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Minerva Psichiatrica 2011 June;52(2):97-9

language: English

Psycho emotional impact of women with provoked vestibulodynia

Ventolini G. 1, Balasko B. 2

1 Wright State University, Boonshoft School of Medicine, Department of Obstetrics and Gynecology, Dayton, Ohio, USA
2 West Virginia University School of Medicine, Morgantown, West Virginia, USA


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AIM: To assess the psycho emotional impact of women with provoked vestibulodynia we invited patients to respond to the Brief Symptom Inventory (BSI). We evaluated psychopathological differences between patients who improved and the ones who did not improve to a standard protocol for provoked vestibulodynia management (PVM).
METHODS: The study received IRB approval and took place at a university private practice referral center for vulvovaginal conditions. The patients were randomly selected. There were 74 patients included in this cohort study using a standardized protocol for PVM. The patients completed the BSI. The evaluators of the BSI were blinded to the patient’s PVM outcomes. Twenty four patients were randomly selected. Twenty two agreed to participate and were divided into 2 groups: A: 12 patients who improved with the PVM protocol and B: 10 patients who did not improve with the PVM protocol.
RESULTS: Regarding the BSI subscales, patients from group A were less likely to show psychopathological burden than those from group B (P=0.001). Specifically patients from group B demonstrated an increase in depression, anxiety, hostility and psychoticism subscale scores compared to group A. The global severity index was also increased in group B compared to group A. (P=0.01) .The subscales scores of somatization, obsessive compulsion and sensitivity were comparable in the 2 groups (P=0.35).
CONCLUSION: Patients with provoked vulvodynia who improved their condition following a standardized management protocol showed less psychological distress scores as measured by the BSI compared to the group who did not improve clinically.

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