Milan R J, Kilmann P R, Boland J P
Department of Psychology, University of South Carolina, Columbia 29208.
Arch Sex Behav. 1988 Dec;17(6):463-80. doi: 10.1007/BF01542336.
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.
66名自述存在继发性性高潮功能障碍的女性及其伴侣接受了五种团体治疗形式之一的治疗，2至6年后，他们收到了问卷调查。38名女性和38名男性伴侣回复了随访问卷。未离婚且在团体治疗后未接受额外治疗的女性（n = 28）在性交过程中体验性高潮的能力随时间持续提高，从治疗前平均性交性高潮频率9.5%提高到长期随访时的36.9%。治疗后，性和谐度和性交频率也有类似提高，但在2至6年后已恢复到接近基线水平。离婚女性和接受额外治疗的女性（n = 10）在随访期间的性和谐度下降幅度比未接受治疗的女性更大。受试者普遍对治疗反应良好，并强调治疗关注沟通和关系技巧的重要性。回归分析表明与男性伴侣功能相关变量的预测重要性。本文讨论了研究结果对临床实践和未来研究的意义。
