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Gepubliceerd in: Mindfulness 3/2015

01-06-2015 | ORIGINAL PAPER

Mindfulness-based Group Therapy for Women with Provoked Vestibulodynia

Auteurs: Lori A. Brotto, Rosemary Basson, Kelly B. Smith, Miriam Driscoll, Leslie Sadownik

Gepubliceerd in: Mindfulness | Uitgave 3/2015

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Abstract

Provoked 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.
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Metagegevens
Titel
Mindfulness-based Group Therapy for Women with Provoked Vestibulodynia
Auteurs
Lori A. Brotto
Rosemary Basson
Kelly B. Smith
Miriam Driscoll
Leslie Sadownik
Publicatiedatum
01-06-2015
Uitgeverij
Springer US
Gepubliceerd in
Mindfulness / Uitgave 3/2015
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI
https://doi.org/10.1007/s12671-013-0273-z