基于网络的性健康情绪调节训练：随机对照试验

Web-Based Emotion Regulation Training for Sexual Health: Randomized Controlled Trial.

作者信息

Jobim Fischer Vinicius, Rossato Holz Maila, Billieux Joël, Andersson Gerhard, Vögele Claus

机构信息

Institute for Health and Behaviour, Department of Behavioural and Cognitive Sciences, University of Luxembourg, Esch-sur-Alzette, Luxembourg.

Conectare Neuropsi, Porto Alegre, Brazil.

出版信息

JMIR Form Res. 2024 Apr 3;8:e50850. doi: 10.2196/50850.

DOI:10.2196/50850

PMID:38568720

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11024748/

Abstract

BACKGROUND

Effective emotional regulation (ER) skills are important for sexual function, as they impact emotional awareness and expression during sexual activity, and therefore, satisfaction and distress. Emotion regulation interventions may offer a promising approach to improve sexual health. Web-based emotion regulation may be a therapeutic strategy for men and women with sexual health concerns. Nevertheless, there is a scarcity of intervention trials investigating its effects in this context, much less using the internet.

OBJECTIVE

This study aims to investigate the effects of a web-based emotion regulation training program for sexual function in both men and women.

METHODS

The participants were recruited based on their self-reported sexual problems, which for men was defined by a score of <25 on the International Index Erectile Function (IIEF) and for women by a score of <26.55 on the Female Sexual Function Index (FSFI). The final sample included 60 participants who were randomized to either a web-based emotion regulation training for sexual function or to a waitlist control group. The treatment consisted of an 8-week web-based emotion regulation training for sexual function. The participants were assessed at baseline, post intervention, and the 3-month follow-up.

RESULTS

Of the 60 participants included, only 6 completed all 3 assessment points (n=5, 20% in the treatment group and n=1, 5% in the waitlist control group) after receiving the intervention. At follow-up, there were no significant differences between groups in any measure. Among the intervention completers, large-to-moderate within-group effect sizes were observed between the assessment points on measures of emotion regulation, depression, lubrication, orgasm, thoughts of sexual failure, and abuse during sexual activity. The adherence rate was very low, limiting the generalizability of the findings.

CONCLUSIONS

Participants who completed the intervention showed improvements in both sexual function domains and emotion regulation. Nonetheless, due to a high dropout rate, this trial failed to collect sufficient data to allow for any conclusions to be drawn on treatment effects.

TRIAL REGISTRATION

ClinicalTrials.gov NCT04792177; https://clinicaltrials.gov/study/NCT04792177.

摘要

背景

有效的情绪调节（ER）技能对性功能很重要，因为它们会影响性活动中的情绪意识和表达，进而影响满意度和困扰程度。情绪调节干预可能是改善性健康的一种有前景的方法。基于网络的情绪调节可能是一种针对有性健康问题的男性和女性的治疗策略。然而，在这种背景下，缺乏调查其效果的干预试验，更不用说使用互联网的试验了。

目的

本研究旨在调查基于网络的情绪调节训练计划对男性和女性性功能的影响。

方法

根据参与者自我报告的性问题招募参与者，男性的性问题定义为国际勃起功能指数（IIEF）得分<25分，女性的性问题定义为女性性功能指数（FSFI）得分<26.55分。最终样本包括60名参与者，他们被随机分为接受基于网络的性功能情绪调节训练组或等待名单对照组。治疗包括为期8周的基于网络的性功能情绪调节训练。在基线、干预后和3个月随访时对参与者进行评估。

结果

在纳入的60名参与者中，只有6人在接受干预后完成了所有3个评估点（治疗组n = 5，占20%；等待名单对照组n = 1，占5%）。在随访时，两组在任何测量指标上均无显著差异。在干预完成者中，在情绪调节、抑郁、润滑、性高潮、性失败想法和性活动期间的虐待等测量指标的评估点之间观察到组内中到大的效应量。依从率非常低，限制了研究结果的普遍性。