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April 1983

Clinical Outcome of Sex Therapy: Effects of Daily v Weekly Treatment

Author Affiliations

From the Sex Therapy Center, Department of Psychiatry and Behavioral Science, Health Sciences Center, School of Medicine, State University of New York at Stony Brook. Dr Heiman is now with the University of Washington, Seattle.

Arch Gen Psychiatry. 1983;40(4):443-449. doi:10.1001/archpsyc.1983.01790040097013

• The effectiveness of sex therapy has been questioned recently. The present outcome study of 69 lower-middle-class couples, who were not highly selected with respect to severity of personal and marital distress, used standardized instruments to measure change over five time periods: intake, history, posttherapy, three-month, and one-year follow-up. Using an own-control design, a 15-session weekly treatment was compared with a 15-session daily treatment. Overall, treatment was successful in improving sexual and marital satisfaction as well as specific symptom remission; there was little decline at the three-month and one-year follow-ups. The least symptomatic improvement occurred for erectile problems and female secondary inorgasmic dysfunction, and there was some suggestion of a gradual nonsignificant decline of overall sexual and marital satisfaction at follow-up. The outcome of daily v weekly treatment was generally not different, with only some indication of better results for secondary inorgasmia and erectile failure when treated in the weekly mode.

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