Prevalence and Risk Factors of Genito-Pelvic Pain/ Penetration Disorder: A Population-Based Study on Iranian Women

سال انتشار: 1397
نوع سند: مقاله کنفرانسی
زبان: انگلیسی
مشاهده: 416

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شناسه ملی سند علمی:

LAMOGMED03_085

تاریخ نمایه سازی: 21 بهمن 1397

چکیده مقاله:

Introduction: Recently the diagnosis of vaginismus and dyspareunia is unified under the concept of Genito-Pelvic Pain/ Penetration Disorder (GPPPD). The present study aims at evaluating the prevalence of GPPPD and its respective factors in Tehran, Iran.Methods: A population-based, cross-sectional study conducted on 590 healthy married women, aged 18- 70 years, between May to October 2017 in Tehran, Iran. The research tools included a questionnaire on demographic characteristics, the factors affecting GPPPD, sexual distress, Standard Questionnaire of Depression (PHQ-9), and Binik’s Diagnostic Guidelines for assessing GPPPD.Results:196 women (33%) complained about pain during, or fear of, intercourse. The administration of GPPPD Guideline criteria revealed that only 94 women (16%) were suffering from disorders, and only 62 women (10.5%) were suffering from sexual distress; thus, the final prevalence rate GPPPD was deemed as 10.5%. The rate increases up to 28.5% if the diagnostic threshold is considered as slightly lower.With regard to the factors influencing GPPPD, the Chi-Square test revealed that financial status, pain while touching genitalia, aversion to looking at or touching the genitalia, body image, self-confidence, acrophobia, depression, Chronic disease, lack of privacy, trusting one s spouse, intimacy, sexual satisfaction, and marital satisfaction proved significant in relation with GPPPD. Logistic Regression test was also administered for finding the most effective predictor of GPPPD, which revealed that proper financial situation and marital satisfaction decrease the chances of GPPPD, and aversion to looking at or touching the genitalia, low sexual satisfaction and depression increase the GPPPD.Conclusion:Obtaining a reliable report on the prevalence of GPPPD is both significant and difficult. On one hand, unreal disorder statistics should be avoided through an evaluation of sexual distress and utilization of proper diagnostic criteria; on the other hand, the application of rigorous criteria might yield results lower than the reality and thus a significant number of patients might be overlooked in the yielded results. The results obtained by this study shows that GPPPD is quite prevalent. Considering the impacts of this disorder on the personal and inter-personal life of individuals, health-therapeutic systems’ readiness for managing this disorder seems necessary.

نویسندگان

Farnaz Farnam

Ph.D in Reproductive Health. Department of Reproductive Health, School of Nursing and Midwifery. Tehran University of Medical Sciences, Tehran, Iran

Ameneh Alizadeh

Ms. in Midwifery. Department of Reproductive Health, School of Nursing and Midwifery. Tehran University of Medical Sciences, Tehran, Iran

Firoozeh Raisi

M.D. in Psychiatry. Department of Psychiatry, Roozbeh Hospital, Tehran University of Medical Sciences, Tehran, Iran

Mahbobeh Parsaeian

Ph.D in Epidemiology. Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Isfahan, Iran