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Psychosocial Correlates of Pain Attributions in Women With Dyspareunia

Received August 14, 1998; accepted January 20, 1999. From the University of Nevada, Las Vegas; and McGill University and the Royal Victoria Hospital, Montreal, Quebec, Canada. Address correspondence and reprint requests to Dr. Meana, Department of Psychology, University of Nevada, 4505 Maryland Parkway, Box 455030, Las Vegas, NV 89154–5030; E-mail: meana{at}nevada.edu

The relationship between patients' causal attributions for pain and biopsychosocial measures was investigated in a sample of 100 women with dyspareunia. Independently of findings from the gynecological examinations, causal attributions were related to adjustment. More specifically, the women who made psychosocial attributions reported higher pain scores, higher levels of psychological distress, lower levels of marital adjustment, more problems with sexual function, and more frequent reports of sexual assault. The relationship between psychosocial causal attributions for pain and psychosocial distress may be clinically useful in the multidisciplinary treatment of this and other pain disorders, regardless of actual physical pathology.

Key Words: Dyspareunia • Causal Attributions • Pain • Women

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