International Journal of Behavioral Sciences

International Journal of Behavioral Sciences

Effect of Cognitive-Behavioral Couple Therapy on Premature Ejaculation of People Referred to Medical Centers

Authors
Mustafa Bolghan-Abadi 1
Sayyed Ahmad Ahmadi 2
Fatemeh Bahrami 2
Maryam Fatehizade 3
Rezvanoosadat Jazayeri 4
1 University of Isfahan, Isfahan, Iran.
2 Professor, Department of Counseling, Faculty of Education and Psychology, University of Isfahan, Isfahan, Iran
3 Associate Professor, Department of Counseling, Faculty of Education and Psychology, University of Isfahan, Isfahan, Iran
4 Assistant Professor, Department of Counseling, Faculty of Education and Psychology, University of Isfahan, Isfahan, Iran
Abstract
Aim & background: The premature ejaculation (PE) in most prevalence sexual problems among men. Drug use can have significant and damaging short-term and long-term effects, therefore, non-pharmacological treatment as effective are appropriate alternative to medications. The aim of this research was to study the effectiveness of cognitive-behavioral couple therapy (CBCT) on PE of men who referred to medical centers of Neyshabur.Method: Current research was conducted through semi experimental method with pretest-posttest and control group design on 40 men with PE (self-reported). The research sample was selected men who referred to medical centers of Neyshabur in the period of September 2016 to September 2017 and their problem was psychological based medicine diagnosis. They assigned randomly in control and experimental groups (20 subjects each group). The experimental group has been received CBCT intervention in 9 sessions. The control group was in wait list. The Chronometer was the research instrument.Findings: The results showed that control and experimental groups, before intervention, have significant difference in term of PE (p=0.45). Also, there was no significant difference before and after intervention in control group in term of PE (p=0.43); but there was a significant difference before and after intervention in experimental group in term of PE (p=0.001). Also, there was a significant difference between control and experimental groups in term of PE (p=0.001).Conclusion: Therefore, it can be concluded CBCT has effective influence on reducing the PE of men. Actually, emerging the partner in treatment would be more effective.
Keywords
cognitive behavioral therapy
Couple Therapy
ejaculation
Premature Ejaculation
rapid ejaculation
  1. Organization WH. CIE - 10: Clasificacion Internacional de Enfermedades V. 2 1994: World Health Organization; 1992.
  2. American Psychiatric Association. DSM-IV-TR: Diagnostic and statistical manual of mental disorders, text revision: American Psychiatric Association; 2000.
  3. American Psychiatric Association. Diagnostic and statistical manual of mental disorders: Fifth Edition. DSM 5: American Psychiatric Association; 2013.
  4. Symonds T, Roblin D, Hart K, Althof S. How does premature ejaculation impact a man’s life? Journal of Sex & Marital Therapy. 2003;29(5):361-70.
  5. McMahon CG. Treatment of premature ejaculation with sertraline hydrochloride: a single-blind placebo controlled crossover study. The Journal of urology. 1998;159(6):1935-8.
  6. Serefoglu EC, McMahon CG, Waldinger MD, Althof SE, Shindel A, Adaikan G, et al. An evidence‐based unified definition of lifelong and acquired premature ejaculation: Report of the second International Society for Sexual Medicine Ad Hoc Committee for the Definition of Premature Ejaculation. The journal of sexual medicine. 2014;11(6):1423-41.
  7. Serefoglu EC, Saitz TR. New insights on premature ejaculation: a review of definition, classification, prevalence and treatment. Asian Journal of Andrology. 2012;14(6):822-9.
  8. Althof SE, Abdo CH, Dean J, Hackett G, McCabe M, McMahon CG, et al. International Society for Sexual Medicine's guidelines for the diagnosis and treatment of premature ejaculation. The journal of sexual medicine. 2010;7(9):2947-69.
  9. Hatzimouratidis K, Amar E, Eardley I, Giuliano F, Hatzichristou D, Montorsi F, et al. Guidelines on male sexual dysfunction: erectile dysfunction and premature ejaculation. European urology. 2010;57(5):804-14.
  10. Johnson VE, Masters WH. Human sexual inadequacy: Boston: Little, Brown; 1970.
  11. Beck JG, Barlow DH. Current conceptualizations of sexual dysfunction: A review and an alternative perspective. Clinical Psychology Review. 1984;4(4):363-78.
  12. Patrick DL, Althof SE, Pryor JL, Rosen R, Rowland DL, Ho KF, et al. Premature ejaculation: an observational study of men and their partners. The journal of sexual medicine. 2005;2(3):358-67.
  13. Dunn KM, Croft PR, Hackett GI. Association of sexual problems with social, psychological, and physical problems in men and women: a cross sectional population survey. Journal of Epidemiology and Community Health. 1999;53(3):144-8.
  14. Rosen RC, McMahon CG, Niederberger C, Broderick GA, Jamieson C, Gagnon DD. Correlates to the clinical diagnosis of premature ejaculation: results from a large observational study of men and their partners. The Journal of urology. 2007;177(3):1059-64.
  15. Jannini EA, Lenzi A. Epidemiology of premature ejaculation. Current opinion in urology. 2005;15(6):399-403.
  16. Farahbakhsh K. The effectiveness of cognitive-behavioral techniques and increase sexual self-efficacy in the treatment of premature ejaculation in men. Journal of counseling Research. 2010;9(36):77-92.
  17. Althof SE. Psychosexual therapy for premature ejaculation. Translational Andrology and Urology. 2016;5(4):475.
  18. Cormio L, Massenio P, La Rocca R, Verze P, Mirone V, Carrieri G. The combination of dapoxetine and behavioral treatment provides better results than dapoxetine alone in the management of patients with lifelong premature ejaculation. The journal of sexual medicine. 2015;12(7):1609-15.
  19. Frühauf S, Gerger H, Schmidt HM, Munder T, Barth J. Efficacy of psychological interventions for sexual dysfunction: a systematic review and meta-analysis. Archives of Sexual Behavior. 2013;42(6):915-33.
  20. Perelman MA. ORIGINAL RESEARCH—PSYCHOLOGY: A New Combination Treatment for Premature Ejaculation: A Sex Therapist’s Perspective. The journal of sexual medicine. 2006;3(6):1004-12.
  21. Sidi H. Understanding the Pathophysiology of Premature Ejaculation: Bridging the Link between Pharmacological and Psychological Interventions. Current Drug Targets. 2016;17(In Press).
International Journal of Behavioral Sciences
Volume 10, Issue 4 - Serial Number 4
61
Winter 2017
Pages 147-150