Heiman J R, LoPiccolo J
Arch Gen Psychiatry. 1983 Apr;40(4):443-9. doi: 10.1001/archpsyc.1983.01790040097013.
The effectiveness of sex therapy has been questioned recently. The present outcome study of 69 lower-middle-class couples, who were not highly selected with respect to severity of personal and marital distress, used standardized instruments to measure change over five time periods: intake, history, posttherapy, three-month, and one-year follow-up. Using an own-control design, a 15-session weekly treatment was compared with a 15-session daily treatment. Overall, treatment was successful in improving sexual and marital satisfaction as well as specific symptom remission; there was little decline at the three-month and one-year follow-ups. The least symptomatic improvement occurred for erectile problems and female secondary inorgasmic dysfunction, and there was some suggestion of a gradual nonsignificant decline of overall sexual and marital satisfaction at follow-up. The outcome of daily v weekly treatment was generally not different, with only some indication of better results for secondary inorgasmia and erectile failure when treated in the weekly mode.
性治疗的有效性近来受到了质疑。本研究以69对中下层阶级夫妇为对象，这些夫妇在个人及婚姻困扰的严重程度方面并未经过严格筛选，研究使用标准化工具来衡量五个时间段内的变化：初诊时、病史采集时、治疗后、三个月随访时及一年随访时。采用自身对照设计，将每周进行15次治疗与每天进行15次治疗进行比较。总体而言，治疗在改善性满意度和婚姻满意度以及特定症状缓解方面是成功的；在三个月和一年随访时几乎没有下降。勃起问题和女性继发性性高潮功能障碍的症状改善最少，并且在随访时有一些迹象表明总体性满意度和婚姻满意度会逐渐出现不显著的下降。每日治疗与每周治疗的结果总体上没有差异，仅在每周治疗模式下治疗继发性性高潮功能障碍和勃起功能障碍时，有一些迹象表明效果更好。
