The Effectiveness of Online Sensate Focus Exercises in Enhancing Sexual Function and Intimacy Among Chinese Heterosexual Couples: A Randomized Controlled Trial

References

• Adam, F., De Sutter, P., Day, J., & Grimm, E. (2019). A randomized study comparing video-based mindfulness-based cognitive therapy with video-based traditional cognitive behavioral therapy in a sample of women struggling to achieve orgasm. The Journal of Sexual Medicine, 17(2), 312–312. doi:10.1016/j.jsxm.2019.10.022
   PubMed Web of Science ®Google Scholar
• Alshak, M. N., & Das, J. M. (2024). Neuroanatomy, sympathetic nervous system. In StatPearls. Treasure Island FL: StatPearls Publishing.
   Google Scholar
• Avery-Clark, C., & Weiner, L. (2017). A traditional masters and johnson behavioral approach to sex therapy. In The Wiley handbook of sex therapy (pp. 163–189). Milton Park, Oxfordshire: Taylor & Francis doi:10.1002/9781118510384.ch11
   Google Scholar
• Briken, P., Matthiesen, S., Pietras, L., Wiessner, C., Klein, V., Reed, G. M., & Dekker, A. (2020). Estimating the prevalence of sexual dysfunction using the new ICD-11 guidelines. Deutsches Ärzteblatt international, 117(39), 653–658. doi:10.3238/arztebl.2020.0653
   PubMed Web of Science ®Google Scholar
• Byers, E. S. (1999). The interpersonal exchange model of sexual satisfaction: Implications for sex therapy with couples. Canadian Journal of Counselling and Psychotherapy, 33(2):95–111.
   Google Scholar
• Campbell, C. (2020). Contemporary sex therapy (1st ed.). London: Routledge. doi:10.4324/9781003021889
   Google Scholar
• Cooper, K., Martyn‐St James, M., Kaltenthaler, E., Dickinson, K., Cantrell, A., Wylie, K., Frodsham, L., & Hood, C. (2015). Behavioral therapies for management of premature ejaculation: A systematic review. Sexual Medicine, 3(3), 174–188. doi:10.1002/sm2.65
   PubMed Web of Science ®Google Scholar
• Coren, C. M., Nath, S. R., & Prout, M. (2009). Computer-assisted sensate focus: Integrating technology with sex therapy practice. Journal of Technology in Human Services, 27(4), 273–286. doi:10.1080/15228830903329823
   Google Scholar
• Cornish, P. (2020). Stepped care 2.0: A paradigm shift in mental health. Switzerland: Springer.
   Google Scholar
• Dreischor, F., Laan, E. T. M., Apers, S., Repping, S., van Lunsen, R. H. W., Lambalk, C. B., D’ Hooghe, T. M., Goddijn, M., Custers, I. M., & Dancet, E. A. F. (2020). The stepwise development of an interactive web-based sex education programme for subfertile couples: The pleasure & pregnancy programme. Human Reproduction, 35(8), 1839–1854. doi:10.1093/humrep/deaa106
   PubMed Web of Science ®Google Scholar
• Fichten, C. S., Libman, E., & Brender, W. (1983). Methodological issues in the study of sex therapy: Effective components in the treatment of secondary orgasmic dysfunction. Journal of Sex & Marital Therapy, 9(3), 191–202. doi:10.1080/00926238308405847
   PubMed Web of Science ®Google Scholar
• Frank, E., Anderson, C ., & Rubinstein, D. (1978). Frequency of sexual dysfunction in “normal” couples. New England Journal of Medicine, 299(3), 111–115. doi:10.1056/NEJM197807202990302
   PubMed Web of Science ®Google Scholar
• Hendrick, S. S. (1988). A generic measure of relationship satisfaction. Journal of Marriage and the Family, 50(1), 93–98. doi:10.2307/352430
   Web of Science ®Google Scholar
• Hong, N., & Wang, Z. (2023, July 10). Why China’s young people are not getting married. New York Times. https://www.nytimes.com/2023/07/10/world/asia/china-marriage-rate.html
   Google Scholar
• 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. doi:10.1080/00224499.2014.888388
   PubMed Web of Science ®Google Scholar
• Ishaq, B., Irfan, D. M., Bibi, A., Hussain, P. N. H. N., & Ismail, P. S. B. (2022). Prevalence and factors of male sexual dysfunctions in pakistani men: A systematic review. The Journal of Sexual Medicine, 19(11, Supplement 4), S91. doi:10.1016/j.jsxm.2022.10.047
   Web of Science ®Google Scholar
• Jaafarpour, M., Khani, A., Khajavikhan, J., & Suhrabi, Z. (2013). Female sexual dysfunction: Prevalence and risk factors. Journal of Clinical Diagnostic Research, 7(12), 2877–2880. doi:10.7860/jcdr/2013/6813.3822
   PubMedGoogle Scholar
• Jern, P., Piha, J., & Santtila, P. (2013). Validation of three early ejaculation diagnostic tools: A composite measure is accurate and more adequate for diagnosis by updated diagnostic criteria. PLoS ONE, 8(10), e77676. doi:10.1371/journal.pone.0077676
   PubMed Web of Science ®Google Scholar
• Jiang, H., Liu, D., Deng, C., Shang, X., Hong, K., Deng, J., Wang, Z., Yang, H., Shi, Y., & Huang, Y. (2015). Reliability and validity of the Chinese version of the premature ejaculation diagnostic tool. Zhonghua nan ke xue = National Journal of Andrology, 21(7), 598–603.
   PubMedGoogle Scholar
• Jones, L. M., & McCabe, M. P. (2011). The effectiveness of an internet‐based psychological treatment program for female sexual dysfunction. The Journal of Sexual Medicine, 8(10), 2781–2792. doi:10.1111/j.1743-6109.2011.02381.x
   PubMed Web of Science ®Google Scholar
• Kang, H. S., Kim, H.-K., Park, S. M., & Kim, J.-H. (2018). Online-based interventions for sexual health among individuals with cancer: A systematic review. BMC Health Services Research, 18(1), 167. doi:10.1186/s12913-018-2972-6
   PubMedGoogle Scholar
• Liu, H., Yu, J., Chen, Y., He, P., Zhou, L., Tang, X., Liu, X., Li, X., Wu, Y., & Wang, Y. (2016). Sexual function in cervical cancer patients: Psychometric properties and performance of a Chinese version of the Female Sexual Function Index. European Journal of Oncology Nursing: The Official Journal of European Oncology Nursing Society, 20, 24–30. doi:10.1016/j.ejon.2015.06.007
   PubMed Web of Science ®Google Scholar
• Ma, J., Pan, L., Lei, Y., Zhang, A., & Kan, Y. (2014). Prevalence of female sexual dysfunction in urban Chinese women based on cutoff scores of the Chinese version of the female sexual function index: A preliminary study. Journal of Sexual Medicine, 11(4), 909–919. doi:10.1111/jsm.12451
   PubMed Web of Science ®Google Scholar
• Marchand, E. (2021). Psychological and behavioral treatment of female orgasmic disorder. Sexual Medicine Reviews, 9(2), 194–211. doi:10.1016/j.sxmr.2020.07.007
   PubMed Web of Science ®Google Scholar
• Marques Cerentini, T., La Rosa, V. L., Goulart, C. D. L., Latorre, G. F. S., Caruso, S., & Sudbrack, A. C. (2023). Female sexual dysfunctions: Prevalence and related factors in a sample of young university women – a cross-sectional study. Sexual and Relationship Therapy, 38(1), 106–117. doi:10.1080/14681994.2020.1748592
   Google Scholar
• Masters, W. H., & Johnson, V. E. (1966). Human sexual response (1st ed.). Boston: Little, Brown and Company Boston.
   Google Scholar
• Masters, W. H., & Johnson, V. E. (1970). Human sexual inadequacy. Boston: Little, Brown. https://books.google.com/books?id=rnZHAAAAMAAJ
   Google Scholar
• McCabe, M. P. (2005). The role of performance anxiety in the development and maintenance of sexual dysfunction in men and women. International Journal of Stress Management, 12(4), 379–388. doi:10.1037/1072-5245.12.4.379
   Google Scholar
• McVary, K. T. (2011). Contemporary treatment of erectile dysfunction: A Clinical Guide. Totowa, NJ: Springer Nature.
   Google Scholar
• Meston, C. M. (2000). Sympathetic nervous system activity and female sexual arousal. The American Journal of Cardiology, 86(2, Supplement 1), 30–34. doi:10.1016/S0002-9149(00)00889-4
   PubMedGoogle Scholar
• Meston, C. M., & Gorzalka, B. B. (1996). Differential effects of sympathetic activation on sexual arousal in sexually dysfunctional and functional women. Journal of Abnormal Psychology, 105(4), 582–591. doi:10.1037/0021-843X.105.4.582
   PubMed Web of Science ®Google Scholar
• Meyers, M., Margraf, J., & Velten, J. (2022). A qualitative study of women’s experiences with cognitive-behavioral and mindfulness-based online interventions for low sexual desire. The Journal of Sex Research, 59(9), 1082–1091. doi:10.1080/00224499.2022.2056565
   PubMed Web of Science ®Google Scholar
• Nguyen, H. M. T., Gabrielson, A. T., & Hellstrom, W. J. G. (2017). Erectile dysfunction in young men—a review of the prevalence and risk factors. Sexual Medicine Reviews, 5(4), 508–520. doi:10.1016/j.sxmr.2017.05.004
   PubMed Web of Science ®Google Scholar
• Niu, C., Ventus, D., Jern, P., & Santtila, P. (2023). Premature ejaculation among Chinese urban men: Prevalence and correlates. Sexual Medicine, 11(1), 1–11. doi:10.1093/sexmed/qfac015
   Web of Science ®Google Scholar
• O’Sullivan, L. F., Byers, E. S., Brotto, L. A., Majerovich, J. A., & Fletcher, J. (2016). A longitudinal study of problems in sexual functioning and related sexual distress among middle to late adolescents. Journal of Adolescent Health, 59(3), 318–324. doi:10.1016/j.jadohealth.2016.05.001
   PubMed Web of Science ®Google Scholar
• Oksuz, E., & Malhan, S. (2006). Prevalence and risk sactors for female sexual dysfunction in Turkish women. The Journal of Urology, 175(2), 654–658. doi:10.1016/S0022-5347(05)00149-7
   PubMed Web of Science ®Google Scholar
• Price, S. C., Reynolds, B. S., Cohen, B. D., Anderson, A. J., & Schochet, B. V. (1981). Group treatment of erectile dysfunction for men without partners: A controlled evaluation. Archives of Sexual Behavior, 10(3), 253–268. doi:10.1007/BF01543078
   PubMed Web of Science ®Google Scholar
• Qin, Q., & Zhang, J. (2023). Sex education in China: Actors and dynamics of China’s policies and practices. Cogent Education, 10(2), 2270289. doi:10.1080/2331186X.2023.2270289
   Web of Science ®Google Scholar
• Quilter, M., Hodges, L., von Hurst, P., Borman, B., & Coad, J. (2017). Male sexual function in New Zealand: A population-based cross-sectional survey of the prevalence of erectile dysfunction in men aged 40–70 years. The Journal of Sexual Medicine, 14(7), 928–936. doi:10.1016/j.jsxm.2017.05.011
   PubMed Web of Science ®Google Scholar
• Rhoden, E. L., Telöken, C., Sogari, P. R., & Vargas Souto, C. A. (2002). The use of the simplified International Index of Erectile Function (IIEF-5) as a diagnostic tool to study the prevalence of erectile dysfunction. International Journal of Impotence Research, 14(4), 245–250. doi:10.1038/sj.ijir.3900859
   PubMed Web of Science ®Google Scholar
• Rosen, C., Brown, J., Heiman, S., Leiblum, C., Meston, R., Shabsigh, D., Ferguson, 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(2), 191–208.
   PubMed Web of Science ®Google Scholar
• Rosen, R. C., Cappelleri, J. C., Smith, M. D., Lipsky, J., & Peña, B. M. (1999). Development and evaluation of an abridged, 5-item version of the International Index of Erectile Function (IIEF-5) as a diagnostic tool for erectile dysfunction. International Journal of Impotence Research, 11(6), 319–326. doi:10.1038/sj.ijir.3900472
   PubMed Web of Science ®Google Scholar
• Rosen, R. C., Riley, A., Wagner, G., Osterloh, I. H., Kirkpatrick, J., & Mishra, A. (1997). The international index of erectile function (IIEF): A multidimensional scale for assessment of erectile dysfunction. Urology, 49(6), 822–830. doi:10.1016/s0090-4295(97)00238-0
   PubMed Web of Science ®Google Scholar
• Sarwer, D. B., & Durlak, J. A. (1997). A field trial of the effectiveness of behavioral treatment for sexual dysfunctions. Journal of Sex & Marital Therapy, 23(2), 87–97. doi:10.1080/00926239708405309
   PubMed Web of Science ®Google Scholar
• Schaefer, M. T., & Olson, D. H. (1981). Assessing intimacy: The PAIR Inventory. Journal of Marital and Family Therapy, 7(1), 47–60. doi:10.1111/j.1752-0606.1981.tb01351.x
   Web of Science ®Google Scholar
• Seal, B. N., & Meston, C. M. (2020). The impact of body awareness on women’s sexual health: A comprehensive review. Sexual Medicine Reviews, 8(2), 242–255. doi:10.1016/j.sxmr.2018.03.003
   PubMed Web of Science ®Google Scholar
• Shanahan, J. (2023). Therapists’ use of feedback from clients about Sensate Focus exercises: An interpretive description of therapists’ perspectives. Sexual and Relationship Therapy, 1–19. doi:10.1080/14681994.2023.2259833
   Web of Science ®Google Scholar
• Sun, X., Li, C., Jin, L., Fan, Y., & Wang, D. (2011). Development and validation of Chinese version of female sexual function index in a Chinese population—a pilot study. The Journal of Sexual Medicine, 8(4), 1101–1111. doi:10.1111/j.1743-6109.2010.02171.x
   PubMed Web of Science ®Google Scholar
• Van Lankveld, J. J. D. 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. The Journal of Sexual Medicine, 6(8), 2224–2236. doi:10.1111/j.1743-6109.2009.01321.x
   PubMed Web of Science ®Google Scholar
• Warren, C. W., Kann, L., Small, M. L., Santelli, J. S., Collins, J. L., & Kolbe, L. J. (1997). Age of initiating selected health-risk behaviors among high school students in the united states. Journal of Adolescent Health, 21(4), 225–231. doi:10.1016/S1054-139X(97)00112-2
   PubMed Web of Science ®Google Scholar
• Weiner, L., & Avery-Clark, C. (2014). Sensate focus: Clarifying the Masters and Johnson’s model. Sexual and Relationship Therapy, 29(3), 307–319. doi:10.1080/14681994.2014.892920
   Web of Science ®Google Scholar
• Yu, J., Luo, W., & Xie, Y. (2022). Sexuality in China: A review and new findings. Chinese Journal of Sociology, 8(3), 293–329. doi:10.1177/2057150X221114599
   Google Scholar
• Zarski, A.-C., Berking, M., Fackiner, C., Rosenau, C., & Ebert, D. D. (2017). Internet-based guided self-help for vaginal penetration difficulties: Results of a randomized controlled pilot trial. The Journal of Sexual Medicine, 14(2), 238–254. doi:10.1016/j.jsxm.2016.12.232
   PubMed Web of Science ®Google Scholar