In this issue of the Scandinavian Journal of Pain, Thomtén and Karlsson  present an intriguing perspective on female genital pain and the role of psychological factors. Through a population study of Swedish women, they set out to investigate the empirical support for the fear-avoidance model in those suffering from genital pain. More specifically, this involved examining central components of the model in those women who reported of persistent genital pain. The prevalence of persistent genital pain was 15% in this study. The pain was associated with central components of the fear-avoidance model, including pain catastrophizing, fear-avoidance beliefs and anxiety sensitivity.1Little focus on the pain componentFemale genital pain is a fairly common complaint, involving significant consequences for those affected . Genital pain resulting in painful intercourse is reported by one in five women under the age of 30, and prevalence estimates in premenopausal women range from 10 to 20% [3,4]. Previous psychological literature has to a large extent focused on sexual dysfunction associated with genital pain, but recent studies have focused more on the pain component by looking at similarities between genital pain and other pain syndromes and conditions. Despite the established consensus about a complex aetiology and biopsychosocial
Scandinavian Journal of Pain – de Gruyter
Published: Dec 29, 2017
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