명상도서관

명상도서관

Mindfulness-based Group Therapy for Women with Provoked Vestibulodynia 자세히보기
  • 자료유형학술지논문
  • 저자명Brotto, L. A.,Basson, R.,Smith, K. B.,Driscoll, M.,Sadownik, L.
  • 학회/출판사/기관명Springer Science and Business Media
  • 출판년도2015
  • 언어영어
  • 학술지명/학위논문주기Mindfulness
  • 발행사항Vol.6No.3[2015]_x000D_
  • ISBN/ISSN1868-8527
  • 소개/요약Provoked vestibulodynia (PVD) is the most common cause of painful intercourse in women of reproductive age and research supports psychological approaches in the management of chronic pain. We developed a four-session group treatment for women with PVD that relied mostly on mindfulness meditation skills along with education and some discussion of cognitive theory. A total of 85 women were assigned either to immediate treatment (n = 62; mean age, 39 years) or to a 3-month wait-list condition followed by treatment (n = 23; mean age, 40 years). Questionnaires and a genital pain assessment were administered at pre- and post-treatment, and at 6 months follow-up. Women assigned to the two groups did not significantly differ on any measure at baseline. During the pretreatment wait-list period, there were significant improvements in pain self-efficacy, and non-significant improvements in feelings of helplessness, and sex-related distress. Pain self-efficacy, pain catastrophizing, genital pain induced by a cotton swab exam, pain hypervigilance, and sex-related distress all improved with treatment. There was no change in pain with intercourse. Pretreatment genital pain was the best predictor of post-treatment genital pain. Genital pain at 6-month follow-up was predicted by pretreatment genital pain, change in pain self-efficacy, and number of comorbid chronic pain conditions. Taken together, these findings support the use of a brief mindfulness-based program as a promising treatment for distressing genital pain.