■大量女性患有性功能障碍。认知行为疗法(CBT)是一种心理教育疗法,其主要目的是帮助个体改变其功能失调的信念和行为。我们调查了CBT对育龄妇女性功能的影响。
■本研究是一项系统综述和荟萃分析,其中包括许多数据库(WebofScience,PubMed,Scopus,科克伦图书馆,和Embase)从成立之初到2023年11月进行了搜索。包括研究CBT对女性性功能障碍影响的临床试验。这项研究评估了女性的性功能及其组成部分,包括满意度,不适,润滑,唤醒,高潮,欲望,和自信。我们使用ReviewManager5.3版进行荟萃分析。P值小于0.05被认为具有统计学意义。
■共纳入448例性功能障碍妇女共7篇文献。CBT组参与者的平均年龄为33.43±6.04岁,对照组为33.24±5.97岁,差异无统计学意义。我们的结果表明,CBT在改善女性性功能总分方面是有效的(SMD=1.34,95%CI=(1.02,1.65),I2=86%),性满意度,润滑,欲望,性高潮,与对照组相比,自信。然而,CBT对减轻性疼痛没有积极作用。
■根据目前的研究结果,CBT可以被建议作为一种有效的治疗方法,以及其他有性问题的女性的治疗方法。
UNASSIGNED: A large number of
women suffer from sexual dysfunction. Cognitive behavior therapy (CBT) is a psycho-educational therapy the main purpose of which is to help the individual alter their dysfunctional beliefs and behaviors. We investigated the impact of CBT on reproductive-aged
women\'s sexual function.
UNASSIGNED: The present study is a systematic review and meta-analysis in which a number of databases (Web of Science, PubMed, Scopus, Cochrane Library, and Embase) were searched from inception to November 2023. Clinical trials examining the impact of CBT on female sexual dysfunction were included. This study evaluated female sexual function and its components, including satisfaction, discomfort, lubrication, arousal, climax, desire, and assertiveness. We used Review Manager version 5.3 for performing the meta-analysis. P values less than 0.05 were considered statistically significant.
UNASSIGNED: Seven articles including a total of 448
women with sexual dysfunction were reviewed. The participants\' mean age in the CBT groups was 33.43 ± 6.04 years and that of the control group was 33.24 ± 5.97, which were not significantly different. Our results indicated that CBT is efficient in improving the total score of
women\'s sexual function (SMD = 1.34, 95% CI = (1.02, 1.65), I2 = 86%), sexual satisfaction, lubrication, desire, orgasm, and assertiveness compared with the control group. However, CBT had no positive effect on reducing sexual pain.
UNASSIGNED: Based on the result of the current study, CBT can be suggested as an effective treatment method along with other treatments for
women with sexual problems.