TY - JOUR PY - 2023// TI - History of sexual assault as a predictor of response to a self-guided online program for sexual desire and arousal difficulties in women JO - Archives of sexual behavior A1 - Stephenson, Kyle R. A1 - Latimer, Samuel R. Eshleman A1 - Zippan, Natasha L. A1 - Brotto, Lori A. SP - ePub EP - ePub VL - ePub IS - ePub N2 - Sexual Interest/Arousal Disorder (distressing, long-lasting impairments in sexual desire and/or arousal) is common in women, but few have access to efficacious psychotherapies, including cognitive-behavioral therapy (CBT) and mindfulness-based therapy (MBT). eSense, an online program meant to maximize treatment access, has been shown to be a feasible, satisfactory, and potentially efficacious intervention. However, subpopulations such as sexual assault survivors may find the program less usable or efficacious. The current study compared women with and without a history of sexual assault (SA) regarding their ability to use and benefit from eSense. Forty-four women (22 with a history of SA; M age = 34.20 years) used eSense (CBT or MBT) and completed validated self-report scales of sexual function, sexual distress, treatment satisfaction, and homework compliance. A history of SA did not predict differences in attrition or changes in clinical outcomes. Exploratory analyses suggested that women with a history of SA reported slightly higher difficulty completing homework assignments, but also slightly higher treatment satisfaction. These preliminary results suggest that eSense may be usable and helpful for women with a history of SA. We discuss ways to maximize the acceptability and efficacy of online programs for women with a history of SA.

Language: en

LA - en SN - 0004-0002 UR - http://dx.doi.org/10.1007/s10508-023-02685-5 ID - ref1 ER -