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Impact of mindfulness versus supportive sex education on stress in women with sexual interest/arousal disorder.

Lori A Brotto, Rosemary Basson, Andrea Grabovac, Meredith L Chivers, Bozena Zdaniuk, Tamara S Bodnar, Joanne Weinberg

Journal of Behavioral Medicine August 1, 2024 DOI: 10.1007/s10865-024-00491-5 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Randomized controlled trial Peer reviewed
Sample size 148
Population Women with a diagnosis of sexual interest/arousal disorder (SIAD)
Interventions Mindfulness-based cognitive therapy (MBCT) group treatment Sex education comparison group treatment (STEP)
Duration 6-month follow-up
Topics Meditation
Keywords Cortisol Low desire Sex education Sexual interest/arousal disorder Stress
Key findings Perceived stress decreased significantly more after MBCT than after sex education, and reductions in perceived stress predicted increases in sexual desire and decreases in sex-related distress only after MBCT.

Abstract

Low desire in women is the most common sexual difficulty, and stress has been identified as a significant predictor of symptoms. We evaluated a mindfulness-based cognitive therapy (MBCT) group treatment versus a sex education comparison group treatment (STEP) on self-reported stress and on the physiological stress response measured via morning-to-evening cortisol slope in 148 women with a diagnosis of sexual interest/arousal disorder (SIAD). Perceived stress decreased following treatment in both groups, and significantly more after MBCT. The cortisol slope was steeper (indicative of better stress system regulation) from pre-treatment to 6-month follow-up, with no differences between the groups. As an exploratory analysis, we found that the reduction in perceived stress predicted increases in sexual desire and decreases in sex-related distress for participants after MBCT only. These findings suggest that group mindfulness targeting women with low sexual desire leads to improvements in self-reported and physiological stress, with improvements in self-reported stress partially accounting for improvements in sexual desire and distress.

Comparable studies

Other randomized controlled trials on meditation, most cited first.

Study Year Design Participants
Alterations in Brain and Immune Function Produced by Mindfulness Meditation Healthy employees in a work environment 2003 Randomized controlled trial n = 41
Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Recovered recurrently depressed patients 2000 Randomized controlled trial n = 145
Open hearts build lives: Positive emotions, induced through loving-kindness meditation, build consequential personal resources. Working adults 2008 Randomized controlled trial n = 139
Short-term meditation training improves attention and self-regulation Undergraduate Chinese students 2007 Randomized controlled trial n = 40
Mindfulness-Based Cognitive Therapy for Depression: Replication and Exploration of Differential Relapse Prevention Effects. Recovered recurrently depressed patients 2004 Randomized controlled trial n = 73

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