背景:性沟通是外阴痛心理治疗的一个常见目标,以及与性功能和痛苦的联系,以及疼痛强度,已经被证明了。然而,缺乏对外阴痛夫妇沟通模式的结构化观察,因为需要这些来指导治疗工作。
目的:从观察到的沟通质量(操作为验证和无效反应)方面,探索(1)外阴痛夫妇的性沟通模式,自我报告的性自信,和自我披露;(2)性沟通质量与疼痛强度之间的关联。
方法:在具有组内和组间比较的病例对照设计中,62对夫妇就他们的性关系进行了录像讨论。训练有素的编码人员通过根据结构化的行为编码方案对性通信(验证和无效)进行评级来评估讨论。用参数和非参数检验检验了性沟通质量的群体差异。观察到的沟通质量之间的二元关联,自我评价的性自信,在行为者-伴侣相互依存模型中检查了自我披露。使用多元回归检验伴侣确认/无效对外阴痛女性疼痛强度的预测价值。
结果:观察到的沟通质量(即,验证和失效),自我报告的性自信,自我披露,和疼痛强度。
结果:患有外阴痛的女性的伴侣比没有疼痛的女性对伴侣更无效。两组女性之间的验证/无效沟通或伴侣之间的验证没有显着差异。合作伙伴验证沟通与女性较低的疼痛强度显着相关。有外阴痛和没有外阴痛的夫妇之间的性交流模式不同,与无疼痛组相比,外阴痛组的确认/无效反应与性自信之间的关联更强.验证/无效和自我披露的结果尚无定论。
结论:结果表明,需要针对夫妻的性沟通质量(即,验证和失效级别)。
■优势包括系统的行为编码和二进分析。限制包括参与者的横截面设计和自我选择。
结论:这项研究证明了外阴痛夫妇特有的性交流模式,我们得出的结论是,确认和无效性是外阴痛夫妇性交流的重要组成部分,因为它们与性自信有关,女人的自我表露,和疼痛强度。
Sexual communication is a common target in psychological treatments for vulvodynia, and associations with sexual function and distress, as well as pain intensity, have been demonstrated. However, structured observations of the communication patterns of couples with vulvodynia are lacking, as these are needed to guide treatment efforts.
To explore (1) the sexual communication patterns in couples with vulvodynia in terms of observed communication quality (operationalized as validating and invalidating responses), self-reported sexual assertiveness, and self-disclosure and (2) associations between sexual communication quality and pain intensity.
In a
case-control design with within- and between-group comparisons, 62 couples engaged in videotaped discussions about their sexual relationship. Trained coders assessed the discussions by rating sexual communication (validation and invalidation) according to a structured behavioral coding scheme. Group differences in sexual communication quality were examined with parametric and nonparametric tests. Dyadic associations among observed communication quality, self-rated sexual assertiveness, and self-disclosure were examined within the actor-partner interdependence model. Multiple regression was used to test the predictive value of partners\' validation/invalidation on the pain intensity of the women with vulvodynia.
Observed communication quality (ie, validation and invalidation), self-reported sexual assertiveness, self-disclosure, and pain intensity.
Partners of women with vulvodynia were more invalidating toward their partners than those of women without pain. There were no significant differences in validating/invalidating communication between women in the 2 groups or in validation between partners. Partners\' validating communication were significantly associated with women\'s lower pain intensity. The sexual communication patterns differed between couples with and without vulvodynia, and the associations between validating/invalidating responses and sexual assertiveness were stronger in the vulvodynia group than in the group without pain. Results on validation/invalidation and self-disclosure were inconclusive.
The results indicate a need to direct treatment interventions toward couples\' sexual communication quality (ie, levels of validation and invalidation).
Strengths include systematic behavioral coding and dyadic analyses. Limitations include the cross-sectional design and self-selection of participants.
This study demonstrated sexual communication patterns specific to couples with vulvodynia, and we conclude that validation and invalidation are important components of the sexual communication of couples with vulvodynia as they relate to sexual assertiveness, women\'s self-disclosure, and pain intensity.