{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,21]],"date-time":"2026-06-21T09:16:50Z","timestamp":1782033410203,"version":"3.54.5"},"reference-count":49,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2023,1,4]],"date-time":"2023-01-04T00:00:00Z","timestamp":1672790400000},"content-version":"vor","delay-in-days":2866,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000069","name":"National Institute of Arthritis and Musculoskeletal and Skin Diseases","doi-asserted-by":"publisher","award":["K01AR054331"],"award-info":[{"award-number":["K01AR054331"]}],"id":[{"id":"10.13039\/100000069","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000065","name":"National Institute of Neurological Disorders and Stroke","doi-asserted-by":"publisher","award":["T32NS045551"],"award-info":[{"award-number":["T32NS045551"]}],"id":[{"id":"10.13039\/100000065","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000071","name":"National Institute of Child Health and Human Development","doi-asserted-by":"publisher","award":["T32HD043730"],"award-info":[{"award-number":["T32HD043730"]}],"id":[{"id":"10.13039\/100000071","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009713","name":"Foundation for Physical Therapy","doi-asserted-by":"crossref","award":["NA"],"award-info":[{"award-number":["NA"]}],"id":[{"id":"10.13039\/100009713","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2015,3,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>Evidence suggests that painful intercourse, pain-related psychosocial factors, and altered pain processing magnify the pain experience, but it is not clear how these factors are related to each other.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Aim<\/jats:title>\n                  <jats:p>The aims were to (i) characterize differences between women with pelvic pain and pain-free women using a battery of pain-related psychosocial measures, clinical pain ratings, and evoked local and remote pain sensitivity; and (ii) examine the relationship between intercourse pain, clinical pain, and local and remote evoked pain sensitivity.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Women with pelvic pain lasting at least 3 months and pain-free women completed questionnaires and underwent pain sensitivity testing. Self-report measures included clinical pain intensity, pain catastrophizing, pain-related fear, pain anxiety, depression, sexual function, and self-efficacy. Pain sensitivity measures included threshold and tolerance and temporal summation of pain. Separate analyses of variance (anova) were used to test group differences in self-report and pain sensitivity measures. Correlations were calculated among dyspareunia, psychosocial factors, and evoked pain.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Main Outcome Measures<\/jats:title>\n                  <jats:p>Self-reported pain and pain sensitivity measures.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Twenty-eight pain-free women and 14 women with pelvic pain participated in this study. Women with pelvic pain reported greater pain intensity and greater psychosocial involvement compared with pain-free women. No differences existed between groups for thermal or pressure measures, but women with pelvic pain rated their pain with pain testing significantly higher than pain-free women. Intercourse pain was significantly associated with affective and sensory pain and pressure pain ratings at the puborectalis, vulvar vestibule, adductor longus tendons, and tibialis anterior muscle.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Differences in local pain ratings suggest that women with pelvic pain perceive stimuli in this region as more painful than pain-free women although the magnitude of stimuli does not differ.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1002\/sm2.52","type":"journal-article","created":{"date-parts":[[2014,12,12]],"date-time":"2014-12-12T05:39:31Z","timestamp":1418362771000},"page":"14-23","source":"Crossref","is-referenced-by-count":21,"title":["Painful Intercourse Is Significantly Associated with Evoked Pain Perception and Cognitive Aspects of Pain in Women with Pelvic Pain"],"prefix":"10.1093","volume":"3","author":[{"given":"Meryl J.","family":"Alappattu","sequence":"first","affiliation":[{"name":"Pain Research and Intervention Center of Excellence \u00a0 , Gainesville, FL , USA"},{"name":"University of Florida \u00a0 , Gainesville, FL , USA"},{"name":"Center for Pain Research and Behavioral Health \u00a0 , Gainesville, FL , USA"},{"name":"University of Florida \u00a0 , Gainesville, FL , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven Z.","family":"George","sequence":"additional","affiliation":[{"name":"Center for Pain Research and Behavioral Health \u00a0 , Gainesville, FL , USA"},{"name":"University of Florida \u00a0 , Gainesville, FL , USA"},{"name":"Department of Physical Therapy \u00a0 , Gainesville, FL , USA"},{"name":"University of Florida \u00a0 , Gainesville, FL , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael E.","family":"Robinson","sequence":"additional","affiliation":[{"name":"Center for Pain Research and Behavioral Health \u00a0 , Gainesville, FL , USA"},{"name":"University of Florida \u00a0 , Gainesville, FL , USA"},{"name":"Department of Clinical and Health Psychology \u00a0 , Gainesville, FL , USA"},{"name":"University of Florida \u00a0 , Gainesville, FL , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roger B.","family":"Fillingim","sequence":"additional","affiliation":[{"name":"Pain Research and Intervention Center of Excellence \u00a0 , Gainesville, FL , USA"},{"name":"University of Florida \u00a0 , Gainesville, FL , USA"},{"name":"Department of Community Dentistry and Behavioral Science \u00a0 , Gainesville, FL , USA"},{"name":"University of Florida \u00a0 , Gainesville, FL , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nashat","family":"Moawad","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology \u00a0 , Gainesville, FL , USA"},{"name":"University of Florida \u00a0 , Gainesville, FL , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily Weber","family":"LeBrun","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology \u00a0 , Gainesville, FL , USA"},{"name":"University of Florida \u00a0 , Gainesville, FL , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark D.","family":"Bishop","sequence":"additional","affiliation":[{"name":"Center for Pain Research and Behavioral Health \u00a0 , Gainesville, FL , USA"},{"name":"University of Florida \u00a0 , Gainesville, FL , USA"},{"name":"Department of Physical Therapy \u00a0 , Gainesville, FL , USA"},{"name":"University of Florida \u00a0 , Gainesville, FL , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2015,3,1]]},"reference":[{"key":"2023010704074231000_bb0010","doi-asserted-by":"crossref","first-page":"682","DOI":"10.1097\/GRF.0b013e3181bf4a7e","article-title":"Sexual 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