Homework adherence in mindfulness-based cognitive interventions for female sexual dysfunction: a scoping review
Fernanda Rafaela Cabral Bonato1, Nicolas de Oliveira Cardoso2, Lori A Brotto3
1Graduate Program in Psychology, Human Science, Federal University of Paraná (UFPR), Curitiba, Brazil.
The Journal of Sexual Medicine
|September 13, 2024
Summary
This review found no standard method for measuring homework adherence in mindfulness-based cognitive therapy for female sexual dysfunction. Further research is needed to develop validated tools for assessing practice in MBCT interventions.
Area of Science:
- Psychiatry and Behavioral Sciences
- Sexual Health
- Mindfulness Research
Background:
- Mindfulness-based cognitive therapy (MBCT) relies on home practice for efficacy.
- Existing homework adherence tools are primarily for cognitive behavioral therapy (CBT).
- Little is known about measuring homework adherence in MBCT for sexual dysfunction.
Purpose of the Study:
- To identify commonly used instruments and items for assessing homework adherence in MBCT studies for female sexual dysfunction (FSD).
- To investigate the types of homework assigned in these MBCT interventions.
- To address the gap in understanding adherence measurement for MBCT in FSD.
Main Methods:
- A systematic review of five major scientific databases (PubMed, Scopus, PsycINFO, Embase, Web of Science).
- Inclusion of 30 articles evaluating MBCT for FSD.
- Analysis of reported methods for assessing homework adherence and types of homework assigned.
Main Results:
- No gold standard instrument for assessing homework adherence in MBCT for FSD was identified.
- Most studies (6/9) used ad hoc measures, with only 3 employing psychometrically validated instruments.
- Commonly assigned homework included mindfulness, psychoeducation, and CBT exercises.
Conclusions:
- There is a significant need for psychometrically validated instruments to measure homework adherence in MBCT for FSD.
- Future research should adapt existing CBT adherence tools or develop novel instruments tailored for MBCT.
- Standardized measurement of adherence is crucial for evaluating MBCT effectiveness in FSD.
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