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A Pilot Study of Eight-Session Mindfulness-Based Cognitive Therapy Adapted for Women's Sexual Interest/Arousal Disorder.

Laurel Q P Paterson, Ariel B Handy, Lori A Brotto

The Journal of Sex Research September 2017 DOI: 10.1080/00224499.2016.1208800 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Pilot pre-post intervention study Randomized Pilot study Peer reviewed
Sample size 26
Population Women with a diagnosis of sexual interest/arousal disorder, mean age 43.9 years (range 25-63)
Intervention Mindfulness-based cognitive therapy for sexuality (MBCT-S)
Duration Eight weekly group sessions; assessments before and after the intervention
Topics Meditation
Key points Women with sexual interest/arousal disorder who completed eight weekly group MBCT-S sessions reported significant improvements in sexual desire, overall sexual function, and sex-related distress from baseline, regardless of treatment expectations, relationship duration, or low desire duration. Depressed mood and mindfulness also improved significantly and mediated the increases in sexual function. The authors suggest MBCT-S is feasible and provides a basis for a larger randomized controlled trial.

Abstract

While few treatment options exist for low sexual desire and arousal, the most common sexual dysfunction in women, a growing body of research supports the efficacy of mindfulness-based approaches. The mechanisms underlying improvements, and whether they are due to mindfulness practice or other treatment components, are unclear. As a result, we designed and pilot-tested an eight-session group mindfulness-based cognitive therapy for sexuality (MBCT-S) program that includes more extensive practice of mindfulness skills and closely aligns with the evidence-based MBCT program for depression and anxiety. A total of 26 women (mean age 43.9, range 25 to 63) with a diagnosis of sexual interest/arousal disorder participated in eight weekly group sessions, before and after which they completed validated questionnaires. The majority of women attended all sessions and completed the recommended at-home mindfulness exercises. Compared to baseline, women reported significant improvements in sexual desire, overall sexual function, and sex-related distress, regardless of treatment expectations, relationship duration, or low desire duration. Depressed mood and mindfulness also significantly improved and mediated increases in sexual function. These pilot data suggest that eight-session MBCT-S is feasible and significantly improves sexual function, and provide the basis for a larger randomized-controlled trial (RCT) with a longer follow-up period.

Comparable studies

Other non-randomized and open-label trials on meditation, most cited first.

Study Year Design Participants
Mindfulness-Based Stress Reduction in Relation to Quality of Life, Mood, Symptoms of Stress, and Immune Parameters in Breast and Prostate Cancer Outpatients Early-stage breast and prostate cancer patients 2003 Pre-post intervention study n = 59
Exploring self‐compassion and empathy in the context of mindfulness‐based stress reduction (MBSR) Community sample 2010 Pre-post intervention study
Mindfulness-Based Stress Reduction Lowers Psychological Distress In Medical Students Second-year medical students 2003 Prospective nonrandomized cohort-controlled study n = 302
Intensive meditation training, immune cell telomerase activity, and psychological mediators. Retreat participants and matched controls 2011 Controlled trial with wait-list control group n = 60
The Effectiveness of Mindfulness Training for Children with ADHD and Mindful Parenting for their Parents Children aged 8-12 with ADHD and their parents 2011 Within-group waitlist controlled trial n = 22

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