A Randomized Controlled Trial of Guided Internet-delivered Cognitive Behavioral Therapy for Erectile Dysfunction

被引:46
作者
Andersson, Erik [1 ,2 ]
Walen, Christian [2 ]
Hallberg, Jonas [2 ]
Paxling, Bjorn [2 ]
Dahlin, Mats [2 ,4 ]
Almlov, Jonas [2 ]
Kallstrom, Reidar [5 ]
Wijma, Klaas [6 ]
Carlbring, Per [7 ]
Andersson, Gerhard [2 ,3 ]
机构
[1] Karolinska Inst, Dept Clin Neurosci, Huddinge Sjukhus M46, Div Psychiat, S-14186 Huddinge, Sweden
[2] Linkoping Univ, Dept Behav Sci & Learning, S-58183 Linkoping, Sweden
[3] Linkoping Univ, Swedish Inst Disabil Res, S-58183 Linkoping, Sweden
[4] Psykologpartners, Linkoping, Sweden
[5] Linkoping Univ Hosp, Dept Urol, S-58185 Linkoping, Sweden
[6] Linkoping Univ, Dept Clin & Expt Med, Linkoping, Sweden
[7] Umea Univ, Dept Psychol, S-90187 Umea, Sweden
关键词
Cognitive Behavior Therapy; Erectile Dysfunction; Internet; Sexual Dysfunction; QUALITY-OF-LIFE; INTERNATIONAL INDEX; SEXUAL DYSFUNCTIONS; PSYCHOLOGICAL INTERVENTION; PSYCHOMETRIC PROPERTIES; DIAGNOSTIC-TOOL; FUNCTION IIEF-5; HEALTH; MEN; EPIDEMIOLOGY;
D O I
10.1111/j.1743-6109.2011.02391.x
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Introduction. Men with erectile dysfunction are often worried about their condition, have interpersonal difficulties, and have a reduced quality of life. Internet-delivered cognitive behavior therapy (ICBT) has been shown effective for a number of health problems but evidence is limited concerning the treatment of erectile dysfunction. Aim. The study investigated the effects of ICBT for erectile dysfunction. Methods. Seventy-eight men were included in the study and randomized to either ICBT or to a control group, which was an online discussion group. Treatment consisted of a 7-week Web-based program with e-mail-based therapist support. Each therapist spent an average of 55 minutes per participant. Main Outcome Measure. The International Index of Erectile Functioning five-item version was administered via the telephone at pretreatment, post-treatment, and 6 months after receiving ICBT. Results. At post-treatment, the treatment group had significantly greater improvements with regard to erectile performance compared with the control group. Between-group differences at post-treatment were small (d = 0.1), but increased at the 6-month follow-up (d = 0.88). Conclusions. This study provides support for the use of ICBT as a possible treatment format for erectile dysfunction. Andersson E, Walen C, Hallberg J, Paxling B, Dahlin M, Almlov J, Kallstrom R, Wijma K, Carlbring P, and Andersson G. A randomized controlled trial of guided Internet-delivered cognitive behavioral therapy for erectile dysfunction. J Sex Med 2011; 8: 2800-2809.
引用
收藏
页码:2800 / 2809
页数:10
相关论文
共 35 条
[1]  
Althof S.E., 2006, ANN REV SEX RES, V17, P116
[2]   Using the Internet to provide cognitive behaviour therapy [J].
Andersson, Gerhard .
BEHAVIOUR RESEARCH AND THERAPY, 2009, 47 (03) :175-180
[3]  
[Anonymous], 2000, DIAGN STAT MAN MENT, DOI DOI 10.1176/APPI.BOOKS.9780890425787
[4]   Defining Internet-Supported Therapeutic Interventions [J].
Barak, Azy ;
Klein, Britt ;
Proudfoot, Judith G. .
ANNALS OF BEHAVIORAL MEDICINE, 2009, 38 (01) :4-17
[5]  
Barlow D.H., 1995, ABNORMAL PSYCHOL INT
[6]   AN INVENTORY FOR MEASURING CLINICAL ANXIETY - PSYCHOMETRIC PROPERTIES [J].
BECK, AT ;
BROWN, G ;
EPSTEIN, N ;
STEER, RA .
JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 1988, 56 (06) :893-897
[7]   Comparison of Beck Depression Inventories-IA and -II in psychiatric outpatients [J].
Beck, AT ;
Steer, RA ;
Ball, R ;
Ranieri, WF .
JOURNAL OF PERSONALITY ASSESSMENT, 1996, 67 (03) :588-597
[8]   Epidemiology of erectile dysfunction: results of the 'Cologne Male Survey' [J].
Braun, M ;
Wassmer, G ;
Klotz, T ;
Reifenrath, B ;
Mathers, M ;
Engelmann, U .
INTERNATIONAL JOURNAL OF IMPOTENCE RESEARCH, 2000, 12 (06) :305-311
[9]   Move over ANOVA - Progress in analyzing repeated-measures data and its reflection in papers published in the archives of general psychiatry [J].
Gueorguieva, R ;
Krystal, JH .
ARCHIVES OF GENERAL PSYCHIATRY, 2004, 61 (03) :310-317
[10]   Health-related quality of life in a UK-based population of men with erectile dysfunction [J].
Guest, JF ;
Das Gupta, R .
PHARMACOECONOMICS, 2002, 20 (02) :109-117