Koops, Thula U., Wiessner, Christian, Ehrenthal, Johannes C. ORCID: 0000-0002-9428-3763 and Briken, Peer (2021). Assessing Psychodynamic Conflicts and Level of Personality Functioning in Women Diagnosed With Vaginismus and Dyspareunia. Front. Psychol., 12. LAUSANNE: FRONTIERS MEDIA SA. ISSN 1664-1078

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Abstract

Knowledge on etiological and risk factors of genito-pelvic pain/penetration disorder, formerly classified as dyspareunia and vaginismus, is limited. The Operationalized Psychodynamic Diagnosis (OPD) system offers a valuable basis for developmental considerations, and has not yet been used to research sexual pain difficulties in women. We conducted an exploratory pilot study of psychodynamic motivational conflicts and level of personality functioning as defined by the OPD system by means of an anonymous online survey among 24 women who had been diagnosed with dyspareunia or vaginismus. We matched them with 24 healthy controls and compared groups using paired-samples t-tests and Wilcoxon tests. Effect sizes were calculated using Pearson's r. Large effect sizes were found for mean or median differences of several OPD Structure Questionnaire (OPD-SQ) scales (self-reflection, p = 0.002/r = 0.59; affect differentiation, p = 0.007/r = 0.53; self-perception, p = 0.002/r = 0.58; impulse control, p = 0.007/r = 0.53; self-worth regulation, p = 0.008/r = 0.52; self-regulation, p = 0.004/r = 0.56; experiencing affect, p = 0.009/r = 0.53; bodily self, p = 0.008/r = 0.54; OPD-SQ total score, p = 0.007/r = 0.52; internal communication, p = 0.001/r = 0.63) and OPD Conflict Questionnaire (OPD-CQ) scales (guilt conflict active, p = 0.004/r = 0.60; Oedipal conflict passive, p = 0.009/r = 0.51; individuation versus dependency conflict active, p = 0.01/r = 0.52; guilt conflict passive, p < 0.001/r = 0.70; self-worth conflict passive, p = 0.001/r = 0.70; passive mode, p < 0.001/r = 0.68). The problems with personality functioning and more pronounced types of conflicts participants displayed suggest proneness for self-invalidation, internalization and restricted self-perception.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Koops, Thula U.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Wiessner, ChristianUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Ehrenthal, Johannes C.UNSPECIFIEDorcid.org/0000-0002-9428-3763UNSPECIFIED
Briken, PeerUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-577273
DOI: 10.3389/fpsyg.2021.687369
Journal or Publication Title: Front. Psychol.
Volume: 12
Date: 2021
Publisher: FRONTIERS MEDIA SA
Place of Publication: LAUSANNE
ISSN: 1664-1078
Language: English
Faculty: Faculty of Human Sciences
Divisions: Faculty of Human Sciences > Department Psychologie
Subjects: Psychology
Uncontrolled Keywords:
KeywordsLanguage
FEMALE SEXUAL FUNCTION; VULVAR VESTIBULITIS; CROSS-VALIDATION; FUNCTION INDEX; GENITAL PAIN; SELF-REPORT; VALIDITY; RELIABILITY; ALEXITHYMIA; SOMATIZATIONMultiple languages
Psychology, MultidisciplinaryMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/57727

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