{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T03:51:26Z","timestamp":1777521086718,"version":"3.51.4"},"reference-count":25,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[1998,11,1]],"date-time":"1998-11-01T00:00:00Z","timestamp":909878400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Can J Psychiatry"],"published-print":{"date-parts":[[1998,11]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To verify the effectiveness of desensitization exercises with dilators in the treatment of vaginismus, while comparing 2 therapeutic variations with differing instruction procedures (\u201cin vivo\u201d versus \u201cin vitro\u201d) during the desensitization exercises.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>A consecutive random sample of 44 female outpatients in sexual therapy were divided into groups for either treatment on a random basis. All patients were treated until the symptoms abated on the basis of a structured therapy program. The stability of the therapeutic success was verified through follow-up interviews.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Forty-three (97.2%) of the patients were able to have sexual intercourse after an average of 6.3 therapeutic sessions. One-third reported an increase in their sexual desire. Thirty-four of 39 patients (87.2%) would be prepared to repeat the therapy. There were no significant differences in the success and the required number of consultations for the cure between the 2 groups investigated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Desensitization through exercises with dilators is an effective method for treating vaginismus. The choice of instruction procedure can be left to the patient.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/070674379804300910","type":"journal-article","created":{"date-parts":[[2017,1,11]],"date-time":"2017-01-11T19:32:00Z","timestamp":1484163120000},"page":"941-944","source":"Crossref","is-referenced-by-count":32,"title":["Therapy for Vaginismus:\n                    <i>In Vivo<\/i>\n                    versus\n                    <i>In Vitro<\/i>\n                    Desensitization"],"prefix":"10.1177","volume":"43","author":[{"given":"Ulrich","family":"Schnyder","sequence":"first","affiliation":[{"name":"Formerly, Head of Psychiatric Emergency Service, Psychiatric Outpatient Department, University of Bern, Bern; Now, Head of Psychiatric Emergency Service, Psychiatric Outpatient Department, University Hospital, Zurich, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christine","family":"Schnyder-L\u00fcthi","sequence":"additional","affiliation":[{"name":"Resident, Psychiatric Outpatient Department, University of Bern, Bern, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pietro","family":"Ballinari","sequence":"additional","affiliation":[{"name":"Consulting Psychologist, Psychiatric Outpatient Department, University of Bern, Bern, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreas","family":"Blaser","sequence":"additional","affiliation":[{"name":"Chief Psychologist, Psychiatric Outpatient Department, University of Bern, Bern, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[1998,11,1]]},"reference":[{"key":"bibr1-070674379804300910","volume-title":"Diagnostic and statistical manual of mental disorders","author":"American Psychiatric Association","year":"1994","edition":"4"},{"key":"bibr2-070674379804300910","volume-title":"Sexuell gest\u00f6rte Beziehungen. 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