Araştırma Makalesi
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Vajinismusta başağrısı, anksiyete ve depresyon

Yıl 2023, Cilt: 5 Sayı: 1, 47 - 51, 20.02.2023
https://doi.org/10.52827/hititmedj.1138853

Öz

Amaç: Vajinismus cinsel sağlık polikliniğine başvuran hastalar arasında en sık rastlanan problemlerden biridir. Migren ve gerilim tipi baş ağrısı hastalarında cinsel problemlerin daha sık olduğu bilinmektedir. Depresyon ve anksiyete sıklığı ise hem vajinismus hem de kronik baş ağrısı olan hastalarda daha yüksektir. 2021 yılında gerçekleştirilen bu çalışmada vajinismus hastalarında baş ağrısı özellikleri, depresyon ve anksiyete değerlendirilmiştir.
Gereç ve Yöntem: Prospektif olarak yapılan bu çalışmada cinsel sağlık polikliniğinde vajinismus tanısı alan 87 hasta ile görüşüldü. Çalışmaya katılmayı kabul eden 50 hasta, baş ağrısı açısından sorgulandı ve Beck depresyon ve Beck anksiyete skalaları uygulandı.
Bulgular: 50 vajinismus hastasının %46’ sında (n:23) baş ağrısı mevcuttu. Baş ağrısı olan hastaların anksiyete skorları baş ağrısı olmayanlara göre daha yüksekti(p=0.032). En sık görülen ağrı tipi aurasız migren(%60.9) iken, bunu gerilim tipi baş ağrısı (%30.4) takip ediyordu. Gelir seviyesi düşük olanların depresyon skorları gelir seviyesi yüksek olan gruba göre daha fazlaydı (p=0.006). Aylık ağrı sıklığı ve toplam ağrı süresi ile Beck depresyon ve Beck anksiyete skalası arasında anlamlı korelasyon saptanmadı.
Sonuç: Vajinismus hastalarında baş ağrısı sık görülen bir nörolojik tablo olup, aurasız migren sıklığı gerilim tipi baş ağrısından daha fazladır. Baş ağrısının eşlik ettiği vajinismus hastalarında anksiyete değerleri daha yüksektir. Vajinusmus hastalarının takip ve tedavisinde baş ağrısı ve anksiyete varlığı dikkate alınmalıdır.

Kaynakça

  • 1. Shifren JL, Monz BU, Russo PA, et al. Sexual problems and distress in United States women: prevalence and correlates. Obstetrics & gynecology 2008; 112: 970-978.
  • 2. Fugl‐Meyer KS, Arrhult H, Pharmanson H, et al. EPIDEMIOLOGY: A Swedish Telephone Help‐line for Sexual Problems: A 5‐year Survey. The Journal of Sexual Medicine 2004; 1: 278-283.
  • 3. Laumann EO, Nicolosi A, Glasser DB, et al. Sexual problems among women and men aged 40–80 y: prevalence and correlates identified in the Global Study of Sexual Attitudes and Behaviors. International journal of impotence research 2005; 17: 39-57.
  • 4. Zhang C, Tong J, Zhu L, et al. A population-based epidemiologic study of female sexual dysfunction risk in Mainland China: prevalence and predictors. The journal of sexual medicine 2017; 14: 1348-1356.
  • 5. Asken MJ, Grossman D and Christensen LW. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. Arlington, VA: American Psychiatric Pub-lishing, 2013. Archibald, Herbert C., and Read D. Tuddenham.“Persistent Stress Reac-tion after Combat: A 20-Year Follow-Up.” Archives of General Psy. Therapy 2007; 45: 2317-2325.
  • 6. Binik YM. The DSM diagnostic criteria for vaginismus. Archives of sexual behavior 2010; 39: 278-291.
  • 7. Reissing ED, Binik YM, Khalifé S, et al. Vaginal spasm, pain, and behavior: an empirical investigation of the diagnosis of vaginismus. Archives of sexual behavior 2004; 33: 5-17.
  • 8. Ter Kuile MM, Van Lankveld JJ, Vlieland CV, et al. Vulvar vestibulitis syndrome: An important factor in the evaluation of lifelong vaginismus? Journal of Psychosomatic Obstetrics & Gynecology 2005; 26: 245-249.
  • 9. Lahaie M-A, Boyer SC, Amsel R, et al. Vaginismus: a review of the literature on the classification/diagnosis, etiology and treatment. Women’s Health 2010; 6: 705-719.
  • 10. Reissing ED, Binik YM, KHALIF S, et al. Etiological correlates of vaginismus: Sexual and physical abuse, sexual knowledge, sexual self-schema, and relationship adjustment. Journal of Sex &Marital Therapy 2003; 29: 47-59.
  • 11. Clayton AH and Groth J. Etiology of female sexual dysfunction. Women’s Health 2013; 9: 135-137.
  • 12. Ambler N, de C Williams AC, Hill P, et al. Sexual difficulties of chronic pain patients. The Clinical journal of pain 2001; 17: 138-145.
  • 13. Juang KD, Wang SJ, Fuh JL, et al. Comorbidity of depressive and anxiety disorders in chronic daily headache and its subtypes. Headache: The journal of head and face pain 2000; 40: 818-823.
  • 14. Ertem DH, Saatçioğlu ŞA, BINGÖL A, et al. Factors influencing sexual functions in Turkish female patients with migraine. Agri: Agri (Algoloji) Dernegi'nin Yayin organidir= The journal of the Turkish Society of Algology 2020; 32: 193-201.
  • 15. Gordon A, Paneduro D, Pink L, et al. Evaluation of the frequency and the association of sexual pain and chronic headaches. Headache: The Journal of Head and Face Pain 2014; 54: 109-115.
  • 16. Odabaş FÖ. Evaluation of sexual dysfunction in female patients with tension-type headache. 2017.
  • 17. Frese A, Eikermann A, Frese K, et al. Headache associated with sexual activity: demography, clinical features, and comorbidity. Neurology 2003; 61: 796-800.
  • 18. Eserdag S, Sevinc T and Tarlacı S. Do women with vaginismus have a lower threshold of pain? European Journal of Obstetrics & Gynecology and Reproductive Biology 2021; 258: 189-192.
  • 19. Hisli N. Beck depresyon envanterinin universite ogrencileri icin gecerliligi, guvenilirligi.(A reliability and validity study of Beck Depression Inventory in a university student sample). J Psychol 1989; 7: 3-13.
  • 20. Ulusoy M, Sahin NH and Erkmen H. The Beck anxiety inventory: psychometric properties. J Cogn Psychother 1998; 12: 163-172.
  • 21. Yaşar H, Özkan L and Tepeler A. Kadınlarda cinsel fonksiyon bozukluklarına güncel yaklaşım. Journal of Clinical and Experimental Investigations 2010; 1: 235-240.
  • 22. Yildirim EA, Yildirim MH and Karaş H. Prevalence of depression and anxiety disorders and their relationship with sexual functions in women diagnosed with lifelong vaginismus. Turk Psikiyatri Dergisi 2019; 30: 9.
  • 23. Crystal SC and Robbins MS. Epidemiology of tension-type headache. Current pain and headache reports 2010; 14: 449-454.
  • 24. Stovner LJ and Andree C. Prevalence of headache in Europe: a review for the Eurolight project. The journal of headache and pain 2010; 11: 289-299.
  • 25. Ertas M, Baykan B, Orhan EK, et al. One-year prevalence and the impact of migraine and tension-type headache in Turkey: a nationwide home-based study in adults. The journal of headache and pain 2012; 13: 147-157.
  • 26. Maizels M and Burchette R. Somatic symptoms in headache patients: the influence of headache diagnosis, frequency, and comorbidity. Headache: The Journal of Head and Face Pain 2004; 44: 983-993.
  • 27. Beghi E, Bussone G, D’Amico D, et al. Headache, anxiety and depressive disorders: the HADAS study. The journal of headache and pain 2010; 11: 141-150.
  • 28. Mongini F, Ibertis F, Barbalonga E, et al. MMPI‐2 profiles in chronic daily headache and their relationship to anxiety levels and accompanying symptoms. Headache: The Journal of Head and Face Pain 2000; 40: 466-472

Headache, Anxiety And Depression In Patients With Vaginismus

Yıl 2023, Cilt: 5 Sayı: 1, 47 - 51, 20.02.2023
https://doi.org/10.52827/hititmedj.1138853

Öz

Abstract
Objective: Vaginismus is one of the most common problems among patients who apply to the sexual health outpatient clinic. It is known that sexual problems are more common in migraine and tension-type headache patients. Furthermore, the frequency of depression and anxiety is higher in both vaginismus and chronic headache patients. This study was conducted in 2021 and examined the headache characteristics, depression and anxiety in vaginismus patients.
Material and methods: In this prospective study, 87 patients diagnosed with vaginismus in the sexual health outpatient clinic were interviewed. Fifty patients who agreed to participate in the study were questioned regarding headache, and Beck depression and Beck anxiety scales were applied.
Results: Headache was present in 46% (n:23) of 50 vaginismus patients. Anxiety scores of patients with headaches were higher than those without headaches (p=0.032). The most common type of headache was migraine without aura (60.9%), followed by tension-type headache (30.4%). Beck depression scores of the low-income group were higher than the high-income group (p=0.006). There was no significant correlation between monthly headache frequency, total headache duration, Beck depression score, and Beck anxiety score.
Conclusions: Headache is a common neurological symptom in vaginismus patients, and the frequency of migraine is higher than tension-type headaches. Anxiety values are higher in vaginismus patients experiencing a headache. Therefore, headache and anxiety should be considered in the follow-up and treatment of vaginismus patients.

Kaynakça

  • 1. Shifren JL, Monz BU, Russo PA, et al. Sexual problems and distress in United States women: prevalence and correlates. Obstetrics & gynecology 2008; 112: 970-978.
  • 2. Fugl‐Meyer KS, Arrhult H, Pharmanson H, et al. EPIDEMIOLOGY: A Swedish Telephone Help‐line for Sexual Problems: A 5‐year Survey. The Journal of Sexual Medicine 2004; 1: 278-283.
  • 3. Laumann EO, Nicolosi A, Glasser DB, et al. Sexual problems among women and men aged 40–80 y: prevalence and correlates identified in the Global Study of Sexual Attitudes and Behaviors. International journal of impotence research 2005; 17: 39-57.
  • 4. Zhang C, Tong J, Zhu L, et al. A population-based epidemiologic study of female sexual dysfunction risk in Mainland China: prevalence and predictors. The journal of sexual medicine 2017; 14: 1348-1356.
  • 5. Asken MJ, Grossman D and Christensen LW. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. Arlington, VA: American Psychiatric Pub-lishing, 2013. Archibald, Herbert C., and Read D. Tuddenham.“Persistent Stress Reac-tion after Combat: A 20-Year Follow-Up.” Archives of General Psy. Therapy 2007; 45: 2317-2325.
  • 6. Binik YM. The DSM diagnostic criteria for vaginismus. Archives of sexual behavior 2010; 39: 278-291.
  • 7. Reissing ED, Binik YM, Khalifé S, et al. Vaginal spasm, pain, and behavior: an empirical investigation of the diagnosis of vaginismus. Archives of sexual behavior 2004; 33: 5-17.
  • 8. Ter Kuile MM, Van Lankveld JJ, Vlieland CV, et al. Vulvar vestibulitis syndrome: An important factor in the evaluation of lifelong vaginismus? Journal of Psychosomatic Obstetrics & Gynecology 2005; 26: 245-249.
  • 9. Lahaie M-A, Boyer SC, Amsel R, et al. Vaginismus: a review of the literature on the classification/diagnosis, etiology and treatment. Women’s Health 2010; 6: 705-719.
  • 10. Reissing ED, Binik YM, KHALIF S, et al. Etiological correlates of vaginismus: Sexual and physical abuse, sexual knowledge, sexual self-schema, and relationship adjustment. Journal of Sex &Marital Therapy 2003; 29: 47-59.
  • 11. Clayton AH and Groth J. Etiology of female sexual dysfunction. Women’s Health 2013; 9: 135-137.
  • 12. Ambler N, de C Williams AC, Hill P, et al. Sexual difficulties of chronic pain patients. The Clinical journal of pain 2001; 17: 138-145.
  • 13. Juang KD, Wang SJ, Fuh JL, et al. Comorbidity of depressive and anxiety disorders in chronic daily headache and its subtypes. Headache: The journal of head and face pain 2000; 40: 818-823.
  • 14. Ertem DH, Saatçioğlu ŞA, BINGÖL A, et al. Factors influencing sexual functions in Turkish female patients with migraine. Agri: Agri (Algoloji) Dernegi'nin Yayin organidir= The journal of the Turkish Society of Algology 2020; 32: 193-201.
  • 15. Gordon A, Paneduro D, Pink L, et al. Evaluation of the frequency and the association of sexual pain and chronic headaches. Headache: The Journal of Head and Face Pain 2014; 54: 109-115.
  • 16. Odabaş FÖ. Evaluation of sexual dysfunction in female patients with tension-type headache. 2017.
  • 17. Frese A, Eikermann A, Frese K, et al. Headache associated with sexual activity: demography, clinical features, and comorbidity. Neurology 2003; 61: 796-800.
  • 18. Eserdag S, Sevinc T and Tarlacı S. Do women with vaginismus have a lower threshold of pain? European Journal of Obstetrics & Gynecology and Reproductive Biology 2021; 258: 189-192.
  • 19. Hisli N. Beck depresyon envanterinin universite ogrencileri icin gecerliligi, guvenilirligi.(A reliability and validity study of Beck Depression Inventory in a university student sample). J Psychol 1989; 7: 3-13.
  • 20. Ulusoy M, Sahin NH and Erkmen H. The Beck anxiety inventory: psychometric properties. J Cogn Psychother 1998; 12: 163-172.
  • 21. Yaşar H, Özkan L and Tepeler A. Kadınlarda cinsel fonksiyon bozukluklarına güncel yaklaşım. Journal of Clinical and Experimental Investigations 2010; 1: 235-240.
  • 22. Yildirim EA, Yildirim MH and Karaş H. Prevalence of depression and anxiety disorders and their relationship with sexual functions in women diagnosed with lifelong vaginismus. Turk Psikiyatri Dergisi 2019; 30: 9.
  • 23. Crystal SC and Robbins MS. Epidemiology of tension-type headache. Current pain and headache reports 2010; 14: 449-454.
  • 24. Stovner LJ and Andree C. Prevalence of headache in Europe: a review for the Eurolight project. The journal of headache and pain 2010; 11: 289-299.
  • 25. Ertas M, Baykan B, Orhan EK, et al. One-year prevalence and the impact of migraine and tension-type headache in Turkey: a nationwide home-based study in adults. The journal of headache and pain 2012; 13: 147-157.
  • 26. Maizels M and Burchette R. Somatic symptoms in headache patients: the influence of headache diagnosis, frequency, and comorbidity. Headache: The Journal of Head and Face Pain 2004; 44: 983-993.
  • 27. Beghi E, Bussone G, D’Amico D, et al. Headache, anxiety and depressive disorders: the HADAS study. The journal of headache and pain 2010; 11: 141-150.
  • 28. Mongini F, Ibertis F, Barbalonga E, et al. MMPI‐2 profiles in chronic daily headache and their relationship to anxiety levels and accompanying symptoms. Headache: The Journal of Head and Face Pain 2000; 40: 466-472
Toplam 28 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Klinik Tıp Bilimleri
Bölüm Araştırma Makaleleri
Yazarlar

Safiye Gül Kenar 0000-0003-2458-3813

Müjdegül Karaca 0000-0001-5734-0493

Gülnur Özakşit 0000-0001-9117-9728

Hatice Yüksel 0000-0001-9259-1925

Hesna Bektaş 0000-0003-3785-3341

Yayımlanma Tarihi 20 Şubat 2023
Gönderilme Tarihi 4 Temmuz 2022
Kabul Tarihi 19 Ağustos 2022
Yayımlandığı Sayı Yıl 2023 Cilt: 5 Sayı: 1

Kaynak Göster

AMA Kenar SG, Karaca M, Özakşit G, Yüksel H, Bektaş H. Headache, Anxiety And Depression In Patients With Vaginismus. Hitit Medical Journal. Şubat 2023;5(1):47-51. doi:10.52827/hititmedj.1138853