Bouchard Katrina N, Bergeron Sophie, Rosen Natalie O
Department of Psychology and Neuroscience, Dalhousie University.
Department of Psychology, Université de Montréal.
J Sex Res. 2025 May-Jun;62(5):765-775. doi: 10.1080/00224499.2024.2333477. Epub 2024 Apr 9.
Female sexual interest/arousal disorder (SIAD) is strongly influenced by interpersonal factors; however, there are no empirically-supported, couple-based sex therapy interventions for this disorder. This pre-registered study tested the feasibility of a cognitive-behavioral couple therapy (CBCT) intervention for SIAD. A sample of 19 couples in which a female partner was diagnosed with SIAD completed a 16-session CBCT intervention delivered online by therapists with PhD-level training in clinical psychology. Women with SIAD ( = 43.47, = 12.76) and their partners ( = 43.74, = 11.68) were in long-term relationships ( = 13.86, = 9.15). The CBCT sessions were video recorded and independently coded for treatment manual adherence and therapists reported on the completion of in-session and homework exercises. Participants completed measures of treatment satisfaction following the intervention as well as dyadic sexual desire (women with SIAD only) and sexual distress prior to treatment, post-treatment, and at 6 months follow-up. The therapists exhibited a high level of adherence to the treatment manual and couples had high rates of homework completion. Moreover, couples had low dropout rates, high attendance rates, and reported moderately high global treatment satisfaction and high satisfaction with virtual care. Women with SIAD reported large improvements in dyadic sexual desire and sexual distress from pre-treatment to post-treatment and pre-treatment to 6-month follow-up. Partners reported moderate and small improvements in sexual distress for post-treatment and 6-month follow-up, respectively. Results support the feasibility of an evidence-based CBCT intervention for SIAD and the need for a randomized clinical trial of the intervention.
女性性兴趣/唤起障碍（SIAD）受人际因素的影响很大；然而，对于这种障碍，目前尚无基于实证支持的、针对伴侣的性治疗干预措施。这项预先注册的研究测试了认知行为伴侣疗法（CBCT）对SIAD干预的可行性。19对夫妻组成的样本中，女性伴侣被诊断为SIAD，他们完成了由具有临床心理学博士水平培训的治疗师在线提供的为期16节的CBCT干预。患有SIAD的女性（=43.47，=12.76）及其伴侣（=43.74，=11.68）处于长期关系中（=13.86，=9.15）。CBCT课程进行了视频录制，并独立编码以评估对治疗手册的依从性，治疗师报告了课程内和家庭作业练习的完成情况。参与者在干预后完成了治疗满意度测量，以及在治疗前、治疗后和6个月随访时测量了二元性欲（仅针对患有SIAD的女性）和性困扰。治疗师对治疗手册的依从性很高，夫妻完成家庭作业的比例也很高。此外，夫妻的退出率低，出勤率高，报告的总体治疗满意度中等偏高，对虚拟护理的满意度也很高。患有SIAD的女性报告说，从治疗前到治疗后以及从治疗前到6个月随访，二元性欲和性困扰有了很大改善。伴侣报告说，治疗后和6个月随访时，性困扰分别有中度和轻度改善。结果支持了基于证据的CBCT干预对SIAD的可行性，以及对该干预进行随机临床试验的必要性。
