Department of Behavioural Sciences and Learning, Linköping University, Sweden.
J Sex Med. 2011 Oct;8(10):2800-9. doi: 10.1111/j.1743-6109.2011.02391.x. Epub 2011 Jul 28.
Men with erectile dysfunction are often worried about their condition, have interpersonal difficulties, and have a reduced quality of life. Internet-delivered cognitive behavior therapy (ICBT) has been shown effective for a number of health problems but evidence is limited concerning the treatment of erectile dysfunction.
The study investigated the effects of ICBT for erectile dysfunction.
Seventy-eight men were included in the study and randomized to either ICBT or to a control group, which was an online discussion group. Treatment consisted of a 7-week Web-based program with e-mail-based therapist support. Each therapist spent an average of 55 minutes per participant.
The International Index of Erectile Functioning five-item version was administered via the telephone at pretreatment, post-treatment, and 6 months after receiving ICBT.
At post-treatment, the treatment group had significantly greater improvements with regard to erectile performance compared with the control group. Between-group differences at post-treatment were small (d = 0.1), but increased at the 6-month follow-up (d = 0.88).
This study provides support for the use of ICBT as a possible treatment format for erectile dysfunction.
患有勃起功能障碍的男性通常会担心自己的病情，会有人际关系方面的困难，生活质量也会降低。互联网为基础的认知行为疗法（ICBT）已经被证明对许多健康问题有效，但关于勃起功能障碍的治疗，证据有限。
本研究调查了 ICBT 对勃起功能障碍的治疗效果。
本研究共纳入 78 名男性，随机分为 ICBT 组或对照组（在线讨论组）。治疗包括为期 7 周的基于网络的方案，并辅以基于电子邮件的治疗师支持。每位治疗师平均为每位参与者提供 55 分钟的支持。
采用电话方式在治疗前、治疗后和接受 ICBT 治疗 6 个月后，对国际勃起功能指数五分量表进行评估。
治疗后，治疗组在勃起功能方面的改善明显优于对照组。治疗后组间差异较小（d = 0.1），但在 6 个月随访时增加（d = 0.88）。
本研究为 ICBT 作为勃起功能障碍的一种可能治疗方法提供了支持。
