Moniek ter Kuile - Academia.edu (original) (raw)
Papers by Moniek ter Kuile
Springer eBooks, 2017
Vaginismus is commonly described as a persistent difficulty in allowing vaginal entry of a penis ... more Vaginismus is commonly described as a persistent difficulty in allowing vaginal entry of a penis or other “objects” (e.g., tampons, fingers, speculum), despite the woman’s expressed wish to do so. Lifelong vaginismus is diagnosed when a woman has never been able to have intercourse. The prevalence rates vary between 0.4 and 6.0% in a general population. Research on the etiology of vaginismus is scarce, and no definitive cause has been identified. A fear-avoidance model for vaginismus is described. Gradual exposure therapy is nearly always combined with relaxation instruction. Only a few randomized and controlled effect studies have been conducted until now. The success (intercourse is possible) of these few studies varied greatly. The treatment success of exposure-type treatments is significantly greater than that of therapies that combine multiple treatment techniques.
Bohn Stafleu van Loghum eBooks, 2004
ABSTRACT In dit hoofdstuk wordt een kort overzicht gegeven van de huidige kennis ten aanzien van ... more ABSTRACT In dit hoofdstuk wordt een kort overzicht gegeven van de huidige kennis ten aanzien van prevalentie, diagnostiek en aanpak van chronische pijnklachten in de onderbuik bij vrouwen. Hierbij staat het werken vanuit een cognitief-gedragstherapeutisch kader binnen een multidisciplinair pijnteam centraal.
Cognitive Behaviour Therapy, Aug 12, 2022
PubMed, Sep 21, 1996
Objective: To determine the frequency of sexual difficulties and of sexual and physical abuse. De... more Objective: To determine the frequency of sexual difficulties and of sexual and physical abuse. Design: Descriptive survey study. Setting: Outpatient gynaecology clinic of the University Hospital of Leiden, the Netherlands. Patients and method: During 3 months, December 1994-February 1995, all consecutive new female patients were questioned by the gynaecologist by means of a short standardised questionnaire. Oncology patients and non-Dutch-speaking patients were excluded. Data were analysed with descriptive statistical procedures; relationships among variables were tested with the chi 2 test with Yates' correction or Fisher's exact test. Results: Of 325 patients 34.2% reported sexual difficulties, 15.4% reported sexual abuse and 7.4% physical molestation. Age of the patient and presence or absence of the partner during the consultation were not associated with differences in the patients' reports. 18.8% of the patients with these complaints answered affirmatively when asked if they needed specialised help. Conclusion: Sexual difficulties and sexual and physical abuse were common among gynaecology patients. Less than one-fifth of them required specialised help.
Obstetrical & Gynecological Survey, Feb 1, 1997
Objective: To compare psychologic profiles of women with vulvar vestibulitis and their partners w... more Objective: To compare psychologic profiles of women with vulvar vestibulitis and their partners with a normal population, and to identify sexual dysfunction in women and their partners. Methods: Forty-three women with vulvar vestibulitis and 38 partners, recruited from a gynecology outpatient clinic, completed the Symptom Check List-90, the Short Dutch Version of the Minnesota Multiphasic Personality Inventory, the Maudsley Marital Questionnaire, and the Questionnaire for Screening Sexual Dysfunctions. Results: The women with vulvar vestibulitis scored significantly higher on the somatization and shyness subscales than a normal population. They didn't differ in respect to their current level of psychologic distress, extraversion, risk of psychopathology, and marital satisfaction. Their partners had significantly lower scores for psychopathology than a normal population. They didn't differ from a normal population in respect to their level of psychologic distress, extraversion, shyness, somatization, and marital satisfaction. Women with vulvar vestibulitis reported more frequent problems and higher distress with genital pain, lubrication, sexual arousal, and negative emotions in the sexual interaction with the partner. During masturbation, however, they reported less frequent problems and distress. The partners of these women reported nearly no problems or distress in either sexual situation. Conclusion: Women with vulvar vestibulitis and their partners seem in general to be psychologically healthy, although vulvar vestibulitis may be associated with a situationally defined sexual dysfunction for the women. (Obstet Gynecol 1996;88:65-70) In 1983, the term "vulvodynia" was introduced at the congress of the International Society for the Study of Vulvar Disease, being defined as "chronic vulvar discomfort, characterized by the patient's complaints of burning, stinging, irritation or rawness." Vulvar ves-
Gezinstherapie wereldwijd, Nov 1, 2015
Sexual dysfunctions in women are classified into disorders of desire, arousal, orgasm, and pain (... more Sexual dysfunctions in women are classified into disorders of desire, arousal, orgasm, and pain (including dyspareunia and vaginismus). As the psychological treatment procedures differ between these sexual disorders the treatments for each disorder are reviewed separately. To state if a treatment is evidence based we follow the criteria of Chambless and Hollon (1998). In total, 23 controlled studies investigated the effect of a psychological treatment for women with a sexual dysfunction. Only directed masturbation for primary anorgasmia fulfilled the criteria of well established. Orgasm consistency training, coital alignment and cognitive behavior therapy, including sensate focus exercises, are promising approaches in the treatment of hypoactive sexual desire disorder. There are no evidence-based psychological treatments for arousal disorder, but directed masturbation or comparable approaches may be as effective for arousal disorder as they are for orgasm disorders although we await the evidence on this possibility. There are no well-established psychological treatments for dyspareunia and vaginismus; however, cognitive behavior therapy and electromyographic biofeedback training are promising treatment procedures for dyspareunia. Focusing explicitly and systematically on exposure to stimuli feared during penetration appears to be an effective treatment for women with vaginismus. It is concluded that only a few psychological treatments for women's sexual dysfunction are empirically supported and that little is known about which of the treatment components are most effective. Keywords: sexual dysfunctions; hypoactive sexual desire; anorgasmia; sexual pain disorder; women; evidenced-based; psychological treatment
The Journal of Sexual Medicine, Mar 1, 2010
In depressed women, common sexual difficulties include decreased sexual desire, sexual arousal an... more In depressed women, common sexual difficulties include decreased sexual desire, sexual arousal and orgasmic difficulties, reduced sexual satisfaction, and reduced sexual pleasure. Experimental research on the influence of depressed mood on genital and subjective sexual arousal in women is scarce. Aim. To investigate the effects of sad mood on genital and subjective sexual arousal in sexually healthy women, using a mood induction procedure. Method. Thirty-two subjects received a sad mood and a happy mood induction, on two different days, using a within subjects design. The mood induction procedure was a combination of the Velten procedure and music. In the Velten procedure, the subject is asked to read sad or happy self-referent sentences and to experience the mood suggested by these sentences. Immediately following mood induction, the subjects were exposed to an erotic film clip. Main Outcome Measure. Genital arousal was assessed using vaginal photoplethysmography. Self-report ratings of sad and happy mood, subjective sexual arousal and affective reactions were collected before and after the erotic clip. Results. The sad and happy mood ratings indicated that the mood inductions affected mood as intended. No difference in genital sexual arousal was found between the sad and happy mood conditions. Subjects reported significantly less subjective sexual arousal and positive affect and marginally significant fewer genital sensations and more negative affect in the sad mood condition than in the happy mood condition. Conclusions. The results provide empirical support for the idea that mood can impact on subjective sexual arousal in women. ter Kuile MM, Both S, and van Uden J. The effects of experimentally-induced sad and happy mood on sexual arousal in sexually healthy women.
Psycho-oncology, Oct 31, 2016
Biological, physical and clinical aspects of cancer treatment with ionising radiatio
Psycho-oncology, Nov 30, 2013
Cervix cance
Psycho-oncology, Jul 31, 2015
Cervix cance
European journal of cancer care, Jan 24, 2016
Current practices in counselling of female cancer patients with respect to fertility issues need ... more Current practices in counselling of female cancer patients with respect to fertility issues need considerable improvement, particularly given the general underuse of fertility preservation options and the negative impact that infertility can have on quality of life. We investigated the relationship between physicians' and physician-related factors and the frequency of physicians discussing fertility issues and referring to a reproductive specialist. We invited 1,832 physicians in the Netherlands who had treated at least five reproductive-age female cancer patients within the past year to complete a questionnaire. Of the 748 respondents, 406 met our inclusion criteria, and 280 participated. Analysis revealed that 79% of the participants usually or always discuss fertility issues. Specialty, confidence in knowledge regarding fertility issues and a lack of reproductive specialists in their region contributed independently to the variance in the frequency of discussing fertility iss...
Purpose: To improve information provision about fertility preservation (FP) and support informed ... more Purpose: To improve information provision about fertility preservation (FP) and support informed decision making for young breast cancer patients, a decision aid (DA) with explicit values clarification exercise (VCE) was developed. We found that healthy respondents who used the VCE reported less decisional conflict compared to those who did not, but few respondents had used the VCE. The current experiment studies the relation between personality, DA-use and decisional conflict with or without referral to the VCE Method: Healthy participants (n=193) were randomized between information only( VCE-), information+VCE without referral to the VCE (VCE+), or information+VCE with referral to the VCE (VCE++) and were asked to make a hypothetical decision regarding FP. Measures were personality traits (neuroticism, conscientiousness, monitoring, blunting ), DA-use (time spent, pages viewed, VCE-use), decisional conflict (including subscales), and knowledge. Result: More women in VCE++ used the...
Human Reproduction, 2011
Introduction: Increasingly women are waiting to have their children until their mid-to-late thirt... more Introduction: Increasingly women are waiting to have their children until their mid-to-late thirties when they are in fact facing the end of their reproductive lives. Accordingly, more women are finding themselves "involuntarily childless". It has been estimated that 20% of UK women born in 1975 and after will remain childless. Reasons cited for this dramatic shift have included major changes in the social structure of modern society such as increased access to and uptake of contraception, education and work outside the home. However, this group of women are usually described as having postponed motherhood, a phrase that suggests they have intentionally put off having children, despite knowing the risks they incur. This paper which uses both interview and questionnaire data, challenges this notion. It investigates whether woman awareness of their own reproductive function and age related fertility decline in particular is influential in the decision making process. Method: The results incorporate findings from 30 qualitative interviews with childless women aged 28-32 as well as quantitative data from a large-scale survey (1000 +) of childless women from 18-46 years of age. While this survey has collected data from across the globe, only British data will be discussed. This questionnaire was designed to measure the different constructs of the Theory of Planned Behaviour (TPB). This theory emphasises that human behaviours are governed not only by personal attitudes, but also by social pressures and the persons sense of control over the behaviour. Results: Results will be discussed is terms of how a woman's perceived control over her fertility (the affects of age, the success of ARTs), and the social pressure she may (or may not) feel to have children (should she be concentrating on her career, are her friends having children), influences her attitudes towards starting a family. How this changes according to the age of the woman will be of primary concern. Conclusions: This research is the first to try to combine the traditional reasons given for women postponing having children, such as the impact of education and career building, in conjunction with her potentially biased risk perception regarding fertility decline. It is imperative to understand whether women truly understand the affects of age on fertility, when they are making other private and professional live choices. Understanding the phenomenon of older first time mothers in a holistic, multifaceted way, is an important first step in reversing this trend.
Springer eBooks, 2017
Vaginismus is commonly described as a persistent difficulty in allowing vaginal entry of a penis ... more Vaginismus is commonly described as a persistent difficulty in allowing vaginal entry of a penis or other “objects” (e.g., tampons, fingers, speculum), despite the woman’s expressed wish to do so. Lifelong vaginismus is diagnosed when a woman has never been able to have intercourse. The prevalence rates vary between 0.4 and 6.0% in a general population. Research on the etiology of vaginismus is scarce, and no definitive cause has been identified. A fear-avoidance model for vaginismus is described. Gradual exposure therapy is nearly always combined with relaxation instruction. Only a few randomized and controlled effect studies have been conducted until now. The success (intercourse is possible) of these few studies varied greatly. The treatment success of exposure-type treatments is significantly greater than that of therapies that combine multiple treatment techniques.
Bohn Stafleu van Loghum eBooks, 2004
ABSTRACT In dit hoofdstuk wordt een kort overzicht gegeven van de huidige kennis ten aanzien van ... more ABSTRACT In dit hoofdstuk wordt een kort overzicht gegeven van de huidige kennis ten aanzien van prevalentie, diagnostiek en aanpak van chronische pijnklachten in de onderbuik bij vrouwen. Hierbij staat het werken vanuit een cognitief-gedragstherapeutisch kader binnen een multidisciplinair pijnteam centraal.
Cognitive Behaviour Therapy, Aug 12, 2022
PubMed, Sep 21, 1996
Objective: To determine the frequency of sexual difficulties and of sexual and physical abuse. De... more Objective: To determine the frequency of sexual difficulties and of sexual and physical abuse. Design: Descriptive survey study. Setting: Outpatient gynaecology clinic of the University Hospital of Leiden, the Netherlands. Patients and method: During 3 months, December 1994-February 1995, all consecutive new female patients were questioned by the gynaecologist by means of a short standardised questionnaire. Oncology patients and non-Dutch-speaking patients were excluded. Data were analysed with descriptive statistical procedures; relationships among variables were tested with the chi 2 test with Yates' correction or Fisher's exact test. Results: Of 325 patients 34.2% reported sexual difficulties, 15.4% reported sexual abuse and 7.4% physical molestation. Age of the patient and presence or absence of the partner during the consultation were not associated with differences in the patients' reports. 18.8% of the patients with these complaints answered affirmatively when asked if they needed specialised help. Conclusion: Sexual difficulties and sexual and physical abuse were common among gynaecology patients. Less than one-fifth of them required specialised help.
Obstetrical & Gynecological Survey, Feb 1, 1997
Objective: To compare psychologic profiles of women with vulvar vestibulitis and their partners w... more Objective: To compare psychologic profiles of women with vulvar vestibulitis and their partners with a normal population, and to identify sexual dysfunction in women and their partners. Methods: Forty-three women with vulvar vestibulitis and 38 partners, recruited from a gynecology outpatient clinic, completed the Symptom Check List-90, the Short Dutch Version of the Minnesota Multiphasic Personality Inventory, the Maudsley Marital Questionnaire, and the Questionnaire for Screening Sexual Dysfunctions. Results: The women with vulvar vestibulitis scored significantly higher on the somatization and shyness subscales than a normal population. They didn't differ in respect to their current level of psychologic distress, extraversion, risk of psychopathology, and marital satisfaction. Their partners had significantly lower scores for psychopathology than a normal population. They didn't differ from a normal population in respect to their level of psychologic distress, extraversion, shyness, somatization, and marital satisfaction. Women with vulvar vestibulitis reported more frequent problems and higher distress with genital pain, lubrication, sexual arousal, and negative emotions in the sexual interaction with the partner. During masturbation, however, they reported less frequent problems and distress. The partners of these women reported nearly no problems or distress in either sexual situation. Conclusion: Women with vulvar vestibulitis and their partners seem in general to be psychologically healthy, although vulvar vestibulitis may be associated with a situationally defined sexual dysfunction for the women. (Obstet Gynecol 1996;88:65-70) In 1983, the term "vulvodynia" was introduced at the congress of the International Society for the Study of Vulvar Disease, being defined as "chronic vulvar discomfort, characterized by the patient's complaints of burning, stinging, irritation or rawness." Vulvar ves-
Gezinstherapie wereldwijd, Nov 1, 2015
Sexual dysfunctions in women are classified into disorders of desire, arousal, orgasm, and pain (... more Sexual dysfunctions in women are classified into disorders of desire, arousal, orgasm, and pain (including dyspareunia and vaginismus). As the psychological treatment procedures differ between these sexual disorders the treatments for each disorder are reviewed separately. To state if a treatment is evidence based we follow the criteria of Chambless and Hollon (1998). In total, 23 controlled studies investigated the effect of a psychological treatment for women with a sexual dysfunction. Only directed masturbation for primary anorgasmia fulfilled the criteria of well established. Orgasm consistency training, coital alignment and cognitive behavior therapy, including sensate focus exercises, are promising approaches in the treatment of hypoactive sexual desire disorder. There are no evidence-based psychological treatments for arousal disorder, but directed masturbation or comparable approaches may be as effective for arousal disorder as they are for orgasm disorders although we await the evidence on this possibility. There are no well-established psychological treatments for dyspareunia and vaginismus; however, cognitive behavior therapy and electromyographic biofeedback training are promising treatment procedures for dyspareunia. Focusing explicitly and systematically on exposure to stimuli feared during penetration appears to be an effective treatment for women with vaginismus. It is concluded that only a few psychological treatments for women's sexual dysfunction are empirically supported and that little is known about which of the treatment components are most effective. Keywords: sexual dysfunctions; hypoactive sexual desire; anorgasmia; sexual pain disorder; women; evidenced-based; psychological treatment
The Journal of Sexual Medicine, Mar 1, 2010
In depressed women, common sexual difficulties include decreased sexual desire, sexual arousal an... more In depressed women, common sexual difficulties include decreased sexual desire, sexual arousal and orgasmic difficulties, reduced sexual satisfaction, and reduced sexual pleasure. Experimental research on the influence of depressed mood on genital and subjective sexual arousal in women is scarce. Aim. To investigate the effects of sad mood on genital and subjective sexual arousal in sexually healthy women, using a mood induction procedure. Method. Thirty-two subjects received a sad mood and a happy mood induction, on two different days, using a within subjects design. The mood induction procedure was a combination of the Velten procedure and music. In the Velten procedure, the subject is asked to read sad or happy self-referent sentences and to experience the mood suggested by these sentences. Immediately following mood induction, the subjects were exposed to an erotic film clip. Main Outcome Measure. Genital arousal was assessed using vaginal photoplethysmography. Self-report ratings of sad and happy mood, subjective sexual arousal and affective reactions were collected before and after the erotic clip. Results. The sad and happy mood ratings indicated that the mood inductions affected mood as intended. No difference in genital sexual arousal was found between the sad and happy mood conditions. Subjects reported significantly less subjective sexual arousal and positive affect and marginally significant fewer genital sensations and more negative affect in the sad mood condition than in the happy mood condition. Conclusions. The results provide empirical support for the idea that mood can impact on subjective sexual arousal in women. ter Kuile MM, Both S, and van Uden J. The effects of experimentally-induced sad and happy mood on sexual arousal in sexually healthy women.
Psycho-oncology, Oct 31, 2016
Biological, physical and clinical aspects of cancer treatment with ionising radiatio
Psycho-oncology, Nov 30, 2013
Cervix cance
Psycho-oncology, Jul 31, 2015
Cervix cance
European journal of cancer care, Jan 24, 2016
Current practices in counselling of female cancer patients with respect to fertility issues need ... more Current practices in counselling of female cancer patients with respect to fertility issues need considerable improvement, particularly given the general underuse of fertility preservation options and the negative impact that infertility can have on quality of life. We investigated the relationship between physicians' and physician-related factors and the frequency of physicians discussing fertility issues and referring to a reproductive specialist. We invited 1,832 physicians in the Netherlands who had treated at least five reproductive-age female cancer patients within the past year to complete a questionnaire. Of the 748 respondents, 406 met our inclusion criteria, and 280 participated. Analysis revealed that 79% of the participants usually or always discuss fertility issues. Specialty, confidence in knowledge regarding fertility issues and a lack of reproductive specialists in their region contributed independently to the variance in the frequency of discussing fertility iss...
Purpose: To improve information provision about fertility preservation (FP) and support informed ... more Purpose: To improve information provision about fertility preservation (FP) and support informed decision making for young breast cancer patients, a decision aid (DA) with explicit values clarification exercise (VCE) was developed. We found that healthy respondents who used the VCE reported less decisional conflict compared to those who did not, but few respondents had used the VCE. The current experiment studies the relation between personality, DA-use and decisional conflict with or without referral to the VCE Method: Healthy participants (n=193) were randomized between information only( VCE-), information+VCE without referral to the VCE (VCE+), or information+VCE with referral to the VCE (VCE++) and were asked to make a hypothetical decision regarding FP. Measures were personality traits (neuroticism, conscientiousness, monitoring, blunting ), DA-use (time spent, pages viewed, VCE-use), decisional conflict (including subscales), and knowledge. Result: More women in VCE++ used the...
Human Reproduction, 2011
Introduction: Increasingly women are waiting to have their children until their mid-to-late thirt... more Introduction: Increasingly women are waiting to have their children until their mid-to-late thirties when they are in fact facing the end of their reproductive lives. Accordingly, more women are finding themselves "involuntarily childless". It has been estimated that 20% of UK women born in 1975 and after will remain childless. Reasons cited for this dramatic shift have included major changes in the social structure of modern society such as increased access to and uptake of contraception, education and work outside the home. However, this group of women are usually described as having postponed motherhood, a phrase that suggests they have intentionally put off having children, despite knowing the risks they incur. This paper which uses both interview and questionnaire data, challenges this notion. It investigates whether woman awareness of their own reproductive function and age related fertility decline in particular is influential in the decision making process. Method: The results incorporate findings from 30 qualitative interviews with childless women aged 28-32 as well as quantitative data from a large-scale survey (1000 +) of childless women from 18-46 years of age. While this survey has collected data from across the globe, only British data will be discussed. This questionnaire was designed to measure the different constructs of the Theory of Planned Behaviour (TPB). This theory emphasises that human behaviours are governed not only by personal attitudes, but also by social pressures and the persons sense of control over the behaviour. Results: Results will be discussed is terms of how a woman's perceived control over her fertility (the affects of age, the success of ARTs), and the social pressure she may (or may not) feel to have children (should she be concentrating on her career, are her friends having children), influences her attitudes towards starting a family. How this changes according to the age of the woman will be of primary concern. Conclusions: This research is the first to try to combine the traditional reasons given for women postponing having children, such as the impact of education and career building, in conjunction with her potentially biased risk perception regarding fertility decline. It is imperative to understand whether women truly understand the affects of age on fertility, when they are making other private and professional live choices. Understanding the phenomenon of older first time mothers in a holistic, multifaceted way, is an important first step in reversing this trend.