Co-morbid pain conditions and feelings of invalidation and isolation among women with vulvodynia

Many women with vulvodynia also suffer from other chronic co-morbid pain conditions. Alone, these pain conditions are associated with feeling invalidated by others and feeling socially isolated. It is unclear, however, how the presence of additional pain co-morbidities are associated with the psychosocial wellbeing of women with vulvodynia. We used data from a survey administered by the National Vulvodynia Association. Women reported clinician-diagnosed vulvodynia, presence of co-morbid pain, and how often they felt that they felt no one believed their pain existed (invalidated) and isolated. Analyses determined prevalence of feeling invalidated or isolated, and the difference in prevalence when co-morbidities existed. Forty-five percent of these 1847 women with vulvodynia reported having at least one of the following five chronic pain conditions, chronic fatigue syndrome, endometriosis, fibromyalgia, interstitial cystitis, or irritable bowel syndrome. Adjusted baseline prevalence among all women of feeling invalidated was 9% and of feeling isolated was 14%. Having a co-morbid condition with vulvodynia, as well as having an increasing number of co-morbid conditions with vulvodynia, was significantly associated with the presence of feeling both invalidated and isolated. Chronic fatigue syndrome was the co-morbidity most strongly associated with feelings invalidation and isolation. One or more co-morbid pain conditions in addition to vulvodynia were significantly associated with psychosocial wellbeing. However, the temporality of the association could not be elucidated and therefore we cannot conclude that these pain conditions cause poor psychosocial wellbeing. Despite this, future studies should explore the utility of promoting validation of women's pain conditions and reducing social isolation for women with chronic pain.     

La croyance au monde juste comme facteur explicatif de diverses réactions à des injustices professionnelles

The belief in a just world is defined as the tendency to consider that “people get what they deserve and deserve what they get”, i.e. to consider that the world is, globally, a place of justice. Facing an individual unjustly victim of negative events and for whom it seems impossible to restore the justice objectively, we frequently deny the existence of the unjustice, even if we say the responsible of what he gets. But if we can react by adopting “passive” reactions (using the victim’s moral or behavioral responsibility, as in Lerner, or evocating a future favoring the victim,..), we can also adopt “active” strategies which can lead to an objective re-establishment of the justice. In the present study, we examined the influence of the degree of the belief in the just world on the selected strategy facing professional injustices. And effectively, our results indicate a some preferences in the use of such or strategy, preferences accentuated by the gender and the professional statute.     

Test-retest reliability of psychophysiological assessment

Thirty subjects participated in a study of the test-retest reliability of five psychophysiological assessment procedures: habituation. Quiz Electrocardiogram, anger imagery, aversive slides and startle. The procedures were presented in identical fashion, 2 weeks apart. Skin conductance level and response, heart rate, vasomotor response, skin temperature, frontalis and forearm electromyogram, respiration rate. and systolic and diastolic blood pressure were recorded continuously. The following analyses were performed on Test-Retest data: correlations, baseline changes, profile similarity, and stability of ranked standardized physiological scores. Significant but modest Test-Retest correlations were found for skin conductance level and response, skin temperature, respiration rate, heart rate and systolic blood pressure. Absolute scores were more often stable than change scores. All baselines were stable from Test to Retest. Four baselines and four test procedures had Test-Retest Profile Similarity Index scores indicating reliability. Chi-square analyses of Retest ranks of standardized physiological scores showed that the two most and least responsive measures accounted for Test-Retest stability. Conclusions were: (a) Psychophysiological response patterns are reliable for baselines and procedures, and single psychophysiological measures (especially absolute scores) are moderately stable; (b) Traditional (correlational) estimates of the reliability of single psychophysiological responses are limited by individual-response stereotypy, but multivariate analysis of response pattern provides a better index of reliability.     

The Suicidal Narrative and Its Relationship to the Suicide Crisis Syndrome and Recent Suicidal Behavior

In this study, we introduce the construct of the suicidal narrative, a hypothetical personal narrative linked to imminent suicide, and explore its relationship to near‐term suicidal risk and the suicide crisis syndrome (SCS). Psychiatric outpatients (N = 289) were administered the Columbia Suicide‐Severity Rating Scale (C‐SSRS), Suicide Crisis Inventory (SCI), and Suicide Narrative Inventory (SNI), a novel instrument combining the documented risk factors of Thwarted Belongingness, Perceived Burdensomeness, Humiliation, Social Defeat, Goal Disengagement, and Goal Reengagement. Dimensional measures of past month, lifetime, and past suicidal phenomena, incorporating ideation and behavior, were calculated from the C‐SSRS. Structural equation modeling was used to explore the interaction among variables. Factor analysis of the SNI yielded two orthogonal factors, termed Interpersonal and Goal Orientation. The former factor was comprised of Perceived Burdensomeness, Social Defeat, Humiliation, and Thwarted Belongingness, the latter of Goal Disengagement and Goal Reengagement. The Interpersonal factor correlated with both SCS severity and suicidal phenomena in each time frame and the Goal Orientation factor with no other variable. As hypothesized, the proposed model was significant for the past month only. Our findings support the construct of the suicidal narrative and its function as a near‐term suicidal risk factor.