Sexual Dysfunction

Bach, A., Barlow, D. H., & Wincze, J. P. (2004). The enhancing effects of manualized treatment for erectile dysfunction among men using sildenafil: A preliminary investigation. Behavior Therapy, 35, 55-73.

Correspondence Address:
Amy K Bach, Centers for Behavioral and Preventive Medicine, CORO West, 3rd floor, 1 Hoppin St., Providence, RI, US, 02903, amykbach@aol.com.

Abstract
This study examined the effects of supplementing sildenafil (Viagra) with use of a cognitive-behavioral treatment manual plus minimal therapist contact. Participants were 6 heterosexual couples in which the man met criteria for erectile dysfunction and was using sildenafil. Erectile dysfunction resulted from psychological factors or psychological and organic factors combined. In a multiple baseline design, participants completed a period of 4,6, or 8 weeks during which they used sildenafil alone and monitored several psychosocial and behavioral variables. The experimental treatment, which lasted 6 weeks, comprised the cognitive-behavioral treatment manual and brief weekly phone contact with a therapist. Results suggest that manualized treatment was associated with increases in sexual satisfaction among men, some improvement in sexual satisfaction among partners, and an increase in the frequency of sexual intercourse. There was some evidence of improvement in sexual functioning among both men and women. Treatment gains were largely maintained at a 4-to-8- week follow-up and a 4-to-10-month follow-up. Results suggest that this cognitive-behavioral intervention may enhance the benefits of sildenafil. Additional research is needed to further test the potential benefits of this treatment approach. (PsycINFO Database Record (c) 2004 APA, all rights reserved)

Lu, S., & Jiang, D. (2005). Effect of cognitive intervention on the chronic prostatitis following sexually transmitted diseases. Chinese Journal of Clinical Psychology, 13, 225-226.

Correspondence Address:
Si-han Lu, Department of Dermatology, Guangzhou Eighth People's Hospital, Guangzhou, China, 510060.

Abstract
Objective: To investigate the effect of cognitive intervention on therapy for chronic prostatitis (CP) following sexually transmitted diseases (STD). Methods: 84 patients were divided into two groups, as control group (n = 42), in which prostant was locally used and the intervention group (n = 42), which received cognitive intervention therapy based on the locally using prostant. After a month, the therapy effect was evaluated. Results: Compared with control group, the subjective syndrome in the intervention group was much more improved one month later (P < 0.05). However there was no significant difference in the prostate fluid in both groups (P > 0.05). Conclusion: Cognitive intervention is an effective method to improve the subjective syndrome of CP following STD; so clinical medicine should study psychology. (PsycINFO Database Record (c) 2005 APA, all rights reserved)

ter Kuile, Moniek M., Stephanie Both, and Jacques J.D.M. van Lankveld. “Cognitive Behavioral Therapy for Sexual Dysfunctions in Women.” Psychiatric Clinics of North America, Vol. 33, Issue 3 (September 2010): 595-610.

Correspondence Address:
Outpatient Clinic for Psychosomatic Gynecology and Sexology (VRSP), Leiden University Medical Center, Poortgebouw-Zuid, P.O. Box 9600, 2300 RC Leiden, The Netherlands. m.m.ter_kuile@lumc.nl

Abstract
“Sexual dysfunctions in women are classified into disorders of desire, arousal, orgasm, and pain (including dyspareunia and vaginismus). As the cognitive behavioral treatment (CBT) procedures differ among these sexual disorders, the treatments for each disorder are reviewed separately. The efficacy of CBT differs depending on the specific sexual dysfunction to be treated. It is concluded that only a few CBT treatments for women's sexual dysfunction have yet been empirically investigated in a methodologically sound way and little is known about which of the treatment components are most effective.”