Efficacy of Psychosocial Interventions in Men and Women with Sexual Dysfunctions—A Systematic Review of Controlled Clinical Trials

Berner, Michael; Günzler, Cindy

doi:10.1111/j.1743-6109.2012.02970.x

Cited by 100Sexual function and dysfunction studiesSexuality, Behavior, and TechnologyUrological Disorders and Treatments

Efficacy of Psychosocial Interventions in Men and Women with Sexual Dysfunctions—A Systematic Review of Controlled Clinical Trials

Berner, Michael, Günzler, Cindy·2012·The Journal of Sexual Medicine

DOI 10.1111/j.1743-6109.2012.02970.x

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Abstract

INTRODUCTION: As yet, a summary of research evidence concerning the efficacy of psychological treatment in male sexual dysfunction is lacking. AIM: Our systematic review gives an overview of the efficacy of psychosocial interventions in all male sexual dysfunctions. MAIN OUTCOME MEASURES: Main outcome measures included, for example, psychometrically validated scales, interviews, and clinical assessment by an independent rater. The efficacy of psychosocial interventions was measured, for example, by the frequency of and satisfaction with sexual activity and sexual functioning. METHODS: The systematic literature search included electronic database search, handsearch, contact with experts, and an ancestry approach. Studies were included if the man was given a formal diagnosis of a sexual dysfunction (International Statistical Classification of Diseases and Related Health Problems [ICD10/-9]; Diagnostic and Statistical Manual of Mental Disorders [DSM-IV/-III-R]) and when the intervention was psychosocial or psychotherapeutic. The control group included either another treatment or a waiting-list control group. The report of relevant outcomes was necessary for inclusion as well as the design of the study (randomized controlled trials [RCTs] and controlled clinical trials [CCTs]). The assessment of methodological quality comprised aspects of randomization, blinding, incomplete outcome data, selective reporting, and allegiance. RESULTS: We identified 19 RCTs and one CCT that investigated the efficacy in male sexual dysfunction and two further studies that examined male and female sexual dysfunction together. Twelve out of 20 trials in men used either a concept derived from Masters and Johnson or a cognitive-behavioral treatment program. Overall, psychosocial interventions improved sexual functioning. While one study found that psychotherapy is superior to sildenafil, another study found the opposite. In men with premature ejaculation, behavioral techniques proved to be effective. A shortcoming was the rather low methodological quality of included studies. CONCLUSIONS: Most of the compared interventions proved to be similarly effective. Possibly, there are underlying constructs throughout all therapies that have an effect on the outcome.

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Psychological treatment can prevent recurrence of the sexual problem after treatment because men learn to manage dysfunctional response patterns associated with ED.
“Furthermore, psychological treatment can prevent the recurrence of the sexual problem after treatment because men learn to manage their dysfunctional response patterns associated with ED.108”
From A Psychosocial Approach to Erectile Dysfunction: Position Statements from the European Society of Sexual Medicine (ESSM) (2021) · cites this paper as [108]
A multidisciplinary treatment combining medical and psychological treatment is more effective than mono-treatment.
“Statement #9: A multidisciplinary treatment, in which medical treatment is combined with psychological treatment, has proven to be more effective than mono-treatment (Level 2, Grade B).”
From A Psychosocial Approach to Erectile Dysfunction: Position Statements from the European Society of Sexual Medicine (ESSM) (2021) · cites this paper as [108]
Psychological treatment programs commonly include psychoeducation, anxiety reduction and desensitization, cognitive therapy and sexual fantasy training, increasing sexual stimulation, and couple interventions.
“Psychological treatment programs commonly include the following components: psychoeducation; anxiety reduction and desensitization; cognitive therapy and sexual fantasy training; increasing sexual stimulation; and couple interventions.4,108,122”
From A Psychosocial Approach to Erectile Dysfunction: Position Statements from the European Society of Sexual Medicine (ESSM) (2021) · cites this paper as [108]
Psychological treatment involves reducing anxiety, challenging cognitive beliefs, increasing sexual stimulation, disrupting sexual avoidance, and interpersonal interventions such as communication skills training.
“Statement #15: Psychological treatment involves reducing anxiety, challenging cognitive beliefs, increasing sexual stimulation, disrupting sexual avoidance, and interpersonal interventions such as communication skills training (Level 2, Grade B).”
From A Psychosocial Approach to Erectile Dysfunction: Position Statements from the European Society of Sexual Medicine (ESSM) (2021) · cites this paper as [108]
Available studies on the effectiveness of psychological treatments are limited and hampered by small sample sizes, inadequate follow-up, and a lack of controlled designs.
“In addition, available studies on the effectiveness of psychological treatments are limited and hampered by small samples sizes, inadequate follow-up, and a lack of controlled designs.106, 107, 108”
From A Psychosocial Approach to Erectile Dysfunction: Position Statements from the European Society of Sexual Medicine (ESSM) (2021) · cites this paper as [108]

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Sildenafil in women with sexual arousal disorder following spinal cord injury
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Review: Psychosocial Interventions Addressing Sexual or Relationship Functioning in Men with Prostate Cancer
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Cognitive‐behavioral bibliotherapy for sexual dysfunctions in heterosexual couples: A randomized waiting‐list controlled clinical trial in the Netherlands
van Lankveld, J. J. D. M., Everaerd, W. T. A. M., & Grotjohann, Y. (2001) · The Journal of Sex Research · doi:10.1080/00224490109552070 · Cited by 57 · see citing works
Effectiveness of single therapists versus cotherapy teams in sex therapy.
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The Potential Benefit of Vacuum Devices Augmenting Psychosexual Therapy for Erectile Dysfunction: A Randomized Controlled Trial
Wylie, K. R., JONES, R. H., & Walters, S. J. (2003) · Journal of Sex & Marital Therapy · doi:10.1080/00926230390155131 · Cited by 54 · see citing works
Acupuncture and Hypnotic Suggestions in the Treatment of Non-organic Male Sexual Dysfunction
Aydın, S., Ercan, M., Çaşkurlu, T., Taşçı, A. İ., Karaman, M. İ., Odabaş, Ö., Yılmaz, Y., Ağargün, M. Y., Kara, H., & Sevin, G. (1997) · Scandinavian Journal of Urology and Nephrology · doi:10.3109/00365599709070347 · Cited by 54 · see citing works
Does marital therapy enhance the effectiveness of treatment for sexual dysfunction?
Zimmer, D. (1987) · Journal of Sex & Marital Therapy · doi:10.1080/00926238708403892 · Cited by 54 · see citing works
Multimedia and virtual reality techniques in the treatment of male erectile disorders
Optale, G., Munari, A., Nasta, A., Pianon, C., Verde, J. B., & Viggiano, G. V. (1997) · International Journal of Impotence Research · doi:10.1038/sj.ijir.3900316 · Cited by 54 · see citing works
Treatment of Premature Ejaculation by Bibliotherapy: An experimental study
Trudel, G., & Proulx, S. (1987) · Sexual and Marital Therapy · doi:10.1080/02674658708407860 · Cited by 51 · see citing works
Sex in Long-Term Relationships: A Systemic Approach to Sexual Desire Problems
Clement, U. (2002) · Archives of Sexual Behavior · doi:10.1023/a:1015296718952 · Cited by 50 · see citing works
Efficacy of testosterone, trazodone and hypnotic suggestion in the treatment of non‐organic male sexual dysfunction
Aydın, S., Odabaş, Ö., Ercan, M., Kara, H., & Ağargün, M. (1996) · British Journal of Urology · doi:10.1046/j.1464-410x.1996.86316.x · Cited by 50 · see citing works
Emerging treatments for premature ejaculation: focus on dapoxetine
Hellstrom, W. J. G. (2008) · Neuropsychiatric Disease and Treatment · doi:10.2147/ndt.s3251 · Cited by 49 · see citing works
Sexual Therapy in the Age of Pharmacotherapy
Althof, S. E. (2006) · Annual Review of Sex Research · doi:10.1080/10532528.2006.10559839 · Cited by 49 · see citing works
Therapy for Vaginismus: In Vivo versus In Vitro Desensitization
Schnyder, U., Schnyder-Lüthi, C., Ballinari, P., & Blaser, A. B. (1998) · The Canadian Journal of Psychiatry · doi:10.1177/070674379804300910 · Cited by 42 · see citing works
Characterization of Hypoactive Sexual Desire Disorder (HSDD) in Men
Derogatis, L. R., Rosen, R. C., Goldstein, I., WERNEBURG, B. G., Kempthorne‐Rawson, J., & Sand, M. S. (2012) · The Journal of Sexual Medicine · doi:10.1111/j.1743-6109.2011.02592.x · Cited by 40 · see citing works
Treatment of secondary orgasmic dysfunction: An outcome study
Kilmann, P. R., Mills, K. H., Caid, C. D., Davidson, E. R., Bella, B., Milan, R. J., Drose, G. S., Boland, J. P., Follingstad, D. R., Montgomery, B., et al. (1986) · Archives of Sexual Behavior · doi:10.1007/bf01542413 · Cited by 38 · see citing works
Group treatment of secondary erectile dysfunction
Kilmann, P. R., Milan, R. J., Boland, J. P., Nankin, H. R., Davidson, E. R., West, M. O., Sabalis, R. F., Caid, C. D., & Devine, J. M. (1987) · Journal of Sex & Marital Therapy · doi:10.1080/00926238708403890 · Cited by 35 · see citing works
Internet-based psychological and oral medical treatment compared to psychological treatment alone for ED
McCabe, M., & Price, E. (2008) · The Journal of Sexual Medicine · doi:10.1111/j.1743-6109.2008.00885.x · Cited by 35 · see citing works
Erectile dysfunction: The medicalization of male sexuality
Rosen, R. C. (1996) · Clinical Psychology Review · doi:10.1016/0272-7358(96)00032-3 · Cited by 34 · see citing works
The treatment of sexually dysfunctional men without partners: A controlled study of three behavioural group approaches
Stravynski, A., Gaudette, G., LESAGE, A. D., Arbel, N., Petit, P., Clerc, D., Fabián, J., Lamontagne, Y., Langlois, R., Lipp, O., et al. (1997) · The British Journal of Psychiatry · doi:10.1192/bjp.170.4.338 · Cited by 33 · see citing works
Review: Testosterone therapy for reduced libido in women
Basson, R. J. (2010) · Therapeutic Advances in Endocrinology and Metabolism · doi:10.1177/2042018810379588 · Cited by 29 · see citing works
Treatment of male sexual dysfunction: Sex therapy compared with systematic desensitization and rational emotive therapy
Everaerd, W. T. A. M., & Dekker, J. (1985) · Behaviour Research and Therapy · doi:10.1016/0005-7967(85)90138-x · Cited by 28 · see citing works
Oral Agents: First-Line Therapy for Erectile Dysfunction
Brock, G. B. (2002) · European Urology Supplements · doi:10.1016/s1569-9056(02)00113-6 · Cited by 28 · see citing works
Group versus individual treatment of primary and secondary female orgasmic dysfunction
Spence, S. H. (1985) · Behaviour Research and Therapy · doi:10.1016/0005-7967(85)90101-9 · Cited by 26 · see citing works
Characterisation, prevalence, and consultation rates of erectile dysfunction
Dean, J. P. (2005) · Clinical cornerstone · doi:10.1016/s1098-3597(05)80043-2 · Cited by 25 · see citing works
Prostaglandin E1 versus sex therapy in the management of psychogenic erectile dysfunction
Baum, N. H., Randrup, E. R., Junot, D., & Hass, S. (2000) · International Journal of Impotence Research · doi:10.1038/sj.ijir.3900544 · Cited by 23 · see citing works
Intracavernosal injection therapy with and without sexological counselling in men with erectile dysfunction
van der Windt, F., Dohle, G. R., Tak, J. V. D., & Slob, A. K. (2002) · British Journal of Urology · doi:10.1046/j.1464-410x.2002.02777.x · Cited by 20 · see citing works
Creative-dynamic image synthesis: a useful addition to the treatment options for impotence
Sommer, F. O., Obenaus, K., & Engelmann, U. H. (2001) · International Journal of Impotence Research · doi:10.1038/sj.ijir.3900729 · Cited by 17 · see citing works
Effect of Bupropion on Sexual Dysfunction
Ginzburg, R., Wong, Y., & Fader, J. S. (2005) · Annals of Pharmacotherapy · doi:10.1345/aph.1g275 · Cited by 15 · see citing works
Developing Treatments for Female Sexual Dysfunction
Jordan, R., Hallam, T. J., Molinoff, P. B., & Spana, C. (2010) · Clinical Pharmacology & Therapeutics · doi:10.1038/clpt.2010.262 · Cited by 15 · see citing works
Pharmaceutical companies could serve their own interests by supporting research on the efficacy of psychotherapy on premature ejaculation
Rowland, D. L., Cooper, S. E., & Macías, L. G. (2007) · International Journal of Impotence Research · doi:10.1038/sj.ijir.3901559 · Cited by 14 · see citing works
The Efficacy of Fluoxetine and a Stop-Start Technique in the Treatment of Premature Ejaculation and Anxiety
Oğuzhanoğlu, N. K., Özdel, O. İ., & Aybek, Z. (2005) · Journal of Clinical Psychopharmacology · doi:10.1097/01.jcp.0000161449.50969.28 · Cited by 12 · see citing works
Opportunities for intervention in HSDD.
Simon, J. A. (2009) · PubMed · Cited by 9 · see citing works
The treatment of sexually dysfunctional women without partners: A controlled study of three behavioural group approaches
Stravynski, A., Gaudette, G., LESAGE, A. D., Arbel, N., Bounader, J., Lachance, L., Clerc, D., Fabián, J., Lamontagne, Y., Langlois, R., et al. (2007) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.517 · Cited by 9 · see citing works
Motivational Issues in Premature Termination of Treatment for Sexual Dysfunction
Zimmer, D. (1987) · Sexual and Marital Therapy · doi:10.1080/02674658708407859 · Cited by 7 · see citing works
Borderline surgery of invasive kidney tumours
Schulman, C. C., Simon, J., LeClerc, J.-L., Bredael, J. J., Smet, J. M. D., Gansbeke, D. V., Udo Jonas, A., & Platenkamp, G. J. (1984) · World Journal of Urology · doi:10.1007/bf00328092 · Cited by 1 · see citing works

Flagged first, then by citations

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An Update of the International Society of Sexual Medicine's Guidelines for the Diagnosis and Treatment of Premature Ejaculation (PE)
Althof, S. E., McMahon, C. G., Waldinger, M. D., Şerefoğlu, E. C., Shindel, A. W., Adaikan, P. G., Becher, E. F., Dean, J. P., Giuliano, F., Hellstrom, W. J. G., et al. (2014) · Sexual Medicine · doi:10.1002/sm2.28 · Cited by 452 · see citing works
Psychological and interpersonal dimensions of sexual function and dysfunction
Brotto, L., Atallah, S., Johnson-Agbakwu, C., Rosenbaum, T., Abdo, C., Byers, E. S., Graham, C., Nobre, P., & Wylie, K. (2016) · The Journal of Sexual Medicine · doi:10.1016/j.jsxm.2016.01.019 · Cited by 439 · see citing works
“In a systematic review, 13 randomized controlled trials that investigated psychosocial interventions in men with ED were identified; overall, interventions were successful.(312) In contrast, another meta-analysis found only non-significant, moderate effect sizes of psychological therapy for ED.”
BackgroundMethod
An Update of the International Society of Sexual Medicine's Guidelines for the Diagnosis and Treatment of Premature Ejaculation (PE)
Althof, S. E., McMahon, C. G., Waldinger, M. D., Şerefoğlu, E. C., Shindel, A. W., Adaikan, P. G., Becher, E. F., Dean, J. P., Giuliano, F., Hellstrom, W. J. G., et al. (2014) · The Journal of Sexual Medicine · doi:10.1111/jsm.12504 · Cited by 286 · see citing works
Group mindfulness-based therapy significantly improves sexual desire in women
Brotto, L. A., & Basson, R. (2014) · Behaviour Research and Therapy · doi:10.1016/j.brat.2014.04.001 · Cited by 248 · see citing works
Female Sexual Dysfunction—Medical and Psychological Treatments, Committee 14
Kingsberg, S. A., Althof, S. E., Simon, J. A., Bradford, A. M., Bitzer, J., Carvalho, J., Flynn, K. E., Nappi, R. E., Reese, J. B., Rezaee, R. L., et al. (2017) · The Journal of Sexual Medicine · doi:10.1016/j.jsxm.2017.05.018 · Cited by 128 · see citing works
Supporting sexuality and improving sexual function in transgender persons
Holmberg, M., Arver, S., & Dhejne, C. (2018) · Nature Reviews Urology · doi:10.1038/s41585-018-0108-8 · Cited by 126 · see citing works
Efficacy of Psychosocial Interventions in Men and Women with Sexual Dysfunctions—A Systematic Review of Controlled Clinical Trials
Günzler, C., & Berner, M. M. (2012) · The Journal of Sexual Medicine · doi:10.1111/j.1743-6109.2012.02965.x · Cited by 110 · see citing works
Self-citation
The evidence base for couple therapy, family therapy and systemic interventions for adult‐focused problems
Carr, A. (2014) · Journal of Family Therapy · doi:10.1111/1467-6427.12033 · Cited by 107 · see citing works
“Systematic reveiws and a major meta-analysis conclude that couples treated with psychosocial interventions show greater improvemnts than untreated controls (Berner and Günzler, 2012; Frühauf et al., 2013; Günzler and Berner, 2012).”
Background
Couple therapy, family therapy and systemic interventions for adult‐focused problems: the current evidence base
Carr, A. (2018) · Journal of Family Therapy · doi:10.1111/1467-6427.12225 · Cited by 115 · see citing works
The Heteronormativity Theory of Low Sexual Desire in Women Partnered with Men
van Anders, S. M., Herbenick, D., Brotto, L., Harris, E., & Chadwick, S. B. (2021) · Archives of Sexual Behavior · doi:10.1007/s10508-021-02100-x · Cited by 91 · see citing works
“As with mindfulness-based therapy, however, a closer look at the CBT findings also connects low desire in women partnered with men to larger, structural problems related to gender.”
BackgroundInfluential
A Psychosocial Approach to Erectile Dysfunction: Position Statements from the European Society of Sexual Medicine (ESSM)
Dewitte, M., Bettocchi, C., Carvalho, J., Corona, G., Flink, I., Limoncin, E., Pascoal, P., Reisman, Y., & Van Lankveld, J. (2021) · Sexual Medicine · doi:10.1016/j.esxm.2021.100434 · Cited by 97 · see citing works
“Furthermore, psychological treatment can prevent the recurrence of the sexual problem after treatment because men learn to manage their dysfunctional response patterns associated with ED.(108) Hence, whereas medical treatments are directed towards treating the symptoms, that is, restoring erection, psychological treat…”
Background
Psychological Treatment Trials for Hypoactive Sexual Desire Disorder: A Sexual Medicine Critique and Perspective
Pyke, R. E., & Clayton, A. H. (2015) · The Journal of Sexual Medicine · doi:10.1111/jsm.13056 · Cited by 84 · see citing works
Combination of psychological intervention and phosphodiesterase-5 inhibitors for erectile dysfunction: A narrative review and meta-analysis
Schmidt, H. M., Munder, T., Gerger, H., Frühauf, S., & Barth, J. (2014) · The Journal of Sexual Medicine · doi:10.1111/jsm.12520 · Cited by 84 · see citing works
Interventions for sexual dysfunction following treatments for cancer in women
Candy, B., Chi, Y., Graham‐Wisener, L., Jones, L., King, M., Lanceley, A., Vickerstaff, V., & Tookman, A. J. (2016) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd005540.pub3 · Cited by 84 · see citing works
Internet-based cognitive behavioral therapy for sexual dysfunctions in women treated for breast cancer: design of a multicenter, randomized controlled trial
Hummel, S. B., van Lankveld, J. J., Oldenburg, H. S., Hahn, D. E., Broomans, E., & Aaronson, N. K. (2015) · BMC Cancer · doi:10.1186/s12885-015-1320-z · Cited by 64 · see citing works
2016 United Kingdom national guideline on the sexual health care of men who have sex with men
Clutterbuck, D., Asboe, D., Barber, T., Emerson, C., Field, N. M., Gibson, S., Hughes, G., Jones, R., Murchie, M., Nori, A., et al. (2018) · International Journal of STD & AIDS · doi:10.1177/0956462417746897 · Cited by 64 · see citing works
Mindfulness-based group therapy for men with situational erectile dysfunction: A mixed-methods feasibility analysis and pilot study
Bossio, J. A., Basson, R., Driscoll, M., Correia, S., & Brotto, L. A. (2018) · The Journal of Sexual Medicine · doi:10.1016/j.jsxm.2018.08.013 · Cited by 60 · see citing works
“Presently, empirical research documenting the development and evaluation of psychosocial treatments is limited, and what research does exist is criticized for its low quality.(14,15) For example, there is, as of yet, no consensus on the number of psychological treatment sessions, partner involvement, theoretical orien…”
Background
Internet-Based Guided Self-Help for Vaginal Penetration Difficulties: Results of a Randomized Controlled Pilot Trial
Zarski, A., Berking, M., Fackiner, C., Rosenau, C., & Ebert, D. D. (2017) · The Journal of Sexual Medicine · doi:10.1016/j.jsxm.2016.12.232 · Cited by 51 · see citing works
Interventions to treat premature ejaculation: a systematic review short report
Cooper, K. L., James, M. M., Kaltenthaler, E., Dickinson, K., & Cantrell, A. J. (2015) · Health Technology Assessment · doi:10.3310/hta19210 · Cited by 52 · see citing works
A review of experimental research on anxiety and sexual arousal: Implications for the treatment of sexual dysfunction using cognitive behavioral therapy
Kane, L., Dawson, S. J., Shaughnessy, K., Reissing, E. D., Ouimet, A. J., & Ashbaugh, A. R. (2019) · Journal of Experimental Psychopathology · doi:10.1177/2043808719847371 · Cited by 48 · see citing works
“A comprehensive review of all cognitive behavioral interventions for sexual dysfunction is beyond the scope of this article (for systematic reviews, see Berner & Günzler, 2012; Günzler & Berner, 2012; for a meta-analysis, see Frühauf, Gerger, Schmidt, Munder, & Barth, 2013).”
Dehydroepiandrosterone and cortisol as markers of HPA axis dysregulation in women with low sexual desire
Basson, R. J., O’Loughlin, J. I., Weinberg, J., Young, A. H., Bodnar, T. S., & Brotto, L. A. (2019) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2019.03.001 · Cited by 39 · see citing works
Mindfulness-based therapies for men and women with sexual dysfunction: a systematic review and meta-analysis
Banbury, S., Lusher, J., Snuggs, S., & Chandler, C. (2023) · Sexual and Relationship Therapy · doi:10.1080/14681994.2021.1883578 · Cited by 40 · see citing works
“When reviewing the literature on CBT and sexual dysfunction, Jaspers et al. (2016) found a clear gender disparity in that of 19 Randomized Control Trials (RCTs) for therapeutic intervention for sexual dysfunction, only one included men (Berner & Gunzler, 2012).”
Background
Flibanserin for the treatment of hypoactive sexual desire disorder in premenopausal women
Dhanuka, I., & Simon, J. A. (2015) · Expert Opinion on Pharmacotherapy · doi:10.1517/14656566.2015.1090426 · Cited by 34 · see citing works
Health Professions Students’ Perceptions of Sexuality in Patients with Physical Disability
Valvano, A. K., West, L. M., Wilson, C. K., Macapagal, K. R., Penwell-Waines, L., Waller, J. L., & Stepleman, L. M. (2014) · Sexuality and Disability · doi:10.1007/s11195-014-9347-7 · Cited by 32 · see citing works
Male Sexual Dysfunctions
Nobre, P. J. (2013) · Wiley eBooks · doi:10.1002/9781118528563.wbcbt28 · Cited by 31 · see citing works
The sexual dysfunctions and paraphilias
Graham, C. A., & Bancroft, J. (2020) · doi:10.1093/med/9780198713005.003.0115 · Cited by 29 · see citing works
Efficacy of Internet-Based Guided Treatment for Genito-Pelvic Pain/Penetration Disorder: Rationale, Treatment Protocol, and Design of a Randomized Controlled Trial
Zarski, A., Berking, M., & Ebert, D. D. (2018) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2017.00260 · Cited by 30 · see citing works
Future Targets for Female Sexual Dysfunction
Farmer, M. A., Yoon, H., & Goldstein, I. (2016) · The Journal of Sexual Medicine · doi:10.1016/j.jsxm.2016.05.016 · Cited by 28 · see citing works
On-demand Modafinil Improves Ejaculation Time and Patient-reported Outcomes in Men With Lifelong Premature Ejaculation
Tüken, M., Kiremit, M. C., & Şerefoğlu, E. C. (2016) · Urology · doi:10.1016/j.urology.2016.04.036 · Cited by 22 · see citing works
Challenges in Designing Psychological Treatment Studies for Sexual Dysfunction
Brotto, L. A., Basson, R. J., Chivers, M. L., Graham, C. A., Pollock, P., & Stephenson, K. R. (2016) · Journal of Sex & Marital Therapy · doi:10.1080/0092623x.2016.1212294 · Cited by 19 · see citing works
Effectiveness of telemedicine-based psychosocial intervention for breast cancer patients: a systematic review and meta-analysis
Ma, Z., Shi, Y., Yao, S., Lu, N., & Cheng, F. (2023) · Supportive Care in Cancer · doi:10.1007/s00520-023-08052-3 · Cited by 17 · see citing works
Management and rehabilitation of neurologic patients with sexual dysfunction.
Basson, R., & Bronner, G. (2015) · Handbook of Clinical Neurology · doi:10.1016/b978-0-444-63247-0.00024-9 · Cited by 12 · see citing works
Gender Differences in the Relationship of Sexual Functioning with Implicit and Explicit Sex Liking and Sex Wanting: A Community Sample Study
van Lankveld, J. J. D. M., Wolfs, K., & Grauvogl, A. (2018) · The Journal of Sex Research · doi:10.1080/00224499.2018.1542656 · Cited by 16 · see citing works
Therapeutic management of erectile dysfunction: The AFU/SFMS guidelines
Huyghe, É., Kassab, D., Graziana, J. P., Faix, A., Grellet, L., Schoentgen, N., de Hauteclocque, A. B., Dupuis, H. G. A., Chebbi, A., Chelghaf, I., et al. (2024) · The French Journal of Urology · doi:10.1016/j.fjurol.2024.102842 · Cited by 14 · see citing works
Bibliotherapy for Sexual Dysfunctions: A Systematic Review and Meta-Analysis
van Lankveld, J. J. D. M., van de Wetering, F. T., Wylie, K. R., & Scholten, R. J. P. M. (2021) · The Journal of Sexual Medicine · doi:10.1016/j.jsxm.2020.12.009 · Cited by 14 · see citing works
Einfluss von Paarinteraktion auf die Gesundheit
Frisch, J., Aguilar‐Raab, C., Eckstein, M., & Ditzen, B. (2017) · Psychotherapeut · doi:10.1007/s00278-016-0153-9 · Cited by 16 · see citing works
Efficacy of metacognitive therapy for hypoactive sexual desire disorder among Iranian couples
Ramezani, M. A., Ahmadi, K., Besharat, M., Noohi, S., & Ghaemmaghami, A. (2017) · Psychotherapy Research · doi:10.1080/10503307.2017.1301690 · Cited by 13 · see citing works
“…three systematic reviews and meta-analyses determined the efficacy of MJST, but they found the effect size of the approach was low and importantly, a relapse was evident after 6 months (Berner & Gunzler, 2012; Gunzler & Berner, 2012; Pereira, AriasCarrion, Machado, Nardi, & Silva, 2013).”
Background
Loss of Libido in a Woman With Schizophrenia
Seeman, M. V. (2013) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2012.12111475 · Cited by 13 · see citing works
Couple therapy and systemic interventions for adult‐focused problems: The evidence base
Carr, A. (2025) · Journal of Family Therapy · doi:10.1111/1467-6427.12481 · Cited by 16 · see citing works
Perception of Men's Beauty and Attractiveness by Women with Low Sexual Desire
Ferdenzi, C., Delplanque, S., Vorontsova-Wenger, O., Pool, E. R., Bianchi‐Demicheli, F., & Sander, D. (2014) · The Journal of Sexual Medicine · doi:10.1111/jsm.12795 · Cited by 12 · see citing works
Sexualität bei Übergewicht und Adipositas
Abrahamian, H., & Kautzky‐Willer, A. (2016) · Wiener Medizinische Wochenschrift · doi:10.1007/s10354-016-0430-9 · Cited by 12 · see citing works
Do psychosocial variables mediate the relationship between menopause symptoms and sexual function in middle‐aged perimenopausal women?
Hong, J. H., Kim, H. Y., Kim, H. K., & Kim, H. K. (2019) · Journal of obstetrics and gynaecology research · doi:10.1111/jog.13927 · Cited by 12 · see citing works
Evaluation of a rural nurse-led clinic for female sexual dysfunction
Hakanson, C., Douglas, C. D., Robertson, J., & Lester, L. (2014) · Australian Journal of Rural Health · doi:10.1111/ajr.12076 · Cited by 11 · see citing works
Male Sexual Dysfunctions
Reisman, Y., & Nobre, P. J. (2020) · Springer eBooks · doi:10.1007/978-3-030-52298-8_11 · Cited by 8 · see citing works
Psychosocial Approaches for Sexual Health and Intimate Relationships Among Patients With Serious Mental Illness
Helu-Brown, P., & Aranda, M. (2016) · Sexual Medicine Reviews · doi:10.1016/j.sxmr.2015.10.010 · Cited by 7 · see citing works
Treatment expectations of men with ED and their female partners: an exploratory qualitative study based on grounded theory
Henninger, S., Höhn, C., Leiber, C., & Berner, M. (2015) · International Journal of Impotence Research · doi:10.1038/ijir.2015.9 · Cited by 7 · see citing works
Mindfulness in sex therapy and intimate relationships: a feasibility and randomized controlled pilot study in a cross-diagnostic group
Krieger, J. F., Kristensen, E., Marquardsen, M., Ofer, S., Mortensen, E. L., & Giraldi, A. G. E. (2023) · Sexual Medicine · doi:10.1093/sexmed/qfad033 · Cited by 6 · see citing works
The stepwise development of an interactive web-based sex education programme for subfertile couples: the Pleasure & Pregnancy programme
Dreischor, F., Laan, E. T. M., Apers, S., Repping, S., van Lunsen, R. H. W., Lambalk, C. B., ́Hooghe, T. D., Goddijn, M., Custers, I. M., & Dancet, E. A. F. (2020) · Human Reproduction · doi:10.1093/humrep/deaa106 · Cited by 6 · see citing works
Sexual Dysfunctions
Meana, M., Nobre, P. J., & Tavares, I. M. (2023) · Springer eBooks · doi:10.1007/978-3-030-42825-9_17-1 · Cited by 6 · see citing works
Cognitive Behavioral Therapy in Sexual Dysfunction
Avagianou, P. ‐. (2014) · Springer eBooks · doi:10.1007/978-3-319-08272-1_21 · Cited by 6 · see citing works
Wenn Geschlechtsverkehr nicht möglich ist: Vorstellung eines internetbasierten Behandlungsprogramms für Genito-Pelvine Schmerz-Penetrationsstörung mit Falldarstellung
Zarski, A., Berking, M., Hannig, W., & Ebert, D. D. (2018) · Verhaltenstherapie · doi:10.1159/000485041 · Cited by 6 · see citing works
A Brief Online Mindfulness Intervention for Women’s Sexual Desire: The BROWSE Study
Xue, A., Makarenko, B., & Brotto, L. A. (2024) · Journal of Sex & Marital Therapy · doi:10.1080/0092623x.2024.2343286 · Cited by 5 · see citing works
“Given that partner presence has been identified as a significant predictor in better outcomes during sex therapy (Berner & Gunzler, 2012), the lack of partner exercises may have limited participant improvement.”
Background
Internet‐Based Sex Therapy
Connaughton, C., & McCabe, M. P. (2017) · Wiley eBooks · doi:10.1002/9781118510384.ch30 · Cited by 5 · see citing works
The premature ejaculation ‘disorder’: Questioning the criterion of one minute of penetration
Kempeneers, P., & Desseilles, M. (2014) · Sexologies · doi:10.1016/j.sexol.2014.06.004 · Cited by 4 · see citing works
Psychotherapy for Sexual Dysfunctions
Reddy, A. S. (2018) · Springer eBooks · doi:10.1007/978-981-13-1226-7_9 · Cited by 4 · see citing works
The Prevalence of Sexual Dysfunctions in Women with Diabetes and Its Relationship with Diabetic and Demographic Factors: A Meta-analysis and Meta-regression Study
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Flibanserin for postmenopausal women—Are they really that different?
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L'éjaculation précoce : une revue de questions Premature ejaculation: A review of topics
Kempeneers, P., Andrianne, R., Lequeux, A., & Blairy, S. (2014) · Cited by 3 · see citing works
Standards in Studies of Psychotherapy and Pharmacotherapy Interventions for HSDD
Clayton, A. H., & Pyke, R. E. (2016) · Journal of Sex & Marital Therapy · doi:10.1080/0092623x.2016.1217296 · Cited by 3 · see citing works
“But in the cited meta-analysis (Frühauf, Gerger, Schmidt, Munder, & Barth, 2013) and the systematic review (Gunzler & Berner, 2012), no control data except the wait-list subjects were available with which to calculate effect size, using a lower level of evidence and removing the response from any…”
Method
Kadın cinsel işlev bozukluğu yönetiminde güncel yaklaşımlar ve kanıt temelli uygulamalar
BEKMEZCİ, E., & Meram, H. E. (2020) · Androloji Bülteni · doi:10.24898/tandro.2020.44977 · Cited by 3 · see citing works
Diagnóstico, tratamiento y seguimiento de la eyaculación precoz: recomendaciones de experto
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Depression, Antidepressants, and Sexual Functioning
Dording, C. M., & Boyden, S. (2018) · Springer eBooks · doi:10.1007/978-3-319-97241-1_9 · Cited by 3 · see citing works
REBT and Sexual Problems
Abrams, M. (2019) · Springer eBooks · doi:10.1007/978-3-030-02723-0_7 · Cited by 3 · see citing works
Sexual dysfunctions and metacognitive beliefs: a PRISMA-compliant systematic review
Olivari, C., Cugno, M. D., & Caselli, G. (2023) · Sexual & Relationship Therapy · doi:10.1080/14681994.2023.2253742 · Cited by 2 · see citing works
“These findings are in line with studies (e.g. Berner & Günzler, 2012) that showed the effectiveness of MJST in increasing sexual desire during treatment, but which was lost in the post-treatment period.”
A prospective, multicenter, longitudinal study to evaluate the long-term quality of life and associated factors in breast cancer survivors, 5-year follow-up: A study protocol
Sajadian, A. S., Lahiji, M. R., Hashemi, E., Montazeri, A., Anbiaee, R., Omranipour, R., Nafissi, N., Heydari, L., Rasouli, M., Shishavan, N. G., et al. (2024) · Journal of Breast Disease · doi:10.61186/ijbd.17.2.26 · Cited by 2 · see citing works
Sexual Dysfunctions
Meana, M., Nobre, P. J., & Tavares, I. M. (2024) · Springer eBooks · doi:10.1007/978-3-030-51366-5_17 · Cited by 2 · see citing works
Evaluation and Treatment of Sexual Disorders Due to Medical Conditions
Steiner, A. J., & IsHak, W. W. (2017) · Springer eBooks · doi:10.1007/978-3-319-52539-6_22 · Cited by 2 · see citing works
Le « trouble » de l’éjaculation précoce : le critère d’une minute maximum de pénétration en question
Kempeneers, P., & Desseilles, M. (2014) · Sexologies · doi:10.1016/j.sexol.2014.06.005 · Cited by 2 · see citing works
Scientometric analysis of psychological interventions based upon the use of Hypnosis
Muñoz, M. A. (2017) · Revista Iberoamericana de Psicología · doi:10.33881/2027-1786.rip.9108 · Cited by 2 · see citing works
Psychosoziale Interventionen für sexuelle Funktionsstörungen bei Männern
Schmidt, H. M., Höhn, C., Widmeier, E., & Berner, M. M. (2017) · Zeitschrift für Sexualforschung · doi:10.1055/s-0043-109077 · Cited by 2 · see citing works
Seksuele disfuncties bij mannen
van Lankveld, J. J. D. M., de Boer, B.-J., & MEULEMAN, E. J. H. (2018) · Bohn Stafleu van Loghum eBooks · doi:10.1007/978-90-368-1111-8_17 · Cited by 2 · see citing works
The impact of brain tumor location and treatment on sexual function: Implications for clinical practice
Gatson, N. T., Milbourne, A. M., Ornelas, S., Nevel, K. S., & Boccia, M. L. (2024) · Elsevier eBooks · doi:10.1016/b978-0-443-15663-2.00039-0 · Cited by 1 · see citing works
Sexuality in Later Life
Syme, M. L., Graf, A. S., Cohn, T. J., & Cornelison, L. J. (2020) · Elsevier eBooks · doi:10.1016/b978-0-12-818697-8.00017-0 · Cited by 1 · see citing works
Erectieproblemen
Leusink, P., & Beekman, A. (2023) · Bohn Stafleu van Loghum eBooks · doi:10.1007/978-90-368-2894-9_8 · Cited by 1 · see citing works
Sex Therapy: Brief Historic and Current Perspectives
de Lucena, B. B. (2017) · MOJ Women s Health · doi:10.15406/mojwh.2017.05.00134 · Cited by 1 · see citing works
“For women, the efficacy of cognitive-behavioral therapy has been reported in the treatment of all sexual dysfunctions [18].”
BackgroundInfluential
Geschiedenis van de seksuologie: paradigma’s, thema’s en debatten
Driel, M. V., Gijs, L. A. C. L., Laan, E. T. M., & van Lankveld, J. J. D. M. (2018) · Bohn Stafleu van Loghum eBooks · doi:10.1007/978-90-368-1111-8_2 · Cited by 1 · see citing works
Tratamiento de un caso de disfunción eréctil mediante terapia de pareja y terapia sexual
Aguayo, L. V., & Bernet, J. (2015) · Escritos de Psicología / Psychological Writings · doi:10.5231/psy.writ.2015.1806 · Cited by 2 · see citing works
Sex Therapy, Clinical Psychology of
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Sexuality and Aging
Connaughton, C., & McCabe, M. P. (2015) · Springer eBooks · doi:10.1007/978-981-287-080-3_5-1 · Cited by 1 · see citing works
Sexual Dysfunctions
Meana, M., Jones, S. C., & Oliver, T. L. (2015) · doi:10.1002/9781118753378.ch67 · Cited by 1 · see citing works
Sex, drugs, and women's desire
Nowogrodzki, A. (2015) · DSpace@MIT (Massachusetts Institute of Technology)
Female Sexual Function in Childhood, Adolescent, and Young Adult Cancer Survivors
Woodard, T. L. (2017) · Springer eBooks · doi:10.1007/978-3-319-32973-4_5
Erectieproblemen (erectiele disfunctie)
de Jongh, T. O. H., & Leusink, P. (2017) · Bohn Stafleu van Loghum eBooks · doi:10.1007/978-90-368-1922-0_24
Sexualstörungen
Berner, M. M., & Kockott, G. (2015) · Elsevier eBooks · doi:10.1016/b978-3-437-22484-3.00020-7
Storying the impact of participating in a psychological treatment intervention for provoked vestibulodynia, 5 years later : a narrative inquiry
Marsh, A. (2021) · cIRcle (University of British Columbia) · doi:10.14288/1.0402635
Literaturverzeichnis zu Voderholzer, Hohagen (Hrsg.): Therapie psychischer Erkankungen, 9. Auflage
(2013) · Elsevier eBooks · doi:10.1016/b978-3-437-24905-1.16001-0
La medicalizzazione della sessualità maschile
Redazione (2018) · RIVISTA DI SESSUOLOGIA CLINICA · doi:10.3280/rsc2018-001001
Terapia cognitivo-conductual en el trastorno del deseo sexual hipoactivo
Chauca, J. A. L., & Rodríguez, Y. D. L. C. H. (2022) · Pro Sciences Revista de Producción Ciencias e Investigación · doi:10.29018/issn.2588-1000vol6iss42.2022pp36-44
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Sexualstörungen
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Male sexual dysfunction
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Disorders of Desire, Arousal and Orgasm in the Male
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Investigating the Effects of Counseling-Educational Interventions on Sexuality Issues in Iranian Women with Breast Cancer: A Systematic Review
Moradi, M., Niazi, A., & shalamzari, K. H. (2024) · Journal of Breast Disease · doi:10.61186/ijbd.17.2.102
Grundlagen der Diagnostik und Therapie
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FULLSENSE—An Online Intervention Program for Adults Reporting Sexual Difficulties: A Two-Armed Randomized Controlled Pilot Trial Protocol
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Helping with Outcomes for Low Desire (HOLD): Study protocol for a randomized clinical trial assessing a cognitive-behavioral couple therapy for sexual interest/arousal disorder
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Abstracts
(2017) · Zeitschrift für Sexualforschung · doi:10.1055/s-0043-108260
Psychosoziale Interventionen für sexuelle Funktionsstörungen bei Männern
Schmidt, H. M., Höhn, C., Widmeier, E., & Berner, M. M. (2017) · Zeitschrift für Sexualforschung · doi:10.1055/s-0043-109077 · Cited by 2 · see citing works
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The effects of psychological interventions on sexual function of women: A systematic review and meta-analysis
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Authors: Berner, M., & Günzler, C.
Affiliations: University Medical Center Freiburg (DE)
Corresponding author: Berner, Michael
Venue: The Journal of Sexual Medicine
Publisher: Oxford University Press (OUP)
Published: 2012-12-01
Volume: 9
Issue: 12
Pages: 3089-3107
ISSN: 1743-6095 (ISSN-L)
1743-6109
DOI: 10.1111/j.1743-6109.2012.02970.x
OpenAlex: W1902446911
Cited by: 100
References: 116
Citations by year: 2026: 3 · 2025: 2 · 2024: 8 · 2023: 6 · 2022: 1 · 2021: 5 · 2020: 6 · 2019: 6 · 2018: 12 · 2017: 13 · 2016: 8 · 2015: 13 · 2014: 13 · 2013: 3 · 2012: 1
FWCI: 1.29
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)
Funders: German Ministry for Education and Research (FKZ: 01 KG 0817)
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
Social Sciences › Psychology › Clinical Psychology › Sexuality, Behavior, and Technology
Health Sciences › Medicine › Urology › Urological Disorders and Treatments
Keywords: male sexual dysfunction, psychosocial interventions, psychotherapy, female sexual dysfunction, premature ejaculation, cognitive behavioral therapy, Masters and Johnson, sildenafil, sexual function, treatment efficacy, methodological quality
MeSH terms: Sildenafil Citrate, Alprostadil, Counseling, Humans, Hypnosis, Injections, Male, Piperazines, Psychotherapy, Purines, Sexual Dysfunction, Physiological, Sulfones, Vasodilator Agents, Yohimbine, Randomized Controlled Trials as Topic, Couples Therapy, Phosphodiesterase 5 Inhibitors

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Efficacy of Psychosocial Interventions in Men and Women with Sexual Dysfunctions—A Systematic Review of Controlled Clinical Trials

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