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Mindfulness-Based Group Cognitive Behavior Therapy for Provoked Localized Vulvodynia: A Randomized Controlled Trial
Alyson D Guillet1, Nicole H Cirino, Kyle D Hart
1Oregon Health & Science University, Portland, OR.
Journal of Lower Genital Tract Disease
|January 29, 2019
Summary
Mindfulness-based group cognitive behavior therapy (M-gCBT) and education support effectively reduce pain and distress in women with provoked localized vulvodynia. M-gCBT showed additional benefits in improving sexual function and reducing anxiety and depression.
Area of Science:
- Gynecology
- Psychiatry
- Behavioral Science
Background:
- Provoked localized vulvodynia (PLV) causes significant pain and distress.
- Limited comparative studies exist for effective PLV management strategies.
Purpose of the Study:
- To compare mindfulness-based group cognitive behavior therapy (M-gCBT) with education support group therapy for PLV.
- To evaluate the impact on pain, distress, anxiety, and sexual function.
Main Methods:
- Randomized trial comparing M-gCBT (8 weekly sessions) to education support (8 weeks online + 3 visits).
- Primary outcome: vaginal insertion pain (tampon test).
- Secondary outcomes: anxiety, depression, sexual function, and pain catastrophizing assessed at baseline, and 3 & 6 months post-intervention.
Main Results:
- Both M-gCBT and education support reduced pain, with no significant difference between groups.
- At 6 months, M-gCBT significantly improved Female Sexual Function Index, Generalized Anxiety Disorder 7, and Beck's Depression Index scores compared to education support.
Conclusions:
- Both M-gCBT and education support are effective for PLV pain and distress.
- M-gCBT demonstrates superior outcomes in improving sexual function and reducing psychological distress, suggesting potential advantages for managing PLV.
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