{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T12:01:28Z","timestamp":1773057688577,"version":"3.50.1"},"reference-count":67,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2014,5,1]],"date-time":"2014-05-01T00:00:00Z","timestamp":1398902400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2014,5,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>Provoked vestibulodynia (PVD) is a highly prevalent and taxing female genital pain condition. Despite the intimate nature of this pain and the fact that affective factors such as anxiety have been shown to modulate its manifestations, no study has yet explored the emotional regulation of couples in which the woman suffers from PVD.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Aim<\/jats:title>\n                  <jats:p>Ambivalence over emotional expression (AEE) is an emotional regulation variable that quantifies the extent to which a person is comfortable with the way she or he expresses emotions. We examined whether the dyadic AEE of couples in which the woman suffers from PVD was differentially associated with women's pain and couples' psychological, sexual, and relational functioning.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Couples (N = 254), in which the woman suffered from PVD, completed the AEE questionnaire. A couple typology of dyadic AEE was created.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Main Outcome Measures<\/jats:title>\n                  <jats:p>Dependent measures for both members of the couple were the global measure of sexual satisfaction scale, the Beck depression inventory II, and the revised dyadic adjustment scale. The female sexual function index and the sexual history form were used to assess the sexual function of women and men, respectively. Women also completed the pain rating index of the McGill pain questionnaire.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Couples, in which both partners were considered low on AEE, had the highest scores on sexual satisfaction (P = 0.02) and function (P &amp;lt; 0.01), the lowest depression scores (P &amp;lt; 0.01), and the best dyadic adjustment (P = 0.02). No difference in pain intensity was found between couples.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Findings suggest that, for couples in which the woman suffers from PVD, an emotional regulation that is low in ambivalence in both partners is associated with better psychological, sexual, and relational outcomes. Results indicate that emotional regulation may be important to consider in the assessment and treatment of couples coping with PVD.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1111\/jsm.12463","type":"journal-article","created":{"date-parts":[[2014,2,19]],"date-time":"2014-02-19T06:55:06Z","timestamp":1392792906000},"page":"1271-1282","source":"Crossref","is-referenced-by-count":37,"title":["To Say or not to Say: Dyadic Ambivalence over Emotional Expression and Its Associations with Pain, Sexuality, and Distress in Couples Coping with Provoked Vestibulodynia"],"prefix":"10.1093","volume":"11","author":[{"given":"Nayla","family":"Awada","sequence":"first","affiliation":[{"name":"Psychology \u00a0 , Montreal, Quebec , Canada"},{"name":"Universit\u00e9 de Montr\u00e9al \u00a0 , Montreal, Quebec , Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sophie","family":"Bergeron","sequence":"additional","affiliation":[{"name":"Psychology \u00a0 , Montreal, Quebec , Canada"},{"name":"Universit\u00e9 de Montr\u00e9al \u00a0 , Montreal, Quebec , Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc","family":"Steben","sequence":"additional","affiliation":[{"name":"Direction des risques biologiques et de la sant\u00e9 au travail \u00a0 , Montreal, Quebec , Canada"},{"name":"Institut national de sant\u00e9 publique du Qu\u00e9bec \u00a0 , Montreal, Quebec , Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Victoria-Ann","family":"Hainault","sequence":"additional","affiliation":[{"name":"Psychology \u00a0 , Montreal, Quebec , Canada"},{"name":"Universit\u00e9 de Montr\u00e9al \u00a0 , Montreal, Quebec , Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pierre","family":"McDuff","sequence":"additional","affiliation":[{"name":"Psychology \u00a0 , Montreal, Quebec , Canada"},{"name":"Universit\u00e9 de Montr\u00e9al \u00a0 , Montreal, Quebec , Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2014,5,1]]},"reference":[{"key":"2024032602352143500_bib1","first-page":"82","article-title":"A population-based assessment of chronic unexplained vulvar pain: Have we underestimated the prevalence of vulvodynia?","volume":"58","author":"Harlow","year":"2003","journal-title":"J Am Med Wom Assoc"},{"key":"2024032602352143500_bib2","doi-asserted-by":"crossref","first-page":"1609","DOI":"10.1016\/0002-9378(91)91444-2","article-title":"Vulvar vestibulitis: Prevalence and historic features in a general gynecologic practice population","volume":"164","author":"Goetsch","year":"1991","journal-title":"Am J Obstet Gynecol"},{"key":"2024032602352143500_bib3","doi-asserted-by":"crossref","first-page":"545","DOI":"10.1067\/mob.2001.116748","article-title":"Prevalence and predictors of chronic lower genital tract discomfort","volume":"185","author":"Harlow","year":"2001","journal-title":"Am J Obstet Gynecol"},{"key":"2024032602352143500_bib4","first-page":"772","article-title":"2003 ISSVD terminology and classification of vulvodynia: A historical perspective","volume":"49","author":"Moyal-Barracco","year":"2004","journal-title":"J Reprod Med"},{"key":"2024032602352143500_bib5","doi-asserted-by":"crossref","first-page":"476","DOI":"10.1007\/s10508-008-9371-8","article-title":"Effects of appraisal of sexual stimuli on sexual arousal in women with and without superficial dyspareunia","volume":"38","author":"Brauer","year":"2009","journal-title":"Arch Sex Behav"},{"key":"2024032602352143500_bib6","doi-asserted-by":"crossref","first-page":"198","DOI":"10.1080\/00926230701866083","article-title":"Do psychosexual factors play a role in the etiology of provoked vestibulodynia? 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