关键词: FSFI emotion regulation internet internet-based intervention psychosexual intervention randomized controlled trial sexual disorder sexual dysfunction sexual health

来  源:   DOI:10.2196/50850   PDF(Pubmed)

Abstract:
BACKGROUND: Effective emotional regulation (ER) skills are important for sexual function, as they impact emotional awareness and expression during sexual activity, and therefore, satisfaction and distress. Emotion regulation interventions may offer a promising approach to improve sexual health. Web-based emotion regulation may be a therapeutic strategy for men and women with sexual health concerns. Nevertheless, there is a scarcity of intervention trials investigating its effects in this context, much less using the internet.
OBJECTIVE: This study aims to investigate the effects of a web-based emotion regulation training program for sexual function in both men and women.
METHODS: The participants were recruited based on their self-reported sexual problems, which for men was defined by a score of <25 on the International Index Erectile Function (IIEF) and for women by a score of <26.55 on the Female Sexual Function Index (FSFI). The final sample included 60 participants who were randomized to either a web-based emotion regulation training for sexual function or to a waitlist control group. The treatment consisted of an 8-week web-based emotion regulation training for sexual function. The participants were assessed at baseline, post intervention, and the 3-month follow-up.
RESULTS: Of the 60 participants included, only 6 completed all 3 assessment points (n=5, 20% in the treatment group and n=1, 5% in the waitlist control group) after receiving the intervention. At follow-up, there were no significant differences between groups in any measure. Among the intervention completers, large-to-moderate within-group effect sizes were observed between the assessment points on measures of emotion regulation, depression, lubrication, orgasm, thoughts of sexual failure, and abuse during sexual activity. The adherence rate was very low, limiting the generalizability of the findings.
CONCLUSIONS: Participants who completed the intervention showed improvements in both sexual function domains and emotion regulation. Nonetheless, due to a high dropout rate, this trial failed to collect sufficient data to allow for any conclusions to be drawn on treatment effects.
BACKGROUND: ClinicalTrials.gov NCT04792177; https://clinicaltrials.gov/study/NCT04792177.
摘要:
背景:有效的情绪调节(ER)技能对于性功能很重要,因为它们会影响性活动中的情感意识和表达,因此,满意和苦恼。情绪调节干预措施可能为改善性健康提供有希望的方法。基于网络的情绪调节可能是有性健康问题的男性和女性的治疗策略。然而,在这种情况下,缺乏调查其效果的干预试验,更不用说使用互联网了。
目的:本研究旨在调查基于网络的情绪调节训练计划对男性和女性性功能的影响。
方法:根据自我报告的性问题招募参与者,对于男性,国际勃起功能指数(IIEF)得分为<25分,对于女性,女性性功能指数(FSFI)得分为<26.55分。最终样本包括60名参与者,他们被随机分配到基于网络的情绪调节训练中进行性功能训练或等待名单对照组。治疗包括为期8周的基于网络的性功能情绪调节训练。参与者在基线时进行评估,干预后,和3个月的随访。
结果:在60名参与者中,在接受干预后,只有6个完成了所有3个评估点(治疗组n=5,20%,等待名单对照组n=1,5%).在后续行动中,在任何测量方面,组间均无显著差异.在干预完成者中,在情绪调节指标的评估点之间观察到大到中等的组内效应大小,抑郁症,润滑,性高潮,性失败的想法,性活动期间的虐待。依从率很低,限制了调查结果的普遍性。
结论:完成干预的参与者在性功能领域和情绪调节方面均有改善。尽管如此,由于辍学率高,该试验未能收集到足够的数据,从而得出关于治疗效果的任何结论.
背景:ClinicalTrials.govNCT04792177;https://clinicaltrials.gov/study/NCT04792177。
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