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Cited by 123Sexual function and dysfunction studiesPelvic floor disorders treatmentsMusculoskeletal pain and rehabilitation

Provoked vestibulodynia: psychological predictors of topical and cognitive-behavioral treatment outcome

Desrochers, Geneviève, Bergeron, Sophie, Khalifé, Samir, Dupuis, Marie-Josée, Jodoin, Mélanie·2010·Behaviour Research and Therapy
DOI 10.1016/j.brat.2009.09.014
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Abstract

Psychological factors have been found to impact the pain experience and associated sexual impairment of women suffering from provoked vestibulodynia (PV). Despite a lack of randomized treatment outcome studies, particularly concerning psychological predictors of outcome, recent studies have shown that topical applications and cognitive-behavioral therapy (CBT) are among the most popular first-line interventions for PV. The present study aimed to determine the extent to which baseline fear-avoidance variables and pain self-efficacy were differentially associated with topical application and CBT outcomes at six-month follow-up. Data were obtained from 97 women who completed a randomized trial comparing these two treatments. Regression analyses revealed that for topical treatment, higher levels of baseline avoidance predicted worse pain and sexual functioning outcomes, whereas higher levels of pain self-efficacy predicted better outcomes. For CBT, higher levels of baseline fear of pain and catastrophizing contributed to higher pain intensity at follow-up, whereas higher levels of pain self-efficacy were associated with less pain. Psychological factors did not predict sexual functioning outcomes for CBT. Consistent with biopsychosocial models of pain and sexual dysfunction, results indicate that psychological factors contribute to pain and sexual impairment following treatment for PV. Specifically, findings suggest that fear-avoidance variables and pain self-efficacy are significant predictors of topical and CBT treatment outcomes in women with PV.

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  • A meta-analysis of 23 studies found that more than half of people diagnosed with TBI report chronic pain complaints, likely because of associated physical injuries at the time of TBI.

    “According to a metaanalysis of 23 studies, more than 50% of people diagnosed with TBI report chronic pain complaints 80, likely due to the associated physical injuries at the time of the TBI81.”

    From Evaluating psychosocial contributions to chronic pain outcomes (2018) · cites this paper as [81]

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Authors
Desrochers, G., Bergeron, S., Khalifé, S., Dupuis, M.-J., & Jodoin, M.
Affiliations
  • Université du Québec à Montréal (CA)
  • McGill University Health Centre (CA)
  • Jewish General Hospital (CA)
  • Centre Hospitalier de l’Université de Montréal (CA)
Corresponding author
Bergeron, Sophie
ORCID
Venue
Behaviour Research and Therapy
Publisher
Elsevier BV
Published
2010-02
Volume
48
Issue
2
Pages
106-115
ISSN
0005-7967 (ISSN-L)
DOI
10.1016/j.brat.2009.09.014
OpenAlex
W2061094312
Cited by
123
References
83
Citations by year
2025: 6 · 2024: 3 · 2023: 6 · 2022: 5 · 2021: 9 · 2020: 10 · 2019: 10 · 2018: 8 · 2017: 8 · 2016: 12 · 2015: 4 · 2014: 15 · 2013: 12 · 2012: 8
FWCI
3.09
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Behaviour Research and Therapy (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
  • Health Sciences › Medicine › Rheumatology › Pelvic floor disorders treatments
  • Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
Keywords
provoked vestibulodynia, psychological predictors, treatment outcomes, topical treatment, cognitive behavioral therapy, pain self-efficacy, fear-avoidance beliefs, pain catastrophizing, sexual dysfunction, vulvodynia, biopsychosocial model of pain
MeSH terms
Administration, Topical, Adrenal Cortex Hormones, Adult, Fear, Female, Follow-Up Studies, Humans, Pain, Prognosis, Psychological Tests, Regression Analysis, Cognitive Behavioral Therapy, Treatment Outcome, Self Efficacy, Lubricants, Vulvodynia, Pain Management

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