Efficacy of Internet-Based Guided Treatment for Genito-Pelvic Pain/Penetration Disorder: Rationale, Treatment Protocol, and Design of a Randomized Controlled Trial

Zarski, Anna-Carlotta; Berking, Matthias; Ebert, David Daniel

doi:10.3389/fpsyt.2017.00260

Cited by 18 publications

(10 citation statements)

References 103 publications

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“…This diary can be accessed via a corresponding smartphone app. Both COPE and MIND have been developed based on existing face-to-face group treatments for low sexual desire (Brotto, Paterson, Basson, Driscoll, and Grabovac, unpublished data, 2015) as well as an internet-based intervention for women with genito-pelvic pain/penetration disorder [ 38 ]. If participants fail to log in to the platform for 7 consecutive days, they will receive up to 4 reminders (after 7, 14, 21, and approximately 30 days) by their eCoach and the study coordinator.…”

Section: Methodsmentioning

confidence: 99%

Psychological Treatment of Low Sexual Desire in Women: Protocol for a Randomized, Waitlist-Controlled Trial of Internet-Based Cognitive Behavioral and Mindfulness-Based Treatments

Meyers¹,

Margraf²,

Velten³

2020

JMIR Res Protoc

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Background Psychological therapies are effective treatments for hypoactive sexual desire dysfunction (HSDD; formerly hypoactive sexual desire disorder), a common sexual dysfunction among women. Access to evidence-based treatments, however, remains difficult. Internet-based interventions are effective for a variety of psychological disorders and may be a promising means to close the treatment gap for HSDD. Objective This article describes the treatment protocol and study design of a randomized controlled trial, aiming to study the efficacy of cognitive behavioral and mindfulness-based interventions delivered via the internet for women with HSDD to a waitlist control group. Outcomes are sexual desire (primary) and sexual distress (secondary). Additional variables (eg, depression, mindfulness, rumination) will be assessed as potential moderators or mediators of treatment success. Methods A cognitive behavioral and a mindfulness-based self-help intervention for HSDD will be provided online. Overall, 266 women with HSDD will be recruited and assigned either to one of the intervention groups, or to a waitlist control group (2:2:1). Outcome data will be assessed at baseline, at 12 weeks, and at 6 and 12 months after randomization. Intention-to-treat and completer analyses will be conducted. Results We expect improvements in sexual desire and sexuality-related distress in both intervention groups compared to the waitlist control. Recruitment has begun in January 2019 and is expected to be completed in August 2021. Results will be published in 2022. Conclusions This study aims to contribute to the improvement and dissemination of psychological treatments for women with HSDD and to clarify whether cognitive behavioral and/or mindfulness-based treatments for HSDD are feasible and effective when delivered via the internet. Trial Registration ClinicalTrials.gov NCT03780751; https://clinicaltrials.gov/ct2/show/NCT03780751 International Registered Report Identifier (IRRID) DERR1-10.2196/20326

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Section: Methodsmentioning

confidence: 99%

Psychological Treatment of Low Sexual Desire in Women: Protocol for a Randomized, Waitlist-Controlled Trial of Internet-Based Cognitive Behavioral and Mindfulness-Based Treatments

Meyers¹,

Margraf²,

Velten³

2020

JMIR Res Protoc

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“…The effectiveness of online interventions for sexual health has already been confirmed several times. For example, online interventions have focused on (1) various sexual problems and dysfunctions (Chisari et al, 2022;Jones & McCabe, 2011;Stephenson et al, 2021;van Lankveld, 2016;Van Lankveld et al, 2009;Weitkamp et al, 2021;Zarski et al, 2018;Zarski et al, 2017), (2) STIs (Carswell et al, 2012;Williamson et al, 2021), and (3) sex education (Martin et al, 2020;Mustanski et al, 2015;van Clief & Anemaat, 2020;Wadham et al, 2019). Online interventions offer many advantages: they allow easy access, are flexibly available, can be conducted anonymously, save time and travel, and are very cost-effective (Berger & Krieger, 2018;Buntrock et al, 2014;Ebert et al, 2018).…”

Section: Online Sexual Health Interventionsmentioning

confidence: 99%

Effectiveness of an Unguided Online Intervention (PleaSure) for Sexual Pleasure in Women: A Randomized Controlled Pilot Study

Borgmann¹,

Brandner²,

Vonesch³

et al. 2023

Preprint

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The importance of sexual pleasure as a factor promoting sexual and public health is increasingly recognized. Nevertheless, hardly any theory-based and empirically tested interventions exist for fostering sexual pleasure. Consequently, we developed an unguided online intervention called PleaSure to promote sexual pleasure in women. In a randomized controlled pilot trial with a mixed-method design, we evaluated the effectiveness of PleaSure by comparing the intervention group to a waitlist control group in pre–post measurements over 4 weeks. With 657 participants (Mage = 31.46, SDage = 8.78), we evaluated an index of sexual pleasure and five facets: sensual pleasure, pleasure-related mastery, pleasure-related validation, interaction pleasure, and bonding pleasure. The results show that the online intervention primarily strengthened the intrapersonal domain of sexual pleasure by increasing pleasure-related mastery. Neither the other facets nor the index were significantly influenced by the intervention. Although the effects of the quantitative data are small, the qualitative data support overall positive effects on participants’ sexual experience. We discuss the content of the intervention and the methods used. Our pilot study suggests that sexual pleasure can be promoted, but that major improvements are needed to the intervention’s content and design to do so effectively. Therefore, future studies are encouraged to further develop and implement such resource-efficient interventions in clinical and nonclinical samples to better understand the importance of sexual pleasure to sexual health.

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“…There is paucity of evidence in favor of a specific management option for vaginismus 7, 8 and a recent (2018) meta-analysis concluded that women with vaginismus benefit from a range of treatments in majority of cases. 9 Multifaceted and interdisciplinary approach to painful sex disorders could lead to successful management outcomes (pain and intercourse).…”

Section: Management Of Vaginismusmentioning

confidence: 99%

“…6 Often, vaginismus comanifests with a wide range of concerns relating to general, relational, and psychosexual well-being. 7…”

Section: Introductionmentioning

confidence: 99%

Common Pitfalls in the Management of Vaginismus in Couples With Subfertility in India

Ramanathan

Gautham

Ramasubramaniam

2022

Journal of Psychosexual Health

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Vaginismus is described as an involuntary pelvic muscular spasm that occurs due to “fear of pain” associated with vaginal penetration which prevents a woman from experiencing penovaginal sexual intercourse despite her wish to do so. In the context of heterosexual couples with subfertility, untreated vaginismus may result in unconsummated marriage and/or reduced quality of sex life and/or can affect a woman’s perception about her potential of femininity and motherhood. Though vaginismus is an easily diagnosable and treatable condition in many instances, it often gets ignored or inadequately/inappropriately managed. There is paucity of practice-informed clinical data on management of vaginismus in couples with subfertility that is contextualized to the Indian setting. The present viewpoint is based on real-world clinical scenarios who presented as couples to a tertiary fertility center with unconsummated marriage as their chief complaint. The intent of this viewpoint is not only to highlight the common pitfalls in the management of vaginismus but also showcase a clinically proven interdisciplinary management approach for assessment and management of vaginismus and any associated sexual problems.

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Efficacy of Internet-Based Guided Treatment for Genito-Pelvic Pain/Penetration Disorder: Rationale, Treatment Protocol, and Design of a Randomized Controlled Trial

Cited by 18 publications

References 103 publications

Psychological Treatment of Low Sexual Desire in Women: Protocol for a Randomized, Waitlist-Controlled Trial of Internet-Based Cognitive Behavioral and Mindfulness-Based Treatments

Psychological Treatment of Low Sexual Desire in Women: Protocol for a Randomized, Waitlist-Controlled Trial of Internet-Based Cognitive Behavioral and Mindfulness-Based Treatments

Effectiveness of an Unguided Online Intervention (PleaSure) for Sexual Pleasure in Women: A Randomized Controlled Pilot Study

Common Pitfalls in the Management of Vaginismus in Couples With Subfertility in India

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