Who drops out from the UCM therapy? Psychological, social and clinical factors related to continuation of the UCM therapy
Malachowska, E1; Jakima, S2; Zakliczynska, H2
1: Poradnia Seksuologiczna, Poland; 2: Poradnia Seksuologiczna, Warszawa, Poland
Objective. The aim of the study was to identify psychological, social and clinical factors which influenced the decision about breaking-up the therapy for UCM.
Material and methods. From 51 pairs included in the study due to primary UCM 40 pairs successfully finished the therapeutic program while 11 pairs dropped out from the program and were not included in the further analysis. Patients signed up for the therapy after 8.4±4.2y of relationship, and 3.2±2.8y from the sexual initiation in the relationship at the age of 30.2±4.5y for female, and 31.7±4.8y for male. Women’s mean age of sexual initiation was 21.1±3.6y and their partners – 20.8±4.6y. The original therapeutic approach consisted of 3 steps procedure: diagnosis of the sexual problem within the couple (anamnesis, medical examination, Mell-Krat Scale, STAI Scale), woman’s behavioural therapy including relaxation and visualization, and couple behavioural therapy with the male partners involved into relaxation, visualization and sexual penetration. The chi2 test was used to assess the relationship between the decision on breaking-up the therapy and selected psychological, social and clinical factors.
Results. Women who broke-up the therapeutic process more often decided to attend the procedure initiated by their partners (χ2=3.98, p=0.04), could not undergo gynaecological examination (χ2=5.94, p=0.01), and their partners suffered from premature ejaculation (χ2=3.98, p=0.04). Men who drop-out from the therapy had the smaller number of sexual intercourses (χ2=3.86, p=0.04), but they declared to achieve orgasm without any special requirements more often than individuals determined to continue treatment (χ2=15.33, p=0.004). The parents of both female and male patients who broke-up the therapy were more often divorced (χ2=0.78, p=0.05, and χ2=3.99, p<0.08, respectively). Women who completed the therapeutic protocol had the orgasms more often (χ2=13.84, p=0.008), but they were not fully satisfied with sexual activity (χ2=6.53, p=0.01).
Conclusion. The main reasons of therapy discontinuation were due to the female fear of sexual activity expressed by vaginismus and inability to undergo gyneacological examination with passive approach to the therapy.
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