Comparing the Effectiveness of Transcranial Direct Current Stimulation and Cognitive Behavioral Therapy Treatments on Sexual Desire Disorder in Women

Document Type : Original Article

Authors

Department of Psychology, Faculty of Educational Sciences and Psychology, Tabriz Branch, Islamic Azad university, Tabriz, Iran

10.30491/ijbs.2023.403907.1978

Abstract

Introduction: The purpose of this study was to compare the effectiveness of transcranial direct current stimulation treatments and Cognitive Behavioral Therapy (CBT) on sexual desire disorder in women.
Method: The methodology of this study was semi-experimental with a pre-test and post-test design. The statistical population of the present study consisted of all women who suffered from the problem of decreased sexual desire and for this purpose went to medical centers during the year 2021 in Tabriz and were diagnosed with the hypoactive sexual desire disorder. In this research, the sampling method was available. The sample included 30 women (each group including 10 women) who had the problem of decreased sexual desire and were randomly selected in three groups including test group one transcranial Direct-Current Stimulation (tDCS), test group two (CBT) and the control group. In order to collect data, the Hurlbert index of sexual desire was used. Hurlbert obtained the reliability of the sexual desire questionnaire as 0.86 in the test-retest method. The internal consistency coefficients of Halbert's sexuality questionnaire using two methods of Cronbach's alpha was 0.89. To test the research hypotheses, one-way covariance analysis was used, using the SPSS software version 26.
Results: The mean of the tDCS and CBT groups showed that both treatment methods were effective in reducing sexual desire disorder (P < 0.001). To generalize the results of this study, more research is needed in the future.
Conclusion: The results showed that both tDCS and CBT methods are effective in reducing hyposexuality in women with sexual desire disorder. In fact, these two methods can be used in the treatment of the abovementioned disorders.

Keywords


  1. Davison JS, Neal JM, Kring M. Psychopathology. Translation: Mehdi Dehestani: Simia Publications; 1389.
  2. 2. Pan B. Sexual practices and sexual satisfaction: A population based study of Chinese urban adults. Archives of sexual behavior. 2002; 36: 5-20. DOI 10.1007/s10508-006-9082-y
  3. 3. Basson R. Female hypoactive sexual desir disorder. Boca Raton USA: Tylor & Ffrancis; 2005. 43-67 p.
  4. 4. Basson R. Sexual desire/arousal disorders in women. New York USA: Guilford Press Co; 2007. 25-51 p.
  5. 5. van Lunsen RH, Laan E. Genital vascular responsiveness and sexual feelings in midlife women: Psychophysiologic, brain, and genital imaging studies. Menopause. 2004; 11(6 Part 2 of 2): 741-8. DOI: 10.1097/01.GME.0000143704.48324.46
  6. 6. Mazur A, Mueller U, Krause W, Booth A. Causes of sexual decline in aging married men: Germany and America. Internationaljournal of impotence research. 2002; 14(2): 101-6.
  7. 7. Berek J. Novaks 13th  ed: Philadelphia: lippincot   willams  &  wilkins; 2002.
  8. 8. Jaspers L, Feys F, Bramer WM, Franco OH, Leusink P, Laan ET. Efficacy and safety of flibanserin for the treatment of hypoactive sexual desire disorder in women: a systematic review and meta-analysis. JAMA internal medicine. 2016; 176(4): JAMA Intern Med. 2016;176(4):453-462. doi:10.1001/jamainternmed.2015.8565
  9. 9. Wenzel A. Basic strategies of cognitive behavioral therapy. Psychiatric Clinics. 2017; 40(4): 597-609. DOI:https://doi.org/10.1016/j.psc.2017.07.001
  10. 10. Koffel EA, Koffel JB, Gehrman PR. A meta-analysis of group cognitive behavioral therapy for insomnia. Sleep medicine reviews. 2015; 19: 6-16 Published online 2014 May 14. doi: 1016/j.smrv.2014.05.001
  11. Rahimi A, Younisi F, Shafie Abadi A. Investigating the effect of cognitive-behavioral education on the knowledge, attitude and sexual self-confidence of Shiraz women. Armaghane knowledge . 1388:14(55):03-111
  12. Tadyyon M, Rezaei Khairabadi A, Molaie nejad M, Shiraly nia KH. Effectiveness of cognitive behavioral therapy on fearful thoughts in women with primary vaginismus: a single-case trial. Journal of women and midwifery. 1395 : 39(19):25-34
  13. 13. Shiozawa P, FregniF, Benseñor IM, Lotufo PA, Berlim MT, Daskalakis JZ, et al. Transcranial direct current stimulation for major depression: an updated systematic review and meta-analysis. International Journal of Neuropsychopharmacology. 2014; 17(9): 1443-52.https://doi.org/10.1017/S1461145714000418
  14. 14. Fink M. Convulsive therapy: a review of the first 55 years. Journal of affective disorders. 2001; 63(1-3): 1-15.

     https://doi.org/10.1016/S0165-0327(00)00367-0

  1. 15. Rivera-Urbina GN, Nitsche MA, Vicario CM, Molero-Chamizo A. Applications of transcranial direct current stimulation in children and pediatrics. Reviews in the Neurosciences. 2017; 28(2): 173-84. DOI 10.1515/revneuro-2016-0045
  2. 16. Arkan A, Yaryari F. Transcranial brain stimulation  using  direct  electrical  current  (TDCS) ( on working  memory  in healthy  Cognitive  Psychology. 2017; 2(2): 10-7.
  3. 17. Clark VP, CoffmanBA, Trumbo MC, Gasparovic C. Transcranial direct current stimulation (tDCS) produces localized and specific alterations in neurochemistry: a 1H magnetic resonance spectroscopy study. Neuroscience letters. 2011; 500(1): 67-71.

     https://doi.org/10.1016/j.neulet.2011.05.244

  1. Borg W, Gall J, Gall MD. Quantitative and qualitative research methods in educational sciences and psychology. Translation: Mohammad Jafar Pak Sarasht and colleagues: Shahid Beheshti University Press; 2013.
  2. 19. Surowka AD, Ziomber A, Czyzycki M, Migliori A, Kasper K, Szczerbowska-Boruchowska M. Molecular and elemental effects underlying the biochemical action of transcranial direct current stimulation (tDCS) in appetite control. Spectrochimica Acta Part A: Molecular and Biomolecular Spectroscopy. 2018; 195: 199-209.

https://doi.org/10.1016/j.saa.2018.01.061

  1. 20. Val-Laillet D, Aarts E, Weber B, Ferrari M, Quaresima V, Stoeckel L, et al. Neuroimaging and neuromodulation approaches to study eating behavior and prevent and treat eating disorders and obesity. NeuroImage: Clinical. 2015; 8: 1-31.

https://doi.org/10.1016/j.nicl.2015.03.016

  1. 21. Pezzoli P, Ziogas A, Seto MC, Jaworska N, Mokros A, Fedoroff P, et al. The effects of acute transcranial direct current stimulation on attentional bias in pedophilic disorder: A preregistered pilot study. Neuromodulation: Technology at the Neural Interface. 2021; 24(5): 879-89. DOI: https://doi.org/10.1111/ner.13285
  2. 22. Malandain L, Blanc J-V, Ferreri F, Giorgiadis T, Mosser S, Mouchabac S, et al. First case report of tDCS efficacy in severe chemsex addiction. Dialogues in Clinical Neuroscience. 2022. https://doi.org/10.31887/DCNS.2020.22.3/lmalandain
  3. 23. Morin A, Léonard  G,  Gougeon  V,  Waddell  G,  Bureau  Y-A,  Girard  I,  et    Efficacy  of  transcranial  direct-current  stimulation  (tDCS)  in  women  with  provoked  vestibulodynia:  study  protocol  for  a  randomized  controlled  trial.  Trials.  2016;  17(1): 1-10.
  4. 24. Hajivosough N-S, Tavakolizadeh J, Rajayi A, Atarodi A. The Effect of Cognitive-Behavioral Teaching on Improvement of Women'sSexual Function with Hypoactive Sexual Desire Disorder. Zahedan Journal of Research in Medical Sciences. 2012; 14(10).
  5. 25. Babakhani N, Taravati M, Masoumi Z, Garousian M, Faradmal J, Shayan A. The effect of cognitive-behavioral consultation on sexual function among women: a randomized clinical trial. Journal of caring sciences. 2018; 7(2): 83. doi: 15171/jcs.2018.013

26- Hurlbert,D,F,Apt,C,(1992).Motherhood and female sexulity beyond one year postpartum:A study of military wive . Journal of Sex Education and Therpy ,18,104-114. https://doi.org/10.1080/01614576.1992.11074044

27-Nezamnia, M., Iravani, M., Bargard, M. S., & Latify, M. (2019). Effectiveness of cognitive-behavioral therapy on sexual function and sexual self-efficacy in pregnant women: An RCT. International Journal of Reproductive BioMedicine, 18(8), 625.  doi: 10.18502/ijrm.v13i8.7504

28- Hawton, C., & Salco Veskis, C. (2022). Cognitive behavioral therapy, A practical guide in the treatment of mental disorders  (H. Ghasemzadeh, Trans.).