Rullo Jordan E, Sood Richa, Fokken Shawn C, Sood Amit, Frohmader Karla S, Croghan Ivana T, Schroeder Darrell R, Faubion Stephanie S
Menopause and Women's Sexual Health Clinic, Rochester, Minnesota; Department of Clinical Psychology, The University of Utah, Salt Lake City, Utah.
Menopause and Women's Sexual Health Clinic, Rochester, Minnesota; Center for Women's Health, Rochester, Minnesota.
Sex Med. 2021 Aug;9(4):100404. doi: 10.1016/j.esxm.2021.100404. Epub 2021 Jul 16.
Mindfulness is a promising intervention for female sexual dysfunction (FSD); however, of the mindfulness interventions studied, few treat the woman and her partner.
We developed a brief online mindfulness, resilience, and psychoeducation intervention, Stress Management and Resiliency Training for Sexuality (Sex SMART), for women with sexual health concerns and their partners.
Women with female sexual interest/arousal disorder and their partners were recruited between February 24, 2015, and October 6, 2016, and randomized to treatment or control groups (received educational pamphlets). The treatment intervention comprised of an online SMART and sexual health psychoeducation module.
The Female Sexual Function Index (FSFI), Female Sexual Distress Scale-Revised (FSDS-R), Sexual Desire Inventory-2 (SDI-2), Revised Dyadic Adjustment Scale (RDAS), International Index of Erectile Function (IIEF), and other subjective measures were used to assess sexual function and sexual distress at baseline and 12 weeks.
The study included 60 women and their partners (30 couples in each group). In both groups, sexual function by total FSFI scores and sexual distress scores significantly improved at 12 weeks compared with baseline, with no significant between-group differences (FSFI effect estimate for Sex SMART vs control = +1.4 (90% CI [-0.6 to +3.4]; P=.13). Both participants and partners randomized to the intervention reported significantly improved attitude and feelings, comfort as a sexual person, and subjective sexual functioning at 12 weeks. The findings provide preliminary evidence for efficacy of an online intervention for couples with sexual health problems.
A brief online mindfulness, resilience, and psychoeducation-based intervention showed no significant improvement in many outcomes (FSFI, FSDS-R, SDI-2, RDAS) of sexual health versus controls. Although this is the first online randomized controlled trial to evaluate a mindfulness-based therapy intervention, it was limited by its lack of population diversity and high attrition rate. Significant improvements in subjective sexual health and partner sexual function by the International Index of Erectile Function were reported only in the intervention group. Rullo JE, Sood R, Fokken SC, et al. Couples' Use of Online Stress Management and Resiliency Training for Sexual Health Concerns: A Randomized Controlled Trial. Sex Med 2021;9:100404.
正念是一种治疗女性性功能障碍（FSD）的有效干预措施；然而，在已研究的正念干预措施中，很少有针对女性及其伴侣的治疗。
我们为有性健康问题的女性及其伴侣开发了一种简短的在线正念、恢复力和心理教育干预措施，即性健康压力管理与恢复力训练（Sex SMART）。
在2015年2月24日至2016年10月6日期间招募患有女性性兴趣/唤起障碍的女性及其伴侣，并将其随机分为治疗组或对照组（接受教育手册）。治疗干预包括一个在线的SMART和性健康心理教育模块。
使用女性性功能指数（FSFI）、女性性困扰量表修订版（FSDS-R）、性欲量表-2（SDI-2）、二元调适量表修订版（RDAS）、国际勃起功能指数（IIEF）以及其他主观指标，在基线和12周时评估性功能和性困扰。
该研究纳入了60名女性及其伴侣（每组30对夫妻）。在两组中，与基线相比，12周时总FSFI评分的性功能和性困扰评分均显著改善，组间无显著差异（Sex SMART组与对照组的FSFI效应估计值=+1.4（90%CI[-0.6至+3.4]；P=0.13）。随机接受干预的参与者及其伴侣均报告在12周时态度和感受、作为性个体的舒适度以及主观性功能有显著改善。这些发现为针对有性健康问题的夫妻的在线干预的有效性提供了初步证据。
与对照组相比，基于正念、恢复力和心理教育的简短在线干预在性健康的许多结果（FSFI、FSDS-R、SDI-2、RDAS）方面没有显著改善。尽管这是第一项评估基于正念的治疗干预的在线随机对照试验，但其受限于缺乏人群多样性和高失访率。仅干预组报告了国际勃起功能指数在主观性健康和伴侣性功能方面有显著改善。鲁洛JE、苏德R、福肯SC等。夫妻使用在线性健康压力管理与恢复力训练：一项随机对照试验。性医学2021；9：100404。
