Cognitive-behavioural therapy in sexual dysfunctions

Antonella Montano

Sexual dysfunctions are highly prevalent in the general population and are associated with psychological
distress and impaired sexual satisfaction. Cognitive-behavioural therapy is a promising treatment option
(Berner & Gunzler, 2012; Gunzler & Berner, 2012) and a viable treatment alternative (particularly when
compared to more physically invasive treatments such as surgery or medication). The purpose of this
manuscript is to provide an overview of cognitive-behavioural therapy in the field of sexual dysfunctions
and interventions and techniques in relation to each specific sexual disorder. This paper summarises: 1)
the criteria for the diagnosis and classification of sexual disorders as established in the fifth edition of
the Diagnostic and Statistical Manual of Mental Disorders; 2) the cognitive-behavioural etiopathogenetic
models; 3) the basic elements and assumptions of cognitive-behavioural psychotherapeutic interventions
most in use at present; 4) the benefits and limitations of studies carried out on sexual complaints
(Stephenson, Rellini & Meston, 2013); 5) the specificity of young and elderly populations.

Keywords
Sexual dysfunctions, Diagnosis, Prevalence, Cognitive-behavioural therapy, Treatment efficacy.

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