dyspareunia pain during intercourse PVD
Conditions
Interventions
Intervention: The CBT group programme-plus consists of three 1- hr CBT couple
sessions and ten 2-hr CBT group sessions over a period of 6 months. The
manualized treatment comprize, pain- and sexual
Sponsors
Academisch Medisch Centrum
Eligibility
Age
18 Years to 64 Years
Inclusion criteria
Inclusion criteria: heterosexual female, aged 18-45 years, having a heterosexual relationship for at least 3 months, with a diagnosis of superficial dyspareunia with no apparent ongoing physical cause to the condition (i.e. ongoing infections). The diagnosis of superficial dyspareunia will be assessed after full sexual history taking. The criteria for the diagnosis conform to DSM-5; the pain should be experienced as superficial pain/pain around the vulvar opening, and have lasted for more than 6 months during at least 80% of the intercourse attempts. Furthermore, the participants should have the experience of a successful intercourse, and have attempted intercourse during the last year.
Exclusion criteria
Exclusion criteria: : if reporting to never have had full intercourse at any time in life or the partner is not willing to participate in the study. Further exclusion criteria are: major affective disorder, psychotic disorder, substance-related disorder or post traumatic-stress disorder related to the genitals (e.g., as a sequel to sexual abuse) according to DSM-5 criteria; being pregnant or having gone through child delivery during the last year; not speaking Dutch or Swedish well enough to participate in assessment and treatment; or receiving concurrent ; or receiving concurrent psychological therapy or physiotherapy for superficial dyspareunia or other sexual complaints during CBT or WLC period.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main study parameters/endpoints: The mean level of pain during penile/vaginal intercourse in the CBT condition and the WLC condition at 6 months. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary Objective(s): are to evaluate a) women (and partners) sexuality (sexual function, distress & satisfaction), b) women*s psychological adjustment (negative and positive penetration beliefs, pain/penetration coping behaviour); c) relationship factors (partner responses and relationship satisfaction) (Q2), cost-effectiveness of the intervention (Q3), and whether an improvement in pain during intercourse is moderated by pre-treatment patient characteristics, such as age, sexual functioning, relationship satisfaction, abuse history, and mediated by a) reduction of negative penetration beliefs avoidance behaviour and/or improvement in positive penetration beliefs and sexual function (i.e. sexual arousal) (Q4). | — |
Countries
Netherlands
Outcome results
None listed