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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.
Literatuur
go back to reference Arck, P. C., Slominski, A., Theoharides, T. C., Peters, E. M. J., & Paus, R. (2006). Neuroimmunology of stress: skin takes center stage. Journal of Investigative Dermatology, 126, 1697–1704.CrossRefPubMedCentralPubMed Arck, P. C., Slominski, A., Theoharides, T. C., Peters, E. M. J., & Paus, R. (2006). Neuroimmunology of stress: skin takes center stage. Journal of Investigative Dermatology, 126, 1697–1704.CrossRefPubMedCentralPubMed
go back to reference Arnold, L., Bachmann, G. A., Rosen, R., Kelly, S., & Rhoads, G. G. (2006). Vulvodynia: characteristics and associations with comorbidities and quality of life. Obstetrics & Gynecology, 107(3), 617–624.CrossRef Arnold, L., Bachmann, G. A., Rosen, R., Kelly, S., & Rhoads, G. G. (2006). Vulvodynia: characteristics and associations with comorbidities and quality of life. Obstetrics & Gynecology, 107(3), 617–624.CrossRef
go back to reference Baer, R. A., Smith, G. T., Hopkins, J., Krietemeyer, J., & Toney, L. (2006). Using self-report assessment methods to explore facets of mindfulness. Assessment, 13(1), 27–45.CrossRefPubMed Baer, R. A., Smith, G. T., Hopkins, J., Krietemeyer, J., & Toney, L. (2006). Using self-report assessment methods to explore facets of mindfulness. Assessment, 13(1), 27–45.CrossRefPubMed
go back to reference Baer, R. A., Smith, G. T., Lykins, E., Button, D., Krietemeyer, J., Sauer, S., et al. (2008). Construct validity of the five facet mindfulness questionnaire in meditating and nonmeditating samples. Assessment, 15(3), 329–342.CrossRefPubMed Baer, R. A., Smith, G. T., Lykins, E., Button, D., Krietemeyer, J., Sauer, S., et al. (2008). Construct validity of the five facet mindfulness questionnaire in meditating and nonmeditating samples. Assessment, 15(3), 329–342.CrossRefPubMed
go back to reference Beck, A. T., & Beamesderfer, A. (1974). Assessment of depression: the depression inventory. Modern Problems of Pharmacopsychiatry, 7, 151–169.CrossRefPubMed Beck, A. T., & Beamesderfer, A. (1974). Assessment of depression: the depression inventory. Modern Problems of Pharmacopsychiatry, 7, 151–169.CrossRefPubMed
go back to reference Bergeron, S., Binik, Y. M., Khalifé, S., Pagidas, K., Glazer, H. I., Meana, M., et al. (2001). A randomized comparison of group cognitive-behavioral therapy, surface electromyographic biofeedback, and vestibulectomy in the treatment of dyspareunia resulting from vulvar vestibulitis. Pain, 91(3), 297–306.CrossRefPubMed Bergeron, S., Binik, Y. M., Khalifé, S., Pagidas, K., Glazer, H. I., Meana, M., et al. (2001). A randomized comparison of group cognitive-behavioral therapy, surface electromyographic biofeedback, and vestibulectomy in the treatment of dyspareunia resulting from vulvar vestibulitis. Pain, 91(3), 297–306.CrossRefPubMed
go back to reference Bergeron, S., Khalifé, S., Glazer, H. I., & Binik, Y. M. (2008). Surgical and behavioral treatments for vestibulodynia: two-and-one-half year follow-up and predictors of outcome. Obstetrics & Gynacology, 111(1), 159–166.CrossRef Bergeron, S., Khalifé, S., Glazer, H. I., & Binik, Y. M. (2008). Surgical and behavioral treatments for vestibulodynia: two-and-one-half year follow-up and predictors of outcome. Obstetrics & Gynacology, 111(1), 159–166.CrossRef
go back to reference Bishop, S. R., Lau, M., Shapiro, S., Carlson, L., Anderson, N. D., & Carmody, J. (2004). Mindfulness: a proposed operational definition. Clinical Psychology: Science and Practice, 11(3), 230–241. Bishop, S. R., Lau, M., Shapiro, S., Carlson, L., Anderson, N. D., & Carmody, J. (2004). Mindfulness: a proposed operational definition. Clinical Psychology: Science and Practice, 11(3), 230–241.
go back to reference Black, P. H. (2002). Stress and the inflammatory response: a review of neurogenic inflammation. Brain Behavior, and Immunology, 16, 622–653.CrossRef Black, P. H. (2002). Stress and the inflammatory response: a review of neurogenic inflammation. Brain Behavior, and Immunology, 16, 622–653.CrossRef
go back to reference Bradford, A., & Meston, C. M. (2009). Placebo response in the treatment of women’s sexual dysfunctions: a review and commentary. Journal of Sex and Marital Therapy, 35(3), 164–181.CrossRefPubMed Bradford, A., & Meston, C. M. (2009). Placebo response in the treatment of women’s sexual dysfunctions: a review and commentary. Journal of Sex and Marital Therapy, 35(3), 164–181.CrossRefPubMed
go back to reference Brotto, L. A., Basson, R., & Gehring, D. (2003). Psychological profiles among women with vulvar vestibulitis syndrome: a chart review. Journal of Psychosomatic Obstetrics & Gynecology, 24(3), 195–203.CrossRef Brotto, L. A., Basson, R., & Gehring, D. (2003). Psychological profiles among women with vulvar vestibulitis syndrome: a chart review. Journal of Psychosomatic Obstetrics & Gynecology, 24(3), 195–203.CrossRef
go back to reference Brotto, L. A., Heiman, J. R., Goff, B., Greer, B., Lentz, G. M., Swisher, E., et al. (2008a). A psychoeducational intervention for sexual dysfunction in women with gynecologic cancer. Archives of Sexual Behavior, 37(2), 317–329.CrossRefPubMed Brotto, L. A., Heiman, J. R., Goff, B., Greer, B., Lentz, G. M., Swisher, E., et al. (2008a). A psychoeducational intervention for sexual dysfunction in women with gynecologic cancer. Archives of Sexual Behavior, 37(2), 317–329.CrossRefPubMed
go back to reference Brotto, L. A., Basson, R., Carlson, M., & Zhu, C. (2013). Impact of an integrated mindfulness and cognitive behavioural treatment for provoked vestibulodynia (IMPROVED): a qualitative study. Sexual and Relationship Therapy, 28(1–2), 3–19. doi:10.1080/14681994.2012.686661.CrossRef Brotto, L. A., Basson, R., Carlson, M., & Zhu, C. (2013). Impact of an integrated mindfulness and cognitive behavioural treatment for provoked vestibulodynia (IMPROVED): a qualitative study. Sexual and Relationship Therapy, 28(1–2), 3–19. doi:10.​1080/​14681994.​2012.​686661.CrossRef
go back to reference Carlson, L. E., Speca, M., Faris, P., & Patel, K. D. (2007). One year pre-post intervention follow-up of psychological, immune, endocrine and blood pressure outcomes of mindfulness-based stress reduction (MBSR) in breast and prostate cancer outpatients. Brain, Behavior, and Immunity, 21(8), 1038–1049. doi:10.1016/j.bbi.2007.04.002.CrossRefPubMed Carlson, L. E., Speca, M., Faris, P., & Patel, K. D. (2007). One year pre-post intervention follow-up of psychological, immune, endocrine and blood pressure outcomes of mindfulness-based stress reduction (MBSR) in breast and prostate cancer outpatients. Brain, Behavior, and Immunity, 21(8), 1038–1049. doi:10.​1016/​j.​bbi.​2007.​04.​002.CrossRefPubMed
go back to reference Carmody, J., Baer, R. A., Lykins, E. L. B., & Olendzki, N. (2009). An empirical study of the mechanisms of mindfulness in a mindfulness-based stress reduction program. Journal of Clinical Psychology, 65(6), 613–626. doi:10.1002/jclp.20579.CrossRefPubMed Carmody, J., Baer, R. A., Lykins, E. L. B., & Olendzki, N. (2009). An empirical study of the mechanisms of mindfulness in a mindfulness-based stress reduction program. Journal of Clinical Psychology, 65(6), 613–626. doi:10.​1002/​jclp.​20579.CrossRefPubMed
go back to reference Chadha, S., Gianotten, W. L., Drogendijk, A. C., Weijmar Schultz, W. C., Blindermen, L. A., & van der Meijden, W. I. (1998). Histopathologic features of vulvar vestibulitis. International Journal of Gynecology and Pathology, 17, 7–11.CrossRef Chadha, S., Gianotten, W. L., Drogendijk, A. C., Weijmar Schultz, W. C., Blindermen, L. A., & van der Meijden, W. I. (1998). Histopathologic features of vulvar vestibulitis. International Journal of Gynecology and Pathology, 17, 7–11.CrossRef
go back to reference Danielsson, I., Sjoberg, I., Stenlund, H., & Wikman, M. (2003). Dyspareunia in women is common, particularly in younger women: pain history and the women’s age provide valuable clues for diagnosis. [Samlagssmarta hos kvinnor vanligt, inte minst hos yngre. Smartanamnes och kvinnans alder ger god vagledning for diagnos]. Läkartidningen, 100(24), 2128–2132.PubMed Danielsson, I., Sjoberg, I., Stenlund, H., & Wikman, M. (2003). Dyspareunia in women is common, particularly in younger women: pain history and the women’s age provide valuable clues for diagnosis. [Samlagssmarta hos kvinnor vanligt, inte minst hos yngre. Smartanamnes och kvinnans alder ger god vagledning for diagnos]. Läkartidningen, 100(24), 2128–2132.PubMed
go back to reference Derogatis, L. R., Rosen, R., Leiblum, S., Burnett, A., & Heiman, J. (2002). The Female Sexual Distress Scale (FSDS): initial validation of a standardized scale for assessment of sexually related personal distress in women. Journal of Sex & Marital Therapy, 28(4), 317–330. doi:10.1080/00926230290001448.CrossRef Derogatis, L. R., Rosen, R., Leiblum, S., Burnett, A., & Heiman, J. (2002). The Female Sexual Distress Scale (FSDS): initial validation of a standardized scale for assessment of sexually related personal distress in women. Journal of Sex & Marital Therapy, 28(4), 317–330. doi:10.​1080/​0092623029000144​8.CrossRef
go back to reference Desrochers, G., Bergeron, S., Landry, T., & Jodoin, M. (2008). Do psychosexual factors play a role in the etiology of provoked vestibulodynia? A critical review. Journal of Sex & Marital Therapy, 34(3), 198–226.CrossRef Desrochers, G., Bergeron, S., Landry, T., & Jodoin, M. (2008). Do psychosexual factors play a role in the etiology of provoked vestibulodynia? A critical review. Journal of Sex & Marital Therapy, 34(3), 198–226.CrossRef
go back to reference Desrochers, G., Bergeron, S., Khalifé, S., Dupuis, M. J., & Jodoin, M. (2009). Fear avoidance and self-efficacy in relation to pain and sexual impairment in women with provoked vestibulodynia. Clinical Journal of Pain, 25(6), 520–527.CrossRefPubMed Desrochers, G., Bergeron, S., Khalifé, S., Dupuis, M. J., & Jodoin, M. (2009). Fear avoidance and self-efficacy in relation to pain and sexual impairment in women with provoked vestibulodynia. Clinical Journal of Pain, 25(6), 520–527.CrossRefPubMed
go back to reference Dworkin, R. H., Turk, D. C., Farrar, J. T., Haythornthwaite, J. A., Jensen, M. P., Katz, N. P., et al. (2005). Core outcome measures for chronic pain clinical trials: IMMPACT recommendations. The Journal of Pain, 113, 9–19.CrossRef Dworkin, R. H., Turk, D. C., Farrar, J. T., Haythornthwaite, J. A., Jensen, M. P., Katz, N. P., et al. (2005). Core outcome measures for chronic pain clinical trials: IMMPACT recommendations. The Journal of Pain, 113, 9–19.CrossRef
go back to reference Dworkin, R. H., Turk, D. C., Wyrwich, K. W., Beaton, D., Cleeland, C. S., Farrar, J. T., et al. (2008). Interpreting the clinical importance of treatment outcomes in chronic pain clinical trials: IMMPACT recommendations. The Journal of Pain, 9(2), 105–121.CrossRefPubMed Dworkin, R. H., Turk, D. C., Wyrwich, K. W., Beaton, D., Cleeland, C. S., Farrar, J. T., et al. (2008). Interpreting the clinical importance of treatment outcomes in chronic pain clinical trials: IMMPACT recommendations. The Journal of Pain, 9(2), 105–121.CrossRefPubMed
go back to reference Ehrstrom, S., Kornfeld, D., Rylander, E., & Bohm-Starke, N. (2009). Chronic stress in women with localised provoked vulvodynia. Journal of Psychosomatic Obstetrics & Gynecology, 30(1), 73–79. doi:10.1080/01674820802604359.CrossRef Ehrstrom, S., Kornfeld, D., Rylander, E., & Bohm-Starke, N. (2009). Chronic stress in women with localised provoked vulvodynia. Journal of Psychosomatic Obstetrics & Gynecology, 30(1), 73–79. doi:10.​1080/​0167482080260435​9.CrossRef
go back to reference Foster, D. C., Dworkin, R. H., & Wood, R. W. (2005). Effects of intradermal foot and forearm capsaicin injections in normal and vulvodynia-afflicted women. Pain, 117(1), 128–136.CrossRefPubMed Foster, D. C., Dworkin, R. H., & Wood, R. W. (2005). Effects of intradermal foot and forearm capsaicin injections in normal and vulvodynia-afflicted women. Pain, 117(1), 128–136.CrossRefPubMed
go back to reference Foster, D. C., Kotok, M. B., Huang, L. S., Watts, A., Oakes, D., Howard, F. M., et al. (2010). Oral desipramine and topical lidocaine for vulvodynia: a randomized controlled trial. Obstetrics & Gynecology, 116(3), 583.CrossRef Foster, D. C., Kotok, M. B., Huang, L. S., Watts, A., Oakes, D., Howard, F. M., et al. (2010). Oral desipramine and topical lidocaine for vulvodynia: a randomized controlled trial. Obstetrics & Gynecology, 116(3), 583.CrossRef
go back to reference Gardner-Nix, J., Backman, S., Barbati, J., & Grummitt, J. (2008). Evaluating distance education of a mindfulness-based meditation programme for chronic pain management. Journal of Telemedicine and Telecare, 14(2), 88–92. doi:10.1258/jtt.2007.070811.CrossRefPubMed Gardner-Nix, J., Backman, S., Barbati, J., & Grummitt, J. (2008). Evaluating distance education of a mindfulness-based meditation programme for chronic pain management. Journal of Telemedicine and Telecare, 14(2), 88–92. doi:10.​1258/​jtt.​2007.​070811.CrossRefPubMed
go back to reference Gaylord, G. A., Palsson, O. S., Garland, E. L., Faurot, K. R., Coble, R. S., Mann, J. D., et al. (2011). Mindfulness training reduces the severity of irritable bowel syndrome in women: results of a randomized controlled trial. The American Journal of Gastroenterology, 106, 1678–1688.CrossRefPubMed Gaylord, G. A., Palsson, O. S., Garland, E. L., Faurot, K. R., Coble, R. S., Mann, J. D., et al. (2011). Mindfulness training reduces the severity of irritable bowel syndrome in women: results of a randomized controlled trial. The American Journal of Gastroenterology, 106, 1678–1688.CrossRefPubMed
go back to reference Gerber, S., Bongiovanni, A. M., Ledger, W. J., & Witkin, S. S. (2003). Interleukin-1beta gene polymorphism in women with vulvar vestibulitis syndrome. European Journal of Obstetrics, Gynecology, and Reproductive Biology, 107(1), 74–77.CrossRefPubMed Gerber, S., Bongiovanni, A. M., Ledger, W. J., & Witkin, S. S. (2003). Interleukin-1beta gene polymorphism in women with vulvar vestibulitis syndrome. European Journal of Obstetrics, Gynecology, and Reproductive Biology, 107(1), 74–77.CrossRefPubMed
go back to reference Harlow, B. L., & Stewart, E. G. (2003). A population-based assessment of chronic unexplained vulvar pain: have we underestimated the prevalence of vulvodynia? Journal of the American Medical Women's Association, 58(2), 82–88.PubMed Harlow, B. L., & Stewart, E. G. (2003). A population-based assessment of chronic unexplained vulvar pain: have we underestimated the prevalence of vulvodynia? Journal of the American Medical Women's Association, 58(2), 82–88.PubMed
go back to reference Holzel, B. K., Carmody, J., Evans, K. C., Hoge, E. A., Dusek, J. A., Morgan, L., et al. (2010). Stress reduction correlates with structural changes in the amygdale. Social Cognitive Affect Neuroscience, 5, 11–17. doi:10.1093/scan/nsp034.CrossRef Holzel, B. K., Carmody, J., Evans, K. C., Hoge, E. A., Dusek, J. A., Morgan, L., et al. (2010). Stress reduction correlates with structural changes in the amygdale. Social Cognitive Affect Neuroscience, 5, 11–17. doi:10.​1093/​scan/​nsp034.CrossRef
go back to reference Jantos, M., & Burns, N. R. (2007). Vulvodynia. Development of a psychosexual profile. Journal of Reproductive Medicine, 52(1), 63–71.PubMed Jantos, M., & Burns, N. R. (2007). Vulvodynia. Development of a psychosexual profile. Journal of Reproductive Medicine, 52(1), 63–71.PubMed
go back to reference Jantos, M., & White, G. (1997). The vestibulitis syndrome. medical and psychosexual assessment of a cohort of patients. Journal of Reproductive Medicine, 42(3), 145–152.PubMed Jantos, M., & White, G. (1997). The vestibulitis syndrome. medical and psychosexual assessment of a cohort of patients. Journal of Reproductive Medicine, 42(3), 145–152.PubMed
go back to reference Jodoin, M., Bergeron, S., Khalife, S., Dupuis, M. J., Desrochers, G., & Leclerc, B. (2011). Attributions about pain as predictors of psychological symptomatology, sexual function, and dyadic adjustment in women with vestibulodynia. Archives of Sexual Behavior, 40(1), 87–97. doi:10.1007/s10508-010-9647-7.CrossRefPubMed Jodoin, M., Bergeron, S., Khalife, S., Dupuis, M. J., Desrochers, G., & Leclerc, B. (2011). Attributions about pain as predictors of psychological symptomatology, sexual function, and dyadic adjustment in women with vestibulodynia. Archives of Sexual Behavior, 40(1), 87–97. doi:10.​1007/​s10508-010-9647-7.CrossRefPubMed
go back to reference Khandker, M., Brady, S. S., Vitonis, A. F., MacLehose, R. F., Stewart, E. G., & Harlow, B. L. (2011). The influence of depression and anxiety on risk of adult onset vulvodynia. Journal of Women's Health, 20(10), 1–7.CrossRef Khandker, M., Brady, S. S., Vitonis, A. F., MacLehose, R. F., Stewart, E. G., & Harlow, B. L. (2011). The influence of depression and anxiety on risk of adult onset vulvodynia. Journal of Women's Health, 20(10), 1–7.CrossRef
go back to reference Komisaruk, B., & Whipple, B. (2000). How does vaginal stimulation produce pleasure, pain, and analgesia. In R. B. Rillingim (Ed.), Sex, gender, and pain (pp. 109–134). Seattle: IASP Press. Komisaruk, B., & Whipple, B. (2000). How does vaginal stimulation produce pleasure, pain, and analgesia. In R. B. Rillingim (Ed.), Sex, gender, and pain (pp. 109–134). Seattle: IASP Press.
go back to reference Koyama, T., McHaffie, J. G., Laurienti, P. J., Coghill, R. C., & Smith, E. E. (2005). The subjective experience of pain: where expectations become reality. Proceedings of the National Academy of Sciences of the United States of America, 102(36), 12950–12955.CrossRefPubMedCentralPubMed Koyama, T., McHaffie, J. G., Laurienti, P. J., Coghill, R. C., & Smith, E. E. (2005). The subjective experience of pain: where expectations become reality. Proceedings of the National Academy of Sciences of the United States of America, 102(36), 12950–12955.CrossRefPubMedCentralPubMed
go back to reference Landry, T., Bergeron, S., Dupuis, M. J., & Desrochers, G. (2008). The treatment of provoked vestibulodynia: a critical review. The Clinical Journal of Pain, 24(2), 155–171.CrossRefPubMed Landry, T., Bergeron, S., Dupuis, M. J., & Desrochers, G. (2008). The treatment of provoked vestibulodynia: a critical review. The Clinical Journal of Pain, 24(2), 155–171.CrossRefPubMed
go back to reference Lau, M. A., & McMain, S. F. (2005). Integrating mindfulness meditation with cognitive and behavioural therapies: the challenge of combining acceptance- and change-based strategies. Canadian Journal of Psychiatry, 50(13), 863–869. Lau, M. A., & McMain, S. F. (2005). Integrating mindfulness meditation with cognitive and behavioural therapies: the challenge of combining acceptance- and change-based strategies. Canadian Journal of Psychiatry, 50(13), 863–869.
go back to reference Leeuw, M., Goossens, M. E., Linton, S. J., Crombez, G., Boersma, K., & Vlaeyen, J. W. (2007). The fear-avoidance model of musculoskeletal pain: current state of scientific evidence. Journal of Behavioral Medicine, 30(1), 77–94. doi:10.1007/s10865-006-9085-0.CrossRefPubMed Leeuw, M., Goossens, M. E., Linton, S. J., Crombez, G., Boersma, K., & Vlaeyen, J. W. (2007). The fear-avoidance model of musculoskeletal pain: current state of scientific evidence. Journal of Behavioral Medicine, 30(1), 77–94. doi:10.​1007/​s10865-006-9085-0.CrossRefPubMed
go back to reference Lorig, K., Chastain, R. L., Ung, E., Shoor, S., & Holman, H. R. (1989). Development and evaluation of a scale to measure perceived self-efficacy in people with arthritis. Arthritis and Rheumatism, 32(1), 37–44.CrossRefPubMed Lorig, K., Chastain, R. L., Ung, E., Shoor, S., & Holman, H. R. (1989). Development and evaluation of a scale to measure perceived self-efficacy in people with arthritis. Arthritis and Rheumatism, 32(1), 37–44.CrossRefPubMed
go back to reference Ma, S. H., & Teasdale, J. D. (2004). Mindfulness-based cognitive therapy for depression: replication and exploration of differential relapse prevention effects. Journal of Consulting and Clinical Psychology, 72(1), 31–40.CrossRefPubMed Ma, S. H., & Teasdale, J. D. (2004). Mindfulness-based cognitive therapy for depression: replication and exploration of differential relapse prevention effects. Journal of Consulting and Clinical Psychology, 72(1), 31–40.CrossRefPubMed
go back to reference Matousek, R. H., & Dobkin, P. L. (2010). Weathering storms: a cohort study of how participation in a mindfulness-based stress reduction program benefits women after breast cancer treatment. Current Oncology, 17(4), 62–70.PubMedCentralPubMed Matousek, R. H., & Dobkin, P. L. (2010). Weathering storms: a cohort study of how participation in a mindfulness-based stress reduction program benefits women after breast cancer treatment. Current Oncology, 17(4), 62–70.PubMedCentralPubMed
go back to reference McCracken, L. M. (1997). Attention to pain in persons with chronic pain: a behavioral approach. Behavior Therapy, 28(2), 271–284.CrossRef McCracken, L. M. (1997). Attention to pain in persons with chronic pain: a behavioral approach. Behavior Therapy, 28(2), 271–284.CrossRef
go back to reference McCracken, L. M., & Eccleston, C. (2005). A prospective study of acceptance of pain and patient functioning with chronic pain. Pain, 118, 164–169.CrossRefPubMed McCracken, L. M., & Eccleston, C. (2005). A prospective study of acceptance of pain and patient functioning with chronic pain. Pain, 118, 164–169.CrossRefPubMed
go back to reference McCracken, L. M., Gauntlett-Gilbert, J., & Vowles, K. E. (2007). The role of mindfulness in a contextual cognitive-behavioral analysis of chronic pain-related suffering and disability. Pain, 131, 63–69.CrossRefPubMed McCracken, L. M., Gauntlett-Gilbert, J., & Vowles, K. E. (2007). The role of mindfulness in a contextual cognitive-behavioral analysis of chronic pain-related suffering and disability. Pain, 131, 63–69.CrossRefPubMed
go back to reference Nelson, A. L., & Purdon, C. (2011). Non-erotic thoughts, attentional focus, and sexual problems in a community sample. Archives of Sexual Behavior, 40, 395–406.CrossRefPubMed Nelson, A. L., & Purdon, C. (2011). Non-erotic thoughts, attentional focus, and sexual problems in a community sample. Archives of Sexual Behavior, 40, 395–406.CrossRefPubMed
go back to reference Nguyen, R. H., MacLehose, R. F., Veasley, C., Turner, R. M., Harlow, B. L., & Horvath, K. J. (2012). Comfort in discussing vulvar pain in social relationships among women with vulvodynia. Journal of Reproductive Medicine, 57(3–4), 109–114.PubMed Nguyen, R. H., MacLehose, R. F., Veasley, C., Turner, R. M., Harlow, B. L., & Horvath, K. J. (2012). Comfort in discussing vulvar pain in social relationships among women with vulvodynia. Journal of Reproductive Medicine, 57(3–4), 109–114.PubMed
go back to reference Norton, P. J., & Asmundson, G. J. G. (2003). Amending the fear-avoidance model of chronic pain: what is the role of physiological arousal? Behaviour Therapy, 34(1), 17–30.CrossRef Norton, P. J., & Asmundson, G. J. G. (2003). Amending the fear-avoidance model of chronic pain: what is the role of physiological arousal? Behaviour Therapy, 34(1), 17–30.CrossRef
go back to reference Payne, K. A., Binik, Y. M., Amsel, R., & Khalifé, S. (2005). When sex hurts, anxiety and fear orient attention towards pain. European Journal of Pain, 9, 427–436.CrossRefPubMed Payne, K. A., Binik, Y. M., Amsel, R., & Khalifé, S. (2005). When sex hurts, anxiety and fear orient attention towards pain. European Journal of Pain, 9, 427–436.CrossRefPubMed
go back to reference Reed, B. D., Harlow, S. D., Sen, A., Edwards, R. M., Chen, D., & Haefner, H. K. (2012a). Relationship between vulvodynia and chronic comorbid pain conditions. Obstetrics and Gynecology, 120, 145–151.CrossRefPubMedCentralPubMed Reed, B. D., Harlow, S. D., Sen, A., Edwards, R. M., Chen, D., & Haefner, H. K. (2012a). Relationship between vulvodynia and chronic comorbid pain conditions. Obstetrics and Gynecology, 120, 145–151.CrossRefPubMedCentralPubMed
go back to reference Reed, B. D., Harlow, S. D., Sen, A., Legocki, L. J., Edwards, R. M., Arato, N., et al. (2012b). Prevalence and demographic characteristics of vulvodynia in a population-based sample. American Journal of Obstetrics and Gynecology, 206, 170.e1–170.e9.CrossRef Reed, B. D., Harlow, S. D., Sen, A., Legocki, L. J., Edwards, R. M., Arato, N., et al. (2012b). Prevalence and demographic characteristics of vulvodynia in a population-based sample. American Journal of Obstetrics and Gynecology, 206, 170.e1–170.e9.CrossRef
go back to reference Roelofs, J., Peters, M. L., McCracken, L., & Vlaeyen, J. W. (2003). The Pain Vigilance and Awareness Questionnaire (PVAQ): further psychometric evaluation in fibromyalgia and other chronic pain syndromes. Pain, 101(3), 299–306.CrossRefPubMed Roelofs, J., Peters, M. L., McCracken, L., & Vlaeyen, J. W. (2003). The Pain Vigilance and Awareness Questionnaire (PVAQ): further psychometric evaluation in fibromyalgia and other chronic pain syndromes. Pain, 101(3), 299–306.CrossRefPubMed
go back to reference Roemer, L., & Orsillo, S. M. (2002). Expanding our conceptualization of and treatment for generalized anxiety disorder: integrating mindfulness/acceptance-based approaches with existing cognitive-behavioral models. Clinical Psychology: Science and Practice, 9, 54–68. Roemer, L., & Orsillo, S. M. (2002). Expanding our conceptualization of and treatment for generalized anxiety disorder: integrating mindfulness/acceptance-based approaches with existing cognitive-behavioral models. Clinical Psychology: Science and Practice, 9, 54–68.
go back to reference Rosen, R., Brown, C., Heiman, J., Leiblum, S., Meston, C., Shabsigh, R., et al. (2000). The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. Journal of Sex and Marital Therapy, 26(2), 191–208. doi:10.1080/009262300278597.CrossRefPubMed Rosen, R., Brown, C., Heiman, J., Leiblum, S., Meston, C., Shabsigh, R., et al. (2000). The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. Journal of Sex and Marital Therapy, 26(2), 191–208. doi:10.​1080/​009262300278597.CrossRefPubMed
go back to reference Rosenbaum, T. Y. (2013). An integrated mindfulness-based approach to the treatment of women with sexual pain and anxiety: promoting autonomy and mind/body connection. Sexual and Relationship Therapy, 28, 20–28.CrossRef Rosenbaum, T. Y. (2013). An integrated mindfulness-based approach to the treatment of women with sexual pain and anxiety: promoting autonomy and mind/body connection. Sexual and Relationship Therapy, 28, 20–28.CrossRef
go back to reference Schweinhardt, P., Kuchinad, A., Pukall, C. F., & Bushnell, M. C. (2008). Increased gray matter density in young women with chronic vulvar pain. Pain, 140(3), 411–419.CrossRefPubMed Schweinhardt, P., Kuchinad, A., Pukall, C. F., & Bushnell, M. C. (2008). Increased gray matter density in young women with chronic vulvar pain. Pain, 140(3), 411–419.CrossRefPubMed
go back to reference Spielberger, C. D., Gorsuch, R. L., Lushene, R., Vagg, P. R., & Jacobs, G. A. (1983). State trait anxiety inventory for adults manual. Palo Alto, CA: Consulting Psychologists Press. Spielberger, C. D., Gorsuch, R. L., Lushene, R., Vagg, P. R., & Jacobs, G. A. (1983). State trait anxiety inventory for adults manual. Palo Alto, CA: Consulting Psychologists Press.
go back to reference Sutton, K. S., Pukall, C. F., & Chamberlain, S. (2009a). Pain ratings, sensory thresholds, and psychosocial functioning in women with provoked vestibulodynia. Journal of Sex & Marital Therapy, 35(4), 262–281.CrossRef Sutton, K. S., Pukall, C. F., & Chamberlain, S. (2009a). Pain ratings, sensory thresholds, and psychosocial functioning in women with provoked vestibulodynia. Journal of Sex & Marital Therapy, 35(4), 262–281.CrossRef
go back to reference Teasdale, J. D., Segal, Z., & Williams, J. M. (1995). How does cognitive therapy prevent depressive relapse and why should attentional control (mindfulness) training help? Behaviour Research and Therapy, 33(1), 25–39.CrossRefPubMed Teasdale, J. D., Segal, Z., & Williams, J. M. (1995). How does cognitive therapy prevent depressive relapse and why should attentional control (mindfulness) training help? Behaviour Research and Therapy, 33(1), 25–39.CrossRefPubMed
go back to reference Theoharides, T. C., Donelan, J. M., Papadopoulou, N., Cao, J., Kempuraj, D., & Conti, P. (2004). Mast cells as targets of corticotrophin-releasing factor and related peptides. Trends in Pharmacological Sciences, 25, 563–568.CrossRefPubMed Theoharides, T. C., Donelan, J. M., Papadopoulou, N., Cao, J., Kempuraj, D., & Conti, P. (2004). Mast cells as targets of corticotrophin-releasing factor and related peptides. Trends in Pharmacological Sciences, 25, 563–568.CrossRefPubMed
go back to reference Trudel, G., Marchand, A., Ravart, M., Aubin, S., Turgeon, L., & Fortier, P. (2001). The effect of a cognitive-behavioral group treatment program on hypoactive sexual desire in women. Sexual and Relationship Therapy, 16(2), 145–164. doi:10.1080/14681990120040078.CrossRef Trudel, G., Marchand, A., Ravart, M., Aubin, S., Turgeon, L., & Fortier, P. (2001). The effect of a cognitive-behavioral group treatment program on hypoactive sexual desire in women. Sexual and Relationship Therapy, 16(2), 145–164. doi:10.​1080/​1468199012004007​8.CrossRef
go back to reference Ussher, M., Spatz, A., Copland, C., Nicolaou, A., Cargill, A., Amini-Tabrizi, N., et al. (2012). Immediate effects of a brief mindfulness-based body scan on patients with chronic pain. Journal of Behavioral Medicine. doi:10.1007/s10865-012-9466-5.PubMed Ussher, M., Spatz, A., Copland, C., Nicolaou, A., Cargill, A., Amini-Tabrizi, N., et al. (2012). Immediate effects of a brief mindfulness-based body scan on patients with chronic pain. Journal of Behavioral Medicine. doi:10.​1007/​s10865-012-9466-5.PubMed
go back to reference Vachon-Presseau, E., Roy, M., Martel, M. O., & Caron, E. (2013). The stress model of chronic pain: evidence from basal cortisol and hippocampal structure and function in humans. Brain: A Journal of Neurology, 136, 815–827. doi:10.1093/brain/aws371.CrossRef Vachon-Presseau, E., Roy, M., Martel, M. O., & Caron, E. (2013). The stress model of chronic pain: evidence from basal cortisol and hippocampal structure and function in humans. Brain: A Journal of Neurology, 136, 815–827. doi:10.​1093/​brain/​aws371.CrossRef
go back to reference van Lankveld, J. J., Granot, M., Weijmar Schultz, W. C., Binik, Y. M., Wesselmann, U., Pukall, C. F., et al. (2010). Women’s sexual pain disorders. Journal of Sexual Medicine, 7, 615–631.CrossRefPubMed van Lankveld, J. J., Granot, M., Weijmar Schultz, W. C., Binik, Y. M., Wesselmann, U., Pukall, C. F., et al. (2010). Women’s sexual pain disorders. Journal of Sexual Medicine, 7, 615–631.CrossRefPubMed
go back to reference Vlaeyen, J. W., de Jong, J., Geilen, M., Heuts, P. H., & van Breukelen, G. (2001). Graded exposure in vivo in the treatment of pain-related fear: a replicated single-case experimental design in four patients with chronic low back pain. Behaviour Research and Therapy, 39(2), 151–166.CrossRefPubMed Vlaeyen, J. W., de Jong, J., Geilen, M., Heuts, P. H., & van Breukelen, G. (2001). Graded exposure in vivo in the treatment of pain-related fear: a replicated single-case experimental design in four patients with chronic low back pain. Behaviour Research and Therapy, 39(2), 151–166.CrossRefPubMed
go back to reference Vlaeyen, J. W., de Jong, J. R., Onghena, P., Kerckhoffs-Hanssen, M., & Kole-Snijders, A. M. (2002). Can pain-related fear be reduced? The application of cognitive-behavioural exposure in vivo. Pain Research & Management, 7(3), 144–153. Vlaeyen, J. W., de Jong, J. R., Onghena, P., Kerckhoffs-Hanssen, M., & Kole-Snijders, A. M. (2002). Can pain-related fear be reduced? The application of cognitive-behavioural exposure in vivo. Pain Research & Management, 7(3), 144–153.
go back to reference Zeidan, F., Gordon, N. S., Merchant, J., & Goolkasian, P. (2010). The effects of brief mindfulness meditation training on experimentally induced pain. The Journal of Pain, 3, 199–209.CrossRef Zeidan, F., Gordon, N. S., Merchant, J., & Goolkasian, P. (2010). The effects of brief mindfulness meditation training on experimentally induced pain. The Journal of Pain, 3, 199–209.CrossRef
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