caa a22 4500 606230963 CHVBK 20210128101217.0 cr unu---uuuuu 210128e20150801xx s 000 0 eng 10.1007/s10508-014-0430-z doi (NATIONALLICENCE)springer-10.1007/s10508-014-0430-z Can Fear, Pain, and Muscle Tension Discriminate Vaginismus from Dyspareunia/Provoked Vestibulodynia? Implications for the New DSM-5 Diagnosis of Genito-Pelvic Pain/Penetration Disorder [Elektronische Daten] [Marie-Andrée Lahaie, Rhonda Amsel, Samir Khalifé, Stephanie Boyer, Marie Faaborg-Andersen, Yitzchak Binik] Fear has been suggested as the crucial diagnostic variable that may distinguish vaginismus from dyspareunia. Unfortunately, this has not been systematically investigated. The primary purpose of this study, therefore, was to investigate whether fear as evaluated by subjective, behavioral, and psychophysiological measures could differentiate women with vaginismus from those with dyspareunia/provoked vestibulodynia (PVD) and controls. A second aim was to re-examine whether genital pain and pelvic floor muscle tension differed between vaginismus and dyspareunia/PVD sufferers. Fifty women with vaginismus, 50 women with dyspareunia/PVD, and 43 controls participated in an experimental session comprising a structured interview, pain sensitivity testing, a filmed gynecological examination, and several self-report measures. Results demonstrated that fear and vaginal muscle tension were significantly greater in the vaginismus group as compared to the dyspareunia/PVD and no-pain control groups. Moreover, behavioral measures of fear and vaginal muscle tension were found to discriminate the vaginismus group from the dyspareunia/PVD and no-pain control groups. Genital pain did not differ significantly between the vaginismus and dyspareunia/PVD groups; however, genital pain was found to discriminate both clinical groups from controls. Despite significant statistical differences on fear and vaginal muscle tension variables between women suffering from vaginismus and dyspareunia/PVD, a large overlap was observed between these conditions. These findings may explain the great difficulty health professionals experience in attempting to reliably differentiate vaginismus from dyspareunia/PVD. The implications of these data for the new DSM-5 diagnosis of Genito-Pelvic Pain/Penetration Disorder are discussed. Springer Science+Business Media New York, 2014 Vaginismus nationallicence Dyspareunia/PVD nationallicence Genito-pelvic pain/penetration disorder nationallicence DSM-5 nationallicence Vaginal muscle tension nationallicence Fear nationallicence Lahaie Marie-Andrée Department of Psychology, McGill University, H3A 1B1, Montreal, QC, Canada aut Amsel Rhonda Department of Psychology, McGill University, H3A 1B1, Montreal, QC, Canada aut Khalifé Samir Department of Obstetrics and Gynecology, Faculty of Medicine, Sir Mortimer B. Davis Jewish General Hospital, McGill University, Montreal, QC, Canada aut Boyer Stephanie Department of Psychology, Queen's University, Kingston, ON, Canada aut Faaborg-Andersen Marie Department of Psychology, Ryerson University, Toronto, ON, Canada aut Binik Yitzchak Department of Psychology, McGill University, H3A 1B1, Montreal, QC, Canada aut Archives of Sexual Behavior Springer US; http://www.springer-ny.com 44/6(2015-08-01), 1537-1550 0004-0002 44:6<1537 2015 44 10508 https://doi.org/10.1007/s10508-014-0430-z text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10508-014-0430-z text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Lahaie Marie-Andrée Department of Psychology, McGill University, H3A 1B1, Montreal, QC, Canada aut NATIONALLICENCE 700 1- Amsel Rhonda Department of Psychology, McGill University, H3A 1B1, Montreal, QC, Canada aut NATIONALLICENCE 700 1- Khalifé Samir Department of Obstetrics and Gynecology, Faculty of Medicine, Sir Mortimer B. Davis Jewish General Hospital, McGill University, Montreal, QC, Canada aut NATIONALLICENCE 700 1- Boyer Stephanie Department of Psychology, Queen's University, Kingston, ON, Canada aut NATIONALLICENCE 700 1- Faaborg-Andersen Marie Department of Psychology, Ryerson University, Toronto, ON, Canada aut NATIONALLICENCE 700 1- Binik Yitzchak Department of Psychology, McGill University, H3A 1B1, Montreal, QC, Canada aut NATIONALLICENCE 773 0- Archives of Sexual Behavior Springer US; http://www.springer-ny.com 44/6(2015-08-01), 1537-1550 0004-0002 44:6<1537 2015 44 10508