Why us? Perceived injustice is associated with more sexual and psychological distress in couples coping with genito-pelvic pain

Pâquet, Myriam; Bois, Katy; Rosen, Natalie O.; Mayrand, Marie-Hélène; Charbonneau-Lefebvre, Véronique; Bergeron, Sophie

doi:10.1016/j.jsxm.2015.11.007

Cited by 31Sexual function and dysfunction studiesSexual Assault and Victimization StudiesMusculoskeletal pain and rehabilitation

Why us? Perceived injustice is associated with more sexual and psychological distress in couples coping with genito-pelvic pain

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Pâquet, Myriam, Bois, Katy, Rosen, Natalie O., Mayrand, Marie-Hélène, Charbonneau-Lefebvre, Véronique, Bergeron, Sophie·2016·The Journal of Sexual Medicine

DOI 10.1016/j.jsxm.2015.11.007

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Abstract

Introduction: Provoked vestibulodynia (PVD) is the most frequent cause of genito-pelvic pain/penetration disorder (GPPPD) and is associated with negative psychological and sexual consequences for affected women and their partners. PVD is often misdiagnosed or ignored and many couples may experience a sense of injustice, due to the loss of their ability to have a normal sexual life. Perceiving injustice has been documented to have important consequences in individuals with chronic pain. However, no quantitative research has investigated the experience of injustice in this population. Aim: The aim of this study was to investigate the associations between perceived injustice and pain, sexual satisfaction, sexual distress, and depression among women with PVD and their partners. Methods: Women diagnosed with PVD (N = 50) and their partners completed questionnaires of perceived injustice, pain, sexual satisfaction, sexual distress, and depression. Main Outcome Measures: (1) Global Measure of Sexual Satisfaction Scale; (2) Female Sexual Distress Scale; (3) Beck Depression Inventory-II; and (4) McGill-Melzack Pain Questionnaire. Results: After controlling for partners' age, women's higher level of perceived injustice was associated with their own greater sexual distress, and the same pattern was found for partners. Women's higher level of perceived injustice was associated with their own greater depression, and the same pattern was found for partners. Women's higher perceived injustice was not associated with their own lower sexual satisfaction but partners' higher perceived injustice was associated with their own lower sexual satisfaction. Perceived injustice was not associated with women's pain intensity. Conclusion: Results suggest that perceiving injustice may have negative consequences for the couple's sexual and psychological outcomes. However, the effects of perceived injustice appear to be intra-individual. Targeting perceived injustice could enhance the efficacy of psychological interventions for women with PVD and their partners.

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Women with Provoked Vestibulodynia experience high levels of injustice, perhaps fuelled by experiences of pain invalidation and diagnostic delays.
“women with PVD experience high levels of injustice (Pâquet et al.,2016), perhaps fuelled by experiences of pain invalidation (Nguyen et al., 2012) and diagnostic delays (Harlow & Stewart, 2003).”
From Acceptance and Commitment Therapy for women living with Vulvodynia: A single-case experimental design study of a treatment delivered online (2022) · cites this paper as Pâquet et al.,2016
Perceived injustice may be an important process for women with Vulvodynia, especially given the reported history of pain invalidation and dismissal.
“Perceived injustice, while not part of the PF model, may be an important process for women with Vulvodynia, especially given the reported history of pain invalidation and dismissal (Nguyen et al., 2012;Pâquet et al., 2016).”
From Acceptance and Commitment Therapy for women living with Vulvodynia: A single-case experimental design study of a treatment delivered online (2022) · cites this paper as Pâquet et al., 2016

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Authors: Pâquet, M., Bois, K., Rosen, N. O., Mayrand, M.-H., Charbonneau-Lefebvre, V., & Bergeron, S.
Affiliations: Université de Montréal (CA)
Dalhousie University (CA)
Université de Montréal , Montreal, Quebec , Canada
Corresponding author: Pâquet, Myriam
ORCID: Pâquet, Myriam
Rosen, Natalie O.
Mayrand, Marie-Hélène
Bergeron, Sophie
Venue: The Journal of Sexual Medicine
Publisher: Oxford University Press (OUP)
Published: 2016-01-01
Volume: 13
Issue: 1
Pages: 79-87
ISSN: 1743-6095 (ISSN-L)
1743-6109
DOI: 10.1016/j.jsxm.2015.11.007
OpenAlex: W2223746730
Cited by: 30
References: 66
Citations by year: 2026: 2 · 2025: 1 · 2024: 3 · 2023: 1 · 2022: 1 · 2021: 6 · 2020: 6 · 2019: 1 · 2018: 5 · 2017: 3 · 2016: 1
FWCI: 2.96
Type: journal article
Language: en
Open access: green
hdl.handle.net
Licence: academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model (vor)
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: The Journal of Sexual Medicine (publishedVersion)
PubMed (publishedVersion)
Papyrus : Institutional Repository (Université de Montréal) (submittedVersion)
Funders: Canadian Institutes of Health Research
Social Sciences and Humanities Research Council of Canada
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
Social Sciences › Gender Studies › Sexual Assault and Victimization Studies
Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
Keywords: provoked vestibulodynia, genito-pelvic pain/penetration disorder, perceived injustice, sexual distress, sexual satisfaction, depression, couples, pain intensity, chronic pain, psychological distress
MeSH terms: Adaptation, Psychological, Adult, Depression, Dyspareunia, Female, Humans, Male, Middle Aged, Orgasm, Pain Measurement, Personal Satisfaction, Surveys and Questionnaires, Sexual Behavior, Sexual Partners, Stress, Psychological, Pelvic Pain, Vulvodynia

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Why us? Perceived injustice is associated with more sexual and psychological distress in couples coping with genito-pelvic pain

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