Effect of psychiatric symptoms and male sexual function of couples on the success of treatment for vaginismus

Sexual Health ◽  
2020 ◽  
Vol 17 (5) ◽  
pp. 453
Author(s):  
Emre Baser ◽  
Demet Aydogan Kirmizi ◽  
Eylem Unlubilgin ◽  
Melike Demir Caltekin ◽  
Nurhan Bolat Meriç ◽  
...  
Keyword(s):  
Treatment Group ◽  
Sexual Function ◽  
Premature Ejaculation ◽  
Psychiatric Symptoms ◽  
Behavioural Therapy ◽  
Symptoms Of Depression ◽  
Unsuccessful Treatment ◽  
Cognitive Behavioural ◽  
Symptom Check List ◽  
Success Of Treatment

Background This study evaluated psychiatric factors and sexual functions of women with vaginismus and their partners during the treatment process. Methods: The study was performed on 110 women diagnosed with vaginismus and their partners. The women underwent cognitive behavioural therapy (CBT), and couples were divided into two groups: successful and unsuccessful therapy. Sexual function in couples was evaluated using the Golombok Rust Index of Sexual Satisfaction (GRISS) in men and the Female Sexual Function Index in women. The psychopathological symptoms of participants were evaluated using the Symptom Check List-90-Revised (SCL-90-R). Results: Of the 110 women in this study, 98 completed CBT and treatment was successful for 59 (60.2%). GRISS scores pertaining to the subscales of infrequency (66.7% and 39.0%), non-communication (56.4% and 22.0%), avoidance (76.9% and 52.5%), impotence (56.4% and 33.9%) and premature ejaculation (64.1% and 32.2%) before treatment were significantly lower in the successful than unsuccessful treatment group (P < 0.05). Furthermore, there was a positive correlation between complaints of impotence and premature ejaculation in men and symptoms of depression and anxiety in men. In the successful treatment group, pretreatment values were lower for the SCL-90-R subscales of anxiety and depression in men and anxiety, depression, phobic anxiety and obsessive compulsiveness in women than in the unsuccessful treatment group. Conclusions: The psychiatric symptoms and sexual functions of couples were found to affect the success of treatment for vaginismus. As such, treatments should be administered in accordance with other symptoms present in couples.

scholarly journals Psychological interventions for mental health disorders in children with chronic physical illness: a systematic review

2015 ◽  
Vol 100 (4) ◽  
pp. 308-316 ◽  
Author(s):  
Sophie Bennett ◽  
Roz Shafran ◽  
Anna Coughtrey ◽  
Susan Walker ◽  
Isobel Heyman
Keyword(s):  
Psychiatric Symptoms ◽  
Behavioural Therapy ◽  
Physical Illness ◽  
Psychological Interventions ◽  
Chronic Physical Illness ◽  
Psychological Treatments ◽  
Symptoms Of Depression ◽  
Cognitive Behavioural ◽  
Health Disorders ◽  
Randomised Controlled

BackgroundChildren with chronic physical illness are significantly more likely to develop common psychiatric symptoms than otherwise healthy children. These children therefore warrant effective integrated healthcare yet it is not established whether the known, effective, psychological treatments for symptoms of common childhood mental health disorders work in children with chronic physical illness.MethodsEMBASE, MEDLINE, PsycINFO and CINAHL databases were searched with predefined terms relating to evidence-based psychological interventions for psychiatric symptoms in children with chronic physical illness. We included all studies (randomised and non-randomised designs) investigating interventions aimed primarily at treating common psychiatric symptoms in children with a chronic physical illness in the review. Two reviewers independently assessed the relevance of abstracts identified, extracted data and undertook quality analysis.ResultsTen studies (209 children, including 70 in control groups) met the criteria for inclusion in the review. All studies demonstrated some positive outcomes of cognitive behavioural therapy for the treatment of psychiatric symptoms in children with chronic physical illness. Only two randomised controlled trials, both investigating interventions for symptoms of depression, were found.ConclusionsThere is preliminary evidence that cognitive behavioural therapy has positive effects in the treatment of symptoms of depression and anxiety in children with chronic physical illness. However, the current evidence base is weak and fully powered randomised controlled trials are needed to establish the efficacy of psychological treatments in this vulnerable population.

scholarly journals Correlates of psychiatric and psychological distress in patients with Parkinson’s disease

2019 ◽  
pp. 50-60
Author(s):  
Helena M van Oers
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Psychological Distress ◽  
Neurodegenerative Disorder ◽  
Psychiatric Symptoms ◽  
Behavioural Therapy ◽  
Dopaminergic Drugs ◽  
Cognitive Behavioural ◽  
Psychological Difficulties

Parkinson’s disease is the second most commonly diagnosed neurodegenerative disorder worldwide and the physical manifestations of the disease are well documented in the literature. However, in excess of 60% of patients with the disease report having one or more psychiatric symptoms which worsen as the disease progresses. These symptoms arise differentially from the same pathology which underlies the disease or from the treatment with dopaminergic drugs. Psychiatric and psychological difficulties tend to be under-recognised and undertreated yet cause great disability, significantly impact the quality of life of patients and add to greater burden on their caregivers. These symptoms can be relieved through adjusting the doses of anti-Parkinson’s drug therapy and success in improving psychological distress has been found using adjuvant psychotherapeutic intervention, most notably with Cognitive Behavioural Therapy.

scholarly journals A Randomised Controlled Trial of Clinician-Guided Internet-Based Cognitive Behavioural Therapy for Depressed Patients in Singapore

2021 ◽  
Vol 12 ◽  
Author(s):  
Sharon H. X. Lu ◽  
Hanita A. Assudani ◽  
Tammie R. R. Kwek ◽  
Shaun W. H. Ng ◽  
Trisha E. L. Teoh ◽  
...  
Keyword(s):  
Psychological Distress ◽  
Cognitive Behavioural Therapy ◽  
Group Treatment ◽  
Controlled Trial ◽  
Preliminary Evidence ◽  
Behavioural Therapy ◽  
Depression Score ◽  
Control Group ◽  
Symptoms Of Depression ◽  
Cognitive Behavioural

This study examined the efficacy and acceptability of a hybrid, clinician-guided internet-based Cognitive Behavioural Therapy (iCBT) programme for outpatients with depression in a psychiatric hospital in Singapore. Fifty three participants were randomly assigned to a treatment or wait-list control group before they underwent a cross-over of conditions. Treatment consisted of a 4-week iCBT with three face-to-face sessions. 60.9% of participants who received treatment completed all six modules. Intention-to-treat analysis showed treatment was associated with significant reductions in symptoms of depression, anxiety and psychological distress but not in functional impairment, while the control condition was not associated with changes in any measures. These reductions had moderate to large effect sizes (ESs) for symptoms of depression and anxiety, and moderate ES for psychological distress. The between-group difference in depression score had a moderate ES. There was a significant between-group treatment effect in depressive symptoms, but not in the other measures. Treatment gains were maintained at 3-month follow-up. Most of the participants were highly satisfied with the programme, with 90 percent stating they would recommend it. This is the first RCT to provide preliminary evidence for the efficacy and acceptability of iCBT for depression in Singapore.

scholarly journals Positive Psychology for Overcoming Symptoms of Depression: A Pilot Study Exploring the Efficacy of a Positive Psychology Self-Help Book versus a CBT Self-Help Book

2018 ◽  
Vol 47 (1) ◽  
pp. 95-113
Author(s):  
Katie Hanson
Keyword(s):  
Positive Psychology ◽  
Well Being ◽  
Behavioural Therapy ◽  
Mental Health Disorder ◽  
Depression Symptoms ◽  
Symptoms Of Depression ◽  
Self Help ◽  
Cognitive Behavioural ◽  
Book Versus ◽  
Post Test

Background: Depression is an extremely common mental health disorder, with prevalence rates rising. Low-intensity interventions are frequently used to help meet the demand for treatment. Bibliotherapy, for example, is often prescribed via books on prescription schemes (for example ‘Reading Well’ in England) to those with mild to moderate symptomology. Bibliotherapy can effectively reduce symptoms of depression (Naylor et al., 2010). However, the majority of self-help books are based on cognitive behavioural therapy (CBT), which may not be suitable for all patients. Research supports the use of positive psychology interventions for the reduction of depression symptoms (Bolier et al., 2013) and as such self-help books from this perspective should be empirically tested. Aims: This study aimed to test the efficacy of ‘Positive Psychology for Overcoming Depression’ (Akhtar, 2012), a self-help book for depression that is based on the principles of positive psychology, in comparison with a CBT self-help book that is currently prescribed in England as part of the Reading Well books on prescription scheme. Method: Participants (n = 115) who were not receiving treatment, but had symptoms of depression, read the positive psychology or the CBT self-help book for 8 weeks. Depression and well-being were measured at baseline, post-test and 1-month follow-up. Results: Results suggest that both groups experienced a reduction in depression and an increase in well-being, with no differences noted between the two books. Conclusions: Future directions are discussed in terms of dissemination, to those with mild to moderate symptoms of depression, via books on prescription schemes.

scholarly journals Treating psychological symptoms in sexually abused children

2003 ◽  
Vol 183 (06) ◽  
pp. 484-490 ◽  
Author(s):  
Paul Ramchandani ◽  
David P. H. Jones
Keyword(s):  
Sexual Abuse ◽  
Sexually Abused ◽  
Psychiatric Symptoms ◽  
Psychological Symptoms ◽  
Psychological Treatment ◽  
Behavioural Therapy ◽  
Cognitive Behavioural ◽  
Wide Range ◽  
Randomised Controlled ◽  
Sexually Abused Children

BackgroundThe experience of having been sexually abused is associated with a wide range of psychiatric symptoms and difficulties, and these problems can persist over years. The psychological treatment of children who have experienced sexual abuse has only recently begun to be systematically investigated. An increasing number of robust studies have been conducted.AimsTo review systematically the available evidence from randomised controlled trials of psychological treatments for children who have been sexually abused, and to consider the place of these treatments in a multi-disciplinary service.MethodA systematic search of the available research was undertaken. Included trials were critically appraised and the results considered.ResultsTwelve studies were included in the review. The best evidence of efficacy for improving psychological symptoms in these children was found for cognitive–behavioural therapy, particularly for young children.ConclusionsEfficacious treatments exist to improve psychological symptoms in children who have experienced sexual abuse. Consideration is given to the place of these treatments within the response of a multi-disciplinary service.

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