The experience of pain severity and pain interference in vulvodynia patients: The role of cognitive-behavioural factors, psychological distress and fatigue
Open accessAbstract
Objective Vulvodynia is a chronic pain condition characterised by severe pain affecting the vulva. Biopsychosocial models have revealed the importance of illness perceptions, cognitive-behavioural variables and psychological distress in explaining the experience of pain and disability across several conditions. These factors have never been collectively examined in vulvodynia. We predicted that distress, fatigue, illness perceptions, and cognitive-behavioural factors would be associated with pain severity and interference among women with vulvodynia. Methods This online cross-sectional study recruited 335 vulvodynia patients from an Italian charity association (Vulvodiniapuntoinfo.com), who completed pain severity and interference measures in addition to the Hospital Anxiety and Depression scale, Revised Illness Perception Questionnaire, Chalder Fatigue Questionnaire, Cognitive-Behavioural Symptom Questionnaire and a demographic questionnaire. Results Hierarchical regression models controlling for demographic and illness characteristics, revealed that lower treatment control beliefs, greater illness identity, catastrophizing and psychological distress, were significant predictors of pain severity, explaining 35% of the variance. A second adjusted hierarchical regression model revealed that low treatment-control, higher fatigue, distress, and avoidance/resting behaviours were significant predictors of pain interference, explaining 48% of the variance. Conclusion Distress, illness perceptions, fatigue, and cognitive-behavioural factors are associated with pain severity and interference in patients with vulvodynia, highlighting the importance of adopting a biopsychosocial approach in this setting. Future research should examine these factors over time to inform the development of future tailored interventions to help support women better manage vulvodynia.
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Addressing emotional and sexual cognitive factors is important in vulvodynia management.
“Cognitive behavioural factors are associated with experience of pain and sexual functioning, suggesting that addressing emotional and sexual cognitive factors is important in vulvodynia management (Chisari and Chilcot, 2017; Chisari et al., 2021).”
From Internet-based treatment for vulvodynia (EMBLA) – Study protocol for a randomised controlled study (2021) · cites this paper as Chisari and Chilcot, 2017
The Abstract reports associations between psychological distress and cognitive-behavioural factors and pain severity or interference in women with vulvodynia. It also recommends a biopsychosocial approach to management. It does not report an association with sexual functioning or specifically recommend addressing sexual cognitive factors. (LLM, conf=0.86)
Experimental — accuracy not yet measuredCognitive behavioural factors are associated with experience of pain and sexual functioning.
“Cognitive behavioural factors are associated with experience of pain and sexual functioning, suggesting that addressing emotional and sexual cognitive factors is important in vulvodynia management (Chisari and Chilcot, 2017; Chisari et al., 2021).”
From Internet-based treatment for vulvodynia (EMBLA) – Study protocol for a randomised controlled study (2021) · cites this paper as Chisari and Chilcot, 2017
The paper’s title identifies cognitive-behavioural factors as having a role in pain severity and pain interference in vulvodynia patients, supporting the pain-related part of the claim. The available passages do not address sexual functioning, so they do not support that part. (LLM, conf=0.72)
Experimental — accuracy not yet measured
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UNDERSTANDING VULVODYNIA: DIAGNOSTIC CHALLENGES AND MULTIMODAL INTERVENTIONS
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- Authors
- Chisari, C., & Chilcot, J.
- Affiliations
- King's College London (GB)
- Corresponding author
- Chilcot, Joseph
- ORCID
- Chilcot, Joseph
- Venue
- Journal of Psychosomatic Research
- Publisher
- Elsevier BV
- Published
- 2017-02
- Volume
- 93
- Pages
- 83-89
- ISSN
- 0022-3999 (ISSN-L)
- OpenAlex
- W2563232846
- Cited by
- 58
- References
- 50
- Citations by year
- 2026: 3 · 2025: 5 · 2024: 3 · 2023: 8 · 2022: 5 · 2021: 9 · 2020: 5 · 2019: 11 · 2018: 7 · 2017: 2
- FWCI
- 5.40
- Type
- journal article
- Language
- en
- Open access
- green
- kclpure.kcl.ac.uk
- Licence
- cc-by-nc-nd
- www.elsevier.com/tdm/userlicense/1.0/ (tdm)
- Locations
- Journal of Psychosomatic Research (publishedVersion)
- PubMed (publishedVersion)
- Research Portal (King's College London) (submittedVersion, cc-by-nc-nd)
- Topics
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Keywords
- vulvodynia, pain intensity, pain interference, illness perception, illness identity, pain catastrophizing, psychological distress, fatigue, biopsychosocial model, chronic vulvar pain
- MeSH terms
- Activities of Daily Living, Adaptation, Psychological, Adult, Aged, Avoidance Learning, Cross-Sectional Studies, Culture, Fatigue, Female, Humans, Internal-External Control, Middle Aged, Pain Measurement, Surveys and Questionnaires, Stress, Psychological, Illness Behavior, Vulvodynia, Catastrophization
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