Meta-Analysis of the Effectiveness of Mindfulness-Based Therapies on Female Sexual Dysfunction

Authors

    Sajedeh Behtaj Department of Psychology, UAE.C, Islamic Azad University, Dubai, United Arab Emirates.
    Shahram Vaziri * Department of Psychology, TMS.C., Islamic Azad University, Tehran, Iran. shahram.vaziri@gmail.com
    Sara Hashemi Department of Clinical Psychology, SR.C., Islamic Azad University, Tehran, Iran.

Keywords:

Meta-Analysis, Women’s Sexual Functioning, Mindfulness Therapy Protocols

Abstract

Objective: The present study aimed to investigate the effect of mindfulness-based therapies on women's sexual functioning using a meta-analytic approach.

Methodology: This study employed a meta-analysis methodology to integrate and analyze the results of various previously conducted research studies. The statistical population included all studies examining the impact of mindfulness-based therapies on female sexual dysfunction, which had been published in the Magiran and SID databases. The article search was conducted for studies published between 2014 and 2024 (1393 to 1403 in the Persian calendar). A meta-analysis data extraction worksheet was used to collect data, including research identifiers, sample characteristics, and statistical indicators. After screening, a total of 23 studies met the inclusion criteria and were entered into the final analysis.

Findings: The results of the meta-analysis indicated that mindfulness-based therapies have a significant and positive effect on women's sexual functioning. The effect sizes in the fixed-effects and random-effects models were 1.22 and 1.45, respectively, suggesting a positive and moderate effect of mindfulness-based interventions. Further subgroup analyses revealed that the MBSR protocol (the 8-session Mindfulness-Based Stress Reduction) had the greatest effect on female sexual functioning compared to other protocols. Cognitive-behavioral and mindfulness-based sex therapy protocols also demonstrated positive effects, though to a lesser extent than MBSR.

Conclusion: Based on the study findings, it can be concluded that mindfulness-based therapies may serve as an effective method for enhancing various aspects of women's sexual health.

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References

Aghili, S. M. A. U. A. A., Azmaei, M., & Namazi, M. (2022). The effectiveness of mindfulness-based stress reduction training on the desire for divorce, blood pressure, and sexual fulfillment in betrayed women with hypertension. Journal of Women's Psychology, 3(1), 1-10. https://doi.org/10.61838/kman.pwj.3.1.1ER -

Ahmadi, F., Tahmasebi, R., Norouzi, A., Akbarizadeh, F., Omidvar, Z., Bayazi, M. H., & Faridhosseini, F. (2022). Comparing the effectiveness of mindfulness-based cognitive therapy and cognitive-behavioral therapy on sexual satisfaction in women with vaginismus. Journal of Southern Medicine, 25(2), 114-129. https://doi.org/10.52547/ismj.25.2.114

Banbury, S., Lusher, J., Snuggs, S., & Chandler, C. (2023). Mindfulness-based therapies for men and women with sexual dysfunction: A systematic review and meta-analysis. Sexual and Relationship Therapy, 38(4), 533EP - 555. https://doi.org/10.1080/14681994.2021.1883578

Bredero, Q. M., Fleer, J., Smink, A., Kuiken, G., Potjewijd, J., Laroy, M., & Schroevers, M. J. (2023). Mindfulness-based cognitive therapy for fatigue in patients with inflammatory bowel disease: results of a Randomized Controlled Trial. Mindfulness, 14(1), 19-32. https://doi.org/10.1007/s12671-022-02057-5

Dawson, S. J., Jang, G. E., & Goldberg, S. Y. (2022). A Brief Psychoeducational Sexual Mindfulness Intervention to Bolster Sexual Well-Being. Mindfulness, 13(11), 2827-2844. https://doi.org/10.1007/s12671-022-01999-0

Eka, G., & Tondok, M. S. (2024). Evaluating the effectiveness of mindfulness-based sexual therapy for women with sexual dysfunction: A systematic literature review. Jurnal Ilmiah Psikologi Terapan, 12(2), 140-149. https://doi.org/10.22219/jipt.v12i2.29232

Fathi, A., Alipour, A., & Malekirad, A. A. (2023). Comparison of the effectiveness of emotion-focused couples therapy and Gottman couples therapy on sexual function, marital sexual satisfaction, and depression in infertile couples. Journal of Family Psychology, 9(2), 69-84. https://jams.arakmu.ac.ir

Fischer, O. J. M. M., & Brotto, L. A. (2019). Sexual Function, Quality of Life, and Experiences of Women with Ovarian Cancer: A Mixed-Methods Study. Sexual Medicine, 7(4), 530–539. https://doi.org/10.1016/j.esxm.2019.07.005

Goncalves, W. S., Gherman, B. R., Abdo, C. H. N., Coutinho, E. S. F., Nardi, A. E., & Appolinario, J. C. (2023). Prevalence of sexual dysfunction in depressive and persistent depressive disorders: a systematic review and meta-analysis. International Journal of Impotence Research, 35(4), 340-349. https://doi.org/10.1038/s41443-022-00539-7

Joss, D., Khan, A., Lazar, S. W., & Teicher, M. H. (2019). Effects of a mindfulness-based intervention on self-compassion and psychological health among young adults with a history of childhood maltreatment. Frontiers in psychology, 10, 2373. https://doi.org/10.3389/fpsyg.2019.02373

Kazemzadeh Atoofi, M., Naziri, G., Mohammadi, M., & Behzadi, S. (2022). Comparing the effectiveness of mindfulness-based sexual relationship therapy and cognitive behavioral sexual therapy on the symptoms of sexual dysfunction in women with orgasmic disorder: A randomized double-blind clinical trial. Journal of Behavioral Sciences Research, 20(4), 746-758. https://doi.org/10.52547/rbs.20.4.14

Leavitt, C. E., Allsop, D. B., Gurr, J., Fawcett, E., Boden, J., Driggs, S., & Hawkins, A. J. (2021). A couples' relationship education intervention examining sexual mindfulness and trait mindfulness. Sexual and Relationship Therapy, 1-13. https://doi.org/10.1080/14681994.2021.2024802

McNabney, S. M., Gletsu-Miller, N., & Rowland, D. L. (2023). Sexual Function and Satisfaction in the Context of Obesity. Current Diabetes Reports, 1-13. https://doi.org/10.1007/s11892-023-01523-1

Mension, E., Alonso, I., Anglès-Acedo, S., Ros, C., Otero, J., Villarino, Á., & Castelo-Branco, C. (2023). Effect of fractional carbon dioxide vs sham laser on sexual function in survivors of breast cancer receiving aromatase inhibitors for genitourinary syndrome of menopause: the LIGHT randomized clinical trial. JAMA Network Open, 6(2), e2255697-e2255697. https://doi.org/10.1001/jamanetworkopen.2022.55697

Obarska, K., & Lew-Starowicz, M. (2023). Assessment of the effect of mindfulness monotherapy on sexual dysfunction symptoms and sex-related quality of life in womenJO - Sexual Medicine. 11(3), qfad022. https://doi.org/10.1093/sexmed/qfad022

Pardos-Gascón, E. M., Narambuena, L., Leal-Costa, C., & Van-der Hofstadt-Román, C. J. (2021). Differential efficacy between cognitive-behavioral therapy and mindfulness-based therapies for chronic pain: Systematic review. International Journal of Clinical and Health Psychology, 21(1), 100197. https://doi.org/10.1016/j.ijchp.2020.08.001

Pleman, B., Park, M., Han, X., Price, L. L., Bannuru, R. R., Harvey, W. F., & Wang, C. (2019). Mindfulness is associated with psychological health and moderates the impact of fibromyalgia. Clinical Rheumatology, 38, 1737-1745. https://doi.org/10.1007/s10067-019-04436-1

Querstret, D., Morison, L., Dickinson, S., Cropley, M., & John, M. (2020). Mindfulness-based stress reduction and mindfulness-based cognitive therapy for psychological health and well-being in nonclinical samples: A systematic review and meta-analysis. International Journal of Stress Management, 27(4), 394. https://doi.org/10.1037/str0000165

Sánchez-Sánchez, L. C., Rodríguez, M. F. V., García-Montes, J. M., Petisco-Rodríguez, C., & Fernández-García, R. (2021). Mindfulness in sexual activity, sexual satisfaction and erotic fantasies in a non-clinical sample. International journal of environmental research and public health, 18(3), 1161. https://doi.org/10.3390/ijerph18031161

Selice, L., & Morris, K. L. (2022). Mindfulness and sexual dysfunction: a systematic research synthesis. Journal of sex & marital therapy, 48(4), 323-342. https://doi.org/10.1080/0092623X.2021.1991536

Soleimani, H., & Soltani Zadeh, M. (2022). The effect of mindfulness-based cognitive therapy on body image and sexual function in obese women. Journal of nursing management, 11(2), 108-121. http://ijnv.ir/browse.php

Valderrama Rodríguez, M. F., Sánchez-Sánchez, L. C., García-Montes, J. M., & Petisco-Rodríguez, C. (2023). A Scoping Review of the Influence of Mindfulness on Men's Sexual Activity. International journal of environmental research and public health, 20(4), 3739. https://doi.org/10.3390/ijerph20043739

Van Anders, S. M., Herbenick, D., Brotto, L. A., Harris, E. A., & Chadwick, S. B. (2022). The heteronormativity theory of low sexual desire in women partnered with men. Archives of Sexual Behavior, 51(1), 391-415. https://doi.org/10.1007/s10508-021-02100-x

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Published

2025-08-09

Submitted

2025-03-26

Revised

2025-06-28

Accepted

2025-07-07

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Section

Articles

How to Cite

Behtaj, S. ., Vaziri, S., & Hashemi, S. . (1404). Meta-Analysis of the Effectiveness of Mindfulness-Based Therapies on Female Sexual Dysfunction. Journal of Psychological Dynamics in Mood Disorders, 1-20. https://maherpub.com/pdmd/article/view/551