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Gepubliceerd in:

11-10-2022 | ORIGINAL PAPER

A Brief Psychoeducational Sexual Mindfulness Intervention to Bolster Sexual Well-Being

Auteurs: Samantha J. Dawson, Greta E. Jang, Simone Y. Goldberg

Gepubliceerd in: Mindfulness | Uitgave 11/2022

Abstract

Objectives

Cognitive distractions during sex are among the most common mechanisms underlying problems with sexual well-being (e.g., sexual dissatisfaction, low sexual desire). Traditional interventions that include both psychoeducation and mindfulness training are effective for improving sexual dysfunction. It remains unclear if psychoeducation about the benefits of sexual mindfulness for sexuality would also be effective, and if such an intervention would benefit nonclinical samples. We tested whether a 3.5-min online psychoeducational intervention about the benefits of sexual mindfulness and five strategies to have more mindful sex could bolster sexual well-being in two community samples.

Methods

Participants in study 1 (N = 179) and study 2 (N = 239) completed sexual well-being and sexual mindfulness measures at three time points over a 2-week period. In both studies, the participants were randomly assigned to either a control “no information” condition or an experimental “psychoeducation intervention” condition where they viewed a 3.5-min video on the benefits of sexual mindfulness.

Results

Across both studies, those in the experimental intervention reported significantly greater sexual satisfaction (η_p² = .02–.07) and sexual mindfulness (η_p² = .02–.05) and in study 2 greater sexual desire (η_p² = .02–.03). Facets of sexual mindfulness mediated changes in sexual satisfaction as a function of experimental condition (Bs = .32–.56).

Conclusions

A small amount of psychoeducation—3.5 min—facilitates small improvements in sexual well-being and sexual mindfulness. Our data supports the effectiveness of a novel, cost-effective, easily disseminated psychoeducation-based intervention about mindfulness for promoting sexual well-being in community samples.

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Balsam, K. F., Rothblum, E. D., & Wickham, R. E. (2017). Longitudinal predictors of relationship dissolution among same-sex and heterosexual couples. Couple and Family Psychology: Research and Practice, 6(4), 247–257. https://doi.org/10.1037/cfp0000091CrossRef

Banbury, S., Lusher, J., Snuggs, S., & Chandler, C. (2021). Mindfulness-based therapies for men and women with sexual dysfunction: A systematic review and meta-analysis. Sexual and Relationship Therapy, 1-22. https://doi.org/10.1080/14681994.2021.1883578

Barlow, D. H. (1986). Causes of sexual dysfunction: The role of anxiety and cognitive interference. Journal of Consulting and Clinical Psychology, 54(2), 140–148. https://doi.org/10.1037/0022-006X.54.2.140CrossRefPubMed

Beck, J. G., & Baldwin, L. E. (1994). Instructional control of female sexual responding. Archives of Sexual Behavior, 23(6), 665–684. https://doi.org/10.1007/BF01541818CrossRefPubMed

Beshai, S., Bueno, C., Yu, M., Feeney, J. R., & Pitariu, A., 134, . (2020). Examining the effectiveness of an online program to cultivate mindfulness and self-compassion skills (Mind-OP): Randomized controlled trial on Amazon's Mechanical Turk. Behaviour Research and Therapy, 134. https://doi.org/10.1016/j.brat.2020.103724

Birnbaum, G. E., Reis, H. T., Mikulincer, M., Gillath, O., & Orpaz, A. (2006). When sex is more than just sex: Attachment orientations, sexual experience, and relationship quality. Journal of Personality and Social Psychology, 91(5), 929–943. https://doi.org/10.1037/0022-3514.91.5.929CrossRefPubMed

Bower, P., & Gilbody, S. (2005). Stepped care in psychological therapies: Access, effectiveness and efficiency. British Journal of Psychiatry, 186(1), 11–17. https://doi.org/10.1192/bjp.186.1.11CrossRef

Brotto, L. A. (2015). Sex therapy, education, and support (STEP) group treatment for low sexual desire in women [Facilitator Treatment Manual].

Brotto, L. A., & Basson, R. (2014). Group mindfulness-based therapy significantly improves sexual desire in women. Behaviour Research and Therapy, 57, 43–54. https://doi.org/10.1016/j.brat.2014.04.001CrossRefPubMed

Brotto, L. A., Basson, R., & Luria, M. (2008a). A mindfulness-based group psychoeducational intervention targeting sexual arousal disorder in women. The Journal of Sexual Medicine, 5(7), 1646–1659. https://doi.org/10.1111/j.1743-6109.2008.00850.xCrossRefPubMed

Brotto, L. A., Basson, R., Smith, K. B., Driscoll, M., & Sadownik, L. (2015). Mindfulness-based group therapy for women with provoked vestibulodynia. Mindfulness, 6(3), 417–432. https://doi.org/10.1007/s12671-013-0273-zCrossRef

Brotto, L. A., Heiman, J. R., Goff, B., Greer, B., Lentz, G. M., Swisher, E., Tamimi, H., & Van Blaricom, A. (2008b). A psychoeducational intervention for sexual dysfunction in women with gynecologic cancer. Archives of Sexual Behavior, 37(2), 317–329. https://doi.org/10.1007/s10508-007-9196-xCrossRefPubMed

Brotto, L. A., Stephenson, K. R., & Zippan, N. (2022). Feasibility of an online mindfulness-based intervention for women with sexual interest/arousal disorder. Mindfulness, 13, 647–659. https://doi.org/10.1007/s12671-021-01820-4CrossRefPubMedPubMedCentral

Brotto, L. A., Zdaniuk, B., Chivers, M. L., Jabs, F., Grabovac, A., Lalumière, M. L., Weinberg, J., Schonert-Reichl, K. A., & Basson, R. (2021). A randomized trial comparing group mindfulness-based cognitive therapy with group supportive sex education and therapy for the treatment of female sexual interest/arousal disorder. Journal of Consulting and Clinical Psychology, 89(7), 626–639. https://doi.org/10.1037/ccp0000661CrossRefPubMed

Busby, D. M., Larson, J. H., Holman, T. B., & Halford, W. K. (2015). Flexible delivery approaches to couple relationship education: Predictors of initial engagement and retention of couples. Journal of Child and Family Studies, 24(10), 3018–3029. https://doi.org/10.1007/s10826-014-0105-3CrossRef

de Jong, D. C. (2009). The role of attention in sexual arousal: Implications for treatment of sexual dysfunction. Journal of Sex Research, 46(2–3), 237–248. https://doi.org/10.1080/00224490902747230CrossRefPubMed

Donker, T., Griffiths, K. M., Cuijpers, P., & Christensen, H. (2009). Psychoeducation for depression, anxiety and psychological distress: A meta-analysis. BMC Medicine, 7(1), 79. https://doi.org/10.1186/1741-7015-7-79CrossRefPubMedPubMedCentral

Faul, F., Erdfelder, E., Lang, A.-G., & Buchner, A. (2007). G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39(2), 175–191. https://doi.org/10.3758/bf03193146CrossRefPubMed

Fischer, N., & Træen, B. (2022). Prevalence of sexual difficulties and related distress and their association with sexual avoidance in Norway. International Journal of Sexual Health, 34(1), 27–40. https://doi.org/10.1080/19317611.2021.1926040CrossRef

Funk, J. L., & Rogge, R. D. (2007). Testing the ruler with item response theory: Increasing precision of measurement for relationship satisfaction with the Couples Satisfaction Index. Journal of Family Psychology, 21(4), 572–583. https://doi.org/10.1037/0893-3200.21.4.572CrossRefPubMed

Hall, K. S., & Binik, Y. M. (2020). Principles and practice of sex therapy. Guilford Publications.

Hayes, A. F. (2012). PROCESS: A versatile computational tool for observed variable mediation, moderation, and conditional process modeling. http://www.afhayes.com

Hucker, A., & McCabe, M. P. (2014). An online, mindfulness-based, cognitive-behavioral therapy for female sexual difficulties: Impact on relationship functioning. Journal of Sex & Marital Therapy, 40(6), 561–576. https://doi.org/10.1080/00224499.2014.888388CrossRef

Hucker, A., & McCabe, M. P. (2015). Incorporating mindfulness and chat groups into an online cognitive behavioral therapy for mixed female sexual problems. The Journal of Sex Research, 52(6), 627–639. https://doi.org/10.1080/00224499.2014.888388CrossRefPubMed

Impett, E. A., Muise, A., & Breines, J. G. (2013). From risk to pleasure: Toward a positive psychology of sexuality. In M. Hojjat and D. Cramer (Eds.), Positive psychology of love. (pp. 57–76). Oxford Academic. https://doi.org/10.1093/acprof:oso/9780199791064.003.0005

Impett, E. A., Muise, A., & Peragine, D. (2014). Sexuality in the context of relationships. In D. L. Tolman, L. M. Diamond, J. A. Bauermeister, W. H. George, J. G. Pfaus, & L. M. Ward (eds.), APA handbook of sexuality and psychology, Vol. 1: Person-based approaches. (pp. 269–315). American Psychological Association. https://doi.org/10.1037/14193-010

Jaderek, I., & Lew-Starowicz, M. (2019). A systematic review on mindfulness meditation–based interventions for sexual dysfunctions. The Journal of Sexual Medicine, 16(10), 1581–1596. https://doi.org/10.1016/j.jsxm.2019.07.019CrossRefPubMed

Kane, L., Dawson, S. J., Shaughnessy, K., Reissing, E. D., Ouimet, A. J., & Ashbaugh, A. R. (2019). A review of experimental research on anxiety and sexual arousal: Implications for the treatment of sexual dysfunction using cognitive behavioral therapy. Journal of Experimental Psychopathology, 10(2), 1–24. https://doi.org/10.1177/2043808719847371CrossRef

Khaddouma, A., Coop Gordon, K., & Strand, E. B. (2017). Mindful mates: A pilot study of the relational effects of mindfulness-based stress reduction on participants and their partners. Family Process, 56(3), 636–651. https://doi.org/10.1111/famp.12226CrossRefPubMed

Laan, E., Everaerd, W., Van Aanhold, M.-T., & Rebel, M. (1993). Performance demand and sexual arousal in women. Behaviour Research and Therapy, 31(1), 25–35. https://doi.org/10.1016/0005-7967(93)90039-WCrossRefPubMed

Lawrance, K.-A., & Byers, E. S. (1995). Sexual satisfaction in long-term heterosexual relationships: The interpersonal exchange model of sexual satisfaction. Personal Relationships, 2(4), 267–285. https://doi.org/10.1111/j.1475-6811.1995.tb00092.xCrossRef

Leavitt, C. E., Allsop, D. B., Gurr, J., Fawcett, E., Boden, J., Driggs, S., & Hawkins, A. J. (2021a). A couples’ relationship education intervention examining sexual mindfulness and trait mindfulness. Sexual and Relationship Therapy, 1-13. https://doi.org/10.1080/14681994.2021a

Leavitt, C. E., Lefkowitz, E. S., & Waterman, E. A. (2019). The role of sexual mindfulness in sexual wellbeing, relational wellbeing, and self-esteem. Journal of Sex & Marital Therapy, 45(6), 497–509. https://doi.org/10.1080/0092623X.2019.1572680CrossRef

Leavitt, C. E., Maurer, T. F., Clyde, T. L., Clarke, R. W., Busby, D. M., Yorgason, J. B., Holmes, E. K., & James, S. (2021b). Linking sexual mindfulness to mixed-sex couples’ relational flourishing, sexual harmony, and orgasm. Archives of Sexual Behavior, 50(6), 2589–2602. https://doi.org/10.1007/s10508-021-02054-0CrossRefPubMed

Leavitt, C. E., Whiting, J. B., & Hawkins, A. J. (2021c). The sexual mindfulness project: An initial presentation of the sexual and relational associations of sexual mindfulness. Journal of Couple & Relationship Therapy, 20(1), 32–49. https://doi.org/10.1080/15332691.2020.1757547CrossRef

Lorimer, K., Deamicis, L., Dalrymple, J., Frankis, J., Jackson, L., Lorgelly, P., McMillan, L., & Ross, J. (2019). A rapid review of sexual wellbeing definitions and measures: Should we now include sexual wellbeing freedom? The Journal of Sex Research, 56(7), 843–853. https://doi.org/10.1080/00224499.2019.1635565CrossRefPubMed

Mallory, A. B. (2022). Dimensions of couples’ sexual communication, relationship satisfaction, and sexual satisfaction: A meta-analysis. Journal of Family Psychology, 36(3), 358. https://doi.org/10.1037/fam0000946CrossRefPubMed

Mark, K. P. (2015). Sexual desire discrepancy. Current Sexual Health Reports, 7(3), 198–202. https://doi.org/10.1007/s11930-015-0057-7CrossRef

Markman, H. J., Hawkins, A. J., Stanley, S. M., Halford, W. K., & Rhoades, G. (2022). Helping couples achieve relationship success: A decade of progress in couple relationship education research and practice, 2010–2019. Journal of Marital and Family Therapy, 48(1), 251–282. https://doi.org/10.1111/jmft.12565CrossRefPubMed

Martin, K. M., & Woodgate, R. L. (2020). Concept analysis: The holistic nature of sexual well-being. Sexual and Relationship Therapy, 35(1), 15–29. https://doi.org/10.1080/14681994.2017.1419567CrossRef

Meston, C. M. (2006). The effects of state and trait self-focused attention on sexual arousal in sexually functional and dysfunctional women. Behaviour Research and Therapy, 44(4), 515–532. https://doi.org/10.1016/j.brat.2005.03.009CrossRefPubMed

Muise, A., Boudreau, G. K., & Rosen, N. O. (2017). Seeking connection versus avoiding disappointment: An experimental manipulation of approach and avoidance sexual goals and the implications for desire and satisfaction. The Journal of Sex Research, 54(3), 296–307. https://doi.org/10.1080/00224499.2016.1152455CrossRefPubMed

Muise, A., Harasymchuk, C., Day, L. C., Bacev-Giles, C., Gere, J., & Impett, E. A. (2019). Broadening your horizons: Self-expanding activities promote desire and satisfaction in established romantic relationships. Journal of Personality and Social Psychology, 116(2), 237–258. https://doi.org/10.1037/pspi0000148CrossRefPubMed

Newcombe, B. C., & Weaver, A. D. (2016). Mindfulness, cognitive distraction, and sexual well-being in women. The Canadian Journal of Human Sexuality, 25(2), 99–108. https://doi.org/10.3138/cjhs.252-A3CrossRef

Podsakoff, P. M., MacKenzie, S. B., & Podsakoff, N. P. (2012). Sources of method bias in social science research and recommendations on how to control it. Annual Review of Psychology, 63, 539–569. https://doi.org/10.1146/annurev-psych-120710-100452CrossRefPubMed

Rigabert, A., Motrico, E., Moreno-Peral, P., Resurrección, D. M., Conejo-Cerón, S., Cuijpers, P., Martín-Gómez, C., López-Del-Hoyo, Y., & Bellón, J. Á. (2020). Effectiveness of online psychological and psychoeducational interventions to prevent depression: Systematic review and meta-analysis of randomized controlled trials. Clinical Psychology Review, 82, 101931. https://doi.org/10.1016/j.cpr.2020.101931CrossRefPubMed

Rosen, N. O., Muise, A., Impett, E. A., Delisle, I., Baxter, M. L., & Bergeron, S. (2018). Sexual cues mediate the daily associations between interpersonal goals, pain, and well-being in couples coping with vulvodynia. Annals of Behavioral Medicine, 52(3), 216–227. https://doi.org/10.1093/abm/kax046CrossRefPubMed

Santos-Iglesias, P., Bergeron, S., Brotto, L. A., Rosen, N. O., & Walker, L. M. (2020). Preliminary validation of the sexual distress scale-short form: Applications to women, men, and prostate cancer survivors. Journal of Sex & Marital Therapy, 46(6), 542–563. https://doi.org/10.1080/0092623X.2020.1761494CrossRef

Seal, B. N., & Meston, C. M. (2007). Women’s sexual health: The impact of body awareness on sexual arousal in women with sexual dysfunction. The Journal of Sexual Medicine, 4(4), 990–1000. https://doi.org/10.1111/j.1743-6109.2007.00525.xCrossRefPubMedPubMedCentral

Smedley, D. K., Leavitt, C. E., Allsop, D. B., Nance, M., James, S. L., & Holmes, E. K. (2021). Mindfulness and sexual mindfulness as moderators between conflict resolution and sexual and relationship satisfaction. Journal of Sex & Marital Therapy, 47(8), 814–828. https://doi.org/10.1080/0092623X.2021.1958962CrossRef

Smith, A., Lyons, A., Ferris, J., Richters, J., Pitts, M., Shelley, J., & Simpson, J. M. (2011). Sexual and relationship satisfaction among heterosexual men and women: The importance of desired frequency of sex. Journal of Sex & Marital Therapy, 37(2), 104–115. https://doi.org/10.1080/0092623X.2011.560531CrossRef

Snell, W. E., Fisher, T. D., & Miller, R. S. (1991). Development of the sexual awareness questionnaire: Components, reliability, and validity. Annals of Sex Research, 4(1), 65–92. https://doi.org/10.1007/BF00850140CrossRef

Spector, I. P., Carey, M. P., & Steinberg, L. (1996). The sexual desire inventory: Development, factor structure, and evidence of reliability. Journal of Sex & Marital Therapy, 22(3), 175–190. https://doi.org/10.1080/00926239608414655CrossRef

Sprecher, S., & Cate, R. M. (2004). Sexual satisfaction and sexual expression as predictors of relationship satisfaction and stability. In J. Harvey & A. Wenzel (Eds.), The handbook of sexuality in close relationships (pp. 235–256). Lawrence Erlbaum Associates Publishers.

Stephenson, K. R. (2017). Mindfulness-based therapies for sexual dysfunction: A review of potential theory-based mechanisms of change. Mindfulness, 8(3), 527–543. https://doi.org/10.1007/s12671-016-0652-3CrossRef

Stephenson, K. R., & Kerth, J. (2017). Effects of mindfulness-based therapies for female sexual dysfunction: A meta-analytic review. The Journal of Sex Research, 54(7), 832–849. https://doi.org/10.1080/00224499.2017.1331199CrossRefPubMed

Tavares, I. M., Moura, C. V., & Nobre, P. J. (2020). The role of cognitive processing factors in sexual function and dysfunction in women and men: A systematic review. Sexual Medicine Reviews, 8(3), 403–430. https://doi.org/10.1016/j.sxmr.2020.03.002CrossRefPubMed

Velten, J., Brotto, L. A., Chivers, M. L., Hirschfeld, G., & Margraf, J. (2020). The power of the present: Effects of three mindfulness tasks on women’s sexual response. Clinical Psychological Science, 8(1), 125–138. https://doi.org/10.1177/2167702619861394CrossRef

Velten, J., Margraf, J., Chivers, M. L., & Brotto, L. A. (2018). Effects of a mindfulness task on women’s sexual response. The Journal of Sex Research, 55(6), 747–757. https://doi.org/10.1080/00224499.2017.1408768CrossRefPubMed

Zippan, N., Stephenson, K. R., & Brotto, L. A. (2020). Feasibility of a brief online psychoeducational intervention for women with sexual interest/arousal disorder. The Journal of Sexual Medicine, 17(11), 2208–2219. https://doi.org/10.1016/j.jsxm.2020.07.086CrossRefPubMedPubMedCentral

Titel: A Brief Psychoeducational Sexual Mindfulness Intervention to Bolster Sexual Well-Being
Auteurs: Samantha J. Dawson
Greta E. Jang
Simone Y. Goldberg
Publicatiedatum: 11-10-2022
Uitgeverij: Springer US
Gepubliceerd in: Mindfulness / Uitgave 11/2022
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI: https://doi.org/10.1007/s12671-022-01999-0

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Abstract

Objectives

Methods

Results

Conclusions

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