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Vajinismus Tedavisinde Hipnoterapi ve Bilişsel Davranışçı Terapi Etkinliğinin Karşılaştırılması

Year 2021, Volume: 13 Issue: 3, 536 - 541, 18.10.2021
https://doi.org/10.18521/ktd.881318

Abstract

Amaç: Bu çalışmanın amacı vajinismus tedavisinde hipnoterapi ve Bilişsel Davranışçı Terapi (BDT) etkinliklerinin karşılaştırılmasıdır.
Metot: Primer vajinismuslu 35 hastada tek merkezli, kesitsel bir çalışma olarak gerçekleştirdik
Bulgular: Hipnoterapi grubundaki 19 (% 95) birey ve bilişsel davranışçı terapi grubundaki 14 (% 93,3) kişi tarafından başarılı bir ilişki sağlandı. Bu başarı oranları benzerdi (p = 0,681). Hipnoterapi grubunda başarılı birleşmeye kadar ortalama seans sayısı anlamlı olarak daha düşüktü (p = 0.000).
Sonuç: Hipnoterapi ve bilişsel davranışçı terapi vajinismus tedavisinde benzer yüksek başarı oranları ile uygulanabilir. Ancak hipnoterapi ile daha az seans ile başarı elde edilebilir.
Anahtar Kelimeler: vajinismus, hipnoterapi, bilişsel davranışçı terapi

References

  • 1. Beck JG, Vaginismus. Handbook of Sexual Dysfunctions: Assessment and Treatment. O'Donohue, W, Greer, JH (Eds). Allyn and Bacon Inc, Boston, USA, 1993.p. 381–397.
  • 2. Reissing ED, Binik YM, Khalife S. Does vaginismus exist? A critical review of the literature Journal of Nervous and Mental Disease. 1999;187: 261-274
  • 3. Crowley T, Richardson D, Goldmeier D. Recommendations for the management of vaginismus: BASHH special interest group for sexual dysfunction. International Journal of STD & AIDS 2006;17:14-18.
  • 4. Özdel K, Yılmaz A, Çeri Ö, Kumbasar H. Factors that might be predictive of completion of vaginismus treatment. Türk Psikiyatri Dergisi 2012;23(4):248-254.
  • 5. Doğan S, Özkorumak E. Ağrılı genital cinsel aktivite ve vajinismus tanısında yaşanan güçlükler. Klinik Psikiyatri 2008;11(3):135-142.
  • 6. Şafak ÖC, Arkar H.Effect of Cognitive Behavioral Therapy on Sexual Satisfaction, Marital Adjustment, and Levels of Depression and Anxiety Symptoms in Couples with Vaginismus. Turk Psikiyatri Dergisi. 2017 ;28(3):172-180.
  • 7. Van LJJ, ter KMM, de GHE, Melles R, Nefs J, Zandbergen M. Cognitive-behavioral therapy for women with lifelong vaginismus: a randomized waiting-list controlled trial of efficacy. Journal of Consulting and Clinical Psychology. 2006;74(1):168-178.
  • 8. Yaraghi M, Ghazizadeh S, Mohammadi F, Ashtiani EM, Bakhtiyari M, Mareshi SM, Sarfjoo FS, Eftekhar T.Comparing the effectiveness of functional electrical stimulation via sexual cognitive/behavioral therapy of pelvic floor muscles versus local injection of botulinum toxin on the sexual functioning of patients with primary vaginismus: a randomized clinical trial. International Urogynecology Journal. 2018;30(11):1821-1828.
  • 9. Kuile MMT, Lankveld JJ, Groot ED, Melles R, Neffs J, Zandbergen M Cognitive-behavioral therapy for women with lifelong vaginismus: process and prognostic factors. Behaviour Research and Therapy. 2007;45(2):359-373.
  • 10. Seo JT, Choe JH, Lee WS, Kim KH. Efficacy of functional electrical stimulation-biofeedback with sexual cognitive-behavioral therapy as treatment of vaginismus. Urology. 2005;66(1):77-81.
  • 11. Kuile MMT, Both S, van Lankveld JJ. Cognitive behavioral therapy for sexual dysfunctions in women. Psychiatric Clinics of North America. 2010;33(3):595-610.
  • 12. Engman M, Wijma K, Wijma B. Long-term coital behaviour in women treated with cognitive behaviour therapy for superficial coital pain and vaginismus. Cognitive Behavioral Therapy. 2010;39(3):193-202.
  • 13. Gottesfeld ML.Treatment of vaginismus by psychotherapy with adjunctive hypnosis. american journal clinical hypnosis. 1978;20(4):272-277.
  • 14. Fuchs K. Therapy of vaginismus by hypnotic desensitization. The American Journal of Obstetrics and Gynecology 19801;137(1):1-7.
  • 15. Al-Sughayir MA. Vaginismus treatment. Hypnotherapy versus behavior therapy. Neurosciences. 2005;10 (2):163-167.
  • 16. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 4th ed Text Revision. Washington DC: American Psychiatric Association; 2000.p.866
  • 17. Butcher J. ABC of sexual health: Female sexual problems II: Sexual pain and sexual fears. BMJ. 1999;318:110-112.
  • 18. Kabakci E, Batur S. Who benefits from cognitive behavioral therapy for vaginismus. J Sex Mar Ther. 2003; 29: 277-288.
  • 19. Hawton K, Catalan J. Sex therapy for vaginismus: Characteristics of couples and treatment outcome. Sexual and Marital Therapy. 1990;5:39–48.
  • 20. Ward E, Ogden E. Experiencing vaginismus sufferers’ beliefs about causes and effects. Sexual and Marital Therapy. 1994;9: 33-45.
  • 21. Binik YM. The DSM diagnostic criteria for vaginismus. Archives of Sexual Behavior. 2010: 39(2):292-303.
  • 22. Ahmed K, Bhugra D. The role of culture in sexual dysfunction. Psychiatry. 2007;3(2), 23-25.
  • 23. Ohl LE. Essentials of female sexual dysfunction from a sex therapy perspective. Urologic Nursing 2007;27(1):57-63.
  • 24. Atallah S, Johnson-Agbakwu C, Rosenbaum T, Abdo C, Byers ES, Graham C, Nobre P, Wylie K, Brotto L. Ethical and Sociocultural Aspects of Sexual Function and Dysfunction in Both Sexes. Journal of Sexual Medicine. 2016;13(4):591-606.
  • 25. Bancroft J, Coles L. Three years’ experience in a sexual problems clinic. British Medical Journal. 1976;1: 1575.
  • 26. Catalan J, Hawton K, Day A. Couples referred to a sexual dysfunction clinic. Psychological and physical morbidity. British Journal Psychiatry 1990;156:61-67.
  • 27. Sungur M. Evaluation of couples referred to a sexual dysfunction unit and prognostic factors in sexual and marital therapy. Sexual and Marital Therapy 1994;9:251-265.
  • 28. Tuğrul C, Kabakçı E. Vaginismus and its correlates. Sexual and Marital Therapy 1997;12: 23-34.
  • 29. Özdemir YO, Şimşek F, İncesu C, Koç K. Sociodemographic and clinical characteristics of subjects referred to a multidisciplinary sexual dysfunction outpatient clinic. European Journal of Sexual Health 2006;15(Suppl 1):14-15.
  • 30. Dogan S. Vaginismus and accompanying sexual dysfunctions in a Turkish clinical sample. Journal of Sexual Medicine 2009;6(1):184-192.
  • 31. Schnyder U, Schnyder-Luthi C, Balinari P, Blaser A. Therapy for vaginismus: In vivo versus in vitro desensitization. Canadian Journal of Psychiatry 1998;43:941-944.
  • 32. Wiel HB, Jaspers JP, Schultz WC, Gal J. Treatment of vaginismus: a review of concepts and treatment modalities. Journal of Psychosomatic Obstetrics & Gynecology. 1990;11:1-18.
  • 33. Staccini L. Psychological treatment of female sexual dysfunction: a critical review of the literature. Rivista di Psichiatria. 2015;50:265-273.

A Comparison of the Effectiveness of Hypnotherapy and Cognitive Behavioral Therapy in the Treatment of Primary Vaginismus

Year 2021, Volume: 13 Issue: 3, 536 - 541, 18.10.2021
https://doi.org/10.18521/ktd.881318

Abstract

Objective: This study compared the therapeutic effectiveness of hypnotherapy and cognitive behavioral therapy in patients with primary vaginismus previously assessed by a psychiatrist and a gynecologist
Methods: We performed as a single-center, cross-sectional study in 35 patients with primary vaginismus
Results: Successful coitus was achieved by 19 (95%) individuals in the hypnotherapy group and by 14 (93.3%) members of the cognitive behavioral therapy group. These success rates were similar (p=0.681). The mean number of sessions until successful coitus was significantly lower in the hypnotherapy group (p=0.000).
Conclusions: hypnotherapy and cognitive behavioral therapy can be applied with similar high success rates in the treatment of vaginismus. However, success may be achieved with fewer sessions with hypnotherapy.

References

  • 1. Beck JG, Vaginismus. Handbook of Sexual Dysfunctions: Assessment and Treatment. O'Donohue, W, Greer, JH (Eds). Allyn and Bacon Inc, Boston, USA, 1993.p. 381–397.
  • 2. Reissing ED, Binik YM, Khalife S. Does vaginismus exist? A critical review of the literature Journal of Nervous and Mental Disease. 1999;187: 261-274
  • 3. Crowley T, Richardson D, Goldmeier D. Recommendations for the management of vaginismus: BASHH special interest group for sexual dysfunction. International Journal of STD & AIDS 2006;17:14-18.
  • 4. Özdel K, Yılmaz A, Çeri Ö, Kumbasar H. Factors that might be predictive of completion of vaginismus treatment. Türk Psikiyatri Dergisi 2012;23(4):248-254.
  • 5. Doğan S, Özkorumak E. Ağrılı genital cinsel aktivite ve vajinismus tanısında yaşanan güçlükler. Klinik Psikiyatri 2008;11(3):135-142.
  • 6. Şafak ÖC, Arkar H.Effect of Cognitive Behavioral Therapy on Sexual Satisfaction, Marital Adjustment, and Levels of Depression and Anxiety Symptoms in Couples with Vaginismus. Turk Psikiyatri Dergisi. 2017 ;28(3):172-180.
  • 7. Van LJJ, ter KMM, de GHE, Melles R, Nefs J, Zandbergen M. Cognitive-behavioral therapy for women with lifelong vaginismus: a randomized waiting-list controlled trial of efficacy. Journal of Consulting and Clinical Psychology. 2006;74(1):168-178.
  • 8. Yaraghi M, Ghazizadeh S, Mohammadi F, Ashtiani EM, Bakhtiyari M, Mareshi SM, Sarfjoo FS, Eftekhar T.Comparing the effectiveness of functional electrical stimulation via sexual cognitive/behavioral therapy of pelvic floor muscles versus local injection of botulinum toxin on the sexual functioning of patients with primary vaginismus: a randomized clinical trial. International Urogynecology Journal. 2018;30(11):1821-1828.
  • 9. Kuile MMT, Lankveld JJ, Groot ED, Melles R, Neffs J, Zandbergen M Cognitive-behavioral therapy for women with lifelong vaginismus: process and prognostic factors. Behaviour Research and Therapy. 2007;45(2):359-373.
  • 10. Seo JT, Choe JH, Lee WS, Kim KH. Efficacy of functional electrical stimulation-biofeedback with sexual cognitive-behavioral therapy as treatment of vaginismus. Urology. 2005;66(1):77-81.
  • 11. Kuile MMT, Both S, van Lankveld JJ. Cognitive behavioral therapy for sexual dysfunctions in women. Psychiatric Clinics of North America. 2010;33(3):595-610.
  • 12. Engman M, Wijma K, Wijma B. Long-term coital behaviour in women treated with cognitive behaviour therapy for superficial coital pain and vaginismus. Cognitive Behavioral Therapy. 2010;39(3):193-202.
  • 13. Gottesfeld ML.Treatment of vaginismus by psychotherapy with adjunctive hypnosis. american journal clinical hypnosis. 1978;20(4):272-277.
  • 14. Fuchs K. Therapy of vaginismus by hypnotic desensitization. The American Journal of Obstetrics and Gynecology 19801;137(1):1-7.
  • 15. Al-Sughayir MA. Vaginismus treatment. Hypnotherapy versus behavior therapy. Neurosciences. 2005;10 (2):163-167.
  • 16. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 4th ed Text Revision. Washington DC: American Psychiatric Association; 2000.p.866
  • 17. Butcher J. ABC of sexual health: Female sexual problems II: Sexual pain and sexual fears. BMJ. 1999;318:110-112.
  • 18. Kabakci E, Batur S. Who benefits from cognitive behavioral therapy for vaginismus. J Sex Mar Ther. 2003; 29: 277-288.
  • 19. Hawton K, Catalan J. Sex therapy for vaginismus: Characteristics of couples and treatment outcome. Sexual and Marital Therapy. 1990;5:39–48.
  • 20. Ward E, Ogden E. Experiencing vaginismus sufferers’ beliefs about causes and effects. Sexual and Marital Therapy. 1994;9: 33-45.
  • 21. Binik YM. The DSM diagnostic criteria for vaginismus. Archives of Sexual Behavior. 2010: 39(2):292-303.
  • 22. Ahmed K, Bhugra D. The role of culture in sexual dysfunction. Psychiatry. 2007;3(2), 23-25.
  • 23. Ohl LE. Essentials of female sexual dysfunction from a sex therapy perspective. Urologic Nursing 2007;27(1):57-63.
  • 24. Atallah S, Johnson-Agbakwu C, Rosenbaum T, Abdo C, Byers ES, Graham C, Nobre P, Wylie K, Brotto L. Ethical and Sociocultural Aspects of Sexual Function and Dysfunction in Both Sexes. Journal of Sexual Medicine. 2016;13(4):591-606.
  • 25. Bancroft J, Coles L. Three years’ experience in a sexual problems clinic. British Medical Journal. 1976;1: 1575.
  • 26. Catalan J, Hawton K, Day A. Couples referred to a sexual dysfunction clinic. Psychological and physical morbidity. British Journal Psychiatry 1990;156:61-67.
  • 27. Sungur M. Evaluation of couples referred to a sexual dysfunction unit and prognostic factors in sexual and marital therapy. Sexual and Marital Therapy 1994;9:251-265.
  • 28. Tuğrul C, Kabakçı E. Vaginismus and its correlates. Sexual and Marital Therapy 1997;12: 23-34.
  • 29. Özdemir YO, Şimşek F, İncesu C, Koç K. Sociodemographic and clinical characteristics of subjects referred to a multidisciplinary sexual dysfunction outpatient clinic. European Journal of Sexual Health 2006;15(Suppl 1):14-15.
  • 30. Dogan S. Vaginismus and accompanying sexual dysfunctions in a Turkish clinical sample. Journal of Sexual Medicine 2009;6(1):184-192.
  • 31. Schnyder U, Schnyder-Luthi C, Balinari P, Blaser A. Therapy for vaginismus: In vivo versus in vitro desensitization. Canadian Journal of Psychiatry 1998;43:941-944.
  • 32. Wiel HB, Jaspers JP, Schultz WC, Gal J. Treatment of vaginismus: a review of concepts and treatment modalities. Journal of Psychosomatic Obstetrics & Gynecology. 1990;11:1-18.
  • 33. Staccini L. Psychological treatment of female sexual dysfunction: a critical review of the literature. Rivista di Psichiatria. 2015;50:265-273.
There are 33 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Articles
Authors

Kenan Taştan 0000-0002-6020-1379

Nurcan Yoruk 0000-0002-8330-2551

Memet Işık 0000-0003-1732-9980

Publication Date October 18, 2021
Acceptance Date June 7, 2021
Published in Issue Year 2021 Volume: 13 Issue: 3

Cite

APA Taştan, K., Yoruk, N., & Işık, M. (2021). A Comparison of the Effectiveness of Hypnotherapy and Cognitive Behavioral Therapy in the Treatment of Primary Vaginismus. Konuralp Medical Journal, 13(3), 536-541. https://doi.org/10.18521/ktd.881318
AMA Taştan K, Yoruk N, Işık M. A Comparison of the Effectiveness of Hypnotherapy and Cognitive Behavioral Therapy in the Treatment of Primary Vaginismus. Konuralp Medical Journal. October 2021;13(3):536-541. doi:10.18521/ktd.881318
Chicago Taştan, Kenan, Nurcan Yoruk, and Memet Işık. “A Comparison of the Effectiveness of Hypnotherapy and Cognitive Behavioral Therapy in the Treatment of Primary Vaginismus”. Konuralp Medical Journal 13, no. 3 (October 2021): 536-41. https://doi.org/10.18521/ktd.881318.
EndNote Taştan K, Yoruk N, Işık M (October 1, 2021) A Comparison of the Effectiveness of Hypnotherapy and Cognitive Behavioral Therapy in the Treatment of Primary Vaginismus. Konuralp Medical Journal 13 3 536–541.
IEEE K. Taştan, N. Yoruk, and M. Işık, “A Comparison of the Effectiveness of Hypnotherapy and Cognitive Behavioral Therapy in the Treatment of Primary Vaginismus”, Konuralp Medical Journal, vol. 13, no. 3, pp. 536–541, 2021, doi: 10.18521/ktd.881318.
ISNAD Taştan, Kenan et al. “A Comparison of the Effectiveness of Hypnotherapy and Cognitive Behavioral Therapy in the Treatment of Primary Vaginismus”. Konuralp Medical Journal 13/3 (October 2021), 536-541. https://doi.org/10.18521/ktd.881318.
JAMA Taştan K, Yoruk N, Işık M. A Comparison of the Effectiveness of Hypnotherapy and Cognitive Behavioral Therapy in the Treatment of Primary Vaginismus. Konuralp Medical Journal. 2021;13:536–541.
MLA Taştan, Kenan et al. “A Comparison of the Effectiveness of Hypnotherapy and Cognitive Behavioral Therapy in the Treatment of Primary Vaginismus”. Konuralp Medical Journal, vol. 13, no. 3, 2021, pp. 536-41, doi:10.18521/ktd.881318.
Vancouver Taştan K, Yoruk N, Işık M. A Comparison of the Effectiveness of Hypnotherapy and Cognitive Behavioral Therapy in the Treatment of Primary Vaginismus. Konuralp Medical Journal. 2021;13(3):536-41.