Efficacy of Online Coital Alignment Technique in Female Orgasmic Disorder

  1. Carmen Mata Muñoz 1
  2. Gracia M. Sánchez-Pérez 2
  3. Laura Elvira Muñoz-García 2
  4. Juan Carlos Sierra 2
  1. 1 Facultad de Psicología, Universidad de Granada, Spain
  2. 2 Centro de Investigación Mente, Cerebro y Comportamiento (CIMCYC), Universidad de Granada, Spain
Revista:
Revista de psicoterapia

ISSN: 1130-5142 2339-7950

Año de publicación: 2024

Título del ejemplar: Género y sexualidad: nuevos enfoques terapéuticos

Volumen: 35

Número: 128

Páginas: 23-32

Tipo: Artículo

DOI: 10.5944/RDP.V35I128.40260 DIALNET GOOGLE SCHOLAR lock_openDialnet editor

Otras publicaciones en: Revista de psicoterapia

Resumen

Este estudio tuvo como objetivo evaluar la eficacia de la técnica alineación coital aplicada en línea en el trastorno orgásmico femenino, en comparación con el entrenamiento en masturbación y un grupo en lista de espera. Se formaron tres grupos de mujeres que cumplían con los criterios diagnósticos del trastorno orgásmico femenino (alineación, n = 17; masturbación, n = 16; y lista de espera, n = 17), con edades comprendidas entre 18 y 50 años. Los tres grupos fueron evaluados en dos momentos temporales en erotofilia, actitudes negativas hacia la masturbación, actitudes hacia las fantasías sexuales, asertividad sexual, funcionamiento sexual, satisfacción sexual y satisfacción con la relación de pareja. Tanto alineación coital como masturbación mostraron ser eficaces en comparación con el grupo de lista de espera. La alineación coital presentó resultados ligeramente superiores en el funcionamiento sexual global, mientras que la masturbación fue ligeramente superior en medidas más específicas del orgasmo. Se discuten las aplicaciones clínicas de estos resultados en la terapia sexual.

Referencias bibliográficas

  • Adam, F., Day, J., De Sutter, P., & Brasseur, C. (2019). Mindfulness-based therapy for women's orgasmic disorder. Sexologies, 28(4), 200-210. https://doi.org/10.1016/j.sexol.2019.06.013
  • American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders, Fifth Edition, Text Revision (DSM-5-TR). American Psychiatric Association Publishing.
  • Arcos-Romero, A. I., Expósito-Guerra, D., & Sierra, J. C. (2022). Sexual desire and its relationship with subjective orgasm experience. International Journal of Impotence Research, 34(1), 93-99. https://doi.org/10.1038/s41443-020-00375-7
  • Arcos-Romero, A. I., Granados, R., & Sierra, J. C. (2019). Relationship between orgasm experience and sexual excitation: Validation of the Model of the Subjective Orgasm Experience. International Journal of Impotence Research, 31(4), 282-287. https://doi.org/10.1038/s41443-018-0095-6
  • Arcos-Romero, A. I., Moyano, N., & Sierra, J. C. (2018). Psychometric properties of the Orgasm Rating Scale in context of sexual relationship in a Spanish sample. The Journal of Sexual Medicine, 15(5), 741-749. https://doi.org/10.1016/j.jsxm.2018.03.005
  • Arcos-Romero, A. I., & Sierra, J. C. (2020). Factors associated with subjective orgasm experience in heterosexual relationships. Journal of Sex & Marital Therapy,46(4), 314–329. https://doi.org/10.1080/0092623x.2019.1711273
  • Arias-Castillo, L., García, L., & García-Perdomo, H. A. (2023). The complexity of female orgasm and ejaculation. Archives of Gynecology and Obstetrics, 308(2), 427-434. https://doi.org/10.1007/s00404-022-06810-y
  • Barbach, L. (2014). Loving together: Sexual enrichment program. Routledge.
  • Brody, S., Laan, E., & Van Lunsen, R. H. (2003). Concordance between women s physiological and subjective sexual arousal is associated with consistency of orgasm during intercourse but not other sexual behavior. Journal of Sex & Marital Therapy, 29(1), 15-23. https://doi.org/10.1080/713847101
  • Cervilla, O., Jiménez-Antón, E., Álvarez-Muelas, A., Mangas, P., Granados, R., & Sierra, J. C. (2023). Article solitary sexual desire: Its relation to subjective orgasm experience and sexual arousal in the masturbation context within a spanish population. Healthcare, 11, Article 805. https://doi.org/10.3390/healthcare11060805
  • Cervilla, O., Vallejo-Medina, P., Gómez-Berrocal, C., & Sierra, J. C. (2021). Development of the Spanish short version of Negative Attitudes toward Masturbation Inventory. International Journal of Clinical and Health Psychology, 21(2), 100-222. https://doi.org/10.1016/j.ijchp.2021.100222
  • Cervilla, O., Vallejo-Medina, P., Gómez-Berrocal, C., De la Torre-Vílchez, D., & Sierra, J. C. (2022). Validation of the Orgasm Rating Scale in the context of masturbation. Psicothema, 34(1), 151-159. https://doi.org/10.7334/psicothema2021.223
  • Cohen, J. (1988). The effect size index: d. Statistical power analysis for the behavioral sciences. Routledge Academic.
  • Delcea, C. (2021). Sexual life during COVID-19. International Journal of Advanced Studies in Sexology, 3(1), 20-25. https://www.yumpu.com/en/document/read/65326690/sexual-life-during-covid-19
  • Driemeyer, W., Janssen, E., Wiltfang, J., & Elmerstig, E. (2017). Masturbation experiences of Swedish senior high school students: Gender differences and similarities. The Journal of Sex Research, 54(4-5), 631-641. https://doi.org/10.1080/00224499.2016.1167814
  • Eichel, E. W., De Simone Eichel, J., & Kule, S. (1988). The technique of coital alignment and its relation to female orgasmic response and simultaneous orgasm. Journal of Sex & Marital Therapy, 14(2), 129-14. https://doi.org/10.1080/00926238808403913
  • Erdős, C., Kelemen, O., Pócs, D., Horváth, E., Dudás, N., Papp, A., & Paulik, E. (2023). Female sexual dysfunction in association with sexual history, sexual abuse and satisfaction: A cross-sectional study in hungary. Journal of Clinical Medicine, 12(3), Article 1112. https://doi.org/10.3390/jcm12031112
  • Espitia-De La Hoz, F. J. (2019). Dispositivo EROS en el manejo de la anorgasmia femenina. Universidad y Salud, 21(1), 38-47. https://doi.org/10.22267/rus.192101.138
  • Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A. (2007). G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39, 175-191. https://doi.org/10.3758/BF03193146
  • Freihart, B.K., McMahon, L.N., & Meston, C.M. (2022). Female orgasmic disorder. In A. D. Lykins (Ed.), Encyclopedia of sexuality and gender. Springer, https://doi.org/10.1007/978-3-319-59531-3_107-1
  • Frühauf, S., Gerger, H., Schmidt, H. M., Munder, T., & Barth, J. (2013). Efficacy of psychological interventions for sexual dysfunction: A systematic review and meta-analysis. Archives of Sexual Behavior, 42(6), 915-933. https://doi.org/10.1007/s10508-012-0062-0
  • Heiman, J. R., & Meston, C. M. (1997). Evaluating sexual dysfunction in women. Clinical Obstetrics and Gynecology, 40(3), 616-629. https://doi.org/10.1097/00003081-199709000-00021
  • Hurlbert, D. F., & Apt, C. (1995). The coital alignment technique and directed masturbation: A comparative study on female orgasm. Journal of Sex & Marital Therapy, 21(1), 21-29. https://doi.org/10.1080/00926239508405968
  • Kaplan, H. S. (1992). Does the CAT technique enhance female orgasm?. Journal of Sex & Marital Therapy, 18(4), 285-291.https://doi.org/10.1080/00926239208412853
  • Klein, V., Imhoff, R., Reininger, K. M., & Briken, P. (2019). Perceptions of sexual script deviation in women and men. Archives of Sexual Behavior, 48(2), 631-644. https://doi.org/10.1007/s10508-018-1280-x
  • Kocsis, A. (2020). Female orgasm disorder. International Journal of Advanced Studies in Sexology, 2(1), 49-53. https://www.sexology.ro/wp-content/uploads/2020/06/49-53-Alexandra-Kocsis-Female-orgasm-disorder.pdf
  • Labrador, F. J., & Crespo, M. (2001). Efficacious Psychological treatments for sexual dysfunctions. Psicothema, 13(3), 428-441. https://reunido.uniovi.es/index.php/PST/article/view/7896/7760
  • Leavitt, C. E., Leonhardt, N. D., Eldredge, J. G., Busby, D. M., & Clarke, R. W. (2023). A trifecta: Patterns in orgasm consistency, relational satisfaction, and sexual satisfaction. The Journal of Sexual Medicine, 20(4), 525-535. https://doi.org/10.1093/jsxmed/qdad001
  • Lentz, A. M., & Zaikman, Y. (2021). The big “O”: Sociocultural influences on orgasm frequency and sexual satisfaction in women. Sexuality & Culture, 25(3), 1096-1123. https://doi.org/10.1007/s12119-020-09811-8
  • Levin, R. J., & van Berlo, W. (2004). Sexual arousal and orgasm in subjects who experience forced or non-consensual sexual stimulation–a review. Journal of Clinical Forensic Medicine, 11(2), 82-88. https://doi.org/10.1016/j.jcfm.2003.10.008
  • Mah, K., & Binik, Y. M. (2005). Are orgasms in the mind or the body? Psychosocial versus physiological correlates of orgasmic pleasure and satisfaction. Journal of Sex & Marital Therapy, 31(3), 187-200. https://doi.org/10.1080/00926230590513401
  • Marchand, E. (2021). Psychological and behavioral treatment of female orgasmic disorder. Sexual Medicine Reviews, 9(2), 194-211. https://doi.org/10.1016/j.sxmr.2020.07.007
  • Marina, P., García-Portilla, M. P., Jiménez, L., Palicioc, L., Trabajo, P., & Bobes, J. (2013). Sexual function in depressed patients: Relationship between depressive symptoms and sexual dysfunction. Revista de Neuro-Psiquiatría, 76(3), 161-161. https://doi.org/10.20453/rnp.v76i3.1183
  • Meston, C. M., Hull, E., Levin, R. J., & Sipski, M. (2014). Disorders of orgasm in women. The Journal of Sexual Medicine, 1(1), 66-68. https://doi.org/10.1111/j.1743-6109.2004.10110.x
  • Mestre-Bach, G., Blycker, G. R., & Potenza, M. N. (2022). Behavioral therapies for treating female sexual dysfunctions: A state-of-the-art review. Journal of Clinical Medicine, 11(10), Article 2794. https://doi.org/10.3390/jcm11102794
  • Montero, Y. V., & Vizcaíno, M. C. A. (2017). Female sexual dysfunctions and related psychosocial factors in a group of presumably healthy women. Revista Sexología y Sociedad, 23(2), 182-194. https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=78251
  • Moyano, N., Sánchez-Fuentes, M. D. M., Granados, R., & Sierra, J. C. (2020). Intervención en disfunciones sexuales. In M. D. M. Sánchez-Fuentes, M. R. G. de Haro, N. Moyano, J. C. Sierra, A. De la Peña-Leiva, A. C. Rusinque, M. M. González, Y. T. Palencia, P. M. Sande, K. C. Pacheco, P. García-Roncallo, E. G. Montaño, N. Q. Molinares, M. P. Fernández, C. A. Rivera, N. L. Raby, C. R. Cervantes, M. A. P. Corcho, A. V. Posso-Meza,... & M. M. Rudas (Eds.), Sexualidad y relaciones contemporáneas (pp. 150-165). Corporación Universidad de la Costa.
  • Moyano, N., Vallejo-Medina, P., & Sierra, J. C. (2017). Sexual desire inventory: Two or three dimensions? The Journal of Sex Research, 54(1), 105-116. https://doi.org/10.1080/00224499.2015.1109581
  • Peixoto, M. (2019). Sexual satisfaction, solitary, and dyadic sexual desire in men according to sexual orientation. Journal of Homosexuality, 66(6), 769-779. https://doi.org/10.1080/00918369.2018.1484231
  • Pierce, A. P. (2000). The coital alignment technique (CAT): An overview of studies. Journal of Sex & Marital Therapy, 26(3), 257-268. https://doi.org/10.1080/00926230050084650
  • Rowland, D. L., & Kolba, T. N. (2016). Understanding orgasmic difficulty in women. The Journal of Sexual Medicine, 13(8), 1246-1254. https://doi.org/10.1016/j.jsxm.2016.05.014
  • Sánchez-Fuentes, M. D. M., Santos-Iglesias, P., Byers, E. S., & Sierra, J. C. (2015). Validation of the Interpersonal Exchange Model of Sexual Satisfaction Questionnaire in a Spanish sample. The Journal of Sex Research, 52(9), 1028-1041. https://doi.org/10.1080/00224499.2014.989307
  • Sierra, J. C., Arcos-Romero, A. I., Álvarez-Muelas, A., & Cervilla, O. (2021). The impact of intimate partner violence on sexual attitudes, sexual assertiveness, and sexual functioning in men and women. International Journal of Environmental Research and Public Health, 18(2), Article 594. https://doi.org/10.3390/ijerph18020594
  • Sierra, J. C., Arcos-Romero, A. I., & Calvillo-Martínez, C. F. (2020). Validity evidence and norms of the Spanish version of the Hurlbert Index of Sexual Fantasy. Psicothema, 32(3), 429-436. https://doi.org/10.7334/psicothema2020.14
  • Sierra, J. C., Arcos-Romero, A. I., Granados, M. R., Sánchez-Fuentes, M. M., Calvillo, C., & Moyano, N. (2017). Ratings of Sexual Arousal and Ratings of Genital Sensations: Psychometric properties in Spanish sample. Revista Internacional de Andrología, 15(3), 99-107. https://doi.org/10.1016/j.androl.2016.10.008
  • Sierra, J. C., Díaz, G., Álvarez-Muelas, A., Calvillo, C., Granados, R., & Arcos-Romero, A. I. (2019). Relationship between sexual desire and sexual arousal (objective and subjective). Revista de Psicopatología y Psicología Clínica, 24(3), 173-180. https://revistas.uned.es/index.php/RPPC/article/view/25374/pdf
  • Sierra, J. C., Gómez-Carranza, J., Álvarez-Muelas, A., & Cervilla, O. (2021). Association of sexual attitudes with sexual function: General vs. specific attitudes. International Journal of Environmental Research and Public Health, 18(19), Article 10390. https://doi.org/10.3390/ijerph181910390
  • Sierra, J. C., Medina, P. V., & Iglesias, P. S. (2011). Propiedades psicométricas de la versión española de la Sexual Assertiveness Scale (SAS). Anales de Psicología/Annals of Psychology, 27(1), 17-26. https://doi.org/10.6018/analesps
  • Sierra, J. C., Santamaria, J., Cervilla, O., & Álvarez-Muelas, A. (2023). Masturbation in middle and late adulthood: Its relationship to orgasm. International Journal of Impotence Research, 35(2), 114-120. https://doi.org/10.1038/s41443-021-00520-w
  • Trimpop, L. F., Bielinski, L. L., Berger, T., & Willutzki, U. (2023). Evaluation of two web-based interventions (res-up and remotion) in routine outpatient psychotherapy (therapy online plus top): Protocol for a randomized controlled trial. Journal of Medical Internet Research Protocols, 12(1), Article e41413. https://doi.org/10.2196/41413
  • Vallejo-Medina. P., Granados, M. R., & Sierra, J. C. (2014). Proposal and validation of a short versión of the Sexual Opinion Survey in the Spanish population. Revista Internacional de Andrología, 12(2), 47-54. https://doi.org/10.1016/j.androl.2013.04.004
  • Vallejo-Medina, P., Pérez-Durán, C., & Saavedra-Roa, A. (2018). Translation, adaptation, and preliminary validation of the female sexual function index into Spanish. Archives of Sexual Behavior, 47(3), 797-810. https://doi.org/10.1007/s10508-017-0976-7
  • Vizcaíno, M. C. A. (2016). Female orgasmic disorder. Assistance protocol. Revista Sexología y Sociedad, 22(2), 216-247. https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=78259
  • Wheeler, L. J., & Guntupalli, S. R. (2020). Female sexual dysfunction: Pharmacologic and therapeutic interventions. Obstetrics & Gynecology, 136(1), 174-186. https://doi.org/10.1097/AOG.0000000000003941
  • Zarski, A. C., Velten, J., Knauer, J., Berking, M., & Ebert, D. D. (2022). Internet-and mobile-based psychological interventions for sexual dysfunctions: A systematic review and meta-analysis. Nature Digital Medicine Journal, 5(1), 139. https://doi.org/10.1038/s41746-022-00670-1