The Significance of Primary Incompatible Schema Differentiation in Women with Primary and Secondary Vaginismus Compared to Healthy Controls: A Comparative Analysis

Vaginismus, a prevalent female sexual dysfunction, profoundly impacts intimacy and relationships. This study, involving 1912 married women, explores the significance of primary maladaptive schemas in distinguishing primary and secondary vaginismus from healthy individuals. Utilizing the Young Schema Questionnaire Short Form (YSQ-SF) and SPSS 22, we identified significant differences in primary schemas among the groups (p < 0.01). Notably, secondary vaginismus exhibited elevated scores in emotional deprivation, mistrust/abuse, abandonment, defectiveness, shame, failure, dependence, vulnerability, self-sacrifice, and emotional inhibition schemas. These findings underscore the pivotal role of evaluating these schemas in diagnostics to tailor sexual dysfunction treatments effectively.