Revue systématique des essais consacrés aux traitements psycho-comportementaux de l’éjaculation prématurée

Ejaculation prématurée; Ejaculation précoce; sexothérapie; thérapies cognitivo-comportementales; traitement; Premature ejaculation; Sex therapy; cognitive-behaviour therapy; Treatment

Abstract :

[fr] Objectif. La présente revue vise à tirer les enseignements généraux de plusieurs décennies de recherches empiriques consacrées aux traitements psycho-comportementaux de l’éjaculation prématurée. Méthode. Trente-trois essais faisant état de mesures avant et après traitements psycho-sexologiques ont été rassemblés et analysés Résultats. Les taux d’amélioration associés aux sexothérapies s’échelonnent de 25 % à 100 %, leur taille d’effet globale (d) se situe entre 0,83 et 3,75. L’efficacité des traitements requière la réalisation d’exercices de stimulation pénienne avec pauses (« stop-start ») et/ou d’exercices visant à la régulation des composantes discrètes de l’excitation (approche « régulatrice » ou « sexo-fonctionnelle »). Il n’est pas sûr que les variantes faisant appel à des pincements (« squeeze »), à l’utilisation d’un vibreur ou à un mode particulier de masturbation produisent un surcroît d’efficacité. Quant aux exercices centrés sur le renforcement de la musculature pelvienne, ils ne semblent guère pertinents. Les traitements les plus efficaces sont également ceux qui permettent un accompagnement visant à optimiser l’intégration par les bénéficiaires des principes thérapeutiques et à aborder avec eux d’éventuelles difficultés associées. En cela les formules d’auto-traitement apparaissent moins performantes. La combinaison d’une sexothérapie et d’une pharmacothérapie donne généralement lieu à des résultats supérieurs à ceux obtenus individuellement de chacune de ces deux options. Conclusions. Les recherches empiriques cumulées sur plusieurs décennies accréditent l’utilité des sexothérapies dans le domaine de l’éjaculation prématurée et spécifient leurs conditions d’efficacité.
[en] Objective. The aim of this review is to draw general lessons from several decades of empirical research on psycho-behavioural treatments for premature ejaculation. Method. Thirty-three trials reporting measures pre- and post-sex therapy were collected and assessed. Results. The improvement rates associated with sex therapies ranged from 25% to 100%, the overall effect size (d) was between 0.83 and 3.75. The effectiveness of the interventions requires penile stimulation exercises with pauses ("stop-start") and/or exercises aimed at regulating discrete components of sexual arousal ("regulatory" or "sexual-functional" approach). It is not clear whether variations involving squeezing, use of a vibratory device or a particular mode of masturbation are more effective. Exercises that focus on strengthening the pelvic muscles do not appear to be particularly effective. The most effective treatments are also those that allow for support of the beneficiaries in order to ensure an adequate integration of the therapeutic principles and to address any associated difficulties. In this respect, self-treatment formulas appear less effective. The combination of sex therapy and drug therapy generally yields better results than either of these two options alone. Conclusions. Empirical research accumulated over several decades supports the usefulness of sex therapies in the field of premature ejaculation and specifies their conditions of effectiveness.

Disciplines :

Psychiatry
Treatment & clinical psychology
Human health sciences: Multidisciplinary, general & others

Author, co-author :

Kempeneers, Philippe ; Université de Liège - ULiège > Département de Psychologie > Psychologie clinique cognitive et comportementale

Language :

French

Title :

Revue systématique des essais consacrés aux traitements psycho-comportementaux de l’éjaculation prématurée

Alternative titles :

[en] Systematic Review of Trials of Psycho-Behavioural Treatments for Premature Ejaculation

Publication date :

2022

Journal title :

Sexologies: Revue Européenne de Santé Sexuelle

ISSN :

1158-1360

eISSN :

1878-1829

Publisher :

Elsevier Masson, Paris, France

Volume :

Issue :

Pages :

35-51

Peer reviewed :

Peer Reviewed verified by ORBi

Data Set :

10.1016/j.sexol.2021.09.002

Available on ORBi :

since 28 November 2021

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