ABSTRACT
Objectiveï¼ To observe the clinical effect of Manlyman Spray combined with biofeedback therapy in the treatment of premature ejaculation (PE)ï¼Methodsï¼ A total of 60 primary premature ejaculation patients with stable sexual partners and regular sexual activity (≥ï¼ times per week) from April 2021 to October 2022 were involved in the clinical observation, The patients' age is (34.3 ± 4.9) years old, and the course of the disease is (112.5 ± 65.5) months, and Manlyman Spray combined with biofeedback therapy was used to treat patients for 8 weeks. Manlyman Spray was sprayed 3 times on the surface of the penisqd for 4 weeks, and Biofeedback therapy is treated twice a week according to the AI setting module, for a total of 8 weeks. Before and 8 weeks after medication and at 4 weeks after drug withdrawal, the Intravaginal Ejaculation Latency Time (IELT), Premature Ejaculation Diagnostic Tool (PEDT) scores and Clinical Global Impression of Change (CGIC) scores were Obtained and compared. Resultsï¼ After 8 weeks of treatment, the IELT of the patients was significantly prolonged (ï¼»351.4 ± 76.7ï¼½ vs ï¼»87 ± 16.8ï¼½,P<0.05) and at 4 weeks after drug withdrawal, the therapeutic effect still existed (ï¼»345.9 ± 80.3ï¼½ vs ï¼»87 ± 16.8ï¼½,P<0.05), the PEDT scores were significantly improved after treatment (ï¼»18.2 ± 1.1ï¼½ vs ï¼»9.0 ± 1.4ï¼½,P<0.05)and at 4 weeks after drug withdrawal(ï¼»18.0 ± 1.2ï¼½ vs ï¼»9.0 ± 1.4ï¼½,P<0.05), and so were the CGIC scores (ï¼»13.4 ± 1.3ï¼½ vs ï¼»3.3 ± 1.4ï¼½,P<0.05, and ï¼»12.6 ± 1.6ï¼½ vs ï¼»3.3 ± 1.4ï¼½,P<0.05). Conclusionï¼ The combination of Manlyman Spray and biofeedback therapy can effectively treat primary premature ejaculation, with a long duration of treatment and good safety, and the specific mechanism needs further study.
Subject(s)
Premature Ejaculation , Male , Humans , Adult , Premature Ejaculation/therapy , Biofeedback, Psychology , Treatment Outcome , Ejaculation , Sexual BehaviorABSTRACT
Abstract: Background: Current literature shows that posttraumatic stress disorder and complex posttraumatic stress disorder symptoms differ. Although the psychological treatments available for posttraumatic disorder are well established, little is known about the effectiveness of those aimed at the treatment of complex posttraumatic stress. Objective: To evaluate the efficacy of psychological treatments for complex posttraumatic stress disorder. Method: A systematic qualitative search was conducted according to PRISMA guidelines, searching four psychological and health electronic databases: Medline, Pilots, PsycINFO, and Pubmed. Three reviewers independently selected the studies in two phases: preselection (criteria for complex posttraumatic stress disorder, replicable psychological treatment, and treatment effect) and selection (additional criteria: type of study, participants, and treatment). Results: Of the 615 studies reviewed, 25 were preselected, eight of which met the inclusion and methodological quality criteria. Five studies explored adult populations (with one exception, all were randomized clinical trials) and three child populations (clinical studies with pre- post-treatment design, with and without control group). Most studies with adult populations included psychoeducation, cognitive restructuration, and exposure therapy. The studies with child samples included EMDR and mindfulness as the most frequent treatment components. Discussion and conclusion: The evidence was insufficient to determine the most effective treatment. More research on this issue is required.
Resumen: Antecedentes: La literatura actual muestra una diferenciación entre los síntomas de trastorno por estrés postraumático y estrés postraumático complejo (TEPTC). Si bien los tratamientos psicológicos para el primer tipo de sintomatología están claramente establecidos, son menos conocidas las intervenciones para el TEPTC. Objetivo. Evaluar la eficacia de las terapias psicológicas para reducir los síntomas del TEPTC. Método: Se realizó una revisión sistemática cualitativa basada en la guía de publicación PRISMA. Se usaron cuatro bases de datos: Medline, Pilots, Psycinfo y Pubmed. Con base en criterios previamente definidos, tres revisores independientes eligieron los trabajos en dos fases: preselección (criterios para TEPTC, tratamiento psicológico replicable, datos sobre efectos) y selección (considerando tres criterios adicionales: tipo de estudio, de participantes y de intervención). Resultados: De los 615 encontrados, se preseleccionó un total de 25 artículos para revisión de texto completo, de los cuales se seleccionaron un total de ocho. Cinco trabajos incluyeron población adulta (a excepción de un estudio, todos eran ensayos clínicos controlados aleatorizados) y el resto infantil (diseño pre-post-tratamiento, con o sin grupo control). Mayoritariamente, los componentes de los tratamientos para adultos fueron: psicoeducación, reestructuración cognitiva y exposición. Los estudios con muestras infantiles incluyeron técnicas más heterogéneas, si bien el uso del EMDR y mindfulness fueron comunes a dos de las intervenciones. Discusión y conclusión: Dada la escasez de estudios encontrados y los problemas de control metodológico, no es posible destacar un tratamiento de elección para el TEPCT con eficacia superior al resto. Se requiere de más investigación en este ámbito.
ABSTRACT
OBJECTIVES: To investigate the effectiveness of acupuncture in treating phonotraumatic vocal fold lesions. STUDY DESIGN/METHODS: A total of 123 dysphonic individuals with benign vocal pathologies were recruited. They were given either genuine acupuncture (n = 40), sham acupuncture (n = 44), or no treatment (n = 39) for 6 weeks (two 30-minute sessions/wk). The genuine acupuncture group received needles puncturing nine voice-related acupoints for 30 minutes, two times a week for 6 weeks, whereas the sham acupuncture group received blunted needles stimulating the skin surface of the nine acupoints for the same frequency and duration. The no-treatment group did not receive any intervention but attended just the assessment sessions. One-hundred seventeen subjects completed the study (genuine acupuncture = 40; sham acupuncture = 43; and no treatment = 34), but only 84 of them had a complete set of vocal functions and quality of life measures (genuine acupuncture = 29; sham acupuncture = 33; and no-treatment = 22) and 42 of them with a complete set of endoscopic data (genuine acupuncture = 16; sham acupuncture = 15; and no treatment = 11). RESULTS: Significant improvement in vocal function, as indicated by the maximum fundamental frequency produced, and also perceived quality of life, were found in both the genuine and sham acupuncture groups, but not in the no-treatment group. Structural (morphological) improvements were, however, only noticed in the genuine acupuncture group, which demonstrated a significant reduction in the size of the vocal fold lesions. CONCLUSIONS: The findings showed that acupuncture of voice-related acupoints could bring about improvement in vocal function and healing of vocal fold lesions.