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Internet-based Treatment for Vulvodynia (EMBLA) - A Randomized Controlled Study.

Andrea Hess Engström1, Nina Bohm-Starke2, Merit Kullinger1

  • 1Uppsala University, Center for Clinical Research, Västmanland County Hospital, Västerås, Sweden; Uppsala University, Department of Women's and Children's Health, Uppsala, Sweden.

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Summary

Internet-based Acceptance and Commitment Therapy (ACT) effectively reduced pain during intercourse and improved pain acceptance for women with vulvodynia. This digital approach shows promise for complementing clinical treatments.

Keywords:
Acceptance and commitment therapyCBTInternet-based treatmentMindfulnessVestibulodyniaVulvodynia

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Area of Science:

  • Psychological interventions
  • Digital health
  • Women's health

Background:

  • Internet-based Acceptance and Commitment Therapy (ACT) may enhance accessibility and reduce stigma in healthcare seeking.
  • Limited research exists on internet-based ACT for women experiencing vulvodynia.

Purpose of the Study:

  • To evaluate the efficacy of an internet-based ACT intervention for reducing pain during intercourse in women with provoked vulvodynia.
  • To compare the internet-based ACT intervention against a waiting list control group receiving usual care.

Main Methods:

  • A multicenter randomized controlled trial involving 99 women with provoked vulvodynia.
  • Participants were randomized to a 6-week guided internet-based ACT or usual care.
  • Data collection occurred at baseline, 6 weeks, and 10 months post-treatment.

Main Results:

  • The internet-based ACT intervention significantly reduced pain during intercourse at post-treatment and follow-up.
  • Participants in the intervention group demonstrated higher pain acceptance and increased activity engagement.
  • No significant differences were observed in tampon test measures or the impact of pain on sexual function between groups.

Conclusions:

  • Internet-based ACT shows potential as a complementary treatment for vulvodynia, improving pain during intercourse and pain acceptance.
  • Further research with larger sample sizes is warranted to confirm these findings.
  • The intervention may be integrated into clinical practice to enhance vulvodynia management.