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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
1

Deconstructing dyspareunia : description, classification and biopsychosocial correlates of a pain disorder

Meana, Marta. January 1995 (has links)
A frequently reported disorder affecting mostly women, dyspareunia (pain with penile-vaginal intercourse) has been under-investigated in comparison to other sexual dysfunctions and pain syndromes. After presenting a critical review of the literature, delineating the history of description, classification, prevalence, etiology, and treatment, this thesis reports two sets of results from a clinical study of over 100 women who suffer pain with intercourse and 100 matched controls. A biopsychosocial protocol was used to assess both groups. Results from the two sets of analyses showed that (1) dyspareunia may be a heterogeneous disorder with, at least, three sub-types based on physical findings, (2) pain classification variables account for more of the variance in dyspareunia than the sexual dysfunction classification system currently in use, (3) higher levels of physical pathology, psychological distress and relational maladjustment are associated with dyspareunia in general, (4) biopsychosocial differences between the pain group and matched controls vary depending on the dyspareunia sub-type. The implications of this study underline the need for a research and clinical effort that integrates psychology and gynecology to address the heterogeneity of this complex disorder.
2

A biopsychosocial approach to vulvar vestibulitis syndrome : diagnostic reliability and treatment outcome

Bergeron, Sophie, 1968- January 1998 (has links)
Vulvar vestibulitis is a highly prevalent and underinvestigated pain syndrome that is considered the most common subtype of dyspareunia, or painful intercourse, in pre-menopausal women. The first chapter of this thesis consists of a critical review of the vulvar vestibulitis literature, covering descriptive, diagnostic, etiologic, and treatment aspects. This is followed by a retrospective study of 38 women, investigating the success of vestibulectomy, a frequently recommended medical treatment for vulvar vestibulitis. Results from structured telephone interviews pertaining to dyspareunia and sexual function show that 63.2% of participants experienced a significant improvement or a complete cure while 36.8% reported moderate to no improvement. The third and fourth chapters are based on a randomized treatment outcome study of women with vulvar vestibulitis. Data from 146 participants taking part in the recruitment phase of the treatment outcome study were used to investigate the reliability of the vulvar vestibulitis diagnosis. Findings demonstrate moderate to substantial inter-rater agreement and test-retest reliability. The fourth paper reports results from the randomized comparison of 78 women meeting study selection criteria and assigned either to group cognitive-behavioral therapy, surface electromyographic biofeedback, or vestibulectomy. They were assessed at pretreatment, posttreatment and 6-month follow-up via gynecological examinations, a structured interview and standard questionnaires pertaining to dyspareunia, sexual function, and psychosocial adjustment. Results from the treatment outcome study demonstrate that (1) participants from the three treatment conditions significantly improve from pretreatment to 6-month follow-up on all pain measures, and (2) vestibulectomy is significantly more successful than biofeedback and group cognitive-behavioral therapy in relieving vulvar vestibulitis. Findings from this set of studies suggest that vulvar vestibuliti
3

Dimensions of pain and sex in vulvar vestibulitis syndrome

Payne, Kimberley A. January 2006 (has links)
Vulvar vestibulitis syndrome is believed to be the most common form of premenopausal dyspareunia and represents an excellent candidate in which to investigate the interaction of cognitive, affective, and physiological factors. The first empirical investigation in this thesis explored pain information processing in a group of 17 women suffering from vulvar vestibulitis syndrome and an equal number of age-matched controls. Women with vulvar vestibulitis reported greater hypervigilance for coital pain, and also exhibited a selective attentional bias towards pain stimuli on an emotional Stroop task. The second empirical investigation sought to explore the implications of hypervigilance for pain during sex on sexual arousal and subsequent sensory processing in this same clinical population. Twenty women suffering from vulvar vestibulitis syndrome and an equal number of age-matched control participants underwent genital and non-genital sensory testing in response to erotic and neutral stimulus films. In response to the erotic stimulus, both groups evidenced an increase in physiological sexual arousal and genital sensitivity, however, women with vulvar vestibulitis reported lower levels of mental sexual arousal. In addition, women with vulvar vestibulitis evidenced greater genital and non-genital sensitivity as compared with healthy participants across all conditions. Two literature reviews are also included to examine the classification, diagnosis, and treatment of vulvar vestibulitis syndrome. A final methodological paper is included in order to provide a historical review and technical guide for the labial thermistor clip, a measure of physiological sexual arousal in women which was revived and refined for use in the second study. Taken together, this body of work illustrates the complex interactions between the pain and sexual processing systems implicated in vulvar vestibulitis syndrome.
4

Dimensions of pain and sex in vulvar vestibulitis syndrome

Payne, Kimberley A. January 2006 (has links)
No description available.
5

Deconstructing dyspareunia : description, classification and biopsychosocial correlates of a pain disorder

Meana, Marta. January 1995 (has links)
No description available.
6

A biopsychosocial approach to vulvar vestibulitis syndrome : diagnostic reliability and treatment outcome

Bergeron, Sophie, 1968- January 1998 (has links)
No description available.
7

Dyspareunia due to endometriosis: a qualitative study of its effect on the couple relationship /

Brown, Kristina Schelbert January 2007 (has links)
Thesis (PH.D.) -- Syracuse University, 2007. / "Publication number AAT 3266285"
8

Understanding vulvar vestibulitis syndrome through pain measurement applications of multidimensional pain methodologies and development of novel assessment techniques /

Pukall, Caroline. January 1900 (has links)
Thesis (Ph.D.). / Written for the Dept. of Psychology. Title from title page of PDF (viewed 2008/08/04). Includes bibliographical references.
9

Understanding vulvar vestibulitis syndrome through pain measurement : applications of multidimensional pain methodologies and development of novel assessment techniques

Pukall, Caroline January 2003 (has links)
Vulvar vestibulitis syndrome is a highly prevalent and under-investigated pain syndrome. It is believed to be the most common form of dyspareunia, or painful intercourse, in pre-menopausal women. Despite the fact that pain is its defining characteristic, its conceptualization as a sexual dysfunction remains the predominant view. The first chapter of this thesis reviews support for a re-conceptualization of vulvar vestibulitis as a pain disorder, and contends that the pain component must be measured as it is in chronic pain patients, both objectively and subjectively. This paper is followed by a study in which tactile and pain thresholds in genital and non-genital body areas of 13 women with vulvar vestibulitis syndrome and 13 non-affected women were measured, while data about the intensity and unpleasantness of these sensations were collected. Results indicated that women with vulvar vestibulitis have decreased tactile and pain thresholds in both genital and non-genital body areas, as well as higher unpleasantness ratings in response to painful stimuli than controls, replicating data from the chronic pain literature. The third paper presents a pain conceptualization of vulvar vestibulitis according to classification criteria used by the International Association for the Study of Pain, and introduces the development of a vulvalgesiometer, a standardized method of genital pain measurement. Data collected with the vulvalgesiometer are presented in the fourth paper, a study in which 14 women with vulvar vestibulitis and 14 control women participated. Women with vulvar vestibulitis had significantly lower pain thresholds, higher pain unpleasantness ratings, and used adjectives similar to those reported during intercourse in response to painful stimulation. The vulvalgesiometer was used to elicit genital tactile and pain sensation in the two groups while brain activation patterns were measured via functional magnetic rdsonance imaging, the focus of the fifth paper. Results demonstrated that women with vulvar vestibulitis have augmentations of brain activity in the processing of both painful and non-painful genital stimulation as compared with non-affected women. Overall, findings from these studies suggest that the pain of vulvar vestibulitis can be reliably measured and that the pain perspective has important implications for both research and treatment of urogenital pain problems.
10

Understanding vulvar vestibulitis syndrome through pain measurement : applications of multidimensional pain methodologies and development of novel assessment techniques

Pukall, Caroline January 2003 (has links)
No description available.

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