• Clinics · Jan 2022

    Randomized Controlled Trial

    Cognitive-behavioral group therapy for women with hypoactive sexual desire: A pilot randomized study.

    • Théo Lerner, Vicente Renato Bagnoli, de PereyraElsa Aida GayEAGDisciplina de Ginecologia, Departamento de Obstetrícia e Ginecologia, Hospital das Clínicas, Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brazil., Lucivanda Pontes Fonteles, Isabel Cristina Esposito Sorpreso, JúniorJosé Maria SoaresJMSDisciplina de Ginecologia, Departamento de Obstetrícia e Ginecologia, Hospital das Clínicas, Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brazil., and Edmund Chada Baracat.
    • Disciplina de Ginecologia, Departamento de Obstetrícia e Ginecologia, Hospital das Clínicas, Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brazil. Electronic address: theolerner.med@gmail.com.
    • Clinics (Sao Paulo). 2022 Jan 1; 77: 100054.

    BackgroundHypoactive Sexual Desire Disorder (HSDD) is a very prevalent sexual problem, with limited options for treatment. Given that psychological factors are major contributors to the disorder, a therapy such as Cognitive-Behavioral Therapy (CBT) may be useful to treat HSDD.ObjectiveTo evaluate the effects of group CBT on women with HSDD.MethodClinical trial randomized study with 106 women diagnosed with HSDD, who were divided as follows: Group 1 (n = 53) underwent group CBT for 8-weeks, and Group 2 (n = 53), were put on a waiting list and used as a control group. Sexual function was assessed by the Female Sexual Quotient (FSQQ) at the initial interview and after 6-months. Mann Whitney test was used for group comparison.Main Outcome Measuresdemographics, education, sexual history, FSQQ and its domains for sexual function assessment.ResultsBoth groups had similar characteristics regarding sexual response, self-image, and relationship with a partner at the initial interview. Women undergoing therapy showed significant improvement in sexual function when compared with the control group. The overall FSQQ result showed an average growth of 18.08 points (95% CI 12.87‒23.28) for the therapy group against a decrease of 0.83 points (95% CI 3.43‒1.77) for controls (p < 0.001). The five domains of the questionnaire also exhibited significant improvement in the therapy group: desire and interest (p = 0.003), foreplay (p = 0.003), excitation and tuning (p < 0.001), comfort (p < 0.001), and orgasm and satisfaction (p < 0.001).ConclusionGroup CBT was shown to be an effective tool for treating HSDD.Copyright © 2022 HCFMUSP. Published by Elsevier España, S.L.U. All rights reserved.

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