Sexual health outcomes of PLISSIT-based counseling versus grouped sexuality education among Iranian women with breast cancer: A randomized clinical trial

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

doi:10.1080/14681994.2020.1732910

Cited by 9 publications

(11 citation statements)

References 17 publications

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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%

“…Besides, breast cancer treatments may result in some sexual problems such as sexual dysfunction, sexual distress, and unsatisfactory body image due to the loss of a body part [ 12 , 13 ]. In Iran, the prevalence of these sexual dysfunctions was reported as 84% in post-treatment [ 14 ] which is close to the global records [ 15 ]. Sexual dysfunction can negatively affect the QoL and interpersonal relationships [ 15 , 16 ].…”

Section: Introductionsupporting

confidence: 61%

“…In Iran, the prevalence of these sexual dysfunctions was reported as 84% in post-treatment [ 14 ] which is close to the global records [ 15 ]. Sexual dysfunction can negatively affect the QoL and interpersonal relationships [ 15 , 16 ]. Therefore, improving sexual function in these patients not only can enhance medical practice, but also can improve their well-being, QoL, and interpersonal relationships [ 17 ].…”

Section: Introductionsupporting

confidence: 61%

“…Other studies have found similar results on the effect of PLISSIT-based counseling on improving sexual function, sexual distress, and marital intimacy in women with gynecological cancers [ 38 , 39 ]. Contrary to these results, in a study by Khoei et al, consultation using the PLISSIT model had no significant effect on sexual behavior of women with breast cancer compared to the control group at six weeks and 12 weeks after intervention [ 15 ]. This difference may be due to varying approaches to implementing interventions, the number of sessions, tools, and characteristics of the study population.…”

Section: Discussionmentioning

confidence: 88%

“…In general, the increasing prevalence of breast cancer in recent years and its negative effects on the physical, psychological and social aspects of women's lives has led to its being recognized as a major women health problem that has a negative effect on their QoL through reducing sexual function and distress [ 15 , 16 ]. Besides, there is a lack of adequate related education, so, educating women surviving breast cancer on changes in sexual function following cancer through intervention programs such as PLISSIT based counseling can help them cope with the disease and thus improve these women's QoL as an important member of the family.…”

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: Introductionsupporting

confidence: 61%

Section: Introductionsupporting

confidence: 61%

Section: Discussionmentioning

confidence: 88%

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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Feasibility and effectiveness of communication tools for addressing intimacy and sexuality in patients with cancer: a systematic review

Arends,

van Rossum,

Eeltink

et al. 2024

Support Care Cancer

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Purpose Patients diagnosed with cancer might experience changes in intimacy and sexuality due to the illness itself, treatment, or psychological and social factors. Healthcare professionals (HCPs) often feel reluctant to discuss these changes. This study aimed to provide an overview of the feasibility and effectiveness of communication tools that support communication regarding changes in intimacy or sexuality among patients with cancer. Methods This is a systematic review. Databases are PubMed, Embase, CINAHL, PsycInfo, Web of Science and Cochrane Library from inception to June 2023. The Mixed Methods Appraisal Tool was used to assess included studies. Data were summarized in data charting forms. Results In total 35 studies were included, published between 2001 and 2023. Most had a quantitative design and moderate methodological quality. In 11 studies, the PLISSIT model (Permission, Limited Information, Specific Suggestions, Intensive Therapy) was used. Tools were integrated in counselling sessions or training programmes for individual patients, couples, groups of patients, or HCPs. All tools were considered feasible by patients or HCPs. Twenty studies reported significant improvement in sexual functioning, quality of life, quality of care or combined outcomes. Conclusion Tools to support communication about changes in intimacy and sexuality among patients with cancer seem feasible and effective. The most commonly used tool, the PLISSIT model, proved to be feasible for HCPs and to have a positive effect on patients’ and partners’ sexual functioning and quality of life. Giving attention to changes in intimacy and sexuality seems to be important in itself, regardless of the communication tool or approach used.

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The Effect of Sexual Counseling Based on PLISSIT and EX-PLISSIT Models on Sexual Function, Satisfaction, and Quality of Life: A Systematic Review and Meta-Analysis

Cicek Ozdemir,

Dogan Gangal,

Senturk Erenel

2024

Arch Sex Behav

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This systematic review and meta-analysis study aimed to investigate the effect of sexual counseling based on PLISSIT (Permission, Limited Information, Specific Suggestions, and Intensive Therapy) and EX-PLISSIT models on sexual function, satisfaction, and quality of sexual life. We searched seven electronic databases (MEDLINE, CINAHL, Web of Science, Cochrane Library, ProQuest, Scopus, and PubMed). Studies published between January 1, 2010, and August 16, 2022, were included in the search. Eighteen articles were eligible for inclusion in the analysis. There was a significant difference in the sexual function scores of the PLISSIT and EX-PLISSIT groups and the comparison groups (standardized mean difference (SMD): 1.677; 95% CI 0.668, 2.686; p < 0.05) and “sexual and communication satisfaction” sub-dimension of sexual life quality (SMD: 0.748; 95% CI 0.022, 1.475; p < 0.05). There was no difference in the sexual satisfaction (SMD: 0.425; 95% CI − 0.335, 1.184; p > 0.05) and quality of sexual life scores of the PLISSIT and EX-PLISSIT groups and the comparison groups (SMD: − 0.09; 95% CI − 0.211, 0.032; p > 0.05). PLISSIT and EX-PLISSIT models-based sexual counseling on sexual function was affected by the moderator variables of the time of evaluation of the results after the intervention, type of comparison group, the study population, and by whom the intervention was applied. Sexual counseling based on the PLISSIT and EX-PLISSIT models improved sexual function scores and “sexual and communication satisfaction” sub-dimension of sexual life quality.

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Sexual health outcomes of PLISSIT-based counseling versus grouped sexuality education among Iranian women with breast cancer: A randomized clinical trial

Cited by 9 publications

References 17 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

Feasibility and effectiveness of communication tools for addressing intimacy and sexuality in patients with cancer: a systematic review

The Effect of Sexual Counseling Based on PLISSIT and EX-PLISSIT Models on Sexual Function, Satisfaction, and Quality of Life: A Systematic Review and Meta-Analysis

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