Therapist-Aided Exposure for Women with Lifelong Vaginismus: A Replicated Single-Case Design

Autor/inn/en	ter Kuile, Moniek M.; Bulte, Isis; Weijenborg, Philomeen T. M.; Beekman, Aart; Melles, Reinhilde; Onghena, Patrick
Titel	Therapist-Aided Exposure for Women with Lifelong Vaginismus: A Replicated Single-Case Design
Quelle	In: Journal of Consulting and Clinical Psychology, 77 (2009) 1, S.149-159 (11 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0022-006X
DOI	10.1037/a0014273
Schlagwörter	Females; Sexuality; Therapy; Outcomes of Treatment; Hospitals; Fear; Beliefs; Human Body + Suchen Sie Ihr Suchwort? Weibliches Geschlecht; Sexualität; Therapie; Krankengymnast; Krankenhaus; Furcht; Belief; Glaube; Menschlicher Körper
Abstract	Vaginismus is commonly described as a persistent difficulty in allowing vaginal entry of a penis or other object. Lifelong vaginismus occurs when a woman has never been able to have intercourse. A replicated single-case A-B-phase design was used to investigate the effectiveness of therapist-aided exposure for lifelong vaginismus. A baseline period (Phase A) was contrasted with exposure + follow-up (Phase B), using random switching between phases. The main outcome measure (intercourse ability) was assessed daily for 24 weeks. Ten women participated. The exposure consisted of a maximum of three 2-hr sessions during 1 week at a university hospital. The participant performed vaginal penetration exercises on herself, in the presence of a female therapist. Two follow-up sessions were scheduled over a 5-week period. Nine of the 10 participants reported having intercourse after treatment, and in 5 of the 9, intercourse was possible within the 1st week of treatment. The results remained at 1-year follow-up. Furthermore, exposure was successful in decreasing fear and negative penetration beliefs posttreatment and at 3-month and 1-year follow-ups. Therapist-aided exposure appears to be an effective treatment for lifelong vaginismus. (Contains 4 tables, 2 figures and 1 footnote.) (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10