The effects of behavioral therapy given to men with premature ejaculation on symptoms and their partners’ sexual functioning and sexual quality of life

Yıl 2023, , 974 - 980, 28.09.2023

Kazım Doğan

https://doi.org/10.32322/jhsm.1341975

Öz

Aims: This research aimed to evaluate the efficacy of behavioral therapy administered to men diagnosed with premature ejaculation (PE) and its consequent effects on their partners' sexual function and overall sexual quality of life.
Methods: Using a quasi-experimental pre-test post-test study design, men diagnosed with premature ejaculation and their partners from a urology outpatient clinic underwent behavioral therapy. The therapy incorporated the "stop-start technique" over six bi-weekly sessions, each lasting 45 minutes. Post-therapy evaluations were conducted after the sixth session.
Results: Post-treatment results showed a significant decrease in men’s PEDT scores from 15.53±2.09 to 7.65±3.05 (p=0.012). Concurrently, their partners experienced an increase in FSFI scores from 13.90±11.1 to 21.70±7.86 (p=0.001) and SQOL-F scores from 37.82±8.50 to 84.01±9.68 (p=0.001). Significant improvements were also recorded in the FSFI subscales for desire (2.2±1.7 to 4.2±1.14), arousal (2.3±3.7 to 4.6±3.04), lubrication (2.5±2.7 to 3.7±1.7), orgasm (2.6±2.0 to 3.5±1.3), and satisfaction (2.0±2.2 to 4.4±1.8) for the female partners post-treatment, all with p<0.05. A notable decrease was observed in the pain subscale (2.3±2 to 1.3±0.9, p<0.05).
Conclusion: Behavioral therapy directed towards men with PE not only significantly alleviates their condition but also enhances their partners' sexual functionality and quality of life, emphasizing the therapy's comprehensive advantages.

Anahtar Kelimeler

Premature ejaculation, behavioral therapy, PEDT, FSFI, SQOL-F, sexual function

Kaynakça

• Shabsigh R, Rowland D. The diagnostic and statistical manual of mental disorders, fourth edition, text revision as an appropriate diagnostic for premature ejaculation. J Sex Med. 2007;4(5):1468-1478.
• Sadeghi-Nejad H, Watson R. Premature ejaculation: current medical treatment and new directions (CME). J Sex Med. 2008;5(5):1037-1050.
• Mohammadi SD, Mohammadkhani P, Dolatshahi B, Dadkhah A. Effectiveness of cognitive behavioral therapy on the signs, symptoms and clinical consequences of premature ejaculation. Japanese Psychol Res. 2013;55(4):350-357.
• de Carufel F, Trudel G. Effects of a new functional-sexological treatment for premature ejaculation. J Sex Amp Marital Ther. 2006;32(2):97-114.
• Martin-Tuite P, Shindel AW. Management options for premature ejaculation and delayed ejaculation in men. Sex Med Rev. 2020;8(3):473-485.
• Serefoglu EC, Yaman O, Cayan S, et al. Prevalence of the complaint of ejaculating prematurely and the four premature ejaculation syndromes: results from the Turkish Society of Andrology Sexual Health Survey. J Sex Med. 2011;8(2):540-548.
• Althof SE, Abdo CHN, Dean J, et al. International Society for Sexual Medicine's Guidelines for the diagnosis and treatment of premature ejaculation. J Sex Med. 2010;7(9):2947-2969.
• Koops TU, Klein V, Bei der Kellen R, Hoyer J, Löwe B, Briken P. Association of sexual dysfunction according to DSM-5 diagnostic criteria with avoidance of and discomfort during sex in a population-based sample. Sex Med. 2023;11(3):qfad037
• Symonds T, Perelman M, Althof S, et al. Further evidence of the reliability and validity of the premature ejaculation diagnostic tool. Int J Impotence Res. 2007;19(5):521-525.
• Serefoglu EC, Cimen HI, Ozdemir AT, Symonds T, Berktas M, Balbay MD. Turkish validation of the premature ejaculation diagnostic tool and its association with intravaginal ejaculatory latency time. Int J Impotence Res. 2008;21(2):139-144.
• Rosen CBJHSLR. The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. J Sex Amp Marital Ther. 2000;26(2):191-208.
• Symonds T, Boolell M, Quirk F. Development of a questionnaire on sexual quality of life in women. J Sex Amp Marital Ther. 2005;31(5):385-397.
• Soohinda S DG. Female sexual dysfunction and its relationship with marital satisfaction in Indian women. J Med Sci Clin Res. 2018;6(2):762-769.
• Ariapooran S, Raziani S. Sexual satisfaction, marital intimacy, and depression in married Iranian nurses with and without symptoms of secondary traumatic stress. Psychological Reports. 2018;122(3):809-825.
• ter Kuile MM, Both S, van Lankveld JJDM. Cognitive Behavioral therapy for sexual dysfunctions in women. Psychiatr Clin North Am. 2010;33(3):595-610
• Pavone C, Abbadessa D, Gambino G, Scaduto G, Vella M. Premature ejaculation: Pharmacotherapy vs group psychotherapy alone or in combination. Archivio Italiano di Urologia e Andrologia. 2017;89(2):114.
• Mantovani F. Pharmacological/dynamic rehabilitative behavioural therapy for premature ejaculation: Results of a pilot study. Archivio Italiano di Urologia e Andrologia. 2017;89(2):148.
• McCarthy BW. Relapse prevention strategies and techniques in sex therapy. J Sex Amp Marital Ther. 1993;19(2):142-146.
• Omidi A, Ahmadvand A, Najarzadegan MR, Mehrzad F. Comparing the effects of treatment with sildenafil and cognitive-behavioral therapy on treatment of sexual dysfunction in women: a randomized controlled clinical trial. Electron Physician. 2016;8(5):2315-2324.
• Ozdel O, Tumkaya S, Levent N, Atesci F, Oguzhanoglu N. Effects of sex therapy based on cognitive behavioral methods on sexual problems of women with vaginismus and their spouses. Anatol J Psychiatr. 2013;14(2):129.
• Safak Ozturk C, Arkar H. Effect of cognitive behavioral therapy on sexual satisfaction, marital adjustment, and levels of depression and anxiety symptoms in couples with vaginismus. Turk J Psychiatr. 2017;28(3):172.
• Jalilian N, Mokari Z. The effectiveness of sexual skills training with a cognitive-behavioral approach on sexual dysfunction among infertile women. World Fam Med J/Middle East J Fam Med. 2017;15(7):126-132.
• Hobbs K, Symonds T, Abraham L, May K, Morris MF. Sexual dysfunction in partners of men with premature ejaculation. Int J Impotence Res. 2008;20(5):512-517.
• De Amicis LA, Goldberg DC, LoPiccolo J, Friedman J, Davies L. Clinical follow-up of couples treated for sexual dysfunction. Arch Sex Behav. 1985;14(6):467-489.
• Mirzaee F, Ahmadi A, Zangiabadi Z, Mirzaee M. The effectiveness of psycho-educational and cognitive-behavioral counseling on female sexual dysfunction. Revista Brasileira de Ginecologia e Obstetrícia/RBGO Gynecology and Obstetrics. 2020;42(06):333-339.
• Zahran MH, Elwasif SM, Khan I, et al. The effect of renal transplantation on female sexual function: an age-matched pair analysis. Urology. 2022;165:164-169.
• Zhang JT, Ma L, Gong X, Luo S, Zhao S. Clinical study on the use of acupuncture for the treatment of female sexual dysfunction: a pilot study. Sex Med. 2022;10(4):100541.
• Smith WJ, Beadle K, Shuster EJ. The impact of a group psychoeducational appointment on women with sexual dysfunction. Am J Obstet Gynecol. 2008;198(6):697.e1-697.e7
• Kieseker GA, Anderson DJ, Porter-Steele J, McCarthy AL. A psychometric evaluation of the female sexual function index in women treated for breast cancer. Cancer Med. 2022;11(6):1511-1523
• Patrick DL, Althof SE, Pryor JL, et al. Ejaculatory disorders: premature ejaculation: an observational study of men and their partners. J Sex Med. 2005;2(3):358-367.
• Burri A, Giuliano F, McMahon C, Porst H. Female partner's perception of premature ejaculation and its impact on relationship breakups, relationship quality, and sexual satisfaction. J Sex Med. 2014;11(9):2243-2255.
• Gillman N, Gillman M. Premature ejaculation: aetiology and treatment strategies. Med Sci (Basel). 2019;7(11):102.