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A. Burri, P. Hilpert, F. Williams, PS-02-001 Pain Catastrophizing, Fear of Pain, and Depression and its Association with Female Sexual Pain, The Journal of Sexual Medicine, Volume 16, Issue Supplement_2, May 2019, Pages S5–S6, https://doi.org/10.1016/j.jsxm.2019.03.047
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Extract
Objective
In accordance with the present biopsychosocial understanding of female sexual pain as a multifactorial condition, the objective of the present study was to establish the importance of pain catastrophizing (PC), fear of pain, and depression for the development and maintenance of female sexual pain.
Methods
Information on sexual pain was assessed at two different time points in 2009 and 2013 in a convenience sample of N = 979 British women. Well validated questionnaires including the Pain Catastrophizing Scale, the Pain Anxiety Symptom Scale, and the Female Sexual Function Index (recent and lifelong version) were applied.
Results
Significant associations between lifelong sexual pain and PC (r = -0.07), rumination (r = -0.08), and depression (r = -0.09; p < 0.05 for all) could be observed. When entered into a multiple regression model, only depression turned out to be independently associated with sexual pain, with women reporting higher depression levels also reporting more sexual pain (p < 0.05). Multilevel modeling showed a strong increase of short lived sexual pain over the four years (π01 = -0.33, p < .001). According to the moderation analyses, only depression influenced the change in short lived pain over the four years (π11 = 0.46, p = .016).