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This study seeks to provide information regarding the effectiveness of a virtual, synchronous cognitive behavioural therapy (CBT) group program for women with Persistent Genital Arousal Disorder/Genitopelvic Dysesthesia (PGAD/GPD). The program consists of 8 weekly sessions of two hours each, which focus on education and understanding, and learning skills and strategies to manage PGAD/GPD symptoms, and related mental health and lifestyle impacts, as well as structured opportunities for discussion and shared reflection. The group therapy program involves elements based in Cognitive Behavioural Therapy (CBT), Acceptance and Commitment Therapy (ACT), and Dialectical Behaviour Therapy (DBT). Participants in the present study will provide responses to online surveys (before, during, and immediately after treatment, also 3 and 6 months after treatment) regarding their PGAD/GPD symptoms, mental health symptoms, and sexual wellness (sexual pleasure and distress).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cognitive behavioural therapy | Experimental | The group therapy program (virtual, synchronous) involves elements based in Cognitive Behavioural Therapy (CBT), Acceptance and Commitment Therapy (ACT), and Dialectical Behaviour Therapy (DBT). |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Cognitive behavioural therapy | Behavioral | The group therapy program (virtual, synchronous) involves elements based in Cognitive Behavioural Therapy (CBT), Acceptance and Commitment Therapy (ACT), and Dialectical Behaviour Therapy (DBT). |
| Measure | Description | Time Frame |
|---|---|---|
| Symptom intensity | Symptom intensity on a scale of 0 (no symptoms) to 10 (extremely intense symptoms). Range is 0-10. Higher scores are worse. | Baseline |
| Symptom intensity | Symptom intensity on a scale of 0 (no symptoms) to 10 (extremely intense symptoms). Range is 0-10. Higher scores are worse. | Week 1 of program |
| Symptom intensity | Symptom intensity on a scale of 0 (no symptoms) to 10 (extremely intense symptoms). Range is 0-10. Higher scores are worse. | Week 2 of program |
| Symptom intensity | Symptom intensity on a scale of 0 (no symptoms) to 10 (extremely intense symptoms). Range is 0-10. Higher scores are worse. | Week 3 of program |
| Symptom intensity | Symptom intensity on a scale of 0 (no symptoms) to 10 (extremely intense symptoms). Range is 0-10. Higher scores are worse. | Week 4 of program |
| Symptom intensity | Symptom intensity on a scale of 0 (no symptoms) to 10 (extremely intense symptoms). Range is 0-10. Higher scores are worse. | Week 5 of program |
| Symptom intensity | Symptom intensity on a scale of 0 (no symptoms) to 10 (extremely intense symptoms). Range is 0-10. Higher scores are worse. | Week 6 of program |
| Measure | Description | Time Frame |
|---|---|---|
| Symptom catastrophizing | Pain Catastrophizing Scale, adapted to symptoms. Range is 0-52. Higher scores are worse. | Baseline |
| Symptom catastrophizing | Pain Catastrophizing Scale, adapted to symptoms. Range is 0-52. Higher scores are worse. |
| Measure | Description | Time Frame |
|---|---|---|
| Sexual distress | Sexual distress scale. Range is 0-20. Higher scores are worse. | Baseline |
| Sexual distress | Sexual distress scale. Range is 0-20. Higher scores are worse. |
Inclusion Criteria:
Exclusion Criteria:
Anyone who self-identifies as a woman is eligible to participate.
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| Name | Affiliation | Role |
|---|---|---|
| Caroline Pukall, PhD | Queen's University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Sexual Health Research Laboratory, Department of Psychology, Queen's University | Kingston | Ontario | K7L 3N6 | Canada |
De-identified data will be available to other researchers after publication of the results.
De-identified data will be available to other researchers for 2 years after publication of the results.
Please email the PI at caroline.pukall@queensu.ca
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| ID | Term |
|---|---|
| D015928 | Cognitive Behavioral Therapy |
| ID | Term |
|---|---|
| D001521 | Behavior Therapy |
| D011613 | Psychotherapy |
| D004191 | Behavioral Disciplines and Activities |
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| Symptom intensity | Symptom intensity on a scale of 0 (no symptoms) to 10 (extremely intense symptoms). Range is 0-10. Higher scores are worse. | Week 7 of program |
| Symptom intensity | Symptom intensity on a scale of 0 (no symptoms) to 10 (extremely intense symptoms). Range is 0-10. Higher scores are worse. | Week 8 of program |
| Symptom intensity | Symptom intensity on a scale of 0 (no symptoms) to 10 (extremely intense symptoms). Range is 0-10. Higher scores are worse. | 3 months after the end of the program |
| Symptom intensity | Symptom intensity on a scale of 0 (no symptoms) to 10 (extremely intense symptoms). Range is 0-10. Higher scores are worse. | 6 months after the end of the program |
| Symptom distress | Symptom distress on a scale of 0 (no distress) to 10 (extreme distress). Range is 0-10. Higher scores are worse. | Baseline |
| Symptom distress | Symptom distress on a scale of 0 (no distress) to 10 (extreme distress). Range is 0-10. Higher scores are worse. | Week 1 of program |
| Symptom distress | Symptom distress on a scale of 0 (no distress) to 10 (extreme distress). Range is 0-10. Higher scores are worse. | Week 2 of program |
| Symptom distress | Symptom distress on a scale of 0 (no distress) to 10 (extreme distress). Range is 0-10. Higher scores are worse. | Week 3 of program |
| Symptom distress | Symptom distress on a scale of 0 (no distress) to 10 (extreme distress). Range is 0-10. Higher scores are worse. | Week 4 of program |
| Symptom distress | Symptom distress on a scale of 0 (no distress) to 10 (extreme distress). Range is 0-10. Higher scores are worse. | Week 5 of program |
| Symptom distress | Symptom distress on a scale of 0 (no distress) to 10 (extreme distress). Range is 0-10. Higher scores are worse. | Week 6 of program |
| Symptom distress | Symptom distress on a scale of 0 (no distress) to 10 (extreme distress). Range is 0-10. Higher scores are worse. | Week 7 of program |
| Symptom distress | Symptom distress on a scale of 0 (no distress) to 10 (extreme distress). Range is 0-10. Higher scores are worse. | Week 8 of program |
| Symptom distress | Symptom distress on a scale of 0 (no distress) to 10 (extreme distress). Range is 0-10. Higher scores are worse. | 3 months after the end of the program |
| Symptom distress | Symptom distress on a scale of 0 (no distress) to 10 (extreme distress). Range is 0-10. Higher scores are worse. | 6 months after the end of the program |
| Week 1 of program |
| Symptom catastrophizing | Pain Catastrophizing Scale, adapted to symptoms. Range is 0-52. Higher scores are worse. | Week 2 of program |
| Symptom catastrophizing | Pain Catastrophizing Scale, adapted to symptoms. Range is 0-52. Higher scores are worse. | Week 3 of program |
| Symptom catastrophizing | Pain Catastrophizing Scale, adapted to symptoms. Range is 0-52. Higher scores are worse. | Week 4 of program |
| Symptom catastrophizing | Pain Catastrophizing Scale, adapted to symptoms. Range is 0-52. Higher scores are worse. | Week 5 of program |
| Symptom catastrophizing | Pain Catastrophizing Scale, adapted to symptoms. Range is 0-52. Higher scores are worse. | Week 6 of program |
| Symptom catastrophizing | Pain Catastrophizing Scale, adapted to symptoms. Range is 0-52. Higher scores are worse. | Week 7 of program |
| Symptom catastrophizing | Pain Catastrophizing Scale, adapted to symptoms. Range is 0-52. Higher scores are worse. | Week 8 of program |
| Symptom catastrophizing | Pain Catastrophizing Scale, adapted to symptoms. Range is 0-52. Higher scores are worse. | 3 months after the end of the program |
| Symptom catastrophizing | Pain Catastrophizing Scale, adapted to symptoms. Range is 0-52. Higher scores are worse. | 6 months after the end of the program |
| Symptom self-efficacy | Pain Self-Efficacy Scale, adapted to symptoms. Range is 0-60. Higher scores are better. | Baseline |
| Symptom self-efficacy | Pain Self-Efficacy Scale, adapted to symptoms. Range is 0-60. Higher scores are better. | Week 1 of program |
| Symptom self-efficacy | Pain Self-Efficacy Scale, adapted to symptoms. Range is 0-60. Higher scores are better. | Week 2 of program |
| Symptom self-efficacy | Pain Self-Efficacy Scale, adapted to symptoms. Range is 0-60. Higher scores are better. | Week 3 of program |
| Symptom self-efficacy | Pain Self-Efficacy Scale, adapted to symptoms. Range is 0-60. Higher scores are better. | Week 4 of program |
| Symptom self-efficacy | Pain Self-Efficacy Scale, adapted to symptoms. Range is 0-60. Higher scores are better. | Week 5 of program |
| Symptom self-efficacy | Pain Self-Efficacy Scale, adapted to symptoms. Range is 0-60. Higher scores are better. | Week 6 of program |
| Symptom self-efficacy | Pain Self-Efficacy Scale, adapted to symptoms. Range is 0-60. Higher scores are better. | Week 7 of program |
| Symptom self-efficacy | Pain Self-Efficacy Scale, adapted to symptoms. Range is 0-60. Higher scores are better. | Week 8 of program |
| Symptom self-efficacy | Pain Self-Efficacy Scale, adapted to symptoms. Range is 0-60. Higher scores are better. | 3 months after the end of the program |
| Symptom self-efficacy | Pain Self-Efficacy Scale, adapted to symptoms. Range is 0-60. Higher scores are better. | 6 months after the end of the program |
| Resilience | Brief Resilience Scale. Range is 6-30. Higher scores are better. | Baseline |
| Resilience | Brief Resilience Scale. Range is 6-30. Higher scores are better. | Week 1 of program |
| Resilience | Brief Resilience Scale. Range is 6-30. Higher scores are better. | Week 2 of program |
| Resilience | Brief Resilience Scale. Range is 6-30. Higher scores are better. | Week 3 of program |
| Resilience | Brief Resilience Scale. Range is 6-30. Higher scores are better. | Week 4 of program |
| Resilience | Brief Resilience Scale. Range is 6-30. Higher scores are better. | Week 5 of program |
| Resilience | Brief Resilience Scale. Range is 6-30. Higher scores are better. | Week 6 of program |
| Resilience | Brief Resilience Scale. Range is 6-30. Higher scores are better. | Week 7 of program |
| Resilience | Brief Resilience Scale. Range is 6-30. Higher scores are better. | Week 8 of program |
| Resilience | Brief Resilience Scale. Range is 6-30. Higher scores are better. | 3 months after the end of the program |
| Resilience | Brief Resilience Scale. Range is 6-30. Higher scores are better. | 6 months after the end of the program |
| Week 4 of program |
| Sexual distress | Sexual distress scale. Range is 0-20. Higher scores are worse. | Week 8 of program |
| Sexual distress | Sexual distress scale. Range is 0-20. Higher scores are worse. | 3 months after the end of the program |
| Sexual distress | Sexual distress scale. Range is 0-20. Higher scores are worse. | 6 months after the end of the program |
| Anxiety | Generalized Anxiety Scale. Range is 0-21. Higher scores are worse. | Baseline |
| Anxiety | Generalized Anxiety Scale. Range is 0-21. Higher scores are worse. | Week 4 of program |
| Anxiety | Generalized Anxiety Scale. Range is 0-21. Higher scores are worse. | Week 8 of program |
| Anxiety | Generalized Anxiety Scale. Range is 0-21. Higher scores are worse. | 3 months after the end of the program |
| Anxiety | Generalized Anxiety Scale. Range is 0-21. Higher scores are worse. | 6 months after the end of the program |
| Depression | Patient Health Questionnaire-9. Range is 0-27. Higher scores are worse. | Baseline |
| Depression | Patient Health Questionnaire-9. Range is 0-27. Higher scores are worse. | Week 4 of program |
| Depression | Patient Health Questionnaire-9. Range is 0-27. Higher scores are worse. | Week 8 of program |
| Depression | Patient Health Questionnaire-9. Range is 0-27. Higher scores are worse. | 3 months after the end of the program |
| Depression | Patient Health Questionnaire-9. Range is 0-27. Higher scores are worse. | 6 months after the end of the program |
| Symptom-related disability | Pain disability index, adapted for symptoms. Range is 0-70. Higher scores are worse. | Baseline |
| Symptom-related disability | Pain disability index, adapted for symptoms. Range is 0-70. Higher scores are worse. | Week 4 of program |
| Symptom-related disability | Pain disability index, adapted for symptoms. Range is 0-70. Higher scores are worse. | Week 8 of program |
| Symptom-related disability | Pain disability index, adapted for symptoms. Range is 0-70. Higher scores are worse. | 3 months after the end of the program |
| Symptom-related disability | Pain disability index, adapted for symptoms. Range is 0-70. Higher scores are worse. | 6 months after the end of the program |
| Sexual function | Arizona Sexual Experiences Scale, adapted in terms of inclusive language. Range is 5-30. Higher scores are worse. | Baseline |
| Sexual function | Arizona Sexual Experiences Scale, adapted in terms of inclusive language. Range is 5-30. Higher scores are worse. | Week 4 of program |
| Sexual function | Arizona Sexual Experiences Scale, adapted in terms of inclusive language. Range is 5-30. Higher scores are worse. | Week 8 of program |
| Sexual function | Arizona Sexual Experiences Scale, adapted in terms of inclusive language. Range is 5-30. Higher scores are worse. | 3 months after the end of the program |
| Sexual function | Arizona Sexual Experiences Scale, adapted in terms of inclusive language. Range is 5-30. Higher scores are worse. | 6 months after the end of the program |
| Alliance | Working Alliance with Therapist: Session Rating Scale. Four scales rated from 0-10 (range is 0-40), with higher scores indicating a better alliance. | Week 1 of program |
| Alliance | Working Alliance with Therapist: Session Rating Scale. Four scales rated from 0-10 (range is 0-40), with higher scores indicating a better alliance. | Week 2 of program |
| Alliance | Working Alliance with Therapist: Session Rating Scale. Four scales rated from 0-10 (range is 0-40), with higher scores indicating a better alliance. | Week 3 of program |
| Alliance | Working Alliance with Therapist: Session Rating Scale. Four scales rated from 0-10 (range is 0-40), with higher scores indicating a better alliance. | Week 4 of program |
| Alliance | Working Alliance with Therapist: Session Rating Scale. Four scales rated from 0-10 (range is 0-40), with higher scores indicating a better alliance. | Week 5 of program |
| Alliance | Working Alliance with Therapist: Session Rating Scale. Four scales rated from 0-10 (range is 0-40), with higher scores indicating a better alliance. | Week 6 of program |
| Alliance | Working Alliance with Therapist: Session Rating Scale. Four scales rated from 0-10 (range is 0-40), with higher scores indicating a better alliance. | Week 7 of program |
| Alliance | Working Alliance with Therapist: Session Rating Scale. Four scales rated from 0-10 (range is 0-40), with higher scores indicating a better alliance. | Week 8 of program |
| Therapy group cohesion | The Group Climate Questionnaire. 12 items total, 3 subscales. Items rated from 0 (not at all) to 7 (extremely). Range for each subscale due to averaging items is 0-7. Higher scores are better. | Week 1 of program |
| Therapy group cohesion | The Group Climate Questionnaire. 12 items total, 3 subscales. Items rated from 0 (not at all) to 7 (extremely). Range for each subscale due to averaging items is 0-7. Higher scores are better. | Week 2 of program |
| Therapy group cohesion | The Group Climate Questionnaire. 12 items total, 3 subscales. Items rated from 0 (not at all) to 7 (extremely). Range for each subscale due to averaging items is 0-7. Higher scores are better. | Week 3 of program |
| Therapy group cohesion | The Group Climate Questionnaire. 12 items total, 3 subscales. Items rated from 0 (not at all) to 7 (extremely). Range for each subscale due to averaging items is 0-7. Higher scores are better. | Week 4 of program |
| Therapy group cohesion | The Group Climate Questionnaire. 12 items total, 3 subscales. Items rated from 0 (not at all) to 7 (extremely). Range for each subscale due to averaging items is 0-7. Higher scores are better. | Week 5 of program |
| Therapy group cohesion | The Group Climate Questionnaire. 12 items total, 3 subscales. Items rated from 0 (not at all) to 7 (extremely). Range for each subscale due to averaging items is 0-7. Higher scores are better. | Week 6 of program |
| Therapy group cohesion | The Group Climate Questionnaire. 12 items total, 3 subscales. Items rated from 0 (not at all) to 7 (extremely). Range for each subscale due to averaging items is 0-7. Higher scores are better. | Week 7 of program |
| Therapy group cohesion | The Group Climate Questionnaire. 12 items total, 3 subscales. Items rated from 0 (not at all) to 7 (extremely). Range for each subscale due to averaging items is 0-7. Higher scores are better. | Week 8 of program |