a Department of Psychology , Willamette University.
J Sex Res. 2017 Sep;54(7):832-849. doi: 10.1080/00224499.2017.1331199. Epub 2017 Jun 15.
Mindfulness-based therapy (MBT) represents a potentially efficacious treatment for female sexual dysfunction (FSD). A number of recent trials assessing MBT for FSD have been published, but we are aware of no existing meta-analysis synthesizing these results. We conducted a literature review to identify all published trials of MBT for FSD. References of retrieved studies were searched and key authors were contacted with requests for complete but unpublished trials. Eleven trials, including a total of 449 participants, were identified. Two of these studies were under review at the time of the current analyses. Four trials utilized wait-list controls. All aspects of sexual function and subjective sexual well-being exhibited significant improvement during MBT, with effect sizes generally moderate. Controlled effect sizes versus wait list were of similar magnitude in most cases; however, they did not reach statistical significance for multiple outcome measures. Results for some outcomes were consistent with possible publication bias. For some outcomes, larger effect sizes tended to be reported in studies requiring participants to be in a romantic relationship or studies providing individual (versus group) therapy. MBT may be an efficacious intervention for FSD. However, important limitations of the current literature and future directions for research are discussed.
基于正念的疗法（MBT）是一种治疗女性性功能障碍（FSD）的有效方法。最近有许多评估 MBT 治疗 FSD 的试验已经发表，但我们没有发现对这些结果进行综合分析的现有荟萃分析。我们进行了文献回顾，以确定所有关于 MBT 治疗 FSD 的已发表试验。检索到的研究的参考文献被搜索，并且联系了主要作者，要求提供完整但未发表的试验。确定了 11 项试验，共有 449 名参与者。其中两项研究正在进行当前分析。四项试验使用了等待名单对照。在 MBT 期间，所有方面的性功能和主观性幸福感都有显著改善，效果大小通常适中。在大多数情况下，与等待名单相比，对照效果大小相似；然而，对于多个结果测量，它们没有达到统计学意义。一些结果的结果与可能的发表偏倚一致。对于一些结果，需要参与者处于恋爱关系或提供个体（而非团体）治疗的研究报告的效果大小往往更大。MBT 可能是治疗 FSD 的有效干预措施。然而，讨论了当前文献的重要局限性和未来的研究方向。
