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An initial proof of concept: A replicated single-case study of a CBT group treatment with partner involvement for vulvodynia.
Örebro University, School of Law, Psychology and Social Work. (Center for Health and Medical Psychology (CHAMP))ORCID iD: 0000-0001-8350-1836
Department of Obstetrics and Gynaecology, Leiden University Medical Center, Leiden, The Netherlands.
Örebro University, School of Law, Psychology and Social Work. (Center for Health and Medical Psychology (CHAMP))ORCID iD: 0000-0001-5359-0452
Örebro University, School of Law, Psychology and Social Work. (Center for Health and Medical Psychology (CHAMP))ORCID iD: 0000-0002-8078-9819
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2022 (English)In: Cognitive Behaviour Therapy, ISSN 1650-6073, E-ISSN 1651-2316, Vol. 51, no 6, p. 503-519Article in journal (Refereed) Published
Abstract [en]

Vulvodynia is common and has an immense impact on affected women and their partners. Psychological factors have been found to contribute to pain maintenance and exacerbation, and treatments addressing psychological factors have yielded positive results. This study employed a replicated single-case experimental design to examine a cognitive behavioral therapy (CBT) group treatment with partner involvement in vulvodynia. Repeated measures of pain intensity related to pain-inflicting behaviors were collected weekly throughout baseline and treatment phases. Associated outcomes were measured pre-, post- and at two follow-up assessments. Participants were 18-45-year-old women, in a stable sexual relationship with a man, experiencing vulvodynia. Five women completed the treatment consisting of 10 group sessions and 3 couple sessions. Data were analyzed through visual inspection and supplementary nonparametric calculations. The study showed promising results of the CBT treatment in alleviating pain intensity in connection to specific pain-inflicting behavior since three out of five participants showed improvements. For the participants who improved, sexual function, pain catastrophizing, avoidance, and endurance behavior changed during treatment and were maintained at follow-ups. These results warrant further study of the CBT treatment, in larger, and controlled formats.

Place, publisher, year, edition, pages
Routledge, 2022. Vol. 51, no 6, p. 503-519
Keywords [en]
Vulvodynia, cognitive behavioral therapy, couple treatment, group treatment, provoked vestibulodynia, single-case experimental design
National Category
Applied Psychology
Identifiers
URN: urn:nbn:se:oru:diva-100668DOI: 10.1080/16506073.2022.2086907ISI: 000840045400001PubMedID: 35960277Scopus ID: 2-s2.0-85136930316OAI: oai:DiVA.org:oru-100668DiVA, id: diva2:1687576
Available from: 2022-08-16 Created: 2022-08-16 Last updated: 2022-11-30Bibliographically approved

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Engman, LinneaLinton, Steven J.Ekholm, ElinFlink, Ida K.

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