Sensory pain characteristics of vulvodynia and their association with nociceptive and neuropathic pain_ an online survey pilot study.pdf (230.92 kB)
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Sensory pain characteristics of vulvodynia and their association with nociceptive and neuropathic pain: an online survey pilot study

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journal contribution
posted on 04.02.2022, 19:19 by Judith SchlaegerJudith Schlaeger, Crystal PatilCrystal Patil, Alana SteffenAlana Steffen, Heather A Pauls, Keesha L Roach, Patrick ThorntonPatrick Thornton, Dee Hartmann, William KobakWilliam Kobak, Yingwei Yao, Marie L Suarez, Tonda L Hughes, Diana J Wilkie
Objectives: To evaluate self-reported sensory pain scores of women with generalized vulvodynia (GV) and provoked vestibulodynia (PVD), characterize pain phenotypes, and assess feasibility of using the Internet for recruitment and data collection among women with vulvodynia. Methods: Descriptive online survey. Data collected using an online survey accessed via a link on the National Vulvodynia Association web site. Convenience sample, 60 women aged 18 to 45 years (mean = 32.7 ± 5.5); 50 white, 2 black/African American, 4 Hispanic/Latino, and 4 Native American/Alaskan Native, diagnosed with vulvodynia, not in menopause. Pain assessment and medication modules from PAINReportlt. Results: Women with GV (n = 35) compared to PVD (n = 25). Estimated mean pain sites (2.5 ± 1.4 vs 2.2 ± 1.0, P = 0.31), mean current pain (8.7 ± 1.4 vs 5.5 ± 4.0, P = 0.0008), worst pain (8.1 ± 1.8 vs 6.1 ± 3.6, P = 0.02), and least pain in the past 24 hours (4.4 ± 1.8 vs 2.0 ± 2.0, P < 0.0001). Average pain intensity (7.1 ± 1.2 vs 4.6 ± 2.9, P = 0.0003) on a scale of 0 to 10, mean number of neuropathic words (8.3 ± 3.6 vs 7.7 ± 5.0), and mean number of nociceptive words (6.9 ± 4 vs 7.5 ± 4.4). Nineteen (54%) women with GV compared to 9 (38%) with PVD were not satisfied with pain levels. Conclusion: Women with GV reported severe pain, whereas those with PVD reported moderate to severe pain. Pain quality descriptors may aid a clinician's decisions about whether to prescribe adjuvant drugs vs opioids to women with vulvodynia.

Funding

Double-Blind Phase 2 RCT: Effect of Acupuncture on Patient Vulvodynia Outcomes | Funder: National Institutes of Health (Eunice Kennedy Shriver National Institute of Child Health and Human Development) | Grant ID: R01HD091210

Group Antenatal Care: Effectiveness for Maternal/Infant and HIV Prevention Outcomes and Contextual Factors Linked to Implementation Success in Malawi | Funder: National Institutes of Health (National Institute of Nursing Research) | Grant ID: R01NR018115

Integrating HIV with Innovative Group Anetenatal Care in Two African Countries | Funder: National Institutes of Health (National Institute of Nursing Research) | Grant ID: R21NR014413

A Community-based Implementation Model for HIV Prevention and Testing in Malawi | Funder: National Institutes of Health (National Institute of Nursing Research) | Grant ID: R01NR015409

Acupuncture for Adults with Sickle Cell Disease: A Feasibility Study | Funder: Self-funded

Hybrid Effectiveness-Implementation Trial of Meditation and Acupuncture for Chronic Sickle Cell Pain | Funder: national institute of minority health and health disparities

Community "Centering" and Empowerment: The Road to Reducing HIV and STIs among Chicago's Sex Worker Community | Funder: Rita & Alex Hillman Foundation

Faculty Fellowship | Funder: Institute for Research on Race and Public Policy

Internal Research Support Program | Funder: University of Illinois, College of Nursing

Migration, Marriage, and Maternal Risk in Tajikistan | Funder: Wenner-Gren Fdn

Diet, Environment, & Choices of positive living (DECIDE study): Evaluating personal & external food environment influences on diets among PLHIV & families in Dar es Salaam, Tanzania | Funder: Purdue University

Hybrid Effectiveness-Implementation Trial of Guided Relaxation and Acupuncture for Chronic Sickle Cell Disease Pain | Funder: National Institutes of Health (National Center for Complementary and Integrative Health) | Grant ID: UG3AT011265

Migration, Marriage and Maternal Risk in Tajikistan | Funder: Wenner-Gren Foundation

History

Citation

Schlaeger, J. M., Patil, C. L., Steffen, A. D., Pauls, H. A., Roach, K. L., Thornton, P. D., Hartmann, D., Kobak, W. H., Yao, Y., Suarez, M. L., Hughes, T. L.Wilkie, D. J. (2019). Sensory pain characteristics of vulvodynia and their association with nociceptive and neuropathic pain: an online survey pilot study. PAIN Reports, 4(2), e713-. https://doi.org/10.1097/pr9.0000000000000713

Publisher

Ovid Technologies (Wolters Kluwer Health)

Language

en

issn

2471-2531