The impact of a brief online mindfulness intervention to support erectile dysfunction in African Caribbean men: a pilot waitlist controlled randomised controlled trial and content analysis.

Authors

DOI:

https://doi.org/10.5944/rdp.v35i128.40382

Keywords:

Erectile dysfunction, African Caribbean, Cognitive mindfulness, sexual self-efficacy, well-being

Abstract

Limited clinical trials have evaluated the effectiveness of mindfulness for sexual functioning in men and the existing studies have targeted white male populations. The present study aimed to evaluate the effectiveness of a Mindfulness-Based Cognitive Intervention (MBCI) for erectile dysfunction (ED) in n=68 African Caribbean men aged 31–50 years old   A mixed methods approach was adopted to establish the feasibility of a brief online MBCI, using a waitlist-controlled randomised trial with an experimental and delayed group and a content analysis. Participants completed a series of assessments measuring ED, sexual self-efficacy, well-being, and cognitive mindfulness at weeks 0, 4, and 12 (follow-up). They also completed a series of feedback questions on their experiences of the intervention at weeks 0, 4, and 12.   Higher levels of erectile functioning, cognitive mindfulness, sexual self-efficacy, and well-being were reported post-intervention and at the 12-week follow-up.  A content analysis of participant feedback responses yielded favourable outcomes, with participants suggesting that they continue to engage in cognitive mindfulness exercises to support them in “having better sex”. This research is the first to look at MCBI in African-Caribbean males with ED and demonstrated the effectiveness of this online intervention; however, it warrants replication with a larger group of ethnically and culturally diverse participants with ED.  

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References

American Psychiatric Association. (2013). Diagnostic and Statistical

Manual of Mental Disorders (5th ed.). https://doi.org/10.1176/appi.

books.9780890425596

National Health Service. (2023). Erectile Dysfunction (Impotence). https://www.nhs.uk/conditions/erection-problems-erectile-dysfunction/British Association of Counsellors and Psychotherapists. (2018). https://www.bacp.co.uk/bacp-journals/therapy-today/2018/october-2018/whywe-need-to-talk-about-race/

Banbury, S., Lusher, J., Snuggs, S., & Chandler, C. (2021). Mindfulnessbased

therapies for men and women with sexual dysfunction: a

systematic review and meta-analysis. Sexual and Relationship Therapy,

(4), 533–555. https://doi.org/10.1080/14681994.2021.1883578

Banbury, S., Chandler, C., & Lusher, J. (2023). A systematic review

exploring the effectiveness of mindfulness for sexual functioning in

women with cancer. Psych, 5(1), 194–208. https://doi.org/10.3390/

psych5010015

Bandura, A. (1997). Self-efficacy: The exercise of control. W H Freeman/

Times Books/ Henry Holt & Co.

Bossio, J. A., Basson, R., Driscoll, M., Correia, S., & Brotto, L. A. (2018).

Mindfulness-based group therapy for men with situational erectile

dysfunction: a mixed-methods feasibility analysis and pilot study.

The Journal of Sexual Medicine, 15(10), 1478–1490. https://doi.

org/10.1016/j.jsxm.2018.08.013

British Psychological Society. (2017). Ethics guidelines for internetmediated

research. https://www.bps.org.uk/news-and-policy/ethicsguidelines-

internet-mediated-research

Carvalho, J., & Nobre, P. (2010). Predictors of men’s sexual desire: The

role of psychological, cognitive-emotional, relational, and medical

factors. Journal of Sex Research, 48(2-3), 254-262. https://doi.

org/10.1080/00224491003605475

Carvalho, J., & Nobre, P. (2011). Biopsychosocial determinants of

men’s sexual desire: testing an integrative model. The Journal of

Sexual Medicine, 8(3), 754–763. https://doi.org/10.1111/j.1743-

02156.x

Chou, N. H, Huang, Y. J, & Jiann B.P., (2015). The impact of illicit use of

amphetamine on male sexual functions. Journal of Sexual Medicine,

(8),1694-1702. https://doi.org/10.1111/jsm.12926

Data Protection Act of 2018. C. 12. Part 1. Section 1. U.K. Public General

Act (2018). http://www.legislation.gov.uk/ukpga/2018/12/section/1

Del Río, F. J, Cabello, F., & Fernández I (2015). Influence of substance

use on the erectile response in a sample of drug users. International

Journal of Clinical and Health Psychology, 15(1), 37-43. https://doi.

org/10.1016/j.ijchp.2014.10.002

Dewitte, M., Bettocchi, C., Carvalho, J., Corona, G., Flink, I., Limoncin, E.,

Pascoal, P. M., Reisman, Y., & Van Lankveld, J. (2021). A psychosocial approach to erectile dysfunction: position statements from the European

Society of Sexual Medicine (ESSM). Sexual Medicine, 9(6), 100434.

https://doi.org/10.1016/j.esxm.2021.100434

Dunkley, C. R., Goldsmith, K. M., & Gorzalka, B. B. (2015). The potential

role of mindfulness in protecting against sexual insecurities. Canadian

Journal of Human Sexuality, 24(2), 92–103. https://doi.org/10.3138/

cjhs.242-a7

Feldman, G., Hayes, A. M., Kumar, S., Greeson, J. M., & Laurenceau, J.

(2006). Mindfulness and Emotion Regulation: The development and

initial validation of the Cognitive and Affective Mindfulness Scale-

Revised (CAMS-R). Journal of Psychopathology and Behavioral

Assessment, 29(3), 177–190. https://doi.org/10.1007/s10862-006-

-8

Frühauf, S., Gerger, H., Schmidt, H. M., & Münder, T. (2013). Efficacy

of Psychological Interventions for Sexual Dysfunction: A Systematic

Review and Meta-Analysis. Archives of Sexual Behavior, 42(6), 915–

https://doi.org/10.1007/s10508-012-0062-0

Hartmann, U., Schedlowski, M., & Krüger, T. (2005). Cognitive and partnerrelated

factors in rapid ejaculation: Differences between dysfunctional

and functional men. World Journal of Urology, 23(2), 93–101. https://

doi.org/10.1007/s00345-004-0490-0

Hucker, A., & McCabe, M. P. (2014). Incorporating mindfulness and chat

groups into an online cognitive behavioral therapy for mixed female

sexual problems. Journal of Sex Research, 52(6), 627–639. https://doi.

org/10.1080/00224499.2014.888388

Jedamzik, S. (2019). Digitale Gesundheit und Pflege. Unfallchirurg, 122(9),

–675. https://doi.org/10.1007/s00113-019-0672-2

Knutson, B., & Greer, S. (2008). Anticipatory affect: neural correlates

and consequences for choice. Philosophical Transactions of the

Royal Society B, 363(1511), 3771–3786. https://doi.org/10.1098/

rstb.2008.0155

Kroenke, K., Spitzer, R. L., & Williams, J. B. W. (2001). The PHQ-9.

Journal of General Internal Medicine, 16(9), 606–613. https://doi.

org/10.1046/j.1525-1497.2001.016009606.x

Lakens, D. (2013). Calculating and reporting effect sizes to facilitate

cumulative science: a practical primer for t-tests and ANOVAs.

Frontiers in Psychology, 4. https://doi.org/10.3389/fpsyg.2013.00863

Laumann, E. O., West, S. L., Glasser, D. B., Carson, C. C., Rosen, R. C.,

& Kang, J. H. (2007). Prevalence and correlates of erectile dysfunction

by race and ethnicity among men aged 40 or older in the United States:

From the Male Attitudes Regarding Sexual Health Survey. The Journal

of Sexual Medicine, 4(1), 57–65. https://doi.org/10.1111/j.1743-

00340.x

Libman, E., Rothenberg, I., Fichten, C. S., & Amsel, R. (1985). The

SSES-E: a measure of sexual self-efficacy in erectile functioning.

Journal of Sex & Marital Therapy, 11(4), 233–247. https://doi.

org/10.1080/00926238508405450

Mental Capacity Act of 2005, C9. UK Public General Acts. (2005). https://

www.legislation.gov.uk/ukpga/2005/9/contents.

Meyer, O. L., & Zane, N. (2013). The influence of race and ethnicity in

clients’ experiences of mental health treatment. Journal of Community

Psychology, 41(7), 884–901. https://doi.org/10.1002/jcop.21580

Michie, S. (2014). Implementation science: understanding behaviour

change and maintenance. BMC Health Servicies Reseach, 14(Suppl 2),

O9. https://doi.org/10.1186/1472-6963-14-S2-O9

Michie, S., Richardson, M., Johnston, M., Abraham, C., Francis, J. J.,

Hardeman, W., Eccles, M., Cane, J. E., & Wood, C. (2013). The Behavior

Change Technique Taxonomy (v1) of 93 Hierarchically Clustered

Techniques: Building an International Consensus for the Reporting of

Behavior Change Interventions. Annals of Behavioral Medicine, 46(1),

–95. https://doi.org/10.1007/s12160-013-9486-6

Peugh, J., & Belenko, S. (2001). Alcohol, drugs and sexual gunction: a

review. Journal of Psychoactive Drugs, 33(3), 223–232. https://doi.or

g/10.1080/02791072.2001.10400569

Porst, H., Montorsi, F., Rosen, R. C., Gaynor, L., Grupe, S., & Alexander,

J. R. (2007). The Premature Ejaculation Prevalence and Attitudes

(PEPA) Survey: Prevalence, comorbidities, and Professional Help-

Seeking. European Urology, 51(3), 816–824. https://doi.org/10.1016/j.

eururo.2006.07.004

Rhoden, E. L., Telöken, C., Sogari, P. R., & Souto, C. a. V. (2002). The

use of the simplified International Index of Erectile Function (IIEF-

as a diagnostic tool to study the prevalence of erectile dysfunction.

International Journal of Impotence Research, 14(4), 245–250. https://

doi.org/10.1038/sj.ijir.3900859

Seidler, Z. E., Dawes, A. J., Rice, S., Oliffe, J. L., & Dhillon, H. M.

(2016). The role of masculinity in men’s help-seeking for depression:

A systematic review. Clinical Psychology Review, 49, 106–118. https://

doi.org/10.1016/j.cpr.2016.09.002

Şerefoğlu, E. C., McMahon, C. G., Waldinger, M. D., Althof, S. E., Shindel, A.,

Adaikan, G., Becher, E., Dean, J., Giuliano, F., Hellstrom, W. J., Giraldi, A.,

Glina, S., Incrocci, L., Jannini, E. A., McCabe, M. P., Parish, S. J., Rowland,

D. L., Segraves, R., Sharlip, I. D., & Torres, L. O. (2014). An evidence‐based

unified definition of lifelong and acquired premature ejaculation: Report of

the Second International Society for Sexual Medicine ad hoc Committee for

the Definition of Premature Ejaculation. The Journal of Sexual Medicine,

(6), 1423–1441. https://doi.org/10.1111/jsm.12524

Stephenson, K. R., & Kerth, J. (2017). Effects of mindfulness-based

therapies for female sexual dysfunction: a meta-analytic review. Journal

of Sex Research, 54(7), 832–849. https://doi.org/10.1080/00224499.20

Steinke, E. E., Wright, D. W., Chung, M. L., & Moser, D. K. (2008). Sexual

self-concept, anxiety, and self-efficacy predict sexual activity in heart

failure and healthy elders. Heart & Lung, 37(5), 323–333. https://doi.

org/10.1016/j.hrtlng.2007.09.004

Tennant, R., Hiller, L., Fishwick, R., Platt, S., Joseph, S., Weich, S.,

Parkinson, J., Secker, J., & Stewart‐Brown, S. (2007). The Warwick-

Edinburgh Mental Well-being Scale (WEMWBS): development and

UK validation. Health and Quality of Life Outcomes, 5(1). https://doi.

org/10.1186/1477-7525-5-63

Van Diest, S. L., Van Lankveld, J., Leusink, P., Slob, A. K., & Gijs, L. (2007).

Sex therapy through the internet for men with sexual dysfunctions: a

pilot study. Journal of Sex & Marital Therapy, 33(2), 115-133. https://

doi.org/10.1080/00926230601098456

Van Lankveld, J. (2016). Internet-based interventions for women’s sexual

dysfunction. Current Sexual Health Reports, 8(3), 136–143. https://doi.

org/10.1007/s11930-016-0087-9

Yafi, F. A., Jenkins, L. C., Albersen, M., Corona, G., Isidori, A. M., Goldfarb,

S., Maggi, M, Nelson, C. J., Parish, S. J., Salonia, A., Tan, R., Mulhall,

J. P., & Hellstrom, W. J. (2016). Erectile dysfunction. Nature Reviews

Disease Primers, 2(1), 16003. https://doi.org/10.1038/nrdp.2016.3

Zlomuzica, A., Preusser, F., Schneider, S., & Margraf, J. (2015). Increased

perceived self-efficacy facilitates the extinction of fear in healthy

participants. Frontiers in Behavioral Neuroscience, 9, 270. https://doi.

org/10.3389/fnbeh.2015.00270

Published

2024-07-01

How to Cite

Banbury, S., Jean-Marie, D., Lusher, J., Chandler, C., & Turner, J. (2024). The impact of a brief online mindfulness intervention to support erectile dysfunction in African Caribbean men: a pilot waitlist controlled randomised controlled trial and content analysis . Revista de Psicoterapia, 35(128), 4–12. https://doi.org/10.5944/rdp.v35i128.40382