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Internet-based Trea...
Internet-based Treatment for Vulvodynia (EMBLA) – A Randomized Controlled Study
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- Hess Engström, Andrea (författare)
- Uppsala universitet,Obstetrisk och reproduktiv hälsoforskning,Centrum för klinisk forskning, Västerås
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- Bohm-Starke, Nina (författare)
- Karolinska Institutet,Karolinska Inst, Dept Clin Sci, Div Obstet & Gynecol, Solna, Sweden.;Danderyd Hosp, Stockholm, Sweden.
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- Kullinger, Merit (författare)
- Uppsala universitet,Obstetrisk och reproduktiv hälsoforskning,Centrum för klinisk forskning, Västerås
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- Hesselman, Susanne, 1973- (författare)
- Uppsala universitet,Klinisk obstetrik,Centrum för klinisk forskning Dalarna
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- Högberg, Ulf, 1949- (författare)
- Uppsala universitet,Umeå universitet,Institutionen för epidemiologi och global hälsa,Uppsala University, Department of Women's and Children's Health, Uppsala, Sweden,Obstetrisk och reproduktiv hälsoforskning,Umeå Univ, Dept Epidemiol & Global Hlth, Umeå, Sweden.
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- Buhrman, Monica, 1974- (författare)
- Uppsala universitet,Institutionen för psykologi
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- Skalkidou, Alkistis, 1977- (författare)
- Uppsala universitet,Obstetrisk och reproduktiv hälsoforskning
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(creator_code:org_t)
- 2021-12-28
- 2022
- Engelska.
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Ingår i: Journal of Sexual Medicine. - : Elsevier. - 1743-6095 .- 1743-6109. ; 19:2, s. 319-330
- Relaterad länk:
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https://doi.org/10.1...
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https://umu.diva-por... (primary) (Raw object)
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http://www.jsm.jsexm...
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https://uu.diva-port... (primary) (Raw object)
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https://urn.kb.se/re...
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https://doi.org/10.1...
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http://kipublication...
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https://urn.kb.se/re...
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Abstract
Ämnesord
Stäng
- Background: Internet-based ACT (Acceptance and commitment therapy) treatment may improve accessibility and reduce stigma related to seeking health care, but there are a lack of studies investigating internet-based treatment using ACT principles for women with vulvodynia.Aim: The aim of this study was to investigate the effects of an internet-based treatment of pain during intercourse for women with provoked vulvodynia compared with no intervention during the waiting period before clinical treatment.Methods: A multicenter randomized controlled trial was conducted during 2016 to 2020, in which 99 participants were included. Participants were randomized to either a 6 week guided internet-based treatment using ACT principles or usual care. Data were collected at baseline, 6 weeks after baseline, and approximately 10 months after baseline.Outcomes: Pain-related (pain during intercourse, tampon test, impact of pain on sexual function) and pain behavior-related outcomes (attempts at intercourse, sexual activities besides intercourse, willingness to perform the tampon test, chronic pain acceptance questionnaire) were used as outcomes.Results: Treatment was efficacious in what concerns pain during intercourse and pain acceptance. Less pain during intercourse among women in the intervention group was observed at both post-treatment (primary endpoint, P = .01, Cohen's d = 1.4, 95% CI = 0.33, 2.4), and follow-up (P = .04). Absolut mean difference between groups for pain during intercourse at post-treatment was -2.84, 95 % CI = -4.91, -0.78), and -1.58 at follow-up, 95 % CI = -3.17, 0.02), where the intervention group rated less pain than controls. No differences between groups over time were found for tampon test measures or impact of pain on sexual function. There was a significant difference between groups at all timepoints indicating fewer attempts at intercourse among participants in the intervention group. At post-treatment, women who underwent internet-based treatment reported higher pain acceptance and a rise in activity engagement compared with the control group.Clinical Implications: There is an indication that internet-based treatment could be incorporated into clinical practice as a complement to clinical treatment.Strengths & Limitations: Study strengths included using several forms of recruitment and an intervention built by different professions with long experience of treating patients with vulvodynia. High dropout rate was a limitation of this study.Conclusion: Internet-based treatment may have an impact on pain during intercourse and positive effects on pain acceptance. However, conclusions must be drawn with caution due to the small sample size.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Reproduktionsmedicin och gynekologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Obstetrics, Gynaecology and Reproductive Medicine (hsv//eng)
- SAMHÄLLSVETENSKAP -- Psykologi -- Tillämpad psykologi (hsv//swe)
- SOCIAL SCIENCES -- Psychology -- Applied Psychology (hsv//eng)
Nyckelord
- Acceptance and commitment therapy
- CBT
- Internet-based treatment
- Mindfulness
- Vestibulodynia
- Vulvodynia
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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