Comparison of the Effects of the PLISSIT Model Versus the Sexual Health Model on Quality of Life Among Women with Breast Cancer

Esmkhani, Mina; Kharaghani, Roghieh; Shakibazadeh, Elham; Faghihzadeh, Soghrat; Korte, Jeffrey E.; Khoei, Effat Merghati

doi:10.1007/s11195-020-09661-0

Cited by 9 publications

(13 citation statements)

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“…In the current study the mean age of participants was 43.4 ± 5.6 years which matched the mean age of participants of Saboula and Shahin [ 18 ], and Faghani and Ghaffari [ 35 ] studies, i.e., 43.1 ± 10.0 years and 43.2 ± 4.6 years respectively. Also, 60% of women in the present study were below 40 years of age that is similar to other studies [ 15 , 18 , 36 ]. The age distribution of breast cancer in Iranian women is about one decade lower than other countries, which indicates more psychological and sexual problems compared to others [ 36 ].…”

Section: Discussionsupporting

confidence: 92%

“…Also, 60% of women in the present study were below 40 years of age that is similar to other studies [ 15 , 18 , 36 ]. The age distribution of breast cancer in Iranian women is about one decade lower than other countries, which indicates more psychological and sexual problems compared to others [ 36 ].…”

Section: Discussionsupporting

confidence: 92%

“…Consistent with our study, Faghani and Ghaffari showed improved quality of sexual life and sexual function and its all aspects in post-mastectomy women four weeks after the PLISSIT- based consultation presented in four 90-min sessions [ 35 ]. Esmkhani et al, reported similar effects on improving all domains of QoL of women with breast cancer 6, and 12 weeks after application of PLISSIT model [ 36 ]. Also, Saboula and Shahin showed that the application of the PLISSIT model was effective in enhancing body image, couple satisfaction, and all sexual function index domains except for the domain of desire for women with breast cancer three weeks after receiving six 2 h counseling sessions [ 18 ].…”

Section: Discussionmentioning

confidence: 99%

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The effect of PLISSIT based counseling model on sexual function, quality of life, and sexual distress in women surviving breast cancer: a single-group pretest–posttest trial

et al. 2021

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Background Diagnosis and treatment of breast cancer potentially leads to sexual dysfunction and sexual distress in women and negatively affects their quality of life (QoL). This study aimed at determining the effect of PLISSIT based counseling on sexual function, sexual distress, and QoL in women surviving breast cancer. Methods In this pre-test, post-test, single-group semi-experimental study, 65 women surviving breast cancer who were referred to the selected centers were included in the study via the available sampling method. Data gathering tools included a researcher-made demographic questionnaire, female sexual function index, beck depression inventory-II, State‐Trait Anxiety Inventory, World Health Organization QoL-Brief, and Female Sexual Distress Scale-Revised. The counseling program (7 sessions 60 min each) was designed based on the PLISSIT model. The sexual function, sexual distress, and QoL were evaluated before, and 2 and 4 weeks after the intervention. To compare the mean scores of variables before and after the intervention, repeated-measured ANOVA was used. Results The findings showed that PLISSIT based counseling significantly reduced sexual distress and increased the scores of QoL and all its domains, as well as sexual function and all its domains in women surviving breast cancer (p < 0.05). There was no significant difference in the mean scores of variables 2 and 4 weeks after the intervention. Conclusions It seems that PLISSIT based counseling reduces sexual dysfunction and sexual distress and improves the QoL of women surviving breast cancer. So, it is recommended that these counseling programs be integrated into the health care program of this group of women. Trial registration TCTR202103170010, 17 March 2021, Retrospectively registered, at https://www.thaiclinicaltrials.org/.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

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The effect of PLISSIT based counseling model on sexual function, quality of life, and sexual distress in women surviving breast cancer: a single-group pretest–posttest trial

et al. 2021

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“…In their study, group and individual sexual counseling was done. Esmkhani et al compared the effect of the individual PLISSIT model versus group therapy according to Sexual Health Model on the quality of women with breast cancer and reported that the quality of both methods had similar effects on improving the quality of life, sexual function, and sexual pleasure of these women [ 35 ]. Nho also examined the effect of a PLISSIT-based sexual health enhancement program on women with gynecological cancers and their husbands and concluded that using these programs in four 90 min sessions could be effective in promoting sexual function and marital intimacy, reduce women's sexual distress, and increase their husbands’ happiness [ 36 ].…”

Section: Discussionmentioning

confidence: 99%

The Effect of Sexual Counseling Based on EX‑PLISSIT Model on Improving the Sexual Function of Married Women with Systemic Lupus Erythematosus: A Randomized Controlled Trial

et al. 2023

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Systemic Lupus erythematosus (SLE) is a multisystem autoimmune disease. This disease triggers sexual dysfunction due to physiological, cognitive and mental effects. Since sexual function is often ignored in these patients, this study aimed to investigate the effect of sexual counseling based on EX‑PLISSIT model on improving the sexual function of married women with SLE. This clinical trial was conducted on 101 married women suffering from SLE (18–49 years) residing in Tehran. Randomization was performed by random block allocation with six blocks in a rheumatology clinic. A demographic questionnaire, the Depression, Anxiety, Stress Scales-21 Items (DASS-21), and the female sexual function index were used to collect the data. The intervention group received counselling sessions every week while the control group (n = 55) received routine care for the disease. Eight and twelve weeks after completion of counselling sessions, outcomes compared between the intervention and control groups, using independent ttest, paired t-test, repeated measures and Chi-squared test. The scores of sexual function in both groups did not differ significantly before the intervention ( p > 0.05). At the first follow-up session, the score of all sexual function domains except sexual pain increased significantly in the intervention group while a significant reduction was observed in all domains of sexual function in the control group ( p < 0.05). In the second follow-up, sexual function significantly increased in the intervention group whereas it significantly decreased in the control group ( p < 0.05). According to the findings of this study, counseling based on EX-PLISSIT model positively affected the sexual function of women with SLE. Therefore, this model can be used as a cost-effective and simple counseling method to improve the sexual functions.

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“…Esmkhani ve ark. 'nın 35 çalışmasında da PLISSIT modeline dayalı cinsel danışmanlık verilen meme kanserli kadınlarda cinsel fonksiyonların ve yaşam kalitesinin daha iyi olduğu bulunmuştur. Avrupa Kardiyoloji Derneği de sağlık profesyonellerine cinsel danışmanlık verirken PLISSIT modeli kullanımını önermiştir 18 .…”

Section: Cinsel Danışmanlıkunclassified

The Effect of Open Heart Surgery on Female Sexual Function and Sexual Counseling

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Öskay²

2021

Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi

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Dünya genelinde ve ülkemizde kardiyovasküler hastalıklar oldukça sık görülmektedir. Kardiyovasküler hastalıklarda en çok tercih edilen tedavi yöntemlerinin başında cerrahi yöntemler gelmektedir. Kardiyak cerrahiye neden olan kardiyovasküler sistem hastalıklarının varlığında kadın cinsel fonksiyon bozuklukları sık görülmektedir. Dolaşım bozukluğu nedeniyle genital bölgenin yeterli perfüzyonunun sağlanamaması sonucu lubrikasyon sorunları ve klitoral uyarının gecikmesi gibi cinsel sorunlar meydana gelebilmektedir. Aynı zamanda ameliyat sonrası cinsel yaşama dönüş süreci hakkında yeterli bilgi sahibi olmama, iyileşme süresinin uzayabileceği, miyokard infarktüsü geçirme ve hatta ölüme neden olabilme gibi endişeler nedeniyle kadınlar cinsellikten uzak durmaktadırlar. Oysaki intrauterin dönemden itibaren başlayan cinsellik; yaşam boyu devam eden, bireylerin fiziksel ve psikolojik iyilik halinin sürdürülmesinde önemli bir rol oynayan, temel ve vazgeçilmez bir yaşam gereksinimidir. Hastaların cinsel konu ve sorunlarını en rahat konuşabildikleri sağlık profesyonelleri hemşirelerdir. Bu nedenle ameliyat sonrası dönemde hastalara cinsel danışmanlık vermeleri önemli ve gereklidir. Etkili bir cinsel danışmanlık için hemşirelerin bilgi düzeyi ve farkındalıklarının arttırılması gereklidir. Bu derlemenin amacı açık kalp cerrahisinin kadın cinsel fonksiyonuna etkisini ve ameliyat sonrası doğru cinsel danışmanlık ilkelerini literatür doğrultusunda incelemektir.

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Comparison of the Effects of the PLISSIT Model Versus the Sexual Health Model on Quality of Life Among Women with Breast Cancer

Cited by 9 publications

References 11 publications

The effect of PLISSIT based counseling model on sexual function, quality of life, and sexual distress in women surviving breast cancer: a single-group pretest–posttest trial

The effect of PLISSIT based counseling model on sexual function, quality of life, and sexual distress in women surviving breast cancer: a single-group pretest–posttest trial

The Effect of Sexual Counseling Based on EX‑PLISSIT Model on Improving the Sexual Function of Married Women with Systemic Lupus Erythematosus: A Randomized Controlled Trial

The Effect of Open Heart Surgery on Female Sexual Function and Sexual Counseling

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