Integrated Mindfulness-based Cognitive Behaviour Therapy Versus Cognitive Behaviour Therapy for Provoked Vestibulodynia (COMFORT)
Provoked Vestibulodynia
About this trial
This is an interventional treatment trial for Provoked Vestibulodynia focused on measuring provoked vestibulodynia, dyspareunia, vulvodynia, mindfulness, cognitive behavioural therapy
Eligibility Criteria
Inclusion Criteria:
- diagnosis of provoked vestibulodynia (PVD)
- 19 years of age or older
- premenopausal
- fluent in English
- during the study, women must agree not to change any medications they are taking for PVD.
Exclusion Criteria:
- unprovoked vulvar pain, other pathology causing pain with penetration, or chronic pelvic pain
- being uncomfortable and unwilling to participate in a group setting.
Sites / Locations
- British Columbia Centre for Sexual Medicine
- Department of Gynaecology
Arms of the Study
Arm 1
Arm 2
Experimental
Experimental
Mindfulness-based cognitive therapy (MBCT)
Cognitive Behavioural Therapy (CBT)
Women in the MBCT Group Treatment arm will receive the treatment in small group format (8-9 women). Each session will be 2.25 hours in duration and there will be eight, weekly sessions over the course of 2 months. Session content includes education about chronic pain, PVD, stress and sexual response, mindfulness practices, and cognitive techniques to notice thought patterns that contribute to increased pain.
Women in the CBT Group Treatment arm will receive the treatment in small group format (8-9 women). Each session will be 2.25 hrs in duration and there will be eight, weekly sessions over the course of 2 months. Session content includes education about chronic pain, PVD, stress and sexual response, behavioural techniques such as progressive muscle relaxation, cognitive techniques to challenge unhealthy thinking patterns, and communication skills training.