Bibliotherapy for Sexual Dysfunctions: A Systematic Review and Meta-Analysis

ABSTRACT Aim The objective of this study was to assess the efficacy bibliotherapy for sexual dysfunctions, when compared with no treatment and other interventions. Methods MEDLINE, EMBASE, PsycINFO were searched from 1970 January 2020. Selection criteria randomized controlled trials evaluating assisted or unassisted all types dysfunctions (wait list placebo) psychological Bibliotherapy is defined as using printed instruction be used by individual couple suffering dysfunction. Primary outcome measures male female functioning level continuation/remission Secondary outcomes satisfaction dropout rate. Sexual self-reported participants validated questionnaires. RESULTS Fifteen a total 1,113 (781 women; 332 men) met inclusion criteria. Compared treatment, resulted in larger proportions reporting remission dysfunction, higher treated participants, both participants. had significant positive effects on functioning; found. Results did not differ those intervention any outcome. Throughout, differences between conditions found regarding rates. certainty evidence rated very low. CONCLUSION We indications dysfunctions. Across studies, more women than men. However, owing limitations designs imprecision findings, we unable draw firm conclusions about use More high quality are needed. Relevant future studies should well unified grading systems measure these endpoints. In addition, report acceptability adherence.