Cognitive Behavioral Sex Therapy: An Emerging Treatment Option for Nonorganic Erectile Dysfunction in Young Men: A Feasibility Pilot Study
Introduction: An increasing number of young men have been found to develop nonorganic erectile dysfunction (NOED) in recent years. The NOED has been shown to respond better to cognitive behavior sex therapy (CBST) in a few past studies. Aim: The present research aims to establish the efficacy of CBS...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Oxford University Press
2020-09-01
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| Series: | Sexual Medicine |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2050116120300702 |
| _version_ | 1797720915030573056 |
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| author | Ahmad Bilal, PhD Najam ul Hasan Abbasi, PhD |
| author_facet | Ahmad Bilal, PhD Najam ul Hasan Abbasi, PhD |
| author_sort | Ahmad Bilal, PhD |
| collection | DOAJ |
| description | Introduction: An increasing number of young men have been found to develop nonorganic erectile dysfunction (NOED) in recent years. The NOED has been shown to respond better to cognitive behavior sex therapy (CBST) in a few past studies. Aim: The present research aims to establish the efficacy of CBST as a promising treatment option in young men suffering from NOED by administering a feasibility pilot trial. Methods: 28 young men (M = 31 years) out of a total of 39 men (7 excluded, 4 quit treatment) diagnosed with NOED from sexual health clinics in Pakistan were recruited to receive CBST treatment (n = 13) on average twice a week for a period of 50 minutes per session for a period of 4, 6, 8, and 12 weeks for the mild, mild to moderate, moderate, and severe forms of NOED, respectively, and sildenafil citrate group (n = 15) receiving sildenafil citrate 50 mg on demand. The trial design was sequential random assignment clinical trial. Main Outcome Measures: International Index of Erectile Functoning-5 and Depression Anxiety Stress Scale-21 were used before treatment, after treatment, and in follow-up as the main outcome measures. Results: The repeated measures analysis of covariance established a nonsignificant difference between CBST and sildenafil citrate 50 mg in NOED scores improvement, NOED severity reduction, and reduction in depression scores at posttreatment assessment. There were significant differences among different CBST modalities in improving NOED scores, reduction in NOED severity, and depression scores. There was significant difference in CBST and sildenafil citrate 50 mg in anxiety reduction at posttreatment assessment. The covariates age, age groups, and NOED duration did not significantly impact the treatment outcome for both treatment groups except age which impacted the interaction of treatment and anxiety scores. Conclusion: The CBST is an emerging and promising treatment choice in younger men suffering from NOED.Bilal A, Abbasi NuH. Cognitive Behavioral Sex Therapy: An Emerging Treatment Option for Nonorganic Erectile Dysfunction in Young Men: A Feasibility Pilot Study. J Sex Med 2020;8:396–407. |
| first_indexed | 2024-03-12T09:26:27Z |
| format | Article |
| id | doaj.art-7d964476d8414038945d530e255d036d |
| institution | Directory Open Access Journal |
| issn | 2050-1161 |
| language | English |
| last_indexed | 2024-03-12T09:26:27Z |
| publishDate | 2020-09-01 |
| publisher | Oxford University Press |
| record_format | Article |
| series | Sexual Medicine |
| spelling | doaj.art-7d964476d8414038945d530e255d036d2023-09-02T14:11:19ZengOxford University PressSexual Medicine2050-11612020-09-0183396407Cognitive Behavioral Sex Therapy: An Emerging Treatment Option for Nonorganic Erectile Dysfunction in Young Men: A Feasibility Pilot StudyAhmad Bilal, PhD0Najam ul Hasan Abbasi, PhD1PhD Research Scholar, Department of Psychology, International Islamic University, Islamabad, Pakistan; Corresponding Author: Ahmad Bilal, PhD Research Scholar, Department of Psychology, International Islamic University, Islamabad, Pakistan. Tel: +923008469524Assistant Professor, Department of Psychology, International Islamic University, Islamabad, PakistanIntroduction: An increasing number of young men have been found to develop nonorganic erectile dysfunction (NOED) in recent years. The NOED has been shown to respond better to cognitive behavior sex therapy (CBST) in a few past studies. Aim: The present research aims to establish the efficacy of CBST as a promising treatment option in young men suffering from NOED by administering a feasibility pilot trial. Methods: 28 young men (M = 31 years) out of a total of 39 men (7 excluded, 4 quit treatment) diagnosed with NOED from sexual health clinics in Pakistan were recruited to receive CBST treatment (n = 13) on average twice a week for a period of 50 minutes per session for a period of 4, 6, 8, and 12 weeks for the mild, mild to moderate, moderate, and severe forms of NOED, respectively, and sildenafil citrate group (n = 15) receiving sildenafil citrate 50 mg on demand. The trial design was sequential random assignment clinical trial. Main Outcome Measures: International Index of Erectile Functoning-5 and Depression Anxiety Stress Scale-21 were used before treatment, after treatment, and in follow-up as the main outcome measures. Results: The repeated measures analysis of covariance established a nonsignificant difference between CBST and sildenafil citrate 50 mg in NOED scores improvement, NOED severity reduction, and reduction in depression scores at posttreatment assessment. There were significant differences among different CBST modalities in improving NOED scores, reduction in NOED severity, and depression scores. There was significant difference in CBST and sildenafil citrate 50 mg in anxiety reduction at posttreatment assessment. The covariates age, age groups, and NOED duration did not significantly impact the treatment outcome for both treatment groups except age which impacted the interaction of treatment and anxiety scores. Conclusion: The CBST is an emerging and promising treatment choice in younger men suffering from NOED.Bilal A, Abbasi NuH. Cognitive Behavioral Sex Therapy: An Emerging Treatment Option for Nonorganic Erectile Dysfunction in Young Men: A Feasibility Pilot Study. J Sex Med 2020;8:396–407.http://www.sciencedirect.com/science/article/pii/S2050116120300702Non Organic Erectile DysfunctionErectile DysfunctionSildenafil CitrateCognitive Behavior Sex TherapySex TherapyMen Health |
| spellingShingle | Ahmad Bilal, PhD Najam ul Hasan Abbasi, PhD Cognitive Behavioral Sex Therapy: An Emerging Treatment Option for Nonorganic Erectile Dysfunction in Young Men: A Feasibility Pilot Study Sexual Medicine Non Organic Erectile Dysfunction Erectile Dysfunction Sildenafil Citrate Cognitive Behavior Sex Therapy Sex Therapy Men Health |
| title | Cognitive Behavioral Sex Therapy: An Emerging Treatment Option for Nonorganic Erectile Dysfunction in Young Men: A Feasibility Pilot Study |
| title_full | Cognitive Behavioral Sex Therapy: An Emerging Treatment Option for Nonorganic Erectile Dysfunction in Young Men: A Feasibility Pilot Study |
| title_fullStr | Cognitive Behavioral Sex Therapy: An Emerging Treatment Option for Nonorganic Erectile Dysfunction in Young Men: A Feasibility Pilot Study |
| title_full_unstemmed | Cognitive Behavioral Sex Therapy: An Emerging Treatment Option for Nonorganic Erectile Dysfunction in Young Men: A Feasibility Pilot Study |
| title_short | Cognitive Behavioral Sex Therapy: An Emerging Treatment Option for Nonorganic Erectile Dysfunction in Young Men: A Feasibility Pilot Study |
| title_sort | cognitive behavioral sex therapy an emerging treatment option for nonorganic erectile dysfunction in young men a feasibility pilot study |
| topic | Non Organic Erectile Dysfunction Erectile Dysfunction Sildenafil Citrate Cognitive Behavior Sex Therapy Sex Therapy Men Health |
| url | http://www.sciencedirect.com/science/article/pii/S2050116120300702 |
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