Optale Gabriele, Burigat Stefano, Chittaro Luca, Riva Giuseppe
Male and Female Sexual Dysfunctions Center of the Regione Veneto, ASL3, Mestre-Venezia, Italy.
HCI Lab, Department of Mathematics, Computer Science, and Physics, Università degli Studi di Udine, Udine, Italy.
Sex Med. 2020 Sep;8(3):461-471. doi: 10.1016/j.esxm.2020.05.003. Epub 2020 Jun 18.
Smartphone-delivered healthcare interventions allow patients to access services on demand when needed, improving motivation and compliance. However, the use of mobile health apps has been scarcely explored in sexual medicine.
To evaluate the effects of integrating psychological treatment for premature ejaculation (PE) with a mobile coaching app that offers therapeutic exercises on the patient's smartphone.
This study comprised 35 heterosexual men with primary psychogenic PE (mean age 34 years, standard deviation = 9.15). All patients entered a cycle of 15 sessions of psychodynamic psychotherapy integrating behavioral therapy, each lasting about 45 minutes. The patients were randomly assigned to 2 groups, each of which performed daily homework exercises (physiotherapy exercises for reinforcing the pelvic floor muscles and cognitive exercises for distancing from sexual failure.) The first group (15 patients) received verbal and printed instructions only (treatment as usual-TAU), whereas the second group (17 patients) experienced the exercises with guidance from the mobile app (app). In both groups, the exercises started after the seventh session. Patients were advised to perform the exercises 3 times a day for 3 months.
The primary outcome measures were the Premature Ejaculation Diagnostic Tool and the Premature Ejaculation Profile.
Analysis of the data revealed significant pre-post improvements in Premature Ejaculation Diagnostic Tool and Premature Ejaculation Profile scores for the app group compared with those of the TAU group (P < .01). The frequency of patients with no-PE condition for the app group after treatment was significantly higher than the frequency of patients with no-PE condition for the TAU group (P < .001).
Results suggest that a mobile coaching app performs better than TAU in improving both the behavioral skills of ejaculatory delay and sexual self-confidence within a psychological treatment for PE. Future studies should collect follow-up data and explore the potential of mobile coaching apps in combined pharmacotherapy and psychotherapy interventions. Optale G, Burigat S, Chittaro L. et al. Smartphone-Based Therapeutic Exercises for Men Affected by Premature Ejaculation: A Pilot Study. J Sex Med 2020;8:461-471.
通过智能手机提供的医疗保健干预措施使患者能够在需要时按需获取服务，从而提高积极性和依从性。然而，移动健康应用程序在性医学中的应用却鲜有探索。
评估将早泄（PE）心理治疗与一款在患者智能手机上提供治疗性锻炼的移动指导应用程序相结合的效果。
本研究纳入了35名患有原发性心因性早泄的异性恋男性（平均年龄34岁，标准差=9.15）。所有患者都进入了一个为期15节的将行为疗法与心理动力心理治疗相结合的疗程，每节时长约45分钟。患者被随机分为两组，每组都要进行日常家庭作业练习（加强盆底肌肉的物理治疗练习和避免性失败的认知练习）。第一组（15名患者）仅接受口头和书面指导（常规治疗-TAU），而第二组（17名患者）在移动应用程序（应用程序）的指导下进行练习。两组均在第七节治疗后开始练习。建议患者每天进行3次练习，持续3个月。
主要观察指标为早泄诊断工具和早泄概况。
数据分析显示，与TAU组相比，应用程序组的早泄诊断工具和早泄概况评分在治疗前后有显著改善（P<.01）。治疗后，应用程序组无早泄情况的患者频率显著高于TAU组无早泄情况的患者频率（P<.001）。
结果表明，在早泄心理治疗中，移动指导应用程序在改善射精延迟行为技能和性自信心方面比常规治疗表现更好。未来的研究应收集随访数据，并探索移动指导应用程序在联合药物治疗和心理治疗干预中的潜力。奥塔莱G、布里加特S、基塔罗L等人。基于智能手机的早泄男性治疗性锻炼：一项试点研究。《性医学杂志》2020年；8：461-471。
