Cognitive-Behavioral Treatment of Sexual Dysfunctions

Carey, Michael P.

doi:10.1016/b978-008043433-9/50011-0

Cited by 12 publications

(4 citation statements)

References 35 publications

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“…The content of eSense was adapted from well‐established CBT‐based skills such as providing psychoeducation regarding causal and maintaining factors of sexual problems, thought records/challenging, behavioral experiments, and sensate focus: a behavior‐based sex therapy tool focused on non‐pleasure oriented touching between partners (see Carey, 1998; Stinson, 2009). eSense has short sentences and paragraphs, with headings and subheadings to maximize readability, and uses plain language (high school reading level) to maximize effectiveness for diverse populations.…”

Section: Methodsmentioning

confidence: 99%

Feasibility of a cognitive behavioral online intervention for women with Sexual Interest/Arousal Disorder

2021

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Objectives Difficulties with sexual desire and arousal are common in women, but most lack access to effective treatment such as cognitive‐behavioral therapy (CBT). eSense is a recently created online CBT intervention for sexual difficulties with promising evidence of usability. The current study assessed the feasibility of women completing the full eSense CBT program without guidance. Methods Eleven women with Sexual Interest/Arousal Disorder completed eSense and provided feedback via semi‐structured interviews. Results Participants reported high satisfaction with eSense's functionality, improved knowledge about sexuality, greater awareness of their thought patterns, and better perspective around their sexual difficulties. Despite some difficulty completing homework, participants exhibited statistically significant pre‐post improvements in sexual desire (d = 1.04), sexual arousal (d = 1.83), sexual satisfaction (d = 1.35), and sexual distress (d = 1.79). Conclusion The findings add to the growing evidence that self‐guided online interventions are feasible and potentially efficacious in treating female sexual dysfunction.

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Section: Methodsmentioning

confidence: 99%

Feasibility of a cognitive behavioral online intervention for women with Sexual Interest/Arousal Disorder

2021

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“…Although researchers and clinicians still tend to approach sexual desire as a discrete, initiating stage of sexual response (e.g., Brezsnyak & Whisman, 2004), this conceptualization has not been tested empirically and questions have been raised concerning its validity (e.g., Carey, 1998). In fact, not only is it unclear when sexual desire starts during sexual response, but it is unclear how best to define sexual desire (e.g., Everaerd & Both, 2001).…”

Section: Introductionmentioning

confidence: 96%

Attention and Emotional Responses to Sexual Stimuli and Their Relationship to Sexual Desire

2007

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Little is known about why individuals vary in their levels of sexual desire. Information processing models, like Barlow's (Journal of Consulting and Clinical Psychology 54:140-148, 1986) model of sexual functioning, suggest that individuals with higher sexual desire attend more and respond with more pleasant emotions to sexual cues than individuals with lower levels of sexual desire. In this study, 69 participants (36 women, 33 men) completed a dot detection task measuring attention capture by sexual stimuli and a startle eyeblink modulation task indexing the valence of emotional response to affective stimuli. Participants with high levels of sexual desire were slower to detect targets in the dot detection task that replaced sexual images but did not differ in startle eyeblink responses to sexual stimuli. The results suggest that the amount of attention captured by sexual stimuli is a stronger predictor of a person's sexual desire level than the valence of the emotional responses elicited by such stimuli.

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“…Since the mid-1960s psychological approaches to treatment have emerged for men and women, such as couples therapy (McCarthy & Thestrup, 2008) and cognitive behavioral therapy (Carey, 1998). More recently, pharmaceutical interventions, such as the use of phosphodiesterase type 5 inhibitors (e.g., sildenafil and similar drugs) for treating erectile dysfunction (Heidelbaugh, 2010) and serotonergic drugs for premature ejaculation (Waldinger, 2007), have appeared for men, but attempts to develop drugs for women's sexual difficulties have not met with similar success.…”

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confidence: 99%

Incidence and Persistence/Recurrence of Women's Sexual Difficulties: Findings From the Australian Longitudinal Study of Health and Relationships

Smith

Lyons

Ferris

et al. 2012

Journal of Sex & Marital Therapy

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This study presents data on the prevalence, incidence, and persistence/recurrence of 8 sexual difficulties among women. Australian women participated in 2 computer-assisted interviews approximately 12 months apart. Analyses were based on a weighted sample of 2,252 women who were 20-64 years of age, sexually active in the past 12 months, and in the same heterosexual relationship at both interviews. Upon recruitment, two-thirds of women (66%) reported having one or more sexual difficulties. At follow-up, 36% reported a new sexual difficulty. The two highest incident difficulties were "lacking interest in having sex" (26%) and "taking too long to orgasm" (11%). In addition, 68% of women with 1 or more sexual difficulties at recruitment reported having at least 1 of these again at follow-up. Lacking interest in having sex had the highest persistence/recurrence (65%). Logistic regression modeling revealed a lower incidence of sexual difficulties among women in their 40s. Age was also a predictor of the persistence/recurrence, with persistence/recurrence most likely among older women. Tobacco and alcohol use predicted the incidence, but not persistence/recurrence, of lacking interest in sex. Health professionals need to take note of the sociodemographic groups most prone to developing and having persistent/recurrent sexual difficulties.

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Cognitive-Behavioral Treatment of Sexual Dysfunctions

Cited by 12 publications

References 35 publications

Feasibility of a cognitive behavioral online intervention for women with Sexual Interest/Arousal Disorder

Feasibility of a cognitive behavioral online intervention for women with Sexual Interest/Arousal Disorder

Attention and Emotional Responses to Sexual Stimuli and Their Relationship to Sexual Desire

Incidence and Persistence/Recurrence of Women's Sexual Difficulties: Findings From the Australian Longitudinal Study of Health and Relationships

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