Jąderek Izabela, Obarska Katarzyna, Lew-Starowicz Michał
Department of Psychiatry, Centre of Postgraduate Medical Education, Warsaw 01-813, Poland.
Institute of Psychology, Polish Academy of Sciences, Warsaw 00-378, Poland.
Sex Med. 2023 Jun 5;11(3):qfad022. doi: 10.1093/sexmed/qfad022. eCollection 2023 Jun.
Mindfulness-based therapies (MBTs) are frequently used in the treatment of sexual dysfunctions. So far, there has not been sufficient evidence for the effectiveness of interventions based on mindfulness monotherapy.
The aim of the study was to assess the effect of mindfulness monotherapy on the reduction of sexual dysfunction symptoms and sex-related quality of life.
We conducted 4 weeks of MBT for 2 groups of heterosexual females: 1 with psychogenic sexual dysfunction (WSD) and 1 with no sexual dysfunction (NSD). Overall 93 women were recruited for the study. We collected data via an online survey regarding sexual satisfaction, sexual dysfunctions, and mindfulness-related features at baseline, 1 week after MBT, and follow-up 12 weeks after MBT. Research tools included the Female Sexual Function Index, Five Facet Mindfulness Questionnaire, and Sexual Satisfaction Questionnaire.
Participating in the mindfulness program had a positive effect on women with and without sexual dysfunction.
The overall risk for sexual dysfunction decreased from 90.6% at baseline to 46.7% at follow-up in the WSD group and from 32.5% at baseline to 6.9% at follow-up in the NSD group. Participants in the WSD group reported a significant increase in levels of sexual desire, arousal, lubrication, and orgasm between measurements, although not in the pain domain. Participants in the NSD group reported a significant increase in the level of sexual desire between measurements but not in levels of arousal, lubrication, orgasm, and pain. A significant increase in sex-related quality of life was observed in both groups.
The results of the study have a chance to translate into an introduction of a new therapeutic program for specialists and more effective help offered to women experiencing sexual dysfunctions.
This mindfulness monotherapy research project, which included assessment of meditation "homework," is the first to verify the potential of MBT in reducing symptoms of psychogenic sexual dysfunctions among heterosexual females. Major limitations include the lack of randomization, an adequate control group, and a validated measure of sexual distress.
The applied training was beneficial in the treatment of sexual dysfunctions in terms of increasing desire and arousal as well as the ability to reach orgasm. However, this approach needs more investigation before it can be recommended in the treatment of sexual dysfunction. The study should be replicated under a more rigorous research design, including adequate control groups and random allocation of participants to study conditions.
基于正念的疗法（MBTs）常用于治疗性功能障碍。到目前为止，尚无充分证据证明基于正念单一疗法的干预措施的有效性。
本研究旨在评估正念单一疗法对减少性功能障碍症状和与性相关生活质量的影响。
我们对两组异性恋女性进行了为期4周的正念疗法：一组患有心因性性功能障碍（WSD），另一组没有性功能障碍（NSD）。总共招募了93名女性参与研究。我们通过在线调查收集了基线、正念疗法后1周以及正念疗法后12周随访时有关性满意度、性功能障碍和正念相关特征的数据。研究工具包括女性性功能指数、五因素正念问卷和性满意度问卷。
参与正念项目对有和没有性功能障碍的女性都有积极影响。
WSD组性功能障碍的总体风险从基线时的90.6%降至随访时的46.7%，NSD组从基线时的32.5%降至随访时的6.9%。WSD组的参与者报告说，在各次测量之间，性欲、性唤起、润滑和性高潮水平有显著提高，不过在疼痛方面没有。NSD组的参与者报告说，在各次测量之间性欲水平有显著提高，但在性唤起、润滑、性高潮和疼痛方面没有。两组与性相关的生活质量均有显著提高。
该研究结果有可能转化为为专业人员引入一种新的治疗方案，并为有性功能障碍的女性提供更有效的帮助。
这个正念单一疗法研究项目，包括对冥想“家庭作业”的评估，是第一个验证正念疗法在减少异性恋女性心因性性功能障碍症状方面潜力的项目。主要局限性包括缺乏随机分组、适当的对照组以及经过验证的性困扰测量方法。
所应用的训练在增加性欲、性唤起以及达到性高潮的能力方面对性功能障碍的治疗有益。然而，在推荐将这种方法用于性功能障碍治疗之前，还需要更多的研究。该研究应在更严格的研究设计下重复进行，包括适当的对照组以及将参与者随机分配到研究条件中。
