Abstract
Purpose of Review
Cognitive-behavioral therapy (CBT) for genito-pelvic pain targets the reduction of pain and the improvement of sexual function/satisfaction. CBT has the additional advantage of being amenable to group and couple formats. However, guidelines for the choice of format have not been specified in the literature. The present review aimed to compare group and couple CBT and to formulate recommendations concerning when to choose one approach over the other.
Recent Findings
Although group CBT has been studied more extensively via randomized clinical trials, both approaches are helpful in reducing women’s pain and improving their sexual function/satisfaction. Advantages of group CBT include cost-effectiveness and social support, whereas advantages of couple CBT include incorporating the partner and focusing on couples’ intimacy.
Summary
Given its cost-effectiveness, group CBT should constitute a first-line treatment. Couple CBT should be recommended when both partners are motivated to improve their sexuality and relationship.
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References
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Bergeron, S., Merwin, K.E., Dubé, J.P. et al. Couple Sex Therapy Versus Group Therapy for Women with Genito-pelvic Pain. Curr Sex Health Rep 10, 79–87 (2018). https://doi.org/10.1007/s11930-018-0154-5
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DOI: https://doi.org/10.1007/s11930-018-0154-5