083 The Effectiveness of In-Person Versus Remote Group Couples Therapy for the Treatment of Low Sexual Desire or Frequency
Notice bibliographique
Résumé
ABSTRACT Introduction Low/no sexual desire/frequency or sexual desire discrepancies are one of the most common presenting problems in sex therapists’ offices and among the hardest to treat. Most interventions target the identified patient (i.e., typically the woman with low desire), most recently via biomedical therapies (i.e., flibanserin and bremelanotide). Few interventions to date have shown consistent and successful improvements in this population of distressed couples. Objective To determine whether a group couples sex therapy intervention, offered in-person or via teletherapy, could help couples distressed by low/no sexual desire/frequency. Methods Couples were seen in groups of 4-6 couples (i.e,. 8-12 individuals) for an 8-week, 16-hour intervention led by 13 co-therapist dyads (i.e., 26 licensed clinicians) in 2 countries. Individuals completed the New Sexual Satisfaction Scale (NSSS) plus 3 additional items at assessment, pre-test, post-test and at 6-month follow-up. A total of 107 couples (i.e., 214 individuals) completed the intervention from pre-test to post-test, 75 of whom completed the intervention in-person and 32 via teletherapy during COVID-19. This included 94 heterosexual couples and 13 LGBTQ couples. Of these 107 couples, 42 (i.e., the waitlist control) also completed the assessment at least one month prior to group therapy and 51 couples completed the 6-month follow-up. Paired samples t-tests were conducted between assessment and pre-test, between pre-test and post-test and between pre-test and follow-up. Paired samples t-tests were also conducted between couples’ mean scores on individual items from pre-test to post-test and from pre-test to follow-up. An independent samples t-test was conducted on the mean differences in outcomes between couples who completed the in-person intervention versus those who completed it via teletherapy. Participants also provided written feedback regarding changes in their relationships resulting from therapy. Results No changes occurred on waitlist control scores from assessment to pre-test. For all couples, mean total scores on the NSSS increased by an average of 13.1 ± 10.7 points from pre-test to post-test. This increase in scores was equally significant for groups conducted in-person (p < .001, d = 1.2), and via teletherapy (p < .001, d = 1.3). The amount of change found in couples who underwent the in-person intervention versus those who participated in online group therapy was equivalent. There was a statistically significant increase in scores between pre-test and 6-month follow-up (p < .001, d = 0.6), suggesting that the effects of the intervention were enduring. In addition, there was a statistically significant difference from pre-test to post-test for various individual items on the NSSS, most notably in satisfaction with individuals’ overall sex lives (p < .001, d = 0.9). In their feedback, participants described improvements in emotional connection, embodiment, being “in the moment”, playfulness, enjoyment, authenticity, as well as increased comfort with communication in general, about sex and at times of conflict. Conclusions Group couples therapy for low/no sexual desire/frequency, offered in person or via teletherapy, is an accessible and effective way of enhancing sexual intimacy and thereby ameliorating sexual desire discrepancies for distressed couples. Disclosure Work supported by industry: no.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,003 | 0,001 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».