment of GPPPD.
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来源期刊
CiteScore
10.70
自引率
5.70%
发文量
38
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.
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