Understanding Women’s Responses to Sexual Pain After Female Genital Cutting: An Integrative Psychological Pain Response Model

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 Wes...

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Bibliographic Details
Published in:Archives of sexual behavior Vol. 50; no. 5; pp. 1859 - 1869
Main Authors: Connor, Jennifer Jo, Brady, Sonya S., Chaisson, Nicole, Mohamed, Fatima Sharif, Robinson, Beatrice “Bean” E.
Format: Journal Article
Language:English
Published: New York Springer US 01.07.2021
Springer Nature B.V
Subjects:
Avoidance behavior
Back pain
Behavioral Science and Psychology
Clinical assessment
Clinical research
Communication disorders
Concept formation
Cultural sensitivity
Demographic change
Female circumcision
Females
Frame analysis
Girls
Headaches
Health care
Health care industry
Health care management
Health needs
Health psychology
Health services
Immigrants
Intervention
Mental health services
Mind body relationship
Pain
Patients
Psychological distress
Psychology
Public Health
Refugees
Resilience
Resilience (Psychology)
Sexual Behavior
Sexual disorders
Sexual health
Social Sciences
Target Article
Treatment methods
Women
Womens health
United States > US
Sexual pain
Female genital cutting
Immigrant women’s health
Pain models
Refugee women’s health
ISSN:0004-0002, 1573-2800, 1573-2800
Online Access:Get full text
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Summary: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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ISSN:0004-0002
1573-2800
1573-2800
DOI:10.1007/s10508-019-1422-9