title: A cognitive-behavioral group program for women with vulvar vestibulitis syndrome (VVS): factors associated with treatment success.
abstract: The results of this prospective open clinical trial (N = 76) indicate that a cognitive-behavioral group program for women with vulvar vestibulitis syndrome (VVS) affects sexuality, pain control, vaginal muscle control, and vestibular pain and that these changes may mediate changes in pain during intercourse. Improvements in sexual functioning and vestibular pain during treatment seem to be particularly important factors in determining short and longer term treatment outcome. These findings are consistent with a cognitive-behavioral conceptualization of VVS.
authors.affiliation: Department of Psychosomatic Gynecology and Sexology, Leiden University Medical Center, The Netherlands. m.m.ter kuile@lumc.nl
authors.forename: Moniek M
authors.initials: MM
authors.lastname: ter Kuile
authors.forename: Philomeen Th M
authors.initials: PT
authors.lastname: Weijenborg
mesh_terms: D000328:Adult; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D003075:Coitus; D004414:Dyspareunia / Q000523:psychology / Q000628:therapy*; D005260:Female; D006801:Humans; D007989:Libido; D008388:Marital Therapy / Q000379:methods*; D008875:Middle Aged; D017288:Pain Threshold / Q000523:psychology; D017060:Patient Satisfaction; D011369:Professional-Patient Relations; D011446:Prospective Studies; D013577:Syndrome; D016896:Treatment Outcome; D014845:Vulvar Diseases / Q000523:psychology / Q000628:therapy*; D016387:Women's Health