Treatment outcome of secondary orgasmic dysfunction: A two- to six-year follow-up

Abstract

Sixty-six women reporting secondary orgasmic dysfunction and their partners, who received one of five group treatment formats, were sent questionnaires 2-6 years later. Thirty-eight of the women and 38 of the male partners responded to the follow-up questionnaires. Women who were not divorced and who did not receive additional treatment after group treatment (n = 28) showed consistent increases across time in their ability to experience orgasm during intercourse, improving from a mean coital orgasmic frequency of 9.5% before treatment to 36.9% at long-term follow-up. Sexual harmony and coital frequency showed similar increases following treatment but had returned to near baseline levels 2-6 years later. Divorced women and women who received additional treatment (n = 10) demonstrated greater declines in sexual harmony over the follow-up period than did their untreated counterparts. The subjects reported generally favorable reactions to treatment and stressed the importance of a treatment focus on communication and relationship skills. Regression analyses suggested the predictive importance of variables associated with the male partner's functioning. The implications of the results for clinical practice and for future research are discussed.

Perspectives of sex therapy outcome: A survey of aasect providers

“…[11][12][13][14] to what occurs in other therapies,'5 it is now known that client relapses and even negative effects are possible and do occur in sex therapy. 16 It should be noted that scientific journals rarely publish studies that do not demonstrate statistically significant positive changes; instances of therapeutic ineffectiveness, or negative effects, typically are not reported.…”

Psychotherapie sexueller Funktions- und Erlebensstörungen

“…Die wenigen Studien zur Stabilität der Behandlungseffekte (3 Jahre und länger) zeigen überwiegend eine langfristige Verbesserung der sexuellen Zufriedenheit und der Paarbeziehung, allerdings überein-stimmend eine Instabilität, teilweise auch (vorübergehende) Verschlechterungen der sexuellen Funktion im engeren Sinne [1,38,40,47]. Die geringe Anzahl der Langzeitstudien lässt eine differenzierte Betrachtung der Effekte auf einzelne Stö-rungsbilder nicht zu.…”

“…Ihre Ergebnisse wurden aber wegen methodischer Schwächen kritisiert. Untersuchungen jüngeren Datums bestätigen jedoch ihre positiven katamnestischen Erhebungen[38,39,40]. Durch Modifikationen und Erweiterungen ist das Verfahren nach Masters und Johnson inzwischen zu einem sehr umfangreichen Konzept angewachsen.…”

Sexual Risk Cognitions Questionnaire: A reliability and validity study

“…A group can provide a desensitization experience in relation to discussing sexual issues, by increasing confidence and communication skills about sexual topics. Group approaches are also thought to be less expensive than individual therapy, although this is questionable when the total assessment time and follow up with individual sessions is considered (Milan et al, 1988).…”