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See detailVirtual reality as a complementary therapy to sexual addiction treatment
Cismaru Inescu, Adina; Andrianne, Robert ULg; Triffaux, Jean-Marc ULg

in International Journal of Advanced Computer Science (in press), 3(7), 1-5

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See detailL’éjaculation précoce : une revue de questions
Kempeneers, Philippe ULg; ANDRIANNE, Robert ULg; Lequeux, Armand et al

in Revue Francophone de Clinique Comportementale et Cognitive (2014), 19(2), 35-60

Premature ejaculation (PE) is a disorder characterized by three components: (1) a rapid ejaculation, (2), a feeling of lack of control upon ejaculation, (3) and a distress related to this condition. The ... [more ▼]

Premature ejaculation (PE) is a disorder characterized by three components: (1) a rapid ejaculation, (2), a feeling of lack of control upon ejaculation, (3) and a distress related to this condition. The criterion of rapidity appears to be most controversial: some authors refer only to subjects’ judgment, while other ones set a maximum ejaculatory latency. Although it focused some criticisms related to a lack of objective latency criteria, the definition of PE propounded by the DSM-IV(-TR) remains most currently used. PE affects about 15 to 30% of the male population. However, the estimations can vary widely depending on populations and methodologies. Several factors contribute to the occurrence of the disorder: one may very probably charge bio-constitutional risks, learning factors, cultural and cognitive influences and the role of anxiety. No robust data allow to implicate personality factors other than anxiety. The influence of the age remains a controversial topic. Cognitive-behavioral techniques appear to be quite efficient in the treatment of PE. However the success rates are variable, and the precise nature of the therapeutic active process remains unclear. Serotonergic drugs and local anesthetics are also efficient, but their action remains strictly symptomatic. The usefulness of phosphodiesterase-5 inhibitors is disputed. Combining psychological and pharmacological approaches might be promising. Unfortunately, there is a lack of clinical trials in this field. Although effective treatments do exist, only a few affected people appear to use them satisfactorily. Efforts have still to be made in order to train adequately heath practitioners and to make the treatments more accessible to the public. [less ▲]

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See detailL’éjaculation précoce : une revue de questions
Kempeneers, Philippe ULg; ANDRIANNE, Robert ULg; Lequeux, Armand et al

in Revue Francophone de Clinique Comportementale et Cognitive (2014), 19(2), 35-60

Premature ejaculation (PE) is a disorder characterized by three components: (1) a rapid ejaculation, (2), a feeling of lack of control upon ejaculation, (3) and a distress related to this condition. The ... [more ▼]

Premature ejaculation (PE) is a disorder characterized by three components: (1) a rapid ejaculation, (2), a feeling of lack of control upon ejaculation, (3) and a distress related to this condition. The criterion of rapidity appears to be most controversial: some authors refer only to subjects’ judgment, while other ones set a maximum ejaculatory latency. Although it focused some criticisms related to a lack of objective latency criteria, the definition of PE propounded by the DSM-IV(-TR) remains most currently used. PE affects about 15 to 30% of the male population. However, the estimations can vary widely depending on populations and methodologies. Several factors contribute to the occurrence of the disorder: one may very probably charge bio-constitutional risks, learning factors, cultural and cognitive influences and the role of anxiety. No robust data allow to implicate personality factors other than anxiety. The influence of the age remains a controversial topic. Cognitive-behavioral techniques appear to be quite efficient in the treatment of PE. However the success rates are variable, and the precise nature of the therapeutic active process remains unclear. Serotonergic drugs and local anesthetics are also efficient, but their action remains strictly symptomatic. The usefulness of phosphodiesterase-5 inhibitors is disputed. Combining psychological and pharmacological approaches might be promising. Unfortunately, there is a lack of clinical trials in this field. Although effective treatments do exist, only a few affected people appear to use them satisfactorily. Efforts have still to be made in order to train adequately heath practitioners and to make the treatments more accessible to the public. [less ▲]

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See detailL’éjaculation précoce : une revue de questions
Kempeneers, Philippe ULg; ANDRIANNE, Robert ULg; Lequeux, Armand et al

in Revue Francophone de Clinique Comportementale et Cognitive (2014), 19(2), 35-60

Premature ejaculation (PE) is a disorder characterized by three components: (1) a rapid ejaculation, (2), a feeling of lack of control upon ejaculation, (3) and a distress related to this condition. The ... [more ▼]

Premature ejaculation (PE) is a disorder characterized by three components: (1) a rapid ejaculation, (2), a feeling of lack of control upon ejaculation, (3) and a distress related to this condition. The criterion of rapidity appears to be most controversial: some authors refer only to subjects’ judgment, while other ones set a maximum ejaculatory latency. Although it focused some criticisms related to a lack of objective latency criteria, the definition of PE propounded by the DSM-IV(-TR) remains most currently used. PE affects about 15 to 30% of the male population. However, the estimations can vary widely depending on populations and methodologies. Several factors contribute to the occurrence of the disorder: one may very probably charge bio-constitutional risks, learning factors, cultural and cognitive influences and the role of anxiety. No robust data allow to implicate personality factors other than anxiety. The influence of the age remains a controversial topic. Cognitive-behavioral techniques appear to be quite efficient in the treatment of PE. However the success rates are variable, and the precise nature of the therapeutic active process remains unclear. Serotonergic drugs and local anesthetics are also efficient, but their action remains strictly symptomatic. The usefulness of phosphodiesterase-5 inhibitors is disputed. Combining psychological and pharmacological approaches might be promising. Unfortunately, there is a lack of clinical trials in this field. Although effective treatments do exist, only a few affected people appear to use them satisfactorily. Efforts have still to be made in order to train adequately heath practitioners and to make the treatments more accessible to the public. [less ▲]

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See detailL’éjaculation précoce : une revue de questions
Kempeneers, Philippe ULg; ANDRIANNE, Robert ULg; Lequeux, Armand et al

in Revue Francophone de Clinique Comportementale et Cognitive (2014), 19(2), 35-60

Premature ejaculation (PE) is a disorder characterized by three components: (1) a rapid ejaculation, (2), a feeling of lack of control upon ejaculation, (3) and a distress related to this condition. The ... [more ▼]

Premature ejaculation (PE) is a disorder characterized by three components: (1) a rapid ejaculation, (2), a feeling of lack of control upon ejaculation, (3) and a distress related to this condition. The criterion of rapidity appears to be most controversial: some authors refer only to subjects’ judgment, while other ones set a maximum ejaculatory latency. Although it focused some criticisms related to a lack of objective latency criteria, the definition of PE propounded by the DSM-IV(-TR) remains most currently used. PE affects about 15 to 30% of the male population. However, the estimations can vary widely depending on populations and methodologies. Several factors contribute to the occurrence of the disorder: one may very probably charge bio-constitutional risks, learning factors, cultural and cognitive influences and the role of anxiety. No robust data allow to implicate personality factors other than anxiety. The influence of the age remains a controversial topic. Cognitive-behavioral techniques appear to be quite efficient in the treatment of PE. However the success rates are variable, and the precise nature of the therapeutic active process remains unclear. Serotonergic drugs and local anesthetics are also efficient, but their action remains strictly symptomatic. The usefulness of phosphodiesterase-5 inhibitors is disputed. Combining psychological and pharmacological approaches might be promising. Unfortunately, there is a lack of clinical trials in this field. Although effective treatments do exist, only a few affected people appear to use them satisfactorily. Efforts have still to be made in order to train adequately heath practitioners and to make the treatments more accessible to the public. [less ▲]

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See detailVirtual Reality as a Complementary Therapy to Sexual Addiction Treatment
Cismaru Inescu, Adina ULg; Andrianne, Robert ULg; Triffaux, Jean-Marc ULg

in International Journal of Advanced Computer Science (2013), 3(7),

Virtual reality has gained traction as a research, education and treatment tool. Virtual reality is a system that immerses people in virtual worlds and improves clinicians’ traditional treatments for ... [more ▼]

Virtual reality has gained traction as a research, education and treatment tool. Virtual reality is a system that immerses people in virtual worlds and improves clinicians’ traditional treatments for addictive disorders, eating disorders, phobias, and stroke rehabilitation. Sex addiction is a dysregulation of sexual desire, characterized by excessive sexual behavior (between 5-15 sexual activities/day, for more than 6 months, after the age of 15). Hypersexuality highlights disturbances in human sexual desire, motivation, and behavior systems. Virtual reality worlds were initially designed to treat smokers and alcoholics, and are now programmed for drug users and other kind of addictions. In this article we present different characteristics of sex addiction and possible treatments, including the virtual exposure treatment. [less ▲]

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See detailL'addiction au sexe, ça se soigne ?
Cismaru Inescu, Adina ULg; Andrianne, Robert ULg; Triffaux, François ULg et al

in Revue Médicale de Liège (2013), 68

L'addiction sexuelle, ou dépendance au sexe, se caractérise par une hypersexualité, une altération de la régulation du désir sexuel et une compulsion sexuelle traduisant l’existence d’une sexualité avec ... [more ▼]

L'addiction sexuelle, ou dépendance au sexe, se caractérise par une hypersexualité, une altération de la régulation du désir sexuel et une compulsion sexuelle traduisant l’existence d’une sexualité avec une fréquence excessive non contrôlée (5 à 15 actes sexuels par jour, pendant plus de 6 mois, à partir de 15 ans). Entre 3% et 6% de la population adulte ( ≥18 ans) présenteraient les caractéristiques de l’addiction sexuelle, trouble prédominant chez les hommes, indépendamment de l’orientation sexuelle. A la base de cette pathologie on trouve les altérations de la régulation des émotions ainsi que du système de récompense et de motivation. L’addiction sexuelle est fréquemment associée à d’autres addictions et à d’autres troubles psychopathologiques. L’utilisation d’accessoires sexuels pour optimiser les performances sexuelles est régulièrement décrite. Dans cet article nous aborderons les multiples facettes de l’hypersexualité et les différentes possibilités d'approches thérapeutiques dont l’exposition en réalité virtuelle. [less ▲]

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See detailFunctional and Psychological Characteristics of Belgian Men with Premature Ejaculation and Their Partners
Kempeneers, Philippe ULg; ANDRIANNE, Robert ULg; Bauwens, Sabrina et al

in Archives of Sexual Behavior (2013), 42

Physiological, behavioral, cognitive, and emotional factors are generally acknowledged to play a role in premature ejaculation (PE). However, the nature and the extent of their etiological impact remain ... [more ▼]

Physiological, behavioral, cognitive, and emotional factors are generally acknowledged to play a role in premature ejaculation (PE). However, the nature and the extent of their etiological impact remain largely imprecise. The present study examined functional and psychometric dynamics at work in a PE population. A total of 461 men with PE and 80 partners completed an online questionnaire. The main outcome measures were self-reported ejaculatory latency time, the feeling of control upon ejaculation, sexual satisfaction, distress related to PE, trait anxiety (STAI-B), sexual cognitions (SIQ), social anxiety (LSAS and SISST), and personality traits (TCI-R). In our sample, the median latency time to ejaculation was between 1 and 2 minutes. Sexual satisfaction and distress correlated more strongly with the feeling of control than with the self-reported latency time. Men experienced more distress and dissatisfaction related to PE than did their partners while overestimating their partners’ distress and dissatisfaction. PE participants’ scores differed significantly, albeit slightly, from STAI-B, SIQ, LSAS, and SISST norms. The differences were negligible on TCI-R. Some differences became stronger when subtypes were considered. Participants combining generalized and lifelong PE with self-reported latency times of < 30 sec reported lower sexual satisfaction and control, higher distress, higher social anxiety, and harm avoidance (TCI-R/HA) scores. By contrast, the situational subtype of PE was found to be characterized by a higher level of satisfaction, a greater feeling of control, less distress, and higher trait anxiety scores. However, the trends remained statistically discrete. [less ▲]

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See detailThe treatment of hypersexuality by cognitive behavioral therapy and virtual therapy
Cismaru, Adina; Andrianne, Robert ULg; Triffaux, Jean-Marc ULg

Poster (2012, March 24)

The sexual addiction is an abnormal sexual practice. It becomes the center of the subject’s existence, by depriving him from other investments and without bringing him real satisfaction. This research ... [more ▼]

The sexual addiction is an abnormal sexual practice. It becomes the center of the subject’s existence, by depriving him from other investments and without bringing him real satisfaction. This research project intends to explore the field of sexual addiction and a possible treatment for it. Several studies on sexual dysfunction treated with psychotherapy and virtual reality have shown that we obtain better results than if we use just the psychotherapy. [less ▲]

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See detailClinical outcomes of a new self-help booklet for premature ejaculation
Kempeneers, Philippe ULg; ANDRIANNE, Robert ULg; Bauwens, Sabrina et al

in Journal of Sexual Medicine (2012), 9

INTRODUCTION. Premature ejaculation (PE) is quite common. Although effective treatments do exist, only a few affected people consult a practitioner in order to overcome their problem. At the same time ... [more ▼]

INTRODUCTION. Premature ejaculation (PE) is quite common. Although effective treatments do exist, only a few affected people consult a practitioner in order to overcome their problem. At the same time, studies have shown that reading didactical documents about their PE problem (bibliotherapy) can be useful to men. AIM. The aim of this study was to improve the bibliotherapy approach using up to date knowledge and techniques. The expected benefits were: (1) an effective manual shorter than previous ones, (2) easier to assimilate therapeutic principles and (3) a method thereby made accessible to a broad population most of whom usually do not consult for this type of sexual problem. METHOD. A short bibliotherapy titled The Practical Guide of PE [in French] was tested among PE subjects who were diagnosed with PE according to DSM-IV-TR criteria. Assessments were made at baseline (N = 421), at 4-8 months (N = 120) and at 10-14 months (N = 79) after they read The Practical Guide. A control group of 66 subjects was left on a waiting list and was assessed two months after baseline. MAIN OUTCOME MEASURES. Self-reported ejaculatory latency time, feeling of control upon ejaculation, sexual satisfaction, distress related to PE, anxiety experienced during sexual intercourse and sexual cognitions (SIQ). RESULTS. Significant improvements were found for all the self-reported parameters, both at 4-8 and at 10-14 months after the bibliotherapy. The improvements were associated with an adjustment of sexual cognitions. The response to treatment seemed better for those subjects with moderate PE. Although the severity criteria used in this study did not precisely meet the ISSM criteria for lifelong PE, they were likely related. The response did not seem to be affected by variables such as age, education or personality. CONCLUSION. Its cost/benefit ratio makes The Practical Guide a valuable therapeutic tool. [less ▲]

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See detailChronic Idiopathic Penile Edema: Three Cases and a Review of the Literature
RATY, Laurent ULg; FAILLA, Valérie ULg; Andrianne, Robert ULg et al

in Open Dermatology Journal (The) (2011), 5

Abstract: Chronic idiopathic penile edema (CIPE) is an exceptional entity with disabling persistent lymphedema of the penis, affecting accessorily the scrotum and the pubis. The onset presents with ... [more ▼]

Abstract: Chronic idiopathic penile edema (CIPE) is an exceptional entity with disabling persistent lymphedema of the penis, affecting accessorily the scrotum and the pubis. The onset presents with recurrent swelling of the external genitalia, regressing spontaneously. After 2-3 years the swelling becomes progressively persistent. Mictional and erectile dysfunctions are not uncommon. A thorough work-up including RX, ultrasound examination, CT scanning, MRI imaging, serology and extensive blood testing should be performed to exclude underlying causes, including neoplastic, infectious, vascular and inflammatory diseases. CIPE is associated with significant psychological and functional impact. Surgical correction is the sole therapeutic option. Three patients with CIPE and a review of the literature are presented in order to increase awareness of this rare condition. [less ▲]

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See detailEtude Belge HelpED :Effet de la revalidation érectile par iPDE 5 sur l’évolution psychosociale de l’homme pour dysfonction érectile
Andrianne, Robert ULg; Claes, Hubert; Opsomer, Reinier et al

in Belgian Journal of sexual health (2011)

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See detailL’hypertrophie bénigne de la prostate
Andrianne, Robert ULg; Sempels, Maxime ULg

in opsomer, reinier; De Leval, Jean (Eds.) Incontinences Urinaires de L'Homme (2011)

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See detailComment arriver à la prothèse pénienne
Andrianne, Robert ULg

Scientific conference (2011)

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See detailClinical outcomes of a new cognitive-behaviour bibliotherapy for premature ejaculation
Kempeneers, Philippe ULg; Andrianne, Robert ULg; Bauwens, Sabrina et al

Conference (2010, October 08)

INTRODUCTION. Premature ejaculation (PE) is a common sexual disorder. However, only few affected people consult clinicians in order to overcome this problem. Although no definitive consensus about its ... [more ▼]

INTRODUCTION. Premature ejaculation (PE) is a common sexual disorder. However, only few affected people consult clinicians in order to overcome this problem. Although no definitive consensus about its aetiology emerges, some mechanisms of PE are now well known. This allows more precise and efficient treatments, both at pharmacological as well as cognitive-behavioural levels. Further, studies have shown that reading didactical documents about their PE problem might be useful to men. Such approach is called “bibliotherapy”. AIM. The aim of the present study was to improve the bibliotherapy approach on the basis of up to date knowledge and techniques. The expected benefits were: (1) an efficient manual shorter than previous ones, (2) therapeutic principles easier to assimilate and (3) a method thereby made accessible to a large public which usually does not consult for this type of sexual problem. METHOD. A short bibliotherapy named Practical Guide of PE [in French] was tested among 421 PE subjects (DSM-IV diagnosis criteria). Self-reported anxiety, sexual satisfaction, ejaculatory latency time, feeling of control and distress were measured: (1) at baseline, (2) at 4-8 months and (3) at 10-14 months after reading the Practical guide of PE. A control condition was composed by 67 subjects left on a waiting-list for two months after baseline. RESULTS. Significant improvements were found for all the self-reported parameters, either at 4-8 and at 10-14 months after the bibliotherapy. The improvements were associated with an adjustment of sexual cognitions (SIQ, McCormick & Jordan). The response to treatment seemed better when the severity of PE was moderate, but did not seem related to variables such as age, educational level and personality traits (TCI-R, Cloninger; STAI Y-B, Spielberger.) CONCLUSION: Its cost/benefit ratio makes the Practical Guide an ideal first line therapeutic tool. Its large diffusion might be useful in order to improve sexual health in populations [less ▲]

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