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女性性欲低下:婚姻治疗的效果

Low sexual desire in women: the effects of marital therapy.

作者信息

MacPhee D C, Johnson S M, Van der Veer M M

机构信息

Centre for Psychological Services, University of Ottawa, Ontario, Canada.

出版信息

J Sex Marital Ther. 1995 Fall;21(3):159-82. doi: 10.1080/00926239508404396.

Abstract

A total of 49 couples, in which the women were experiencing inhibited sexual desire (ISD), received Emotionally Focused Therapy for Couples (EFT) or were assigned to a wait-list control group. An additional 15 couples were recruited as a non-ISD comparison sample. Only very modest treatment and control group differences were found after treatment. Females treated with marital therapy made significant gains on one measure of sexual desire and on level of depressive symptomatology. Overall, the marital treatment group seemed to make clinically significant gains from pre- to posttreatment which were largely maintained at follow-up. Lower levels of initial marital distress resulted in greater treatment gains, and better pretreatment marital adjustment predicted better posttreatment overall sexual adjustment. The main difference found between ISD and non-ISD couples was that ISD couples had significantly more sexual distress. Results are discussed in light of the unique features of this subject population, and suggestions are given for future research.

摘要

共有49对夫妻参与研究,其中女方存在性兴趣缺乏(ISD),这些夫妻接受了夫妻情感聚焦疗法(EFT)或被分配到等待名单对照组。另外招募了15对夫妻作为非ISD比较样本。治疗后仅发现治疗组与对照组存在非常微小的差异。接受婚姻治疗的女性在一项性兴趣指标和抑郁症状水平上有显著改善。总体而言,婚姻治疗组从治疗前到治疗后似乎取得了具有临床意义的改善,且在随访时基本保持。初始婚姻困扰水平较低导致治疗效果更好,治疗前婚姻调适越好预示着治疗后总体性调适越好。ISD夫妻与非ISD夫妻之间的主要差异在于,ISD夫妻的性困扰明显更多。结合该研究对象群体的独特特征对结果进行了讨论,并对未来研究提出了建议。

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