Kilmann P R, Milan R J, Boland J P, Mills K H, Caid C, Davidson E, Bella B, Wanlass R, Sullivan J, Montgomery B
J Sex Marital Ther. 1987 Summer;13(2):93-105. doi: 10.1080/00926238708403882.
This study investigated the impact of group treatment on women with secondary orgasmic dysfunction and their partners. Eleven couples received 4 hours of basic sex education, after which seven of the couples received a Combination treatment format consisting of communication skills followed by sexual skills, while four of the couples received the opposite sequence. No significant differences were found between the two sequences. When compared with similarly recruited control couples in a previous study, a significantly greater number of treated women reached or exceeded the 50% criterion for coital orgasmic functioning after treatment. Couples who reported a better relationship adjustment prior to treatment reported a significantly greater gain in total sexual harmony than did less adjusted couples. Across the treatment conditions, women who had reached coital orgasm prior to treatment reported a significantly greater increase in relationship adjustment between the post-sex education and 6-month follow-up testing periods than women who had never reached coital orgasm. Some discrepancies in outcome were found in comparison with our earlier study, suggesting that subject heterogeneity may influence differential outcomes.
本研究调查了团体治疗对继发性性高潮功能障碍女性及其伴侣的影响。11对夫妇接受了4小时的基础性教育,之后,其中7对夫妇接受了由沟通技巧训练和性技巧训练组成的联合治疗模式,且先进行沟通技巧训练,后进行性技巧训练;而另外4对夫妇接受的训练顺序相反。两种顺序之间未发现显著差异。与之前一项研究中招募的类似对照夫妇相比,接受治疗的女性在治疗后达到或超过性交性高潮功能50%标准的人数显著更多。在治疗前报告关系调适较好的夫妇,与调适较差的夫妇相比,在总性和谐方面的改善显著更大。在所有治疗条件下,治疗前达到性交性高潮的女性在性教育后至6个月随访测试期间,与从未达到性交性高潮的女性相比,在关系调适方面的改善显著更大。与我们早期的研究相比,在结果上发现了一些差异,这表明受试者的异质性可能会影响不同的结果。