The effect of internet-based therapy for the treatment of sexual problems

The prevalence of sexual problems is relatively high. Though individuals acknowledge sexual dysfunction as a substantial problem, only some of them search for help. Less than half of the people who experience sexual dysfunction as problem seek professional help. The treatment of sexual problems is scarce and expensive: sexologists do have long waiting lists and the costs are not covered by the health insurance. In the meanwhile, sexual problems might lead to the experience of more negative emotions (e.g. frustration) and psychosocial effects (e.g. guilt) in daily life. At the other hand, the experience of positive sexual experiences stimulates the release of neurotransmitters such as dopamine and oxytocin – which have positive effects for general health such as better sleep and stress-reduction.

Earlier research suggested that implementation of internet based therapy (IBT) costs reduces with at least 50%, compared to face-to-face treatment. Whereas both manners seem to have the same outcomes for several psychological problems. IBT has the potential to enhance individuals sexual health knowledge, reduce personal emotional distress, and mental difficulties regarding sexual dysfunctions. However, IBT for sexual problems is not tested in an general practitioner (GP) practice before. The goal of this search is to measure the application of IBT for sexual problems in a GP practice. That lead us to the research question: is the application of IBT in a GP practice effective for the treatment of sexual problems. An answer to this question creates insight in the use, satisfaction and effectiveness of IBT for sexual problems in a GP practice.

To answer the research question, this research is based on a within-subject design. This design ensures that all patients who are seeking help for their sexual problem can be treated as soon as possible. For the IBT treatment, online programs of Therapieland will be used.

application of IBT in a GP practice is effective for the treatment of sexual problems

Reduction of the experience of sexual problems will be measured with the online Qualtrics questionnaires at 5 measure points: one month before the start of the treatment (baseline), at the moment the treatment begins, halfway trough the treatment, at the end of the treatment, and 3 months follow-up.

blended therapy with face-to-face conversations and an online Therapieland program for a particular sexual problem