Management of female sexual pain disorders.

Advances in Psychosomatic Medicine Pub Date : 2011-01-01 Epub Date: 2011-10-10 DOI:10.1159/000328810
Stéphanie C Boyer, Corrie Goldfinger, Stéphanie Thibault-Gagnon, Caroline F Pukall
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引用次数: 22

Abstract

Our understanding of the sexual pain disorders vaginismus and dyspareunia has been fundamentally altered over the past two decades due to increased attention and empirically sound research in this domain. This increased knowledge base has included a shift from a dualistic view of the etiology of painful and/or difficult vaginal penetration being due to either psychological or physiological causes, to a multifactorial perspective. The present chapter reviews current classification and prevalence rates, including ongoing definitional debates. Research regarding the etiology, assessment and management of sexual pain disorders is discussed from a biopsychosocial perspective. Cyclical theories of the development and maintenance of sexual pain disorders, which highlight the complex interplay among physiological, psychological and social factors, are described. Medical/surgical treatment options, pelvic floor rehabilitation and psychological approaches are reviewed, as well as future directions in treatment research.

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女性性疼痛障碍的管理。
我们对性疼痛障碍阴道痉挛和性交困难的理解已经从根本上改变了在过去的二十年中,由于越来越多的关注和经验健全的研究在这一领域。这一增加的知识基础包括从对疼痛和/或阴道插入困难的二元病因的看法转变为多因素的观点,这是由于心理或生理原因造成的。本章审查目前的分类和流行率,包括正在进行的定义辩论。从生物心理社会学的角度探讨了性疼痛障碍的病因、评估和治疗。周期性理论的发展和维持性疼痛障碍,其中强调生理,心理和社会因素之间的复杂相互作用,描述。综述了医学/外科治疗方案、骨盆底康复和心理治疗方法,以及治疗研究的未来方向。
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期刊介绍: The importance of psychosomatic research has been greatly reinforced by evidence demonstrating that psychological phenomena may have distinct effects on human health. Recognizing the complexity of interactions between personality and physical illness, this series employs an interdisciplinary strategy to explore areas where knowledge from psychosomatic medicine may aid in the prevention of specific diseases or help meet the emotional demands of hospitalized patients. In each work, the editor has managed to bring together distinguished contributors, creating a series of coherent and comprehensive reviews on a variety of novel topics.
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