Homework adherence in mindfulness-based cognitive interventions for female sexual dysfunction: a scoping review.

IF 4.3 3区材料科学 Q1 ENGINEERING, ELECTRICAL & ELECTRONIC ACS Applied Electronic Materials Pub Date : 2024-10-31 DOI:10.1093/jsxmed/qdae108

Fernanda Rafaela Cabral Bonato, Nicolas de Oliveira Cardoso, Lori A Brotto

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Abstract

Background: Mindfulness-based cognitive therapy (MBCT) includes regular home practice of mindfulness exercises as a key means of cultivating mindfulness. Although there are instruments available for measuring homework adherence following cognitive behavioral therapy (CBT), little is known about measuring homework practice in MBCT studies for sexual dysfunction.

Aim: In this review we sought to investigate which items and instruments are the most used for the assessment of homework adherence in studies evaluating MBCT for the treatment of female sexual dysfunction (FSD). We also investigated the types of homework used in these interventions.

Methods: Five databases (PubMed, Scopus, PsycINFO, Embase, and Web of Science) were searched and a total of 30 articles were included in this review.

Outcomes: Our main findings revealed that there was no gold standard instrument used to assess homework adherence in patients using MBCT interventions for FSD, and that most of the reported studies did not provide information on how they assess homework adherence.

Results: Six of the 9 studies for which the articles reported how homework was assessed used only ad hoc measures. Only 3 studies used psychometrically validated instruments. We also found that mindfulness, psychoeducation, and CBT exercises were the most prescribed homework.

Strengths and limitations: This review uniquely integrates homework adherence measures with studies on FSD that evaluate mindfulness, finding no gold standard for assessing adherence. However, limitations including both MBCT and CBT interventions, limiting generalization to MBCT alone, the predominance of Western-based studies, and the lack of reporting on instruments used to assess adherence, indicating a gap in the field.

Conclusion: Further studies should consider adapting existing instruments that assess homework adherence in studies of CBT for other psychopathologies or seek to develop new psychometrically validated instruments for MBCT interventions that assess homework adherence.

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以正念为基础的女性性功能障碍认知干预中的作业坚持情况：范围界定综述。

背景：基于正念的认知疗法（MBCT）包括定期在家进行正念练习，这是培养正念的重要手段。目的：在本综述中，我们试图调查在评估 MBCT 治疗女性性功能障碍（FSD）的研究中，哪些项目和工具最常用于评估家庭作业的坚持性。我们还调查了这些干预中使用的家庭作业类型：方法：检索了五个数据库（PubMed、Scopus、PsycINFO、Embase 和 Web of Science），共有 30 篇文章被纳入本综述：我们的主要研究结果显示，没有金标准工具可用于评估使用MBCT干预治疗FSD患者的家庭作业依从性，而且大多数报告的研究都没有提供如何评估家庭作业依从性的信息：结果：在文章报道了如何评估家庭作业的 9 项研究中，有 6 项研究仅使用了临时措施。只有 3 项研究使用了经过心理测量验证的工具。我们还发现，正念、心理教育和 CBT 练习是规定最多的家庭作业：本综述独特地将家庭作业依从性测量方法与对正念进行评估的可持续发展教育研究相结合，发现没有评估依从性的黄金标准。然而，包括MBCT和CBT干预在内的局限性、仅限于MBCT的普遍性、以西方为基础的研究占主导地位以及缺乏对用于评估依从性的工具的报告，表明该领域存在空白：进一步的研究应考虑在针对其他精神病理学的 CBT 研究中调整现有的评估家庭作业依从性的工具，或寻求为 MBCT 干预开发新的经过心理测量学验证的工具，以评估家庭作业的依从性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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