关键词: biopsychosocial female sexual dysfunction male sexual dysfunction mindfulness psychological treatment sexual therapy

来  源:   DOI:10.1093/sexmed/qfad033   PDF(Pubmed)

Abstract:
UNASSIGNED: Mindfulness facets can be trained with structured mindfulness interventions, but little is known regarding application on a broader level within sex therapy (e.g. men, partners and different sexual dysfunctions).
UNASSIGNED: To evaluate the feasibility and preliminary efficacy of an 8-week intervention-specifically, mindfulness for sex and intimacy in relationships (MSIR)-as a supplement to treatment as usual (TAU) as compared with only TAU in a clinical sample of men and women referred for sexual difficulties with or without a partner.
UNASSIGNED: In this randomized controlled feasibility pilot study, 34 participants were randomized to MSIR + TAU (n = 15) or TAU (n = 19). Six healthy partners were also included in the study. MSIR was administered as 2 individual evaluations and six 2-hour group sessions of mixed gender and different types of sexual dysfunction.
UNASSIGNED: The primary outcome measures were as follows: (1) feasibility, defined as the implementation of recruitment, acceptance, and attendance of intervention in daily clinical practice and the MSIR completion rate; (2) sexual functioning, as measured on a visual analog scale (\"bothered by problem\") and by validated questionnaires (Changes in Sexual Function Questionnaire for Females and Males, Female Sexual Function Index, Female Sexual Distress Scale, International Index of Erectile Function).
UNASSIGNED: MSIR was feasible and well received by patients, with high rates of acceptance and intervention completion. As compared with pretreatment, the MSIR + TAU group and TAU control group were significantly less bothered by their sexual problems at the end of treatment, but the change was significantly larger in the MSIR + TAU group (P = .04). Participants in the MSIR + TAU group did not receive fewer TAU sessions than the TAU group (MSIR + TAU mean, 6 sessions; TAU mean, 8 sessions).
UNASSIGNED: MSIR could be effectively used in a clinical setting as an add-on to TAU in the treatment of female and male sexual dysfunction and healthy partners.
UNASSIGNED: The major strength of the study is that it is a randomized controlled study. This study is novel in the sense that it included men and women with different types of sexual dysfunction in the same mindfulness group. Limitations include the pilot nature of the study (e.g. a small sample size), and statistical conclusions should be made with caution. More accurate results may be found in a larger sample.
UNASSIGNED: Results from this study support already existing evidence that mindfulness-based interventions are feasible and effective for targeting sexual dysfunctions in men and women.
摘要:
正念方面可以通过结构化的正念干预来训练,但对于性治疗中更广泛的应用知之甚少(例如,男性,伴侣和不同的性功能障碍)。
为了评估为期8周的干预措施的可行性和初步疗效,对于性和亲密关系(MSIR)的正念-作为常规治疗(TAU)的补充,而在有或没有伴侣的男性和女性的临床样本中,仅与TAU相比。
在这项随机对照可行性研究中,34名参与者被随机分配到MSIR+TAU(n=15)或TAU(n=19)。该研究还包括六个健康伴侣。MSIR作为2个个体评估和6个2小时的混合性别和不同类型的性功能障碍的小组会议进行。
主要结果指标如下:(1)可行性,定义为实施招聘,接受,和参与日常临床实践和MSIR完成率的干预;(2)性功能,根据视觉模拟量表(“受问题困扰”)和经过验证的问卷(女性和男性性功能问卷的变化,女性性功能指数,女性性困扰量表,国际勃起功能指数)。
MSIR是可行的,并且受到患者的好评,接受和干预完成率高。与预处理相比,MSIR+TAU组和TAU对照组在治疗结束时受到性问题的困扰明显较少,但MSIR+TAU组的变化明显更大(P=.04).MSIR+TAU组的参与者没有收到比TAU组少的TAU会话(MSIR+TAU意味着,6个会议;TAU是指,8个会议)。
MSIR可以有效地用于临床,作为TAU的附加药物,用于治疗女性和男性性功能障碍和健康伴侣。
这项研究的主要优势在于它是一项随机对照研究。这项研究是新颖的,因为它包括同一正念组中具有不同类型性功能障碍的男性和女性。局限性包括研究的试点性质(例如样本量小),统计结论要谨慎。在更大的样品中可以发现更准确的结果。
这项研究的结果支持现有的证据,表明基于正念的干预措施对于针对男性和女性的性功能障碍是可行和有效的。
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