Challenges in Designing Psychological Treatment Studies for Sexual Dysfunction

Brotto, Lori A.; Basson, Rosemary; Chivers, Meredith L.; Graham, Cynthia A.; Pollock, Phil; Stephenson, Kyle R.

doi:10.1080/0092623x.2016.1212294

Cited by 17 publications

(7 citation statements)

References 42 publications

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“…Future controlled trials might benefit from including a control group that does not encourage sexual communication and an intervention group that specifically teaches healthy communication skills. 29 Despite no statistically significant findings with the abovementioned validated measures, women with sexual health concerns randomized to the Sex SMART intervention reported significantly improved sexual attitudes and feelings, increased comfort as a sexual person, and increased sexual functioning compared with the control group. Additionally, male partners randomized to the intervention group reported significant improvements in EF, as indicated on the IIEF.…”

Section: Discussionmentioning

confidence: 84%

Section: Discussionmentioning

confidence: 99%

“…Only one study to date 19 has included the woman's partner, yet the existing literature supports that couple's sexual health interventions are superior to individual interventions for FSD. 28 , 29 A recent meta-analysis of MBT for the treatment of FSD reported that participants currently in a romantic relationship had greater sexual-function benefit from MBT than those not in a current romantic relationship. 30 Further, lack of higher quality trials is another limitation of existing studies, with only 2 RCTs investigating MBT for sexual dysfunction.…”

Section: Introductionmentioning

confidence: 99%

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Couples’ Use of Online Stress Management and Resiliency Training for Sexual Health Concerns: A Randomized Controlled Trial

Rullo

Sood²,

Fokken

et al. 2021

Sexual Medicine

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Introduction: Mindfulness is a promising intervention for female sexual dysfunction (FSD); however, of the mindfulness interventions studied, few treat the woman and her partner. Aim: We developed a brief online mindfulness, resilience, and psychoeducation intervention, Stress Management and Resiliency Training for Sexuality (Sex SMART), for women with sexual health concerns and their partners. Methods: Women with female sexual interest/arousal disorder and their partners were recruited between February 24, 2015, and October 6, 2016, and randomized to treatment or control groups (received educational pamphlets). The treatment intervention comprised of an online SMART and sexual health psychoeducation module. Main Outcome Measures: The Female Sexual Function Index (FSFI), Female Sexual Distress Scale-Revised (FSDS-R), Sexual Desire Inventory-2 (SDI-2), Revised Dyadic Adjustment Scale (RDAS), International Index of Erectile Function (IIEF), and other subjective measures were used to assess sexual function and sexual distress at baseline and 12 weeks. Results: The study included 60 women and their partners (30 couples in each group). In both groups, sexual function by total FSFI scores and sexual distress scores significantly improved at 12 weeks compared with baseline, with no significant between-group differences (FSFI effect estimate for Sex SMART vs control = +1.4 (90% CI [−0.6 to +3.4]; P=.13). Both participants and partners randomized to the intervention reported significantly improved attitude and feelings, comfort as a sexual person, and subjective sexual functioning at 12 weeks. The findings provide preliminary evidence for efficacy of an online intervention for couples with sexual health problems. Conclusions: A brief online mindfulness, resilience, and psychoeducation−based intervention showed no significant improvement in many outcomes (FSFI, FSDS-R, SDI-2, RDAS) of sexual health versus controls. Although this is the first online randomized controlled trial to evaluate a mindfulness-based therapy intervention, it was limited by its lack of population diversity and high attrition rate. Significant improvements in subjective sexual health and partner sexual function by the International Index of Erectile Function were reported only in the intervention group. Rullo JE, Sood R, Fokken SC, et al. Couples' Use of Online Stress Management and Resiliency Training for Sexual Health Concerns: A Randomized Controlled Trial. Sex Med 2021;XX:XX −XXX.

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Section: Discussionmentioning

confidence: 84%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Couples’ Use of Online Stress Management and Resiliency Training for Sexual Health Concerns: A Randomized Controlled Trial

Rullo

Sood²,

Fokken

et al. 2021

Sexual Medicine

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“…As later noted by Balon and Segraves (2016), and by ourselves in our initial commentary (Brotto et al, 2016), individualized treatment may be a meaningful way forward, recognizing the idiosyncratic factors that make treatments more or less beneficial for certain individuals. In medicine, individualized treatment considers factors like genetic complement, that is, whether the individual possesses certain genotypes associated with a disorder.…”

mentioning

confidence: 99%

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We were grateful to receive responses from Leonore Tiefer, Anita Clayton and Robert Pyke, and Richard Balon and Robert Segraves, to our commentary (Brotto et al, 2016) on Pyke and Clayton (2015). These commentaries raise a number of substantive statistical and epistemological issues relating to the evaluation of treatment efficacy in pharmaceutical, psychological, and combination treatments for sexual desire difficulties, and caution researchers to remain mindful of sources of bias as we do the science.

…”

mentioning

confidence: 99%

Statistical and Epistemological Issues in the Evaluation of Treatment Efficacy of Pharmaceutical, Psychological, and Combination Treatments for Women's Sexual Desire Difficulties

Chivers

Basson

Brotto

et al. 2016

Journal of Sex & Marital Therapy

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We were grateful to receive responses from Leonore Tiefer, Anita Clayton and Robert Pyke, and Richard Balon and Robert Segraves, to our commentary (Brotto et al., 2016) on Pyke and Clayton (2015). These commentaries raise a number of substantive statistical and epistemological issues relating to the evaluation of treatment efficacy in pharmaceutical, psychological, and combination treatments for sexual desire difficulties, and caution researchers to remain mindful of sources of bias as we do the science. In what follows, we discuss each of these issues in turn in hopes of encouraging our field to adopt the highest possible standards when carrying out and interpreting treatment outcome research.

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Sexual Dysfunctions and Paraphilic Disorders

2018

Adult Psychopathology and Diagnosis, Eighth Edition

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Challenges in Designing Psychological Treatment Studies for Sexual Dysfunction

Cited by 17 publications

References 42 publications

Couples’ Use of Online Stress Management and Resiliency Training for Sexual Health Concerns: A Randomized Controlled Trial

Couples’ Use of Online Stress Management and Resiliency Training for Sexual Health Concerns: A Randomized Controlled Trial

Statistical and Epistemological Issues in the Evaluation of Treatment Efficacy of Pharmaceutical, Psychological, and Combination Treatments for Women's Sexual Desire Difficulties

Sexual Dysfunctions and Paraphilic Disorders

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