Efficacy of Internet-Based Guided treatment for Genito-Pelvic Pain/Penetration Disorder: rationale, treatment Protocol, and Design of a randomized controlled trial

被引:10
|
作者
Zarski, Anna-Carlotta [1 ,2 ]
Berking, Matthias [1 ]
Ebert, David Daniel [1 ]
机构
[1] Friedrich Alexander Univ Erlangen Nurnberg, Dept Clin Psychol & Psychotherapy, Erlangen, Germany
[2] Leuphana Univ Luneburg, Inst Psychol, Luneburg, Germany
来源
FRONTIERS IN PSYCHIATRY | 2018年 / 8卷
关键词
fgenito-pelvic pain/penetration disorder; vaginismus; dyspareunia; sexual dysfunction; Internet intervention; randomized controlled trial; COGNITIVE-BEHAVIORAL THERAPY; FEMALE SEXUAL FUNCTION; GENERALIZED ANXIETY DISORDER; ERECTILE FUNCTION IIEF; FUNCTION INDEX FSFI; QUALITY-OF-LIFE; PROVOKED VESTIBULODYNIA; GERMAN VERSION; PSYCHOLOGICAL TREATMENTS; INTERNATIONAL INDEX;
D O I
10.3389/fpsyt.2017.00260
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Introduction: Genito-pelvic pain/penetration disorder (GPPPD) not only adversely affects women's sexuality and sexual satisfaction but is also associated with a wide range of psychosocial consequences such as reduced quality of life and well-being, mental health comorbidities, and relationship distress. Evidence for effective treatment options is scarce. Aim: This article describes the rationale, treatment protocol, and study design for a randomized controlled trial examining the efficacy of an Internet-based guided intervention for GPPPD. Method: Two hundred women who meet the criteria for GPPPD and have not been able to experience sexual intercourse for at least the last 6 months will be recruited and randomly assigned either to the intervention group (IG) or a 6-month waitlist control group. Assessments take place at baseline (T1), peritreatment after completion of Session 5 in IG (T2), after completion of Session 8 or 12 weeks after randomization (T3), and after 6 months (T4). Data will be analyzed on an intention-to-treat and a completer basis. Main outcome measures: The primary outcome will be sexual intercourse involving the insertion of the partner's penis at posttreatment. Secondary outcomes include, e.g., improved non-intercourse penetration, sexual functioning, dyadic stress coping, reduced fear of sexuality and negative penetration-related cognitions. Fear of sexuality, penetration-related cognitions, and exercise intensity will be assessed as mediators of intercourse in the IG. Sexual dysfunctions of partners will be measured at baseline (T1) and investigated as a potential moderator of the primary treatment outcome. Discussion: Given the burden associated with GPPPD and the need for specialized treatment, there is a surprising lack of evidence-based treatment options. This study aims to assess whether Internet- based interventions could contribute to closing this treatment gap.
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页数:12
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