521 Vibrator-assisted start-stop exercises in conjunction with body awareness training improve premature ejaculation symptoms: a randomized waiting list controlled study

2018 ◽  
Vol 15 (7) ◽  
pp. S315
Author(s):  
D. Ventus ◽  
A. Gunst ◽  
S. Arver ◽  
C. Dhejne ◽  
K. Görts Öberg ◽  
...  
2019 ◽  
Vol 49 (5) ◽  
pp. 1559-1573 ◽  
Author(s):  
Daniel Ventus ◽  
Annika Gunst ◽  
Stefan Arver ◽  
Cecilia Dhejne ◽  
Katarina G. Öberg ◽  
...  

AbstractPremature ejaculation (PE) is associated with decreased quality of life, lower confidence and self-esteem, and higher levels of depression, anxiety, and interpersonal difficulties. Here we investigated the effectiveness of vibrator-assisted start–stop exercises for treatment of PE, and whether the treatment effect could be enhanced by an additional psychobehavioral intervention. Fifty participants with a mean age of 41.7 years were included and randomized into two treatment groups and a waiting list control group. Participants were instructed to perform start–stop exercises while stimulating the penis with a purpose-made vibrator, 3 times a week for 6 weeks. Additionally, participants in one of the treatment groups received additional psychoeducation and performed mindfulness meditation-based body scan exercises three times a week. Data were gathered through online questionnaires before and after treatment, as well as 3 and 6 months after treatment. The interventions reduced PE symptoms with large effect sizes (partial η2 = .20 across the three groups, d [95% CI] = 1.05 [.27, 1.82] and 1.07 [.32, 1.82] for treatment groups compared to waiting list control group). The additional psychobehavioral intervention did not further reduce PE symptoms, but did decrease PE-associated negative symptoms such as levels of sexual distress, anxiety, and depression. No side effects were reported. Vibrator-assisted start–stop exercises can be offered as an adequate treatment option for PE.


1981 ◽  
Vol 138 (3) ◽  
pp. 185-193 ◽  
Author(s):  
D. Mawson ◽  
I. M. Marks ◽  
L. Ramm ◽  
R. S. Stern

SummaryDuring 2 weeks on a waiting list 12 patients with morbid grief did not improve significantly. They were then randomly allocated either to guided mourning treatment, in which they were encouraged to face cues concerning their bereavement or to control treatment in which they were asked to avoid such cues. Each treatment comprised six 1½ hour sessions over 2 weeks. At week 4 guided mourning patients had improved significantly more than had controls on 3 measures, with a supportive trend on 4 measures. Improvement though modest was maintained to 10–28 weeks follow-up. Control patients did not improve significantly or show any trend to do so.


2004 ◽  
Vol 32 (3) ◽  
pp. 275-290 ◽  
Author(s):  
Patrick A. Vogel ◽  
Tore C. Stiles ◽  
K. Gunnar Götestam

Thirty-five outpatients (25 women, 10 men) with a DSM-III-R principal diagnosis of OCD accepted exposure treatment at a psychiatric outpatient clinic. They were randomly assigned to one of two individual treatments for a 6-week exposure therapy treatment based on a treatment manual or to a 6-week waiting list condition. The 12 patients assigned to the waiting list were subsequently randomly assigned to one of the active treatments. Both treatment groups received in vivo or imaginal exposure in each of the 10 twice-weekly treatment sessions held after two assessment sessions. One group (n=16) received cognitive therapy interventions for comorbidity problems or to alter beliefs underlying patients' OCD. The other group (n=19) received relaxation training as an attention placebo control. Both groups received relapse prevention follow-up contacts. Twenty-seven patients completed intensive treatment. Both treatments overall showed satisfactory levels of clinical improvement and large effect sizes. ANCOVAS for treatment completers showed non-significantly lower levels of OCD symptoms, depression and state anxiety in the treatment condition that did not include cognitive interventions. The patients receiving additional cognitive therapy showed significantly lesser dropout than those in the other treatment condition, but there were no significant differences in the intention-to-treat analyses.


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