A Letter to the Editor on the Article by Farnam et al.−Author's Response

We greatly appreciate the comments of Dr. Rutte et al. regarding our recent study on the effectiveness of sexual counseling models in health care [1]. We agree with them that to find a more cost-effective alternative for standard models, such as Permission, Limited Information, Specific Suggestions, and Intensive Therapy (PLISSIT), we should perform a costeffectiveness study. We will need further analyses to address this question, and we prefer to answer this question in a separate paper. The primary purpose of our article was to assess whether group therapy such as Sexual Health Model (SHM) can be as effective as individual therapy like PLISSIT model in women with sexual problems. As suggested, we have reanalyzed the data for sexual function and sexual distress according to treatment groups. These results suggest that both sexual function and sexual distress contribute to the both group treatments. With only 44 women in SHM, it was difficult to draw firm conclusions in multivariate analysis of variance about the differences between group treatments analysis. Assessing the efficacy of this intervention in larger samples is therefore warranted.