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Mindfulness-based cognitive therapy for sexuality (MBCT-S) improves sexual functioning and intimacy among older women with epilepsy: A multicenter randomized controlled trial
Department of Rehabilitation Sciences, the Hong Kong Polytechnic University, Hung Hom, Hong Kong.
Departments of Psychiatry and Neuroscience and the Child Study Center, School of Medicine, Yale University, New Haven, CT, United States & Connecticut Council on Problem Gambling, Wethersfield, CT, United States & Connecticut Mental Health Center, New Haven, CT, United States.
Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science. Jönköping University, School of Health and Welfare, HHJ. ADULT. Department of Clinical Neurophysiology, Linköping University Hospital, Linköping, S-58185, Sweden.ORCID iD: 0000-0003-1884-5696
College of Nursing, University of Rhode Island, Kingston, RI, United States & Hälsosam Therapy, Jamestown, RI, United States.
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2019 (English)In: Seizure, ISSN 1059-1311, E-ISSN 1532-2688, Vol. 73, p. 64-74Article in journal (Refereed) Published
Abstract [en]

Purpose: Women with epilepsy (WWE) frequently experience sexual problems, including sexual dysfunction and sexual distress. Therefore, this study aimed to examine the efficacy of a mindfulness-based cognitive therapy for sexuality (MBCT-S) on sexual function and intimacy among older adult WWE in Iran.

Methods: A multicenter randomized controlled trial was conducted at 15 neurology clinics in three Iranian cities. WWE together with their partners and healthcare providers were randomly assigned in patient and partner (PP; n = 220), patient, partner, and healthcare provider (PPHP; n = 220), or treatment as usual (TAU; n = 220) group. WWE and their partners in both the PP and PPHP groups received eight weeks of MBCT-S sessions. In the PPHP group, three individual sessions on sexual counseling were added for healthcare providers. Self-assessment scales were used at baseline, one month and six months after completing the intervention. Mixed linear regression models were developed to determine differences among the three groups. Multilevel mediation analyses were conducted to understand the mediating effects of mindfulness, intimacy, patient-physicians relationship and sexual counseling barriers.

Results: Improvements in sexual function, sexual distress, and intimacy were found in both the PP and PPHP groups at one-month and six-month follow-ups. The PPHP group compared with the PP group had greater improvement in intimacy at both follow-ups. Regarding sexual function, the PPHP group performed better than the PP group at the six-month follow-up.

Conclusions: The MBCT-S appears efficacious in enhancing sexual function and reducing sex-related distress in Iranian older adult WWE. Future studies should examine its efficacy in other populations. 

Place, publisher, year, edition, pages
Elsevier, 2019. Vol. 73, p. 64-74
Keywords [en]
Female, Intimacy, Mindfulness, Seizure, Sex, aged, Article, cognitive therapy, controlled study, doctor patient relationship, epilepsy, female sexual distress scale, Female Sexual Function Index, follow up, health care personnel, Hospital Anxiety and Depression Scale, human, International Index of Erectile Function, Iran, Iranian people, major clinical study, mindfulness based cognitive therapy for sexuality, multicenter study, patient doctor relationship questionnaire, personal assessment of intimacy in relationships scale, pilot study, priority journal, prospective study, quality of life in epilepsy inventory, questionnaire, randomized controlled trial, self evaluation, sexual attitudes and beliefs survey, sexual behavior, sexual counseling, sexual distress, sexual five facet mindfulness questionnaire, sexual function
National Category
Physiotherapy
Identifiers
URN: urn:nbn:se:hj:diva-46986DOI: 10.1016/j.seizure.2019.10.010ISI: 000505109400013PubMedID: 31759295Scopus ID: 2-s2.0-85075220133Local ID: ;HHJADULTIS,HHJÖvrigtISOAI: oai:DiVA.org:hj-46986DiVA, id: diva2:1375671
Available from: 2019-12-05 Created: 2019-12-05 Last updated: 2020-01-16Bibliographically approved

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Broström, AndersPakpour, Amir H.

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