Mindfulness-based therapies for men and women with sexual dysfunction: a systematic review and meta-analysis

Banbury, Samantha, Lusher, Joanne, Snuggs, Sarah and Chandler, Chris (2023) Mindfulness-based therapies for men and women with sexual dysfunction: a systematic review and meta-analysis. Sexual and Relationship Therapy, 38 (4). pp. 534-555. ISSN 1468-1749

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Abstract / Description

Mindfulness based interventions (MBI) may be an effective treatment for sexual dysfunction among men and women. A literature review identified seven trials for sexual dysfunction and MBI. Of these, four trials were Randomised Control Trials (RCTs) including a control-group wait list and three studies used within-subjects design. A meta-analysis synthesized the results across these trials which demonstrated an overall low to moderate effect size (Cohen’s d = 0.55). Moderate heterogeneity between studies was evident with possible publication bias. Sub-group analysis revealed differences between study weights, where overall higher effect sizes were found among RCTs (d = 0.65) than within subject design studies (d = 0.27). However, within subject design studies tended to include pre and post-physiological measurements (e.g. vaginal photoplethysmography), which may provide a more precise evaluation of the benefits of MBI, rather than studies based on self-report measures only. This review identified a gender inequality in which clinical trials predominated among women compared to men with a 6:1 ratio. Whilst MBI looks promising, significantly more research is needed, particularly among men, so that science, practice and policy can develop an understanding of the potential benefits of non-prescription intervention alternatives, or as a biopsychosocial adjunct, such as MBI, in support of those experiencing sexual dysfunction.

Item Type:	Article
Additional Information:	This is an Accepted Manuscript version of the following article, accepted for publication in "Sexual and Relationship Therapy": Samantha Banbury, Joanne Lusher, Sarah Snuggs & Chris Chandler (2023) Mindfulness-based therapies for men and women with sexual dysfunction: a systematic review and meta-analysis, Sexual and Relationship Therapy, 38 (4). pp. 534-555 - DOI: 10.1080/14681994.2021.1883578. It is deposited under the terms of the Creative Commons Attribution-Non-Commercial-No-Derivatives License (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited, and is not altered, transformed, or built upon in any way.
Uncontrolled Keywords:	mindfulness based intervention; sexual dysfunction; gender; inequality; systematic review
Subjects:	100 Philosophy & psychology > 150 Psychology 600 Technology > 610 Medicine & health
Department:	School of Social Sciences and Professions
SWORD Depositor:	Pub Router
Depositing User:	Pub Router
Date Deposited:	12 Mar 2021 14:35
Last Modified:	30 Oct 2023 15:28
URI:	https://repository.londonmet.ac.uk/id/eprint/6395

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