Comparison of the effectiveness of mindfulness therapy, biofeedback and combined method on sexual quality of life in men with premature ejaculation

Background: Premature ejaculation is the most common sexual problem that has many psychological effects on the relationship between spouses. Therefore, it will be helpful to identify targeted and effective intervention programs in this field. So far, various methods have been used to increase sexual quality of life in men with premature ejaculation, However, there is a research gap regarding the comparison of the effectiveness of the mindfulness therapy, biofeedback and combined method on sexual quality of life in men with premature ejaculation. Aims: The present study aimed the effectiveness of mindfulness therapy, biofeedback and combined method on sexual quality of life in men with premature ejaculation. Methods: The research method was semi-experimental, pre-test, post-test with a control group. The studied population included all men 30 to 50 years with premature ejaculation who referred to the Nejat sexual disorders clinic in Tehran in 2022. Among them, 32 men with premature ejaculation were selected based on the inclusion criteria and by purposive sampling method. Then, they randomly assigned to experimentals and control groups (groups of 8 people each). The Sexual Quality of Life- Men (Abraham et al, 2008) was used to pre-test, post-test. The first experimental group received mindfulness intervention in eight 90-minute sessions, the second experimental group received biofeedback intervention in eight 20-minute sessions, and the third experimental group received the combined method (The combination of mindfulness and biofeedback) in eight 90-minute sessions; While the control group was on the waiting list. The data were analyzed using one-way ANCOVA and LSD post hoc test in SPSS23. Results: No statistically significant differences were observed in the demographic variable of the groups. The findings showed that there was a significant difference between the experimental groups and control group; all three mindfulness therapy, biofeedback and combined method therapy interventions increased sexual quality of life (F= 193.37) in men with premature ejaculation (P< 0.05). Also, the results of LSD post hoc test showed that the effectiveness of combined method on sexual quality of life (IJ= 12.27) was more than mindfulness therapy and biofeedback (P< 0.05). Conclusion: According to the results of the present study, the of mindfulness therapy, biofeedback and combined method interventions can increase the sexual quality of life of men with premature ejaculation. It is suggested that therapists and counselors use these treatments in order to improve the sexual quality of life of men with premature ejaculation along with other therapeutic interventions