Graduate Program in Psychology, Human Science, Federal University of Paraná (UFPR), Curitiba, Brazil.
Graduate Program in Psychology, School of Health and Life Sciences, Pontifical Catholic University of Rio Grande do Sul (PUCRS), Porto Alegre, Brazil.
J Sex Med. 2024 Oct 31;21(11):1064-1075. doi: 10.1093/jsxmed/qdae108.
Mindfulness-based cognitive therapy (MBCT) includes regular home practice of mindfulness exercises as a key means of cultivating mindfulness. Although there are instruments available for measuring homework adherence following cognitive behavioral therapy (CBT), little is known about measuring homework practice in MBCT studies for sexual dysfunction.
In this review we sought to investigate which items and instruments are the most used for the assessment of homework adherence in studies evaluating MBCT for the treatment of female sexual dysfunction (FSD). We also investigated the types of homework used in these interventions.
Five databases (PubMed, Scopus, PsycINFO, Embase, and Web of Science) were searched and a total of 30 articles were included in this review.
Our main findings revealed that there was no gold standard instrument used to assess homework adherence in patients using MBCT interventions for FSD, and that most of the reported studies did not provide information on how they assess homework adherence.
Six of the 9 studies for which the articles reported how homework was assessed used only ad hoc measures. Only 3 studies used psychometrically validated instruments. We also found that mindfulness, psychoeducation, and CBT exercises were the most prescribed homework.
This review uniquely integrates homework adherence measures with studies on FSD that evaluate mindfulness, finding no gold standard for assessing adherence. However, limitations including both MBCT and CBT interventions, limiting generalization to MBCT alone, the predominance of Western-based studies, and the lack of reporting on instruments used to assess adherence, indicating a gap in the field.
Further studies should consider adapting existing instruments that assess homework adherence in studies of CBT for other psychopathologies or seek to develop new psychometrically validated instruments for MBCT interventions that assess homework adherence.
正念认知疗法（MBCT）包括定期在家进行正念练习，这是培养正念的关键手段。虽然有用于衡量认知行为疗法（CBT）后家庭作业依从性的工具，但在评估正念认知疗法治疗性功能障碍的研究中，用于衡量家庭作业实践的方法知之甚少。
在本综述中，我们旨在调查评估正念认知疗法治疗女性性功能障碍（FSD）的研究中，用于评估家庭作业依从性的最常用项目和工具。我们还调查了这些干预措施中使用的家庭作业类型。
我们在五个数据库（PubMed、Scopus、PsycINFO、Embase 和 Web of Science）中进行了搜索，共有 30 篇文章被纳入本综述。
我们的主要发现表明，没有用于评估接受正念认知疗法干预治疗 FSD 的患者家庭作业依从性的金标准工具，并且大多数报告的研究没有提供有关如何评估家庭作业依从性的信息。
有 6 项研究报告了如何评估家庭作业，其中 9 项研究仅使用特定措施。只有 3 项研究使用了经过心理测量验证的工具。我们还发现，正念、心理教育和 CBT 练习是最常规定的家庭作业。
本综述独特地将家庭作业依从性措施与评估正念的 FSD 研究相结合，发现没有评估依从性的金标准。然而，存在一些局限性，包括 MBCT 和 CBT 干预措施，限制了对 MBCT 单独的推广，基于西方的研究占主导地位，以及缺乏用于评估依从性的工具的报告，这表明该领域存在空白。
进一步的研究应考虑在评估其他精神病理学的 CBT 研究中使用现有的评估家庭作业依从性的工具，或寻求开发新的心理测量验证工具，以评估正念认知疗法干预的家庭作业依从性。
