A brief mindfulness-based cognitive behavioral intervention improves sexual functioning vs. wait-list control in women treated for gynecologic cancer

Department of Obstetrics and Gynaecology, University of British Columbia, 2775 Laurel Street, Vancouver, BC, Canada.
Gynecologic Oncology (Impact Factor: 3.77). 01/2012; 125(2):320-5. DOI: 10.1016/j.ygyno.2012.01.035
Source: PubMed


The goal of this study was to evaluate a mindfulness-based cognitive behavioral intervention for sexual dysfunction in gynecologic cancer survivors compared to a wait-list control group.
Thirty-one survivors of endometrial or cervical cancer (mean age 54.0, range 31-64) who self-reported significant and distressing sexual desire and/or sexual arousal concerns were assigned either to three, 90-minute mindfulness-based cognitive behavior therapy sessions or two months of wait-list control prior to entering the treatment arm. Validated measures of sexual response, sexual distress, and mood, as well as laboratory-evoked physiological and subjective sexual arousal were assessed at pre-, one month post-, and 6-months following treatment.
There were no significant effects of the wait-list condition on any measure. Treatment led to significant improvements in all domains of sexual response, and a trend towards significance for reducing sexual distress. Perception of genital arousal during an erotic film was also significantly increased following the intervention despite no change in physiologically-measured sexual arousal.
A brief mindfulness-based intervention was effective for improving sexual functioning. Geographic restrictions permitted only a select sample of survivors to participate, thus, the generalizability of the findings is limited. Future studies should aim to develop online modalities for treatment administration to overcome this limitation.

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Available from: Lori Brotto, Apr 10, 2014
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    • "In a subsequent replication of this study on a different sample of Canadian gynaecologic cancer survivors, we again found significant improvements in all domains of sexual response, and in women's self-reported genital arousal when exposed to an erotic stimulus (Brotto et al., 2012). Importantly, this study included a wait-list control group during which these improvements to sexual functioning were not observed. "
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    • "Ce ré sultat laisse entrevoir un ré el inté rêt clinique pour des populations de femmes diagnostiqué es FSAD, trouble caracté risé par une conscience inté roceptive faible. De la même façon, une e ´ tude ré cente [3] a montré que des femmes souffrant de difficulté s sexuelles, et notamment au niveau de la perception de l'excitation gé nitale, a ` la suite d'un cancer de type gyné cologique, pouvaient bé né ficier d'une intervention cognitivo-comportementale basé e sur la pleine conscience. En effet, les ré sultats ont ré vé lé qu'elles e ´ taient davantage capables de remarquer des signes de lubrification aprè s une exposition a ` des stimuli e ´ rotiques. "
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