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A psychosocial approach to female genital pain
Nature Reviews Urology ( IF 12.1 ) Pub Date : 2017-11-28 , DOI: 10.1038/nrurol.2017.187
Marieke Dewitte , Charmaine Borg , Lior Lowenstein

Genital pain is a prevalent, complex, and disabling health concern in women. Efforts to study this chronic pain condition have been complicated by the fact that genital pain is heterogeneous and exists at the intersection of different biopsychosocial disciplines. Thus, organization of theoretical ideas and empirical findings across research areas is required to improve our understanding of how biopsychosocial factors affect the development and maintenance of the pain, the reporting of symptoms, and the choice of treatment. In the past, the study of physical markers has received the most research attention; an assimilation of the psychosocial variables underlying genital pain is, therefore, particularly needed to inform the field about the rapidly growing literature and stimulate interdisciplinary work. Current research lacks specificity, fails to capture the unique features of different pain conditions, and yields conflicting evidence, which makes it difficult to draw uniform conclusions. Although considerable advances have been made, confusion remains at the nosological, aetiological, theoretical, methodological, and treatment levels. This lack of consensus has important theoretical and clinical implications because inconsistent criteria and empirical disagreement can lead to misdiagnoses and interfere with the development of sound theoretical models and effective treatments to manage female genital pain and its physical and psychological sequelae.



中文翻译:

女性生殖器疼痛的社会心理研究方法

生殖器疼痛是女性普遍,复杂和致残的健康问题。生殖器疼痛是异质性的并且存在于不同的生物心理社会学科的交叉点,这一事实使研究这种慢性疼痛状况的努力变得复杂。因此,需要跨研究领域组织理论思想和经验发现,以增进我们对生物社会心理因素如何影响疼痛的发展和维持,症状的报告以及治疗选择的理解。过去,物理标记的研究受到了最多的研究关注。因此,特别需要对生殖器疼痛背后的社会心理变量进行同化,以使该领域了解迅速增长的文献并激发跨学科工作。目前的研究缺乏特异性,未能捕捉到不同疼痛状况的独特特征,并产生相互矛盾的证据,这使得很难得出统一的结论。尽管已经取得了相当大的进步,但是在疾病学,病因学,理论,方法论和治疗水平上仍然存在混乱。缺乏共识具有重要的理论和临床意义,因为不一致的标准和经验上的分歧会导致误诊并干扰健全的理论模型和有效方法的发展,以管理女性生殖器疼痛及其生理和心理后遗症。病因,理论,方法和治疗水平。缺乏共识具有重要的理论和临床意义,因为不一致的标准和经验上的分歧会导致误诊并干扰健全的理论模型和有效方法的发展,以管理女性生殖器疼痛及其生理和心理后遗症。病因,理论,方法和治疗水平。缺乏共识具有重要的理论和临床意义,因为不一致的标准和经验上的分歧会导致误诊并干扰健全的理论模型和有效方法的发展,以管理女性生殖器疼痛及其生理和心理后遗症。

更新日期:2017-12-12
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