Do perfectionism, body image concerns, and intimacy predict genitopelvic pain in the postpartum? A prospective study of new mothers

被引:1
作者
Dube, Sandrine [1 ]
Beaulieu, Noemie [1 ]
Bergeron, Sophie [2 ]
Lafontaine, Marie-France [3 ]
Peloquin, Katherine [2 ]
Brault-Labbe, Anne [1 ]
Gosselin, Patrick [1 ]
Brassard, Audrey [1 ]
机构
[1] Univ Sherbrooke, Dept Psychol, Sherbrooke, PQ J1K 2R1, Canada
[2] Univ Montreal, Dept Psychol, Montreal, PQ H2V 2S9, Canada
[3] Univ Ottawa, Sch Psychol, Ottawa, ON K1N 6N5, Canada
关键词
genitopelvic pain; perfectionism; body image concerns; intimacy; postpartum; PROVOKED VESTIBULODYNIA; SEXUAL SATISFACTION; FEAR-AVOIDANCE; WOMEN; CHILDBIRTH; PREGNANCY; COUPLES; RESPONSIVENESS; ASSOCIATIONS; RELIABILITY;
D O I
10.1093/jsxmed/qdae039
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Background Genitopelvic pain following childbirth is common and likely to challenge the psychological, relational, and sexual well-being of new mothers. While genitopelvic pain generally decreases during the postpartum period, personal and interpersonal characteristics may explain why genitopelvic pain persists beyond the period of physical recovery in some mothers. Body image concerns, increased stress, and relationship challenges would be particularly salient during pregnancy and the postpartum period, which could put new mothers at greater risk of sexual difficulties. Also, mothers may display a negative appraisal regarding genitopelvic pain and doubt their ability to cope with it, which may contribute to the pain.Aim The current study aimed to examine the role of perfectionism, body image concerns, and perceived intimacy in the occurrence and change in genitopelvic pain in new mothers in postpartum.Methods A total of 211 new mothers and their partners were recruited for a larger prospective dyadic study on the transition to parenthood.Outcomes Mothers completed a single item assessing genitopelvic pain, in addition to brief validated questionnaires measuring perfectionism, body image concerns, and perceived couple intimacy during pregnancy and at 4, 8, and 12 months postpartum.Results Five multilevel modeling analyses revealed that adaptive perfectionism, maladaptive perfectionism, and body image concerns were associated with a higher occurrence of genitopelvic pain from 4 to 12 months postpartum. Mothers' and partners' perceived intimacy was not significantly related to new mothers' genitopelvic pain. None of the predictors modified the trajectory of genitopelvic pain over time.Clinical Implications Raising awareness among health care professionals regarding the role of perfectionism and body image concerns in genitopelvic pain may help them identify new mothers at risk of chronic genitopelvic pain, while offering a new avenue of intervention.Strengths and Limitations There has been little research examining the role of perfectionism, body image concerns, and intimacy in postpartum genitopelvic pain. Based on a longitudinal prospective approach, this study identified perfectionism and body image concerns as significant predictors of postpartum genitopelvic pain. However, prepregnancy genitopelvic pain, genitopelvic pain intensity, and sexual distress were not measured.Conclusion Adaptive and maladaptive perfectionism and body image concerns are associated with new mothers' genitopelvic pain up to 12 months postpartum.
引用
收藏
页码:566 / 572
页数:7
相关论文
共 65 条
  • [2] Provoked Vestibulodynia: Does Pain Intensity Correlate With Sexual Dysfunction and Dissatisfaction?
    Aerts, Leen
    Bergeron, Sophie
    Pukall, Caroline F.
    Khalife, Samir
    [J]. JOURNAL OF SEXUAL MEDICINE, 2016, 13 (06) : 955 - 962
  • [3] Distribution of genital tract trauma in childbirth and related postnatal pain
    Albers, L
    Garcia, J
    Renfrew, M
    McCandlish, R
    Elbourne, D
    [J]. BIRTH-ISSUES IN PERINATAL CARE, 1999, 26 (01): : 11 - 15
  • [4] Risk Factors for Dyspareunia After First Childbirth
    Alligood-Percoco, Natasha R.
    Kjerulff, Kristen H.
    Repke, John T.
    [J]. OBSTETRICS AND GYNECOLOGY, 2016, 128 (03) : 512 - 518
  • [5] Vulvoldynia - Characteristics and associations with comorbidities and quality of life
    Arnold, Lauren D.
    Bachmann, Gloria A.
    Rosen, Raymond
    Kelly, Sarah
    Rhoads, George G.
    [J]. OBSTETRICS AND GYNECOLOGY, 2006, 107 (03) : 617 - 624
  • [6] If Sex Hurts, Am I still a Woman? the subjective experience of vulvodynia in hetero-sexual women
    Ayling, Kathryn
    Ussher, Jane M.
    [J]. ARCHIVES OF SEXUAL BEHAVIOR, 2008, 37 (02) : 294 - 304
  • [7] A comparison of sexual function in primiparous and multiparous women
    Banaei, Mojdeh
    Alidost, Farzane
    Ghasemi, Erfan
    Dashti, Sareh
    [J]. JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 2020, 40 (03) : 411 - 418
  • [8] Women's sexual health after childbirth
    Barrett, G
    Pendry, E
    Peacock, J
    Victor, C
    Thakar, R
    Manyonda, I
    [J]. BRITISH JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 2000, 107 (02): : 186 - 195
  • [9] Begin C., 2019, INTRO DOSSIER IMAGE
  • [10] Fear-avoidance and Pelvic Floor Muscle Function are Associated With Pain Intensity in Women With Vulvodynia
    Benoit-Piau, Justine
    Bergeron, Sophie
    Brassard, Audrey
    Dumoulin, Chantale
    Khalife, Samir
    Waddell, Guy
    Morin, Melanie
    [J]. CLINICAL JOURNAL OF PAIN, 2018, 34 (09) : 804 - 810