Randomized-controlled comparison of two online-interventions: How effective are cognitive-behavioral and mindfulness-based sexual therapy in improving sexual desire in women with Hypoactive Sexual Desire Disorder?

两种在线干预措施的随机对照比较：认知行为和正念性治疗在改善性欲减退症女性性欲方面的效果如何？

• 批准号: 404631750
• 负责人: Privatdozentin Dr. Julia Velten
• 金额: --
• 依托单位: Lehrstuhl für Klinische Psychologie und Psychotherapie
• 依托单位国家: 德国
• 项目类别: Research Grants
• 财政年份: 2018
• 资助国家: 德国
• 起止时间: 2017-12-31 至 2021-12-31
• 项目状态: 已结题
• 来源: https://gepris.dfg.de/gepris/projekt/404631750?language=en
• 关键词: Randomized; controlled; comparison; two; online

Problems with sexual function are common and distressing. The most frequent sexual difficulty in women is a lack of sexual desire with a prevalence of 20-30%. When low sexual desire is experienced over several months and causes significant personal distress, a sexual dysfunction can be diagnosed (Hypoactive Sexual Desire Disorder: HSDD). A distressing lack of desire is reported by 6% of sexually active women. Psychological interventions are the treatment of choice for women with HSDD. Promising treatment approaches include cognitive-behavioral and mindfulness-based interventions. A recent meta-analysis also showed that Internet-delivered programs are a valid alternative to face-to-face treatments. However, there are significant research gaps. So far, most studies have included multi-method treatments for mixed sexual dysfunctions. The effectivity of specific treatment approaches for women with HSDD is unclear. In addition, most studies have serious methodological flaws, like small samples sizes (N < 50), non-standardized treatments, or no control condition. These criticisms are especially relevant to the five published studies of Internet-based treatments for women with sexual concerns. Aim of this project is to close these research gaps and to assess the effectivity of two eight-week online-programs consisting of cognitive-behavioral (COPE) and mindfulness-based (MIND) interventions for women with HSDD. Both treatments will be compared to a waitlist-control group. We will address four research questions: Are COPE and/or MIND effective to improve sexual desire in women with HSDD? Which factors contribute to or mediate the effectivity of COPE and/or MIND? Which participants can benefit the most from COPE and/or MIND? For this project, two well-established group-treatment manuals will be translated into German and adapted to a multimedia online-environment. All participants will be guided through the programs by well-qualified online-counsellors. Sexuality is very sensitive subject and many people are hesitant to talk about sexual issues. In addition, only few psychotherapists specialize in sexual therapy. Thus, there is a great need for evidence-based online-treatments, that are easily accessible and offer anonymous help. Should COPE and/or MIND prove effective, they can be disseminated into clinical practice to provide help for women with HSDD, who do not have access to appropriate face-to-face treatment.

性功能问题是常见的和令人痛苦的。女性最常见的性困难是缺乏性欲，患病率为20 - 30%。当低性欲经历了几个月，并导致显着的个人痛苦，性功能障碍可以被诊断为（性欲减退症：HSDD）。据报道，6%的性活跃女性缺乏欲望。心理干预是女性HSDD患者的治疗选择。有前途的治疗方法包括认知行为和基于正念的干预。最近的一项荟萃分析也表明，互联网提供的程序是一个有效的替代面对面的治疗。然而，存在重大的研究空白。到目前为止，大多数研究都包括混合性功能障碍的多方法治疗。具体的治疗方法对患有HSDD的女性的有效性尚不清楚。此外，大多数研究存在严重的方法学缺陷，如样本量小（N <50），非标准化处理或无对照条件。这些批评尤其与五项已发表的关于基于互联网的女性性问题治疗的研究有关。该项目的目的是缩小这些研究差距，并评估两个为期八周的在线计划的有效性，包括对患有HSDD的女性的认知行为（COPE）和基于正念（MIND）干预。将两种治疗与等待名单对照组进行比较。我们将解决四个研究问题：COPE和/或MIND是否能有效改善HSDD女性的性欲？哪些因素有助于或介导COPE和/或MIND的有效性？哪些参与者可以从COPE和/或MIND中获益最多？在这个项目中，将把两本完善的集体治疗手册翻译成德文，并改编成多媒体在线环境。所有参与者都将由合格的在线顾问指导课程。性是一个非常敏感的话题，很多人都不愿意谈论性问题。此外，只有少数心理治疗师专门从事性治疗。因此，非常需要基于证据的在线治疗，这些治疗很容易获得并提供匿名帮助。如果COPE和/或MIND被证明有效，它们可以传播到临床实践中，为无法获得适当面对面治疗的HSDD妇女提供帮助。