Understanding Women's Responses to Sexual Pain After Female Genital Cutting: An Integrative Psychological Pain Response Model.
Understanding Women's Responses to Sexual Pain After Female Genital Cutting: An Integrative Psychological Pain Response Model.
复制标题
了解女性生殖器切割后女性对性疼痛的反应：综合心理疼痛反应模型。
DOI：
10.1007/s10508-019-1422-9
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发表时间：
2021-07
影响因子：
3.8
通讯作者：
Robinson BBE
中科院分区：
文献类型：
--
作者：
Connor JJ;Brady SS;Chaisson N;Mohamed FS;Robinson BBE
世界卫生组织估计，超过2亿妇女和女孩经历了女性生殖器切割(FGC)。许多接受过FGC的妇女和女孩已经移民到世界上那些提供者不熟悉与FGC相关的保健需求的地区。西方医疗保健系统的提供者以及女性移民和难民患者都报告说，沟通困难导致经历过FGC的妇女对提供者的不信任。性疼痛是一个常见的问题，需要与医疗保健提供者讨论并可能进行干预。然而，现有的临床和研究文献对性疼痛是FGC的结果的评估和干预提供的指导很少。已经开发了几个概念框架来概念化和指导其他类型的疼痛的治疗，如背痛和头痛。在这篇文章中，我们整合了四个突出的模型--恐惧回避模型、正应激耐力模型、痛苦耐力模型和疼痛弹性模型--来概念化经历过FGC的女性的性疼痛。由此产生的综合性心理疼痛反应模型将有助于为经历过FGC的女性提供具有文化响应性的性疼痛临床治疗。这一整合模型也为该群体未来的研究提供了理论基础。
The World Health Organization estimates that over 200 million women and girls have experienced female genital cutting (FGC). Many women and girls who have undergone FGC have migrated to areas of the world where providers are unfamiliar with the health needs associated with FGC. Both providers in Western healthcare systems and female immigrant and refugee patients report communication difficulties leading to distrust of providers by women who have experienced FGC. Sexual pain is one common problem requiring discussion with healthcare providers and possible intervention. Yet, existing clinical and research literature provides little guidance for assessment and intervention when sexual pain is a result of FGC. Several conceptual frameworks have been developed to conceptualize and guide treatments for other types of pain, such as back pain and headaches. In this article, we integrate four prominent models—the fear avoidance model, eustress endurance model, distress endurance model, and pain resilience model—to conceptualize sexual pain in women who have experienced FGC. The resulting integrative psychological pain response model will aid in providing culturally responsive clinical management of sexual pain to women who have experienced FGC. This integrative model also provides a theoretical foundation for future research in this population.
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