title: A randomized controlled trial of guided Internet-delivered cognitive behavioral therapy for erectile dysfunction.
abstract: BACKGROUND
  Men with erectile dysfunction are often worried about their condition, have interpersonal difficulties, and have a reduced quality of life. Internet-delivered cognitive behavior therapy (ICBT) has been shown effective for a number of health problems but evidence is limited concerning the treatment of erectile dysfunction.
  
  
  OBJECTIVE
  The study investigated the effects of ICBT for erectile dysfunction.
  
  
  METHODS
  Seventy-eight men were included in the study and randomized to either ICBT or to a control group, which was an online discussion group. Treatment consisted of a 7-week Web-based program with e-mail-based therapist support. Each therapist spent an average of 55 minutes per participant.
  
  
  METHODS
  The International Index of Erectile Functioning five-item version was administered via the telephone at pretreatment, post-treatment, and 6 months after receiving ICBT.
  
  
  RESULTS
  At post-treatment, the treatment group had significantly greater improvements with regard to erectile performance compared with the control group. Between-group differences at post-treatment were small (d = 0.1), but increased at the 6-month follow-up (d = 0.88).
  
  
  CONCLUSIONS
  This study provides support for the use of ICBT as a possible treatment format for erectile dysfunction.
authors.affiliation: Department of Behavioural Sciences and Learning, Linköping University, Sweden. erik.m.andersson@ki.se
authors.forename: Erik
authors.initials: E
authors.lastname: Andersson
authors.forename: Christian
authors.initials: C
authors.lastname: Walén
authors.forename: Jonas
authors.initials: J
authors.lastname: Hallberg
authors.forename: Björn
authors.initials: B
authors.lastname: Paxling
authors.forename: Mats
authors.initials: M
authors.lastname: Dahlin
authors.forename: Jonas
authors.initials: J
authors.lastname: Almlöv
authors.forename: Reidar
authors.initials: R
authors.lastname: Källström
authors.forename: Klaas
authors.initials: K
authors.lastname: Wijma
authors.forename: Per
authors.initials: P
authors.lastname: Carlbring
authors.forename: Gerhard
authors.initials: G
authors.lastname: Andersson
mesh_terms: D015928:Cognitive Behavioral Therapy / Q000379:methods*; D007172:Erectile Dysfunction / Q000523:psychology / Q000628:therapy*; D006801:Humans; D020407:Internet; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance; D012725:Sexual Behavior / Q000523:psychology; D016896:Treatment Outcome