{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T17:48:48Z","timestamp":1779299328962,"version":"3.51.4"},"reference-count":57,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2025,3,19]],"date-time":"2025-03-19T00:00:00Z","timestamp":1742342400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,5,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>In the context of vulvodynia, a gynecological disorder characterized by chronic vulvar pain affecting an estimated 10% of women, with significant impacts on sexual health, mental well-being, and productivity, the Common-Sense Model of Illness Self-Regulation, a well-established framework for understanding the impact of illness perceptions and coping strategies on mental health, has not yet been empirically tested.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Aim<\/jats:title>\n                  <jats:p>We aimed to explore whether illness perceptions and pain-specific coping strategies\u2014namely, pain catastrophizing and chronic pain acceptance\u2014influence the relationship between vulvar pain severity and depression in women with vulvodynia.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A cross-sectional study was conducted on a total of 119 women with reporting diagnosis of vulvodynia.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Outcomes<\/jats:title>\n                  <jats:p>Through an online questionnaire, we assessed demographic and clinical characteristics, vulvar pain severity, illness beliefs, pain catastrophizing, pain acceptance, and depressive symptoms.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>The path analysis showed that vulvar pain positively influences directly illness perceptions (\u03b2\u2009=\u2009.56, P\u2009&amp;lt;\u2009.001) and depressive symptoms (\u03b2\u2009=\u2009.24, P\u2009&amp;lt;\u2009.001). Negative perceptions of the illness were significantly associated with increased pain catastrophizing (\u03b2\u2009=\u2009.66, P\u2009&amp;lt;\u2009.001), and decreased pain acceptance (\u03b2\u2009=\u2009-.59, P\u2009&amp;lt;\u2009.001), resulting in heightened depressive symptoms (\u03b2\u2009=\u2009.33, P\u2009&amp;lt;\u2009.001, \u03b2\u2009=\u2009-.27, P\u2009&amp;lt;\u2009.001, respectively).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Clinical Implications<\/jats:title>\n                  <jats:p>Interventions that challenge negative illness perceptions and promote more positive views could reduce maladaptive coping strategies, enhance pain acceptance, and ultimately diminish psychological distress.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Strengths and Limitations<\/jats:title>\n                  <jats:p>This study\u2019s strengths lie in its foundation on a theoretical, well-established model and the use of validated measures. However, the cross-sectional design precludes concluding causality between predictor and outcome variables, and the clinical information was self-reported and could not be verified with medical records.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>The findings underscore the importance of targeting illness perceptions and coping strategies in shaping psychological outcomes for women with vulvodynia.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/jsxmed\/qdaf046","type":"journal-article","created":{"date-parts":[[2025,3,19]],"date-time":"2025-03-19T19:29:14Z","timestamp":1742412554000},"page":"851-858","source":"Crossref","is-referenced-by-count":1,"title":["Exploring pain perception and depression in vulvodynia: the role of catastrophizing and pain 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