The effectiveness and acceptability of a computerised guided self-help programme for vaginismus : a mixed methods design

• Main Author: Flanagan, E.
• Published: University College London (University of London) 2014
• Subjects: 616.85
• Online Access: http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.639576

Overview This volume is separated into three parts: • Part 1: Literature review. A systematic review and meta-analysis of twelve randomised controlled trials that examined the efficacy of psychological treatment for vaginal pain. The aim was to understand whether efficacy of treatment differed for vaginal pain defined as medical or psychiatric in aetiology. Differences and similarities in efficacy were examined on outcomes of pain and sexual function. Effectiveness of psychological treatment was found to be comparable regardless of aetiology, indicating that this distinction may not be helpful for informing treatment decisions. • Part 2: Empirical paper. A mixed methods study evaluated a new computerised programme for six women with vaginismus. Change in pain-related fear, penetration behaviour and pain intensity was quantitatively assessed. Interviews were used to qualitatively explore acceptability and change. Pain-related fear and pain intensity reduced over the course of the programme; successful penetration increased. The programme was experienced as convenient, gradual, and supportive, with moments of frustration at progress. The programme also had a positive influence on self-awareness, confidence, normalisation, and approach behaviours, with exposure attributed as the most difficult but important aspect of change. • Part 3: Critical appraisal. An appraisal of methodology used in the empirical study, discussing the potential biases encountered with research allegiance.