Abstract：
Given the complexity of the psychological and biological pathologies associated with sexual dysfunction, which affects at least a third of adult women and men worldwide, a multidisciplinary approach has been advocated.
To assess sexual functioning, relationship satisfaction, and mood stability pre- and post- treatment at the Loyola University Sexual Wellness Program.
Couples attending the 6-week multidisciplinary Sexual Wellness Program provided consent and completed pre- and post- intervention assessments. Linear mixed effects models were used to estimate the mean change from baseline to first follow-up. A covariance matrix was used to account for dependency.
All patients completed self-reported surveys: Dyadic Adjustment Scale, PROMIS Sexual Function and Satisfaction Measures Brief Profile (Patient-Reported Outcomes Measurement Information), and International Index of Erectile Function.
There were 85 respondents: 42 men and 43 women. The mean age was 49.82 years (range, 25-77). The largest improvement was on the total Dyadic Adjustment Scale score, which increased by approximately 5.18 points (95% CI, 2.55-7.81). PROMIS scores for global satisfaction with sex life, erectile function, and interest in sexual activity significantly increased from baseline, while the vaginal discomfort score significantly declined. Overall the score for global satisfaction with sex life increased from baseline by approximately 5.57 points (95% CI, 3.03-8.10). On average, men reported a 4.33-point increase (95% CI, 0.04-8.62) in their International Index of Erectile Function score from baseline.
A multidisciplinary treatment approach focused on the couple positively affects a couple\'s relationship, including global satisfaction with sex life, relationship satisfaction, interest in sexual activity, and erectile function.
This study is one of the few to document the effects of a multidisciplinary treatment approach for both members of a heterosexual couple-male and female. Limitations include the narrow demographics and lack of a control group in our population. Furthermore, this was completed at 1 academic center.
These findings emphasize that multidisciplinary sexual therapy programs aimed at the couple can help address multiple aspects of sexual well-being.
To assess sexual functioning, relationship satisfaction, and mood stability pre- and post- treatment at the Loyola University Sexual Wellness Program.
Couples attending the 6-week multidisciplinary Sexual Wellness Program provided consent and completed pre- and post- intervention assessments. Linear mixed effects models were used to estimate the mean change from baseline to first follow-up. A covariance matrix was used to account for dependency.
All patients completed self-reported surveys: Dyadic Adjustment Scale, PROMIS Sexual Function and Satisfaction Measures Brief Profile (Patient-Reported Outcomes Measurement Information), and International Index of Erectile Function.
There were 85 respondents: 42 men and 43 women. The mean age was 49.82 years (range, 25-77). The largest improvement was on the total Dyadic Adjustment Scale score, which increased by approximately 5.18 points (95% CI, 2.55-7.81). PROMIS scores for global satisfaction with sex life, erectile function, and interest in sexual activity significantly increased from baseline, while the vaginal discomfort score significantly declined. Overall the score for global satisfaction with sex life increased from baseline by approximately 5.57 points (95% CI, 3.03-8.10). On average, men reported a 4.33-point increase (95% CI, 0.04-8.62) in their International Index of Erectile Function score from baseline.
A multidisciplinary treatment approach focused on the couple positively affects a couple\'s relationship, including global satisfaction with sex life, relationship satisfaction, interest in sexual activity, and erectile function.
This study is one of the few to document the effects of a multidisciplinary treatment approach for both members of a heterosexual couple-male and female. Limitations include the narrow demographics and lack of a control group in our population. Furthermore, this was completed at 1 academic center.
These findings emphasize that multidisciplinary sexual therapy programs aimed at the couple can help address multiple aspects of sexual well-being.
摘要：
背景：鉴于与性功能障碍相关的心理和生物学病理的复杂性，这影响了全世界至少三分之一的成年男女，提倡多学科方法。
目的：为了评估性功能，关系满意度，洛约拉大学性健康计划治疗前后的情绪稳定性。
方法：参加为期6周的多学科性健康计划的夫妇同意并完成干预前后的评估。线性混合效应模型用于估计从基线到第一次随访的平均变化。使用协方差矩阵来解释依赖性。
结果：所有患者均完成了自我报告调查：二重调整量表，PROMIS性功能和满意度测量简要简介（患者报告的结果测量信息），和国际勃起功能指数。
结果：有85名受访者：42名男性和43名女性。平均年龄为49.82岁(范围，25-77).最大的改进是总的二元调整量表得分，增加约5.18点（95%CI，2.55-7.81）。全球性生活满意度的PROMIS得分，勃起功能，对性活动的兴趣从基线显著增加，而阴道不适评分明显下降。总体而言，全球性生活满意度得分比基线增加了约5.57分（95％CI，3.03-8.10）。平均而言,男性报告其国际勃起功能指数评分比基线增加4.33分(95%CI,0.04-8.62).
结论：专注于夫妻的多学科治疗方法会积极影响夫妻的关系，包括全球对性生活的满意度，关系满意度，对性活动的兴趣，和勃起功能。
■这项研究是为数不多的记录多学科治疗方法对异性恋夫妇男女成员的影响的研究之一。局限性包括人口统计学狭窄和人口中缺乏对照组。此外，这是在1个学术中心完成的。
结论：这些研究结果强调，针对夫妻的多学科性治疗计划可以帮助解决性生活的多个方面。
目的：为了评估性功能，关系满意度，洛约拉大学性健康计划治疗前后的情绪稳定性。
方法：参加为期6周的多学科性健康计划的夫妇同意并完成干预前后的评估。线性混合效应模型用于估计从基线到第一次随访的平均变化。使用协方差矩阵来解释依赖性。
结果：所有患者均完成了自我报告调查：二重调整量表，PROMIS性功能和满意度测量简要简介（患者报告的结果测量信息），和国际勃起功能指数。
结果：有85名受访者：42名男性和43名女性。平均年龄为49.82岁(范围，25-77).最大的改进是总的二元调整量表得分，增加约5.18点（95%CI，2.55-7.81）。全球性生活满意度的PROMIS得分，勃起功能，对性活动的兴趣从基线显著增加，而阴道不适评分明显下降。总体而言，全球性生活满意度得分比基线增加了约5.57分（95％CI，3.03-8.10）。平均而言,男性报告其国际勃起功能指数评分比基线增加4.33分(95%CI,0.04-8.62).
结论：专注于夫妻的多学科治疗方法会积极影响夫妻的关系，包括全球对性生活的满意度，关系满意度，对性活动的兴趣，和勃起功能。
■这项研究是为数不多的记录多学科治疗方法对异性恋夫妇男女成员的影响的研究之一。局限性包括人口统计学狭窄和人口中缺乏对照组。此外，这是在1个学术中心完成的。
结论：这些研究结果强调，针对夫妻的多学科性治疗计划可以帮助解决性生活的多个方面。
