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Cited by 84Sexual function and dysfunction studiesSexuality, Behavior, and TechnologyDigital Mental Health Interventions

Internet-based brief sex therapy for heterosexual men with sexual dysfunctions: A randomized controlled pilot trial

Van Lankveld, Jacques J.D.M., Leusink, Peter, Van Diest, Selma, Gijs, Luk, Slob, A. Koos·2009·The Journal of Sexual Medicine
DOI 10.1111/j.1743-6109.2009.01321.x
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Abstract

INTRODUCTION: Internet-based sex therapy for men with erectile dysfunction has been advocated as an easily accessible and cost-effective treatment. AIM: To test whether Internet-based sex therapy is superior to waiting list. METHODS: Internet-based therapy was administered to heterosexual men with erectile dysfunction or premature ejaculation, without face-to-face contact, in a waiting-list controlled design, with pre-, post-, and follow-up measurements at 3 and 6 months posttreatment. Treatment was based on the sensate-focus model of Masters and Johnson, and supplemented with cognitive restructuring techniques. MAIN OUTCOME MEASURES: Self-reported improvement of sexual functioning, erectile functioning (men with ED), premature ejaculation (men with PE), sexual desire, overall sexual satisfaction, and sexual self-confidence. RESULTS: Ninety-eight men participated (58 ED, 40 PE). Sexual functioning was much or somewhat improved in 40 participants (48%). In participants with ED, a near significant effect of treatment was found (P = 0.065), with higher levels of sexual desire (P < 0.05) and sexual self-confidence (P = 0.05) in treated men, in addition to improved erectile functioning (P = 0.01) and overall sexual satisfaction (P < 0.001) in both groups. In participants with PE, treatment was not superior to waiting list. In participants with ED, erectile functioning (P < 0.05) and overall sexual satisfaction (P = 0.002) improved significantly. In participants with PE, latency to ejaculation (P < 0.001), sexual desire (P < 0.05), and overall sexual satisfaction (P < 0.05) improved significantly from baseline to posttreatment, with no further changes at both follow-ups. Sexual self-confidence in men with PE remained unchanged during treatment until follow-up at 3 months posttreatment, and then was found to be improved at 6-months follow-up (P < 0.05). CONCLUSION: Internet-based sex therapy for male erectile dysfunction was efficacious for male erectile disorder. For men with premature ejaculation, however, treatment was not superior to waiting list.

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Authors
Van Lankveld, J. J. D. M., Leusink, P., Van Diest, S., Gijs, L., & Slob, A. K.
Affiliations
  • Maastricht University, Clinical Psychological Science, Faculty of Psychology and Neuroscience , Maastricht , The Netherlands
  • University Medical Center Utrecht (NL)
  • Prins Claus Centrum , Sittard , The Netherlands
  • KU Leuven (BE)
  • Erasmus MC (NL)
ORCID
Venue
The Journal of Sexual Medicine
Publisher
Oxford University Press (OUP)
Published
2009-08-01
Volume
6
Issue
8
Pages
2224-2236
ISSN
  • 1743-6095 (ISSN-L)
  • 1743-6109
DOI
10.1111/j.1743-6109.2009.01321.x
OpenAlex
W2138501770
Cited by
84
References
47
Citations by year
2026: 3 · 2025: 5 · 2024: 2 · 2023: 5 · 2022: 3 · 2021: 9 · 2020: 6 · 2019: 1 · 2018: 7 · 2017: 10 · 2016: 4 · 2015: 7 · 2014: 3 · 2013: 3 · 2012: 6
FWCI
3.29
Type
journal article
Language
en
Open access
closed
Licence
academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model (vor)
Locations
  • The Journal of Sexual Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • Research Publications (Maastricht University) (publishedVersion)
  • Research Publications (Maastricht University) (submittedVersion)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
  • Social Sciences › Psychology › Clinical Psychology › Sexuality, Behavior, and Technology
  • Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
Keywords
erectile dysfunction, premature ejaculation, cognitive restructuring, sexual dysfunction, sexual satisfaction, sexual desire, sexual confidence, male sexual health, online therapy
MeSH terms
Adult, Analysis of Variance, Humans, Erectile Dysfunction, Libido, Male, Personal Satisfaction, Psychometrics, Psychotherapy, Surveys and Questionnaires, Self Concept, Waiting Lists, Patient Satisfaction, Telemedicine, Impotence, Vasculogenic, Heterosexuality, Internet

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