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Bibliotherapy for Sexual Dysfunctions: A Systematic Review and Meta-Analysis.

Jacques J D M van Lankveld1, Fleur T van de Wetering1, Kevan Wylie2

  • 1Faculty of Psychology, Open University, Heerlen, Netherlands.

The Journal of Sexual Medicine
|February 6, 2021
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Summary
This summary is machine-generated.

Bibliotherapy shows potential for treating sexual dysfunctions, particularly in women, offering improved sexual functioning and satisfaction compared to no treatment. However, evidence quality is low, necessitating further high-quality research for definitive conclusions.

Keywords:
BibliotherapyDropoutMeta-AnalysisSexual DysfunctionSexual FunctioningSexual SatisfactionTreatment Effect

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Area of Science:

  • Psychiatry and Psychology
  • Sexual Health
  • Evidence-Based Medicine

Background:

  • Sexual dysfunctions are prevalent, impacting quality of life.
  • Bibliotherapy, a low-intensity intervention, is a potential treatment avenue.

Purpose of the Study:

  • To systematically review and meta-analyze the efficacy of bibliotherapy for sexual dysfunctions.
  • To compare bibliotherapy against no treatment and other psychological interventions.

Main Methods:

  • Systematic review and meta-analysis of 15 randomized controlled trials (RCTs).
  • Inclusion criteria: RCTs evaluating bibliotherapy for any sexual dysfunction.
  • Outcomes: Sexual functioning, sexual satisfaction, and remission rates.

Main Results:

  • Unassisted bibliotherapy improved remission rates and sexual satisfaction in women compared to no treatment.
  • Assisted bibliotherapy improved female sexual functioning but not male sexual functioning.
  • No significant differences were found between bibliotherapy and other interventions or regarding dropout rates.
  • Certainty of evidence for all outcomes was rated as very low.

Conclusions:

  • Bibliotherapy may offer benefits for sexual dysfunctions, especially for women.
  • Limitations in study design and imprecision prevent firm conclusions.
  • High-quality, larger trials are required to establish efficacy and guide clinical practice.