Barnes J, Bowman E P, Cullen J
Biofeedback Self Regul. 1984 Sep;9(3):281-9. doi: 10.1007/BF00998972.
This exploratory study examines the use of biofeedback as an adjunct to psychotherapy in the treatment of vaginismus. A set of six Sims-type graded EMG probes was constructed to provide biofeedback from the vaginal sphincter and was tested on a pilot sample of nulliparous women prior to this study. Five sequential cases of vaginismus from a clinic waiting list participated in the program. All five couples completed the program and all reported successful intercourse at its conclusion. The number of sessions devoted to biofeedback probe insertion was almost halved in comparison to previous experience with Sims dilators. Overall treatment duration was not shortened. At follow-up 6 months later, two couples reported pregnancy, one couple was having regular intercourse, and two couples had ceased intercourse. The authors conclude that biofeedback is an effective aid to learning muscle control, is acceptable to patients, and may increase the success rate by minimizing dropouts. The importance of follow-up is stressed.
这项探索性研究考察了生物反馈作为心理治疗辅助手段在治疗阴道痉挛中的应用。构建了一套六个Sims型分级肌电图探头，用于提供来自阴道括约肌的生物反馈，并在本研究之前对未生育女性的试点样本进行了测试。从诊所等候名单中选取了五例阴道痉挛的连续病例参与该项目。所有五对夫妇都完成了该项目，并且所有人都报告在项目结束时成功进行了性交。与之前使用Sims扩张器的经验相比，用于插入生物反馈探头的疗程数量几乎减半。总体治疗时间并未缩短。在6个月后的随访中，两对夫妇报告怀孕，一对夫妇进行规律性交，两对夫妇停止了性交。作者得出结论，生物反馈是学习肌肉控制的有效辅助手段，患者可以接受，并且可能通过减少退出率来提高成功率。强调了随访的重要性。
