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Original Articles

Effects of Mindfulness-Based Therapies for Female Sexual Dysfunction: A Meta-Analytic Review

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References

  • Adam, F., Heeren, A., Day, J., & de Sutter, P. (2015). Development of the Sexual Five-Facet Mindfulness Questionnaire (FFMQ-S): Validation among a community sample of French-speaking women. Journal of Sex Research, 52, 617–626. doi:10.1080/00224499.2014.894490
  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.
  • Arch, J. J., & Craske, M. G. (2008). Acceptance and commitment therapy and cognitive behavioral therapy for anxiety disorders: Different treatments, similar mechanisms? Clinical Psychology: Science and Practice, 15, 263–279. doi:10.1111/j.1468-2850.2008.00137.x
  • Banks, K., Newman, E., & Saleem, J. (2015). An overview of the research on mindfulness‐based interventions for treating symptoms of posttraumatic stress disorder: A systematic review. Journal of Clinical Psychology, 71, 935–963. doi:10.1002/jclp.22200
  • Beauregard, M. (2009). Effect of mind on brain activity: Evidence from neuroimaging studies of psychotherapy and placebo effect. Nordic Journal of Psychiatry, 63, 5–16. doi:10.1080/08039480802421182
  • Bober, S. L., Recklitis, C. J., Bakan, J., Garber, J. E., & Patenaude, A. F. (2015). Addressing sexual dysfunction after risk-reducing salpingo-oophorectomy: Effects of a brief, psychosexual intervention. Journal of Sexual Medicine, 12, 189–197. doi:10.1111/jsm.12713
  • Borenstein, M., Hedges, L. V., Higgins, J. T., & Rothstein, H. R. (2009). Introduction to meta-analysis. Chichester, England: Wiley.
  • Borenstein, M., Hedges, L. V., Higgins, J. T., & Rothstein, H. R. (2010). A basic introduction to fixed-effect and random-effects models for meta-analysis. Research Synthesis Methods, 1, 97–111. doi:10.1002/jrsm.12
  • Bradford, A., & Meston, C. M. (2011). Behavior and symptom change among women treated with placebo for sexual dysfunction. Journal of Sexual Medicine, 8, 191–201. doi:10.1111/j.1743-6109.2010.02007.x
  • Brotto, L. A. (2013). Mindful sex. Canadian Journal of Human Sexuality, 22, 63–68. doi:10.3138/cjhs.2013.2132
  • Brotto, L. A., & Basson, R. (2014). Group mindfulness-based therapy significantly improves sexual desire in women. Behaviour Research and Therapy, 57, 43–54. doi:10.1016/j.brat.2014.04.001
  • Brotto, L. A., Basson, R., Chivers, M. L., Graham, C. A., Pollock, P., & Stephenson, K. R. (2017). Challenges in designing psychological treatment studies for sexual dysfunction. Journal of Sex and Marital Therapy, Journal of Sex & Marital Therapy, 43, 191–200. doi:10.1080/0092623X.2016.1212294
  • Brotto, L. A., Basson, R., & Luria, M. (2008). A mindfulness-based group psychoeducational intervention targeting sexual arousal disorder in women. Journal of Sexual Medicine, 5, 1646–1659. doi:10.1111/j.1743-6109.2008.00850.x
  • Brotto, L. A., Basson, R., Smith, K. B., Driscoll, M., & Sadownik, L. (2015). Mindfulness-based group therapy for women with provoked vestibulodynia. Mindfulness, 6, 417–432. doi:10.1007/s12671-013-0273-z
  • Brotto, L. A., Chivers, M. L., Millman, R. D., & Albert, A. (2016). Mindfulness-based sex therapy improves genital-subjective arousal concordance in women with sexual desire/arousal difficulties. Archives of Sexual Behavior, 45(8), 1907–1921. doi:10.1007/s10508-015-0689-8
  • Brotto, L. A., Dunkley, C. A., Breckon, E., Carter, J., Brown, C., Daniluk, J., & Miller, D. (2016). Integrating quantitative and qualitative methods to evaluate an online psychoeducational program for sexual difficulties in colorectal and gynecologic cancer survivors. Journal of Sex and Marital Therapy. Advance online publication.doi:10.1080/0092623X.2016.1230805
  • Brotto, L. A., Erskine, Y., Carey, M., Ehlen, T., Finlayson, S., Haywood, M., … Miller, D. (2012). A brief mindfulness-based cognitive behavioral intervention improves sexual functioning versus wait-list control in women treated for gynecologic cancer. Gynecologic Oncology, 125, 320–325. doi: 10.1016/j.ygyno.2012.01.035
  • Brotto, L. A., Heiman, J. R., Goff, B., Greer, B., Lentz, G. M., Swisher, E., … Van Blaricom, A. (2008). A psychoeducational intervention for sexual dysfunction in women with gynecologic cancer. Archives of Sexual Behavior, 37, 317–329. doi:10.1007/s10508-007-9196-x
  • Brotto, L. A., Heiman, J. R., & Tolman, D. L. (2009). Narratives of desire in mid-age women with and without arousal difficulties. Journal of Sex Research, 46, 387–398. doi:10.1080/00224490902792624
  • Brotto, L. A., Seal, B. N., & Rellini, A. (2012). Pilot study of a brief cognitive behavioral versus mindfulness-based intervention for women with sexual distress and a history of childhood sexual abuse. Journal of Sex and Marital Therapy, 38, 1–27. doi:10.1080/0092623X.2011.569636
  • Carmody, J., & Baer, R. A. (2009). How long does a mindfulness-based stress reduction program need to be? A review of class contact hours and effect sizes for psychological distress. Journal of Clinical Psychology, 65, 627–638. doi:10.1002/jclp.20555
  • Caruso, S., Agnello, C., Intelisano, G., Farina, M., Di Mari, L., & Cianci, A. (2004). Placebo-controlled study on efficacy and safety of daily apomorphine SL intake in premenopausal women affected by hypoactive sexual desire disorder and sexual arousal disorder. Urology, 63, 955–959. doi:10.1016/j.urology.2003.12.018
  • Catalan, J., Hawton, K., & Day, A. (1991). Individuals presenting without partners at a sexual dysfunction clinic: Psychological and physical morbidity and treatment offered. Sexual and Marital Therapy, 6, 15–23. doi:10.1080/02674659108408349
  • Christensen, A., Atkins, D. C., Berns, S., Wheeler, J., Baucom, D. H., & Simpson, L. E. (2004). Traditional versus integrative behavioral couple therapy for significantly and chronically distressed married couples. Journal of Consulting and Clinical Psychology, 72, 176–191. doi:10.1037/0022-006X.72.2.176
  • Cohen, J. (1987). Statistical power analysis for the behavioral sciences. Hillside, NJ: Erlbaum.
  • Dahlin, M., Andersson, G., Magnusson, K., Johansson, T., Sjögren, J., Håkansson, A., … Carlbring, P. (2016). Internet-delivered acceptance-based behaviour therapy for generalized anxiety disorder: A randomized controlled trial. Behaviour Research and Therapy, 77, 86–95. doi:10.1016/j.brat.2015.12.007
  • Davison, S. L., Bell, R. J., LaChina, M., Holden, S. M., & Davis, S. R. (2009). The relationship between self-reported sexual satisfaction and general well-being in women. Journal of Sexual Medicine, 6, 2690–2697. doi:10.1111/j.1743-6109.2009.01406.x
  • Derogatis, L. R., Rosen, R., Leiblum, S., Burnett, A., & Heiman, J. (2002). The Female Sexual Distress Scale (FSDS): Initial validation of a standardized scale for assessment of sexually related personal distress in women. Journal of Sex and Marital Therapy, 28, 317–330. doi:10.1080/00926230290001448
  • Duval, S., & Tweedie, R. (2000). Trim and fill: A simple funnel-plot-based method of testing and adjusting for publication bias in meta-analysis. Biometrics, 56, 455–463. doi:10.1111/j.0006-341X.2000.00455.x
  • Frühauf, S., Gerger, H., Schmidt, H. M., Munder, T., & Barth, J. (2013). Efficacy of psychological interventions for sexual dysfunction: A systematic review and meta-analysis. Archives of Sexual Behavior, 42, 915–933. doi:10.1007/s10508-012-0062-0
  • Gao, Z., Yang, D., Yu, L., & Cui, Y. (2015). Efficacy and safety of flibanserin in women with hypoactive sexual desire disorder: A systematic review and meta‐analysis. Journal of Sexual Medicine, 12, 2095–2104. doi:10.1111/jsm.13037
  • Gu, J., Strauss, C., Bond, R., & Cavanagh, K. (2015). How do mindfulness-based cognitive therapy and mindfulness-based stress reduction improve mental health and well-being? A systematic review and meta-analysis of mediation studies. Clinical Psychology Review, 37, 1–12. doi:10.1016/j.cpr.2015.01.006
  • Hedges, L., & Olkin, I. (1985). Statistical methods for meta-analysis. San Diego, CA: Academic Press.
  • Heiman, J. R. (2002). Psychologic treatments for female sexual dysfunction: Are they effective and do we need them? Archives of Sexual Behavior, 31, 445–450. doi:10.1023/A:1019848310142
  • Higgins, J. T., Thompson, S. G., Deeks, J. J., & Altman, D. G. (2003). Measuring inconsistency in meta-analyses. British Medical Journal, 327, 557–560. doi:10.1136/bmj.327.7414.557
  • Hocaloski, S., Elliott, S., Brotto, L. A., Breckon, E., & McBride, K. (2016). A mindfulness psychoeducational group intervention targeting sexual adjustment for women with multiple sclerosis and spinal cord injury: A pilot study. Sexuality and Disability, 34, 183–198. doi:10.1007/s11195-016-9426-z
  • Hucker, A., & McCabe, M. P. (2014). An online, mindfulness-based, cognitive-behavioral therapy for female sexual difficulties: Impact on relationship functioning. Journal of Sex and Marital Therapy, 40, 561–576. doi:10.1080/0092623X.2013.796578
  • Hucker, A., & McCabe, M. P. (2015). Incorporating mindfulness and chat groups into an online cognitive behavioral therapy for mixed female sexual problems. Journal of Sex Research, 52, 627–639. doi:10.1080/00224499.2014.888388
  • Jaspers, L., Feys, F., Bramer, W. M., Franco, O. H., Leusink, P., & Laan, E. M. (2016). Efficacy and safety of flibanserin for the treatment of hypoactive sexual desire disorder in women: A systematic review and meta-analysis. JAMA Internal Medicine. doi:10.1001/jamainternmed.2015.8565
  • Jones, L. M., & McCabe, M. P. (2011). The effectiveness of an Internet-based psychological treatment program for female sexual dysfunction. Journal of Sexual Medicine, 8, 2781–2792. doi:10.1111/j.1743-6109.2011.02381.x
  • Kabat-Zinn, J. (2005). Full catastrophe living: Using the wisdom of your body and mind to face stress, pain, and illness (15th ed.). New York, NY: Delta/Bantam.
  • Kalmbach, D. A., Ciesla, J. A., Janata, J. W., & Kingsberg, S. A. (2014). The validation of the Female Sexual Function Index, Male Sexual Function Index, and Profile of Female Sexual Function for use in healthy young adults. Archives of Sexual Behavior, 44, 1651–1662. doi:10.1007/s10508-014-0334-y
  • Khoury, B., Lecomte, T., Fortin, G., Masse, M., Therien, P., Bouchard, V., … Hofmann, S. G. (2013). Mindfulness-based therapy: A comprehensive meta-analysis. Clinical Psychology Review, 33, 763–771. doi:10.1016/j.cpr.2013.05.005
  • Kuyken, W., Warren, F. C., Taylor, R. S., Whalley, B., Crane, C., Bondolfi, G., … Dalgleish, T. (2016). Efficacy of mindfulness-based cognitive therapy in prevention of depressive relapse: An individual patient data meta-analysis from randomized trials. JAMA Psychiatry, 73, 565–574. doi:10.1001/jamapsychiatry.2016.0076
  • Masheb, R. M., Kerns, R. D., Lozano, C., Minkin, M. J., & Richman, S. (2009). A randomized clinical trial for women with vulvodynia: Cognitive-behavioral therapy vs. supportive psychotherapy. Pain, 141, 31–40. doi:10.1016/j.pain.2008.09.031
  • McShane, B. B., Böckenholt, U., & Hansen, K. T. (2016). Adjusting for publication bias in meta-analysis: An evaluation of selection methods and some cautionary notes. Perspectives on Psychological Science, 11, 730–749. doi:10.1177/1745691616662243
  • Michelson, D., Kociban, K., Tamura, R., & Morrison, M. F. (2002). Mirtazapine, yohimbine, or olanzapine augmentation therapy for serotonin reuptake-associated female sexual dysfunction: A randomized, placebo-controlled trial. Journal of Psychiatric Research, 36, 147–152. doi:10.1016/S0022-3956(01)00060-7
  • Mintz, L. B., Balzer, A. M., Zhao, X., & Bush, H. E. (2012). Bibliotherapy for low sexual desire: Evidence for effectiveness. Journal of Counseling Psychology, 59, 471–478. doi:10.1037/a0028946
  • Morris, S. B., & DeShon, R. P. (2002). Combining effect size estimates in meta-analysis with repeated measures and independent-groups designs. Psychological Methods, 7, 105–125. doi:10.1037/1082-989X.7.1.105
  • Norton, A. R., Abbott, M. J., Norberg, M. M., & Hunt, C. (2015). A systematic review of mindfulness and acceptance‐based treatments for social anxiety disorder. Journal of Clinical Psychology, 71, 283–301. doi:10.1002/jclp.22144
  • Opperman, E. A., Benson, L. E., & Milhausen, R. R. (2013). Confirmatory factor analysis of the Female Sexual Function Index. Journal of Sex Research, 50, 29–36. doi:10.1080/00224499.2011.628423
  • Orri, M., Abraham, L., & Giraldi, A. (2013). A Phase 2a multicenter, double-blind, placebo-controlled, crossover trial to investigate the efficacy, safety, and toleration of CP‐866,087 (a high‐affinity mu‐opioid receptor antagonist) in premenopausal women diagnosed with female sexual arousal disorder (FSAD). Journal of Sexual Medicine, 10, 2484–2496. doi:10.1111/jsm.12071
  • Paterson, L. Q. P., Handy, A. B., & Brotto, L. A. (2016). A pilot study of eight-session mindfulness-based cognitive therapy adapted for women’s sexual interest/arousal disorder. Journal of Sex Research. Advance online publication. doi:10.1080/00224499.2016.1208800
  • Piet, J., & Hougaard, E. (2011). The effect of mindfulness-based cognitive therapy for prevention of relapse in recurrent major depressive disorder: A systematic review and meta-analysis. Clinical Psychology Review, 31, 1032–1040. doi:10.1016/j.cpr.2011.05.002
  • Pyke, R. E., & Clayton, A. H. (2015). Psychological treatment trials for hypoactive sexual desire disorder: A sexual medicine critique and perspective. Journal of Sexual Medicine, 12, 2451–2458. doi:10.1111/jsm.13056
  • Rosen, R., Brown, C., Heiman, J., Leiblum, S., Meston, C., Shabsigh, R., … D’Agostino, R. (2000). The Female Sexual Function Index (FSFI): A multidimensional self-report instrument for the assessment of female sexual function. Journal of Sex and Marital Therapy, 26, 191–208. doi:10.1080/009262300278597
  • Rosen, R. C., Revicki, D. A., & Sand, M. (2014). Commentary on “critical flaws in the FSFI and IIEF.” Journal of Sex Research, 51, 492–497. doi:10.1080/00224499.2014.894491
  • Sedlmeier, P., Eberth, J., Schwarz, M., Zimmermann, D., Haarig, F., Jaeger, S., & Kunze, S. (2012). The psychological effects of meditation: A meta-analysis. Psychological Bulletin, 138, 1139–1171. doi:10.1037/a0028168
  • Shifren, J. L., Davis, S. R., Moreau, M., Waldbaum, A., Bouchard, C., DeRogatis, L., … Kroll, R. (2006). Testosterone patch for the treatment of hypoactive sexual desire disorder in naturally menopausal women: Results from the INTIMATE NM1 Study. Menopause, 13, 770–779. doi:10.1097/01.gme.0000243567.32828.99
  • Shifren, J. L., Monz, B. U., Russo, P. A., Segreti, A., & Johannes, C. B. (2008). Sexual problems and distress in United States women: Prevalence and correlates. Obstetrics and Gynecology, 112, 970–978. doi:10.1097/AOG.0b013e3181898cdb
  • Stangier, U., Heidenreich, T., Peitz, M., Lauterbach, W., & Clark, D. (2003). Cognitive therapy for social phobia: Individual versus group treatment. Behaviour Research and Therapy, 41, 991–1007. doi:10.1016/S0005-7967(02)00176-6
  • Stephenson, K. R. (2017). Mindfulness-based therapies for sexual dysfunction: A review of potential theory-based mechanisms of change. Mindfulness, 8, 527–543. doi:10.1007/s12671-016-0652-3
  • Stephenson, K. R., & Meston, C. M. (2010). Differentiating components of sexual well-being in women: Are sexual satisfaction and sexual distress independent constructs? Journal of Sexual Medicine, 7, 2458–2468. doi:10.1111/j.1743-6109.2010.01836.x
  • Stephenson, K. R., & Meston, C. M. (2015). The conditional importance of sex: Exploring the association between sexual well-being and life satisfaction. Journal of Sex and Marital Therapy, 41, 25–38. doi:10.1080/0092623X.2013.811450
  • Stephenson, K. R., Rellini, A. H., & Meston, C. M. (2013). Relationship satisfaction as a predictor of treatment response during cognitive behavioral sex therapy. Archives of Sexual Behavior, 42, 143–152. doi:10.1007/s10508-012-9961-3
  • Stephenson, K. R., Toorabally, N., Lyons, L., & Meston, C. M. (2016). Further validation of the Female Sexual Function Index: Specificity and associations with clinical interview data. Journal of Sex and Marital Therapy, 42, 448–461. doi:10.1080/0092623X.2015.1061078
  • Stinson, R. D. (2009). The behavioral and cognitive-behavioral treatment of female sexual dysfunction: How far we have come and the path left to go. Sexual and Relationship Therapy, 24, 271–285. doi:10.1080/14681990903199494
  • Teasdale, J. D., Moore, R. G., Hayhurst, H., Pope, M., Williams, S., & Segal, Z. V. (2002). Metacognitive awareness and prevention of relapse in depression: Empirical evidence. Journal of Consulting and Clinical Psychology, 70, 275–287. doi:10.1037/0022-006X.70.2.275
  • Teasdale, J. D., Segal, Z. V., Williams, J. G., Ridgeway, V. A., Soulsby, J. M., & Lau, M. A. (2000). Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Journal of Consulting and Clinical Psychology, 68, 615–623. doi:10.1037/0022-006X.68.4.615
  • Tolin, D. F. (2014). Beating a dead dodo bird: Looking at signal vs. noise in cognitive‐behavioral therapy for anxiety disorders. Clinical Psychology: Science and Practice, 21, 351–362. doi:10.1111/cpsp.12080
  • U.S. Food and Drug Administration. (2016, October). Low sexual interest, desire, and/or arousal in women: Developing drugs for treatment. Retrieved from https://www.fda.gov/ucm/groups/fdagov-public/@fdagov-drugs-gen/documents/document/ucm526362.pdf
  • van Lankveld, J. M., Leusink, P., van Diest, S., Gijs, L., & Slob, A. K. (2009). Internet-based brief sex therapy for heterosexual men with sexual dysfunctions: A randomized controlled pilot trial. Journal of Sexual Medicine, 6, 2224–2236. doi:10.1111/j.1743-6109.2009.01321.x
  • Vevea, J. L., & Woods, C. M. (2005). Publication bias in research synthesis: Sensitivity analysis using a priori weight functions. Psychological Methods, 10, 428–443. doi:10.1037/1082-989X.10.4.428
  • Vøllestad, J., Nielsen, M. B., & Nielsen, G. H. (2012). Mindfulness‐ and acceptance‐based interventions for anxiety disorders: A systematic review and meta‐analysis. British Journal of Clinical Psychology, 51, 239–260. doi:10.1111/j.2044-8260.2011.02024.x
  • Williams, J. G., Crane, C., Barnhofer, T., Brennan, K., Duggan, D. S., Fennell, M. V., … Russell, I. T. (2014). Mindfulness-based cognitive therapy for preventing relapse in recurrent depression: A randomized dismantling trial. Journal of Consulting and Clinical Psychology, 82, 275–286. doi:10.1037/a0035036
  • Yamadera, W., Sato, M., Harada, D., Iwashita, M., Aoki, R., Obuchi, K., … Nakayama, K. (2013). Comparisons of short-term efficacy between individual and group cognitive behavioral therapy for primary insomnia. Sleep and Biological Rhythms, 11, 176–184. doi:10.1111/sbr.12019

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