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Psychotherapy for male sexual dysfunction: a review
W T O'Donohue1, D N Swingen, C A Dopke
1Department of Psychology, University of Nevada, Reno 89557, USA. wto@equinox.unr.edu
Clinical Psychology Review
|September 1, 1999
Summary
Current psychotherapy outcome studies show limited evidence for effective psychological interventions for male sexual dysfunction. Methodological flaws and insufficient data hinder progress in this field.
Area of Science:
- Psychology
- Men's Health
- Sexual Health
Background:
- Male sexual dysfunction encompasses nine major diagnostic categories according to the DSM-IV.
- Psychotherapy outcome research in this area is critically reviewed.
Purpose of the Study:
- To evaluate the current evidence base for psychotherapy in treating male sexual dysfunction.
- To identify limitations in existing research and propose guidelines for future studies.
Main Methods:
- Systematic review of psychotherapy outcome studies for male sexual dysfunction.
- Analysis of methodological quality, effect sizes, and follow-up data.
Main Results:
- Existing research demonstrates significant methodological problems.
- Clinical significance of effect sizes and durability of treatment gains are often unclear.
- Some male sexual dysfunction disorders have been largely overlooked by researchers.
Conclusions:
- There is currently limited evidence supporting the efficacy of psychological interventions for male sexual dysfunction.
- Improvements in research design, sample description, and assessment are crucial for advancing the field.
- Further research is needed to develop and validate effective treatments.