A brief mindfulness-based cognitive behavioral intervention improves sexual functioning versus wait-list control in women treated for gynecologic cancer

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• 作者：Lori A. Brotto ; ^{lori.brotto@vch.ca} ; Yvonne Erskine ; Mark Carey ; Tom Ehlen ; Sarah Finlayson ; Mark Heywood ; Janice Kwon ; Jessica McAlpine ; Gavin Stuart ; Sydney Thomson ; Dianne Miller
• 关键词：Mindfulness ; Psychoeducation ; Sexual dysfunction ; Gynaecologic cancer ; Sexual desire ; Sexual arousal
• 刊名：Gynecologic Oncology
• 出版年：2012
• 期刊代码：295_00908258
• 类别：med
• 出版时间：May, 2012
• 卷：125
• 期：2
• 页码：320-325
• 文件大小：303 K

摘要

<h4 class="h4">Goalh4>The goal of this study was to evaluate a mindfulness-based cognitive behavioral intervention for sexual dysfunction in gynecologic cancer survivors compared to a wait-list control group.<h4 class="h4">Methodsh4>

Thirty-one survivors of endometrial or cervical cancer (mean age 54.0, range 31-64) who self-reported significant and distressing sexual desire and/or sexual arousal concerns were assigned either to three, 90-minute mindfulness-based cognitive behavior therapy sessions or two months of wait-list control prior to entering the treatment arm. Validated measures of sexual response, sexual distress, and mood, as well as laboratory-evoked physiological and subjective sexual arousal were assessed at pre-, one month post-, and 6-months following treatment.<h4 class="h4">Resultsh4>

There were no significant effects of the wait-list condition on any measure. Treatment led to significant improvements in all domains of sexual response, and a trend towards significance for reducing sexual distress. Perception of genital arousal during an erotic film was also significantly increased following the intervention despite no change in physiologically-measured sexual arousal.<h4 class="h4">Conclusionsh4>

A brief mindfulness-based intervention was effective for improving sexual functioning. Geographic restrictions permitted only a select sample of survivors to participate, thus, the generalizability of the findings is limited. Future studies should aim to develop online modalities for treatment administration to overcome this limitation.