期刊
ARCHIVES OF SEXUAL BEHAVIOR
卷 47, 期 6, 页码 1649-1661出版社
SPRINGER/PLENUM PUBLISHERS
DOI: 10.1007/s10508-017-1126-y
关键词
Sexual contingent self-worth; Relationship contingent self-worth; Provoked vestibulodynia; Couples; Genito-pelvic pain
资金
- Canadian Institutes of Health Research (CIHR)
- Nova Scotia Health Research Foundation (NSHRF)
- IWK Health Centre
- Maritime SPOR Support Unit (MSSU from CIHR)
- Maritime SPOR Support Unit (MSSU from Nova Scotia Department of Health and Wellness)
- Maritime SPOR Support Unit (MSSU from New Brunswick Department of Health)
- Maritime SPOR Support Unit (MSSU from NSHRF)
- Maritime SPOR Support Unit (MSSU from New Brunswick Health Research Foundation)
Contingent self-worth (CSW; the pursuit of self-esteem via a particular domain in one's life) impacts well-being based on one's perceived success or failure in the contingent domain. In a community sample, individuals with sexual problems reported greater sexual CSW-self-worth dependent on maintaining a sexual relationship-than those without problems. Couples coping with provoked vestibulodynia (PVD), a genito-pelvic pain condition, perceive failures in their sexual relationship, which could be associated with more pain and poorer well-being. In contrast, relationship CSW-self-worth dependent on the overall romantic relationship-may act as a buffer against adverse outcomes. Eighty-two women with PVD and their partners completed online standardized measures of sexual and relationship CSW, sexual distress and satisfaction, relationship satisfaction, and depressive symptoms, and women reported their pain intensity. Analyses were based on the actor-partner interdependence model. Women with PVD who reported greater sexual CSW experienced more sexual distress and pain. Additionally, when partners reported greater sexual CSW, they were less sexually and relationally satisfied and more sexually distressed, and women had greater depressive symptoms and lower relationship satisfaction. In contrast, when partners reported higher relationship CSW, they were more sexually and relationally satisfied and less sexually distressed, and women reported lower depressive symptoms and greater relationship satisfaction. Results suggest that couples' (particularly partners') greater sexual CSW is linked to poorer sexual, relational, and psychological well-being in couples affected by PVD, whereas partners' greater relationship CSW is associated with better well-being. Thus, sexual and relationship CSW may be important treatment targets for interventions aimed at improving how couples adjust to PVD.
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