(158) A SYSTEMATIC REVIEW OF THE EFFICACY OF GROUP PSYCHOTHERAPIES FOR THE TREATMENT OF FEMALE SEXUAL DYSFUNCTION
Bibliographic record
Abstract
Abstract Introduction Some studies suggest the use of group psychotherapy (GP) as an effective treatment for female sexual dysfunctions (FSDs). GP allows a rich exchange of experiences that would not be achieved through individual care. This treatment modality also gives people in vulnerable situations the opportunity for low-cost psychotherapy. Although GP are indicated in multiple fields of health for the treatment of different pathologies, no literature reviews have investigated the effects of GP for the treatment of FSDs or compared the effectiveness of group interventions with other types of interventions (e.g., medication or individual psychotherapy). Objective The aim of this study was to investigate the effectiveness of GP in the treatment of FSDs. The secondary goals are to assess (1) which are the main FSDs treated through GP; (2) the main GP approaches and (3) the main countries where GP was used. Methods A systematic review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA). Using six scientific databases: PubMed, Web of Science, Virtual Health Library, PsycINFO, Embase, and Scopus. The eligibility criteria were studies that included women ≥18 years old with an established diagnosis of any FSD or any level of sexual dysfunction (SD); at least one group received GP; the intervention was delivered by health professionals; have comparison of GP with itself (pre-post) or comparison of GP with any other type of treatment; the study was a randomized (RCT) or non-randomized (NRCT) controlled trial; and studies that had some type of statistical evidence of efficacy (e.g., Cohen’s d,) or sufficient data to perform effect size calculation of the intervention. Results Initially, 615 articles were found, but only 14 studies remained after the application of the criteria. The included articles spanned a wide time frame, from 1978 to 2022. The majority (n = 10) were published between 2014 and 2022. Most of the studies were RCTs (n = 8). Almost half (n = 6) of the papers were conducted in Canada, followed by Iran, the USA, the Netherlands, and Brazil, with two studies in each country. Sexual function (SF) was the most analyzed (n = 10), followed by pain during intercourse (n = 4). Vulvar pain and sexual interest/arousal disorder were assessed by three studies. Our findings suggest that for SF enhancement, GCBT and MBGT are the most used GP, with robust evidence of effectiveness. Other psychological approaches based on CBT, such as bibliotherapy, have also shown moderate effect sizes. Conclusions Our findings corroborate previous studies which suggest that the use of CBT and MBCT for the treatment of FSDs reduces anxiety levels, improving the positive attitude toward sexual health and, consequently. GCBT and MBGT have both shown medium to large effect sizes in improving female sexual function. Medium to large effect sizes were also found during the treatment of vulvar pain and pain during intercourse with GCBT. Only MGGT showed a significant effect size for low desire treatment. MBGT was the most used and effective intervention for the treatment of sexual interest/arousal disorder. Disclosure No.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.003 | 0.001 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.005 | 0.000 |
| Bibliometrics | 0.000 | 0.001 |
| Science and technology studies | 0.000 | 0.001 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".