ISSN 1302-6631
 

Original Research (Original Article) 


Effects of sex therapy based on cognitive behavioral methods on sexual problems of women with vaginismus and their spouses

Osman Özdel, Selim Tümkaya, Neslihan Levent, Figen Ç. Ateşci, Nalan K. Oğuzhanoğlu.

Abstract
Objective: It has long been suggested that sexual problems are common in women with vaginismus and their partners or spouses. In the current study, it was determined whether or not there was a change in sexual problems of women with vaginismus and their spouses after a successful sex therapy based on cognitive behavioral methods of vaginismus. Methods: The Golombok Rust Inventory of Sexual Satisfaction was administered to twenty-eight married couples, who could not achieve vaginal penetration due to primary vaginismus, before and after sex therapy based on cognitive behavioral methods. Results: The results of our study have shown that sexual problems in women with vaginismus improve after the treatment. Furthermore, their spouses do not show a higher rate of sexual problems than the general population, and these problems generally do not decrease by sex therapy used to treat vaginismus.

Key words: : vaginismus, spouses, erectile dysfunction, premature ejaculation



Bilişsel davranışçı yöntemlere dayalı cinsel terapinin vajinismuslu kadınlar ve eşlerinin cinsel sorunları üzerindeki etkileri

Ozet
Amaç: Vajinismuslu kadınlar ve onların eşlerinde cinsel sorunların sık görüldüğü uzun süredir düşünülmektedir. Bu çalışmada vajinismuslu kadınlar ve onların eşlerinin cinsel sorunlarının, vajinismus için uygulanan bilişsel davranışçı yöntemlere dayalı cinsel terapi sonrasında değişip değişmediği araştırılmıştır. Yöntem: Birincil vajinismus nedeniyle vajinal giriş sağlayamayan 28 yıllık evli çifte bilişsel davranışçı yöntemlere dayalı cinsel terapi öncesinde ve sonrasında Golombok Rust Cinsel Doyum Ölçeği uygulanmıştır. Sonuç: Çalışmanın sonuçları vajinismuslu kadınların cinsel sorunlarının tedaviden sonra azaldığını göstermiştir. Vajinismuslu kadınların eşleri genel popülasyona göre yüksek oranlarda cinsel sorunlar göstermemiştir ve var olan sorunlar vajinismus için uygulanan cinsel terapi ile azalma göstermemiştir.

Anahtar Kelimeler: Vajinismus, eşler, sertleşme bozukluğu, erken boşalma


 
ARTICLE TOOLS
Abstract
PDF Fulltext
Print this article Print this Article
How to cite this articleHow to cite this article
Citation Tools
Related Records
 Articles by Osman Özdel
Articles by Selim Tümkaya
Articles by Neslihan Levent
Articles by Figen Ç. Ateşci
Articles by Nalan K. Oğuzhanoğlu
on Google
on Google Scholar
Article Statistics
 Viewed: 3949
Downloaded: 915
Cited: 0

REFERENCES
1. Basson R, Althof S, Davis S, Fugl-Meyer K, Goldstein I, Leiblum S, et al. Summary of the recommendations on sexual dysfunctions in women. J Sex Med. 2004; 1:24-34. [DOI via Crossref]    [Pubmed]   
2. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, fourth ed., Washington DC, American Psychiatric Association, 2000.
3. Lewis RW, Fugl-Meyer KS, Bosch R, Fugl-Meyer AR, Laumann EO, Lizza E, et al. Epidemiology/risk factors of sexual dysfunction. J Sex Med. 2004;1:35-9. [DOI via Crossref]    [Pubmed]   
4. Lewis RW, Fugl-Meyer KS, Corona G, Hayes RD, Laumann EO, Moreira ED Jr, et al. Definitions/epidemiology/risk factors for sexual dysfunction. J Sex Med. 2010;7:1598-607. [DOI via Crossref]    [Pubmed]   
5. Addar MH. The unconsummated marriage: Causes and management. Clin Exp Obstet Gynecol. 2004;4:279-81.
6. Özdemir O, Simsek F, Özkardes S, Ýncesu C, Karakoç B. The unconsummated marriage: Its frequency and clinical characteristics in a sexual dysfunction clinic. J Sex Marital Ther.2008;34:268-279. [DOI via Crossref]    [Pubmed]   
7. Kabakci E, Batur S. Who benefits from cognitive behavioral therapy for vaginismus? J Sex Marital Ther. 2003;29:277-288.
8. Oktay M, Tombul K. 200 cases of vaginismus: their and their husbands’ psychological evaluation. New Symposium. 2003;41:115-9.
9. Oniz A, Keskinoglu P, Bezircioglu I. The prevalence and causes of sexual problems among premenopausal Turkish women. J Sex Med.2007;4:1575-81. [DOI via Crossref]    [Pubmed]   
10. Vlaeyen JWS, Linton SJ. Fear-avoidance and its consequences in chronic musculoskeletal pain: a state of the art. Pain. 2000; 85:317-32. [DOI via Crossref]   
11. ter Kuile MM, Both S, van Lankveld JJ. Cognitive behavioral therapy for sexual dysfunctions in women. Psychiatr Clin North Am. 2010;33:595-610. [DOI via Crossref]    [Pubmed]   
12. Tugrul C, Kabakci E. Vaginismus and its correlates. Sex Relat Ther. 1997;12:23-4.
13. Tugrul C, Kabakci E. Predictor variables of vaginismus. Turk Psikiyatri Derg. 1996;7:201-7.
14. Yýlmaz E. Cinsel sorunlar ve tutumlar üzerine bir epidemiyolojik araþtýrma. First National Congress of Association of Cognitive and Behavioral Therapy (2007, Ýstanbul), Özet Kitabý, 2007, s.80.
15. Dogan S. Vaginismus and accompanying sexual dysfunctions in a Turkish clinical sample. J Sex Med. 2009;6:184-92. [DOI via Crossref]    [Pubmed]   
16. Masters WH, Johnson VE. Human Sexual Inadequacy. Boston, Little Brown and Company, 1970.
17. Doðan S, Doðan M. The frequency of sexual dysfunctions in male partners of women with vaginismus in a Turkish sample. Int J Impot Res.2008; 20:218-221. [DOI via Crossref]    [Pubmed]   
18. Barnes J. Primary vaginismus (part 1): social and clinical features (part 2): aetiological features. Ir Med J. 1986;79:59-65.
19. Crowley T, Richardson D, Goldmeier D. Recommendations for the management of vaginismus: BASHH Special Interest Group for Sexual Dysfunction. Int J STD AIDS. 2006;17:14-8. [DOI via Crossref]    [Pubmed]   
20. Hawton K, Catalan J. Sex therapy for vaginismus: characteristics of couples and treatment outcome. J Sex Marital Ther. 1990;5:39-48. [DOI via Crossref]   
21. Goldstein, AT, Pukkal CF, Goldstein I. Female sexual pain disorders. Evaluation and Management. Garsington Road, Blackwell Publishing, 2009.
22. Praharaj SK, Verma P, Arora M. Topical lignocaine for vaginismus: a case report. Int J Impot Res. 2006;18:568-9. [DOI via Crossref]    [Pubmed]   
23. Reissing ED, Binik YM, Khalife S, Cohen D, Amsel R. Vaginal spasm, pain, and behavior: an empirical investigation of the diagnosis of vaginismus. Arch Sex Behav. 2004;33:5-17. [DOI via Crossref]    [Pubmed]   
24. Reissing ED, Binik YM, Khalife S. Does vaginismus exist? A critical review of the literature. J Nerv Ment Dis. 1999;187:261-74. [DOI via Crossref]    [Pubmed]   
25. Binik YM. The DSM diagnostic criteria for vaginismus. Arch Sex Behav. 2010;39:278-91. [DOI via Crossref]    [Pubmed]   
26. Rust J, Golombok S. The GRISS a psychometric instrument for the assessment of sexual dysfunction. Arch Sex Behav. 1986;15:157-65. [DOI via Crossref]   
27. Tugrul C, Oztan N, Kabakci E. The standardization of Golombok-Rust Sexual Satisfaction Inventory. Turk Psikiyatri Derg. 1993;4:83-8.
28. Kaplan HS. The New Sex Therapy. New York, Brunner/Mazel, 1974.
29. Bramley HM, Brown J, Draper KC, Kilvington J. Non consummation of marriage treated by members of the Institute of Psychological Medicine: A prospective study. BJOG. 1983;90:908-13. [DOI via Crossref]   
30. Gindin LR, Resnikoff D. Unconsummated marriages: E separate and different clinical entity. J Sex Mar Ther. 2002;28:85-99. [DOI via Crossref]    [Pubmed]   
31. Moreira ED, Kim SC, Glasser D, Gingell C. Sexual activity, prevalence of sexual problems, and associated help-seeking patterns in men and women aged 40-80 years in Korea: data from the global study of Sexual Attitudes and Behaviors (GSSAB). J Sex Med. 2006;3:201-11. [DOI via Crossref]    [Pubmed]   
32. Watts G, Nettle D. The role of anxiety in vaginismus: a case-control study. J Sex Med.2010;7:143-8. [DOI via Crossref]    [Pubmed]   
33. Brock GB, Bénard F, Casey R, Elliott SL, Gajewsky JB, Lee JC. Canadian male sexual health council survey to assess prevalence and treatment of premature ejaculation in Canada. J Sex Med. 2009;6:2115-123. [DOI via Crossref]    [Pubmed]   
34. Frank E, Anderson C, Rubinstein D. Frequency of sexual dysfunction in normal couples. N Engl J Med. 1978;299:111-5. [DOI via Crossref]    [Pubmed]   
35. Jannini EA, Lenzi A. Epidemiology of premature ejaculation. Curr Opin Urol. 2005;15:399-403. [DOI via Crossref]   
36. Park HJ, Park JK, Park K, Lee SW, Kim SW, Yang DY, et al. Prevalence of premature ejaculation in young and middle-aged men in Korea: a multicenter internet-based survey from the Korean Andrological Society. Asian J Androl.2010;22:880-9. [DOI via Crossref]    [Pubmed]   
37. Schein M, Zysansk SJ, Levine S, Medalie JH, Dickman Alemagno SA. The frequency of sexual problems among family practise patients. Fam Pract Res J. 1998;7:122-34.
38. Read S, King M, Watson J. Sexual dysfunction in primary medical care: Prevalence, characteristics and detection by the general practitioner. J Public Health Med. 1997;19:387-91. [DOI via Crossref]    [Pubmed]   
39. Heruti R, Shochat T, Tekes-Manova D, Ashkenazi I, Justo D. Prevalence of erectile dysfunction among young adults: results of a large-scale survey. J Sex Med. 2004;1:284-91. [DOI via Crossref]    [Pubmed]   

How to Cite this Article
Pubmed Style

Osman Ozdel, Selim Tumkaya, Neslihan Levent, Figen C. Atesci, Nalan K. Oguzhanoglu. [Effects of sex therapy based on cognitive behavioral methods on sexual problems of women with vaginismus and their spouses]. Anadolu Psikiyatri Derg. 2013; 14(2): 129-135. Turkish. doi:10.5455/apd.36933


Web Style

Osman Ozdel, Selim Tumkaya, Neslihan Levent, Figen C. Atesci, Nalan K. Oguzhanoglu. [Effects of sex therapy based on cognitive behavioral methods on sexual problems of women with vaginismus and their spouses]. http://www.anadolupsikiyatri.net/?mno=36933 [Access: November 13, 2018]. Turkish. doi:10.5455/apd.36933


AMA (American Medical Association) Style

Osman Ozdel, Selim Tumkaya, Neslihan Levent, Figen C. Atesci, Nalan K. Oguzhanoglu. [Effects of sex therapy based on cognitive behavioral methods on sexual problems of women with vaginismus and their spouses]. Anadolu Psikiyatri Derg. 2013; 14(2): 129-135. Turkish. doi:10.5455/apd.36933



Vancouver/ICMJE Style

Osman Ozdel, Selim Tumkaya, Neslihan Levent, Figen C. Atesci, Nalan K. Oguzhanoglu. [Effects of sex therapy based on cognitive behavioral methods on sexual problems of women with vaginismus and their spouses]. Anadolu Psikiyatri Derg. (2013), [cited November 13, 2018]; 14(2): 129-135. Turkish. doi:10.5455/apd.36933



Harvard Style

Osman Ozdel, Selim Tumkaya, Neslihan Levent, Figen C. Atesci, Nalan K. Oguzhanoglu (2013) [Effects of sex therapy based on cognitive behavioral methods on sexual problems of women with vaginismus and their spouses]. Anadolu Psikiyatri Derg, 14 (2), 129-135. Turkish. doi:10.5455/apd.36933



Turabian Style

Osman Ozdel, Selim Tumkaya, Neslihan Levent, Figen C. Atesci, Nalan K. Oguzhanoglu. 2013. [Effects of sex therapy based on cognitive behavioral methods on sexual problems of women with vaginismus and their spouses]. Anatolian Journal of Psychiatry, 14 (2), 129-135. Turkish. doi:10.5455/apd.36933



Chicago Style

Osman Ozdel, Selim Tumkaya, Neslihan Levent, Figen C. Atesci, Nalan K. Oguzhanoglu. "[Effects of sex therapy based on cognitive behavioral methods on sexual problems of women with vaginismus and their spouses]." Anatolian Journal of Psychiatry 14 (2013), 129-135. Turkish. doi:10.5455/apd.36933



MLA (The Modern Language Association) Style

Osman Ozdel, Selim Tumkaya, Neslihan Levent, Figen C. Atesci, Nalan K. Oguzhanoglu. "[Effects of sex therapy based on cognitive behavioral methods on sexual problems of women with vaginismus and their spouses]." Anatolian Journal of Psychiatry 14.2 (2013), 129-135. Print.Turkish. doi:10.5455/apd.36933



APA (American Psychological Association) Style

Osman Ozdel, Selim Tumkaya, Neslihan Levent, Figen C. Atesci, Nalan K. Oguzhanoglu (2013) [Effects of sex therapy based on cognitive behavioral methods on sexual problems of women with vaginismus and their spouses]. Anatolian Journal of Psychiatry, 14 (2), 129-135. Turkish. doi:10.5455/apd.36933





Most Viewed Articles
  • Schizophrenia and mega cisterna magna: case report [Turkish]
    Semra Karayılan, Atila Erol
    Anadolu Psikiyatri Derg. 2013; 14(1): 90-92
    » Abstract & References » doi: 10.5455/apd.36699

  • Impulsivity in patients with obesity and correlations with body perception and self-esteem [Turkish]
    G Sarısoy, A Atmaca, G Ecemiş, K Gümüş, O Pazvantoğlu
    Anadolu Psikiyatri Derg. 2013; 14(1): 53-61
    » Abstract & References » doi: 10.5455/apd.34469

  • The relationship between aggression and online video game addiction: a study on massively multiplayer online video game players [Turkish]
    H. Andaç Demirtaş Madran, Eda Ferligül Çakılcı
    Anadolu Psikiyatri Derg. 2014; 15(2): 99-107
    » Abstract & References » doi: 10.5455/apd.39828

  • Reliability and validity of the Morisky Medication Adherence Scale for bipolar mood disorder [Turkish]
    Güven Bahar, Haluk A. Savaş, Ahmet Ünal, Esen Savaş, Hilal Kaya, Aynur Bahar
    Anadolu Psikiyatri Derg. 2014; 15(2): 141-149
    » Abstract & References » doi: 10.5455/apd.39827

  • The effects of the service of community mental health center on the patients with schizophrenia - evaluation of quality of life, disabilities, general and social functioning- a summary of one year follow-up [Turkish]
    Hülya Ensari, Bülent Kadri Gültekin, Derya Karaman, Ayşegül Koç, Ali Fuat Beşkardeş
    Anadolu Psikiyatri Derg. 2013; 14(2): 108-114
    » Abstract & References » doi: 10.5455/apd.36380

  • Cases of sibling incest resulting in pregnancy [Turkish]
    Evrim Aktepe, Orhan Kocaman
    Anadolu Psikiyatri Derg. 2013; 14(2): 177-180
    » Abstract & References » doi: 10.5455/apd.35965

  • Job satisfaction and perceived job stress of the health professionals and the relationship between them [Turkish]
    Etem Erdal Erşan, Gülay Yıldırım, Orhan Doğan, Selma Doğan
    Anadolu Psikiyatri Derg. 2013; 14(2): 115-121
    » Abstract & References » doi: 10.5455/apd.34482

  • The Scale of Positive and Negative Experience: a validity and reliability study for adolescents [Turkish]
    Bülent Baki Telef
    Anadolu Psikiyatri Derg. 2013; 14(1): 62-68
    » Abstract & References » doi: 10.5455/apd.36692

  • Eating disorders and psychosis [Turkish]
    Vesile Altınyazar, Fulya Maner
    Anadolu Psikiyatri Derg. 2014; 15(1): 84-88
    » Abstract & References » doi: 10.5455/apd.38073

  • Death anxiety in elderly cases [Turkish]
    Zehra Öztürk, Gonca Karakuş, Lut Tamam
    Anadolu Psikiyatri Derg. 2011; 12(1): 37-43
    » Abstract

  • Most Downloaded
  • Educational needs assessment of stigmatization towards mental illness in medical education: qualitative and quantitative approach [Turkish]
    Meral Demirören, Yeşim Şenol, Ayşen Melek Aytuğ-Koşan, Meram Can Saka
    Anadolu Psikiyatri Derg. 2015; 16(1): 22-29
    » Abstract & References » doi: 10.5455/apd.45731

  • Impulsivity in patients with obesity and correlations with body perception and self-esteem [Turkish]
    G Sarısoy, A Atmaca, G Ecemiş, K Gümüş, O Pazvantoğlu
    Anadolu Psikiyatri Derg. 2013; 14(1): 53-61
    » Abstract & References » doi: 10.5455/apd.34469

  • Investigation of mindfulness and affecting factors of mindfulness among substance users and non users [Turkish]
    Kültegin Ögel, Nuray Sarp, Defne Tamar Gürol, Eda Ermağan
    Anadolu Psikiyatri Derg. 2014; 15(4): 282-288
    » Abstract & References » doi: 10.5455/apd.169583

  • Characteristic features of perpetrators of sexual abuse on children and adolescents in four different regions of Turkey [Turkish]
    Ayten Erdoğan, Evren Tufan, Mehmet Gökşin Karaman, Mehmet Süleyman Atabek, Cem Koparan, Esra Özdemir, Anna Baranova Çetiner, Nihal Yurteri, Ülkem Öztürk, Mehmet Ali Kurçer, Handan Ankaralı
    Anadolu Psikiyatri Derg. 2011; 12(1): 55-61
    » Abstract

  • Frontal Lobe Syndrome Developing After Head Trauma: Case Report [Turkish]
    Betül Çevik, Ali Yıldırım, Dürdane Aksoy, Erdal Özer, Semiha Kurt
    Anadolu Psikiyatri Derg. 2015; 16(3): 223-226
    » Abstract & References » doi: 10.5455/apd.155354

  • Death anxiety in elderly cases [Turkish]
    Zehra Öztürk, Gonca Karakuş, Lut Tamam
    Anadolu Psikiyatri Derg. 2011; 12(1): 37-43
    » Abstract

  • Schizophrenia and mega cisterna magna: case report [Turkish]
    Semra Karayılan, Atila Erol
    Anadolu Psikiyatri Derg. 2013; 14(1): 90-92
    » Abstract & References » doi: 10.5455/apd.36699

  • The relationship between smoking & alcohol use and internet addiction among the university students [Turkish]
    Hüseyin Alaçam, Figen Çulha Ateşçi, Abdullah Cem Şengül, Selim Tümkaya
    Anadolu Psikiyatri Derg. 2015; 16(6): 383-388
    » Abstract & References » doi: 10.5455/apd.172340

  • Validity and reliability of the Turkish version of the Smartphone Addiction Scale-Short Version among university students [Turkish]
    Cemal Onur Noyan, Aslı Enez Darçın, Serdar Nurmedov, Onat Yılmaz , Nesrin Dilbaz
    Anadolu Psikiyatri Derg. 2015; 16(Supplement 1): 73-81
    » Abstract & References » doi: 10.5455/apd.176101

  • Job satisfaction and perceived job stress of the health professionals and the relationship between them [Turkish]
    Etem Erdal Erşan, Gülay Yıldırım, Orhan Doğan, Selma Doğan
    Anadolu Psikiyatri Derg. 2013; 14(2): 115-121
    » Abstract & References » doi: 10.5455/apd.34482

  • Most Cited Articles
  • Burnout, job satisfaction and depression in the healthcare personnel who work in the emergency department [Turkish]
    Cem Gökçen, Suat Zengin, Mehmet Murat Oktay, Gökay Alpak, Behçet Al, Cuma Yıldırım
    Anadolu Psikiyatri Derg. 2013; 14(2): 122-128
    » Abstract & References » doi: 10.5455/apd.36379
    Cited : 8 times [Click to see citing articles]

  • Validity and reliability of the Turkish version of the Smartphone Addiction Scale-Short Version among university students [Turkish]
    Cemal Onur Noyan, Aslı Enez Darçın, Serdar Nurmedov, Onat Yılmaz , Nesrin Dilbaz
    Anadolu Psikiyatri Derg. 2015; 16(Supplement 1): 73-81
    » Abstract & References » doi: 10.5455/apd.176101
    Cited : 8 times [Click to see citing articles]

  • The Scale of Positive and Negative Experience: a validity and reliability study for adolescents [Turkish]
    Bülent Baki Telef
    Anadolu Psikiyatri Derg. 2013; 14(1): 62-68
    » Abstract & References » doi: 10.5455/apd.36692
    Cited : 5 times [Click to see citing articles]

  • The reliability and validity of Turkish version of The Night Eating Questionnaire in psychiatric outpatient population [Turkish]
    Nuray Atasoy, Özge Saraçlı, Numan Konuk, Handan Ankaralı, S. Olga Güriz, Asena Akdemir, Güzin Mukaddes Sevinçer, Levent Atik
    Anadolu Psikiyatri Derg. 2014; 15(3): 238-247
    » Abstract & References » doi: 10.5455/apd.39829
    Cited : 5 times [Click to see citing articles]

  • The prediction level of caregiver burden on caregivers’ state-trait anxiety levels [Turkish]
    Zümra Özyeşil, Aslin Oluk, Duran Çakmak
    Anadolu Psikiyatri Derg. 2014; 15(1): 39-44
    » Abstract & References » doi: 10.5455/apd.39820
    Cited : 5 times [Click to see citing articles]

  • Psychometric properties of the Turkish version of the Yale Food Addiction Scale among bariatric surgery patients [English]
    Güzin Mukaddes Sevinçer, Numan Konuk, Süleyman Bozkurt, Özge Saraçlı, Halil Coşkun
    Anadolu Psikiyatri Derg. 2015; 16(Supplement 1): 44-53
    » Abstract & References » doi: 10.5455/apd.174345
    Cited : 5 times [Click to see citing articles]

  • The effects of the service of community mental health center on the patients with schizophrenia - evaluation of quality of life, disabilities, general and social functioning- a summary of one year follow-up [Turkish]
    Hülya Ensari, Bülent Kadri Gültekin, Derya Karaman, Ayşegül Koç, Ali Fuat Beşkardeş
    Anadolu Psikiyatri Derg. 2013; 14(2): 108-114
    » Abstract & References » doi: 10.5455/apd.36380
    Cited : 4 times [Click to see citing articles]

  • Childhood trauma in recurrent and first episode depression [Turkish]
    Feridun Bülbül, Ülkü Çakır, Cuma Ülkü, İdris Üre, Onur Karabatak, Gökay Alpak
    Anadolu Psikiyatri Derg. 2013; 14(2): 93-99
    » Abstract & References » doi: 10.5455/apd.34484
    Cited : 4 times [Click to see citing articles]

  • An evaluation of the quality of life of children with attention-deficit/hyperactivity disorder (ADHD) and their families [English]
    Hasan Kandemir, Birim Günay Kılıç, Suat Ekinci, Murat Yüce
    Anadolu Psikiyatri Derg. 2014; 15(3): 265-271
    » Abstract & References » doi: 10.5455/apd.46202
    Cited : 4 times [Click to see citing articles]

  • Sociodemographic characteristics and psychiatric evaluation of girls who were married at younger age and referred for criminal evaluation [Turkish]
    Nusret Soylu, Muhammed Ayaz
    Anadolu Psikiyatri Derg. 2013; 14(2): 136-144
    » Abstract & References » doi: 10.5455/apd.36694
    Cited : 3 times [Click to see citing articles]