Abstract:
:The role of psychological and interpersonal factors in the treatment of erectile dysfunction (ED) with sildenafil or other oral therapies has not been sufficiently investigated. We conducted a pilot study of psychosocial predictors of pharmacotherapy treatment outcome and satisfaction in men with ED and their partners. Sixty-nine men with mild to moderate ED and their partners were enrolled in a multicenter, open-label, treatment trial with sildenafil. Treatment measures included a battery of validated self-report measures and questionnaires. Subjects also were interviewed according to a semistructured interview protocol. Partner assessments included self-report measures of sexual function, mood, and relationship satisfaction. Results indicated that, prior to treatment, patients had erectile function scores in the range of mild to moderate ED, with relatively low levels of concomitant depression, anxiety, and psychological stress and high overall levels of relationship adjustment. Partner sexual function was in the normal range of total Brief Index of Sexual Functioning for Women (BISF-W; Taylor, Rosen, Leiblum, 1994) scores, although more than one third of female partners had specific sexual complaints or problems. Among couples who completed one or both follow-up visits (N = 34), sildenafil treatment resulted in significant improvements in all aspects of sexual function in men, including sexual desire, orgasmic function, erectile function and overall sexual satisfaction. Significant improvements also were noted in partners' ratings of sexual function in most domains, including arousal, pleasure, and orgasm. Higher baseline levels of sex-specific anxiety were negatively associated with improvement in erections following treatment. Relationship adjustment at baseline, contrary to expectations, did not predict erectile or sexual satisfaction following treatment in the men or their partners but was significantly correlated with changes in sexual desire. Baseline levels of depression, anxiety, and stress generally were unrelated to efficacy or treatment satisfaction. However, we observed a curvilinear relationship in the men between baseline levels of stress and treatment discontinuation (i.e., subjects with moderate levels of stress were less likely to discontinue treatment). Because of a high number of dropouts, results of this pilot study await confirmation in a larger and more adequately powered clinical trial.
journal_name
J Sex Marital Therjournal_title
Journal of sex & marital therapyauthors
Rosen R,Janssen E,Wiegel M,Bancroft J,Althof S,Wincze J,Segraves RT,Barlow Ddoi
10.1080/00926230600575314subject
Has Abstractpub_date
2006-05-01 00:00:00pages
215-34issue
3eissn
0092-623Xissn
1521-0715pii
M454548T8784021Rjournal_volume
32pub_type
临床试验,杂志文章abstract::This article offers a report disputing the notion that women who are married to hypersexual men exhibit a constellation of pathological symptoms, although it is likely they experience marital distress. The authors measured psychopathology using the Minnesota Multiphasic Personality Inventory-2-Restructured Form and ma...
journal_title:Journal of sex & marital therapy
pub_type: 杂志文章
doi:10.1080/0092623X.2011.533585
更新日期:2011-01-01 00:00:00
abstract::In this experimental study, 89 participants were allocated to an offending pedophile, nonoffending pedophile, or control video condition. They then watched two short help-seeking video clips of an older male and a younger male (counterbalanced). Judgments about each male were assessed, as were general attitudes toward...
journal_title:Journal of sex & marital therapy
pub_type: 杂志文章
doi:10.1080/0092623X.2017.1405300
更新日期:2018-05-19 00:00:00
abstract::The term autogynephilia denotes a male's paraphilic tendency to be sexually aroused by the thought or image of himself as a woman. This term subsumes transvestism as well as erotic ideas or situations in which women's garments per se play a small role or none at all. This review article presents clinical examples of t...
journal_title:Journal of sex & marital therapy
pub_type: 杂志文章
doi:10.1080/00926239108404348
更新日期:1991-01-01 00:00:00
abstract::The aim of this study was to investigate the relationship between intimacy and marital satisfaction of couples in different stages of the family life cycle. The Personal Assessment of Intimacy in Relationships (PAIR) questionnaire (Schaefer & Olson, 1981) and a subscale of the Enriching and Nurturing Relationship Issu...
journal_title:Journal of sex & marital therapy
pub_type: 杂志文章
doi:10.1080/009262301750257100
更新日期:2001-05-01 00:00:00
abstract::This article provides a critical review of the extensive literature on the nocturnal penile tumescence (NPT) method for the differential diagnosis of erectile disorders. It discusses the validity of the method and several theoretical and practical issues of importance for the adequate interpretation of results. NPT da...
journal_title:Journal of sex & marital therapy
pub_type: 杂志文章,评审
doi:10.1080/00926238808403909
更新日期:1988-07-01 00:00:00
abstract::Recent consensus-based characterizations of female sexual dysfunction have emphasized personal distress as an essential component of their definition. To assist researchers and clinicians, we developed a new scale, the Female Sexual Distress Scale, to measure sexually related personal distress in women. In this articl...
journal_title:Journal of sex & marital therapy
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1080/00926230290001448
更新日期:2002-07-01 00:00:00
abstract::This study was designed to examine the effects of a group sexual enhancement program for elderly couples. Ten marital couples whose ages ranged from 51 to 71 were placed in one of three sexual enhancement groups based on their scheduling preferences. All groups followed the same format, but each was conducted by a dif...
journal_title:Journal of sex & marital therapy
pub_type: 杂志文章
doi:10.1080/00926237808403010
更新日期:1978-07-01 00:00:00
abstract::A semi-structured interview has been used to evaluate sexual functioning in transvestite-eunuchs known as Hijaras of India. Hijaras can be castrated males or male children with ambiguous external genitalia. Attitudes, experiences, behavior and frequency of sexual practices of the Hijara are described. ...
journal_title:Journal of sex & marital therapy
pub_type: 杂志文章
doi:10.1080/00926239008405256
更新日期:1990-07-01 00:00:00
abstract::The feasibility of reliably measuring clitoral blood flow using standard color Doppler ultrasonography was evaluated by two independent assessors in a sample of 40 pre- and post-menopausal women. High positive correlations with no significant mean differences between examiners were found for three major standard blood...
journal_title:Journal of sex & marital therapy
pub_type: 杂志文章
doi:10.1080/009262300278588
更新日期:2000-04-01 00:00:00
abstract::Accurately evaluating alterations in sexual functioning requires a validated instrument that measures clinically relevant change over time. One-hundred one depressed patients from 15 Spanish out-patient clinics completed the Changes in Sexual Functioning Questionnaire (CFSQ; Clayton, McGarvey, & Clavet, 1997) at basel...
journal_title:Journal of sex & marital therapy
pub_type: 杂志文章
doi:10.1080/00926230252851852
更新日期:2002-03-01 00:00:00
abstract::If we work from the assumption that sexual symptoms are functional rather than dysfunctional, we can more fully exploit the opportunity for rapid uncovering therapy created by the symptom focus and the assignment structure of sex therapy. This objective is facilitated by an ego-analytic reevaluation of the way that th...
journal_title:Journal of sex & marital therapy
pub_type: 杂志文章
doi:10.1080/00926237708402978
更新日期:1977-07-01 00:00:00
abstract::The Sexual Competence and Interaction Competence in Youth is a self-report questionnaire that aims to measure sexual competence and interaction competence in adolescents. The study sample consisted of 276 female undergraduate students (M = 20.95 years, SD = 2.00 years). The factor structure of the questionnaire was ca...
journal_title:Journal of sex & marital therapy
pub_type: 杂志文章
doi:10.1080/0092623X.2014.933461
更新日期:2015-01-01 00:00:00
abstract::The purposes of this article are to introduce a theory regarding why individuals develop compulsive relationships to sexuality and to present therapeutic recommendations based upon this theory that I have found effective in my own work with sexually compulsive persons. ...
journal_title:Journal of sex & marital therapy
pub_type: 杂志文章,评审
doi:10.1080/00926230290001501
更新日期:2002-10-01 00:00:00
abstract::This study examined the effects of a sex and aging workshop highlighting permission and limited information on the sexual knowledge, attitudes, behaviors, and satisfaction of a group of older heterosexual couples experiencing erectile dysfunction. The workshop focused on disseminating information about the physiologic...
journal_title:Journal of sex & marital therapy
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1080/00926239008405259
更新日期:1990-10-01 00:00:00
abstract::The SSRI antidepressants have emerged as effective new treatment for patients with premature ejaculation whether or not these patients suffer from depression. Clomipramine, fluoxetine, paroxetine, and sertraline seem to be a safe treatment option for patients with premature ejaculation, especially in cases of failed p...
journal_title:Journal of sex & marital therapy
pub_type: 杂志文章,评审
doi:10.1080/00926239608404912
更新日期:1996-07-01 00:00:00
abstract::The Beck Depression Inventory was used to assess depressive symptoms in 178 sexual assault survivors and 50 control subjects who had never been sexually assaulted. The sexual assault survivors reported significantly more depressive symptoms than the control subjects, and further analyses strongly suggested that the de...
journal_title:Journal of sex & marital therapy
pub_type: 杂志文章
doi:10.1080/00926238408405944
更新日期:1984-10-01 00:00:00
abstract::The findings of 22 general population sex surveys are reanalyzed to assess the prevalence and distribution of the Psychosexual Dysfunctions as defined by DSM-III. Methodological shortcomings of the studies and problems with utilizing data originally collected for other purposes are discussed. Prevalence is estimated t...
journal_title:Journal of sex & marital therapy
pub_type: 杂志文章
doi:10.1080/00926238608415413
更新日期:1986-01-01 00:00:00
abstract::Past studies have shown strong associations between sexual functioning and interpersonal factors. The aim of this pilot study was to investigate the moderating role of partner-related fascination-an important dimension of relationship quality-in the association between sexual functioning and relationship satisfaction ...
journal_title:Journal of sex & marital therapy
pub_type: 杂志文章
doi:10.1080/0092623X.2014.966398
更新日期:2015-01-01 00:00:00
abstract::We performed duplex ultrasonography of the clitoris to assess the local hemodynamic changes after a topical application of alprostadil. Color duplex ultrasonography was used to evaluate 18 women before and after the application of 1 g of 0.2% alprostadil gel. The peak systolic velocity and end diastolic velocity showe...
journal_title:Journal of sex & marital therapy
pub_type: 杂志文章
doi:10.1080/713846798
更新日期:2001-10-01 00:00:00
abstract::A three-year longitudinal intervention study was implemented to reduce high-risk drug and sexual behaviors in methadone-dependent African American women. Participants were recruited from four inner-city methadone maintenance programs and randomly assigned either to an eight-week peer counseling and leadership training...
journal_title:Journal of sex & marital therapy
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1080/00926239608405301
更新日期:1996-04-01 00:00:00
abstract::Prior research has documented various ways in which adult attachment styles are characteristic of differential behavioral and cognitive patterns within romantic relationships and sexuality. However, few studies have examined the direct influence of anxious or avoidant attachment orientation on sexual function. The aim...
journal_title:Journal of sex & marital therapy
pub_type: 杂志文章
doi:10.1080/0092623X.2015.1061075
更新日期:2016-07-03 00:00:00
abstract::The literature on genital and pelvic pain has largely focused on heterosexual women. An online study examined characteristics of vulvar pain in 839 lesbian, bisexual, and heterosexual women 18-45 years of age and investigated associations between relationship qualities such as love and communication with participants'...
journal_title:Journal of sex & marital therapy
pub_type: 杂志文章
doi:10.1080/0092623X.2014.931315
更新日期:2015-01-01 00:00:00
abstract::This pilot study aimed at fostering resilience among people living with HIV and improving the HIV-negative participants' acceptance of people living with HIV. A group of 75 people living with HIV who were former blood/plasma donors and 36 HIV-negative fellow villagers in rural China participated in the intervention. T...
journal_title:Journal of sex & marital therapy
pub_type: 杂志文章
doi:10.1080/0092623X.2012.668512
更新日期:2014-01-01 00:00:00
abstract::Vulnerability factors such as insecure attachment may have a lasting effect on the outcome of couples therapy, even long after discharge from treatment. Given that attachment has never been examined as an outcome predictor for couples therapy in the long term, the authors studied its effect on outcome during and after...
journal_title:Journal of sex & marital therapy
pub_type: 杂志文章
doi:10.1080/0092623X.2011.582435
更新日期:2011-01-01 00:00:00
abstract::Sexual aversion is a widespread, poorly recognized syndrome occurring in both males and females. Once diagnosed, it is relatively resistant to conventional forms of therapy. Aversion is characterized by an unwillingness to get involved in sexual activity, with avoidance of any touching or communication that might lead...
journal_title:Journal of sex & marital therapy
pub_type: 杂志文章
doi:10.1080/00926238508405454
更新日期:1985-01-01 00:00:00
abstract::Despite a growing number of studies, hypersexuality remains controversial and empirically elusive. Using a group comparison approach, this study revisited the claim that hypersexuality cannot be reliably distinguished from high sexual desire. An online survey, advertised as focusing on pornography use and sexual healt...
journal_title:Journal of sex & marital therapy
pub_type: 杂志文章
doi:10.1080/0092623X.2015.1113585
更新日期:2016-11-16 00:00:00
abstract::Women with Borderline Personality Disorder (BPD) are prone to have sexual relationship difficulties and dysfunctional attitudes toward sexuality. A sample of 34 heterosexual couples composed of women meeting BPD criteria was compared to a sample of dating or married women from the general population. A short form of t...
journal_title:Journal of sex & marital therapy
pub_type: 杂志文章
doi:10.1080/00926230802712301
更新日期:2009-01-01 00:00:00
abstract::After discussing the origin of religion, functions of religion, and the construction of meaning by religion, the author focuses on the connection between religion and anxiety. The permanent anxiety in religion is determined by guilt feelings that arise for example from the violation of norms in the area of sexuality. ...
journal_title:Journal of sex & marital therapy
pub_type: 杂志文章,评审
doi:10.1080/00926239808404924
更新日期:1998-04-01 00:00:00
abstract::Empirical studies have focused on dyadic adjustment and sexual satisfaction in men and women. Nevertheless, little is known regarding the role of dyadic adjustment in sexual problems among individuals in same-sex and mixed-sex dyads. The aim of the current study was to analyze the differences in dyadic adjustment betw...
journal_title:Journal of sex & marital therapy
pub_type: 杂志文章
doi:10.1080/0092623X.2015.1053020
更新日期:2016-05-18 00:00:00
abstract::The scientific community underlines that one of the main challenges for couples is the effect of time on sexual desire. Some studies suggest that although some dimensions associated with intimacy tend to increase during the relationship, sexual desire and the related constructs tend to decrease. Some researchers have ...
journal_title:Journal of sex & marital therapy
pub_type: 杂志文章,评审
doi:10.1080/0092623X.2011.606885
更新日期:2012-01-01 00:00:00