caa a22 4500 606231013 CHVBK 20210128101217.0 cr unu---uuuuu 210128e20150801xx s 000 0 eng 10.1007/s10508-014-0295-1 doi (NATIONALLICENCE)springer-10.1007/s10508-014-0295-1 Attachment, Sexual Assertiveness, and Sexual Outcomes in Women with Provoked Vestibulodynia and Their Partners: A Mediation Model [Elektronische Daten] [Bianca Leclerc, Sophie Bergeron, Audrey Brassard, Claude Bélanger, Marc Steben, Bernard Lambert] Provoked vestibulodynia (PVD) is a prevalent women's sexual pain disorder, which is associated with sexual function difficulties. Attachment theory has been used to understand adult sexual outcomes, providing a useful framework for examining sexual adaptation in couples confronted with PVD. Research to date indicates that anxious and avoidant attachment dimensions correlate with worse sexual outcomes in community and clinical samples. The present study examined the association between attachment, pain, sexual function, and sexual satisfaction in a sample of 101 couples in which the women presented with PVD. The actor-partner interdependence model was used in order to investigate both actor and partner effects. This study also examined the role of sexual assertiveness as a mediator of these associations via structural equation modeling. Women completed measures of pain intensity and both members of the couple completed measures of romantic attachment, sexual assertiveness, sexual function, and satisfaction. Results indicated that attachment dimensions did not predict pain intensity. Both anxious and avoidant attachment were associated with lower sexual satisfaction. Only attachment avoidance predicted lower sexual function in women. Partner effects indicated that higher sexual assertiveness in women predicted higher sexual satisfaction in men. Finally, women's sexual assertiveness was found to be a significant mediator of the relationship between their attachment dimensions, sexual function, and satisfaction. Findings highlight the importance of examining how anxious and avoidant attachment may lead to difficulties in sexual assertiveness and to less satisfying sexual interactions in couples where women suffer from PVD. Springer Science+Business Media New York, 2014 Provoked vestibulodynia nationallicence Attachment nationallicence Sexual assertiveness nationallicence Sexual function nationallicence Sexual satisfaction nationallicence Leclerc Bianca Department of Psychology, Université de Montréal, succursale Centre-ville, C.P. 6128, H3C 3J7, Montréal, QC, Canada aut Bergeron Sophie Department of Psychology, Université de Montréal, succursale Centre-ville, C.P. 6128, H3C 3J7, Montréal, QC, Canada aut Brassard Audrey Department of Psychology, Université de Sherbrooke, Sherbrooke, QC, Canada aut Bélanger Claude Department of Psychology, Université du Québec à Montréal, Montréal, QC, Canada aut Steben Marc Department of Social and Preventive Medicine, Faculty of Medicine, Université de Montréal, Montréal, QC, Canada aut Lambert Bernard VUVA Clinic, Centre Hospitalier de l'Université de Montréal, Hôpital Saint-Luc, Montréal, QC, Canada aut Archives of Sexual Behavior Springer US; http://www.springer-ny.com 44/6(2015-08-01), 1561-1572 0004-0002 44:6<1561 2015 44 10508 https://doi.org/10.1007/s10508-014-0295-1 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/s10508-014-0295-1 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Leclerc Bianca Department of Psychology, Université de Montréal, succursale Centre-ville, C.P. 6128, H3C 3J7, Montréal, QC, Canada aut NATIONALLICENCE 700 1- Bergeron Sophie Department of Psychology, Université de Montréal, succursale Centre-ville, C.P. 6128, H3C 3J7, Montréal, QC, Canada aut NATIONALLICENCE 700 1- Brassard Audrey Department of Psychology, Université de Sherbrooke, Sherbrooke, QC, Canada aut NATIONALLICENCE 700 1- Bélanger Claude Department of Psychology, Université du Québec à Montréal, Montréal, QC, Canada aut NATIONALLICENCE 700 1- Steben Marc Department of Social and Preventive Medicine, Faculty of Medicine, Université de Montréal, Montréal, QC, Canada aut NATIONALLICENCE 700 1- Lambert Bernard VUVA Clinic, Centre Hospitalier de l'Université de Montréal, Hôpital Saint-Luc, Montréal, QC, Canada aut NATIONALLICENCE 773 0- Archives of Sexual Behavior Springer US; http://www.springer-ny.com 44/6(2015-08-01), 1561-1572 0004-0002 44:6<1561 2015 44 10508