The Effect of Counseling Based on EX-PLISSIT Model on Sexual Dysfunction and Quality of Sexual Life of Married Women with Multiple Sclerosis: A Randomized Controlled Clinical Trial.
Sexual dysfunction is one of the most common complaints of patients with multiple sclerosis (MS). The study aimed to determine the effect of counseling based on the extended PLISSIT model (Permission, Limited Information, Specific Suggestion, and Intensive Therapy) on sexual dysfunction and the qual...
| Publicado en: | Sexuality & Disability Vol. 38; no. 2; pp. 271 - 285 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Springer Nature
Jun2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=143056698&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 143056698 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01461044 42X jtl: Sexuality & Disability issn: 01461044 maglogo: N pubinfo: dt: Jun2020 vid: 38 iid: 2 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 143056698 143056698 143056698 10.1007/s11195-020-09617-4 143056698 ppf: 271 ppct: 14 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: The Effect of Counseling Based on EX-PLISSIT Model on Sexual Dysfunction and Quality of Sexual Life of Married Women with Multiple Sclerosis: A Randomized Controlled Clinical Trial. aug: au: Azari-Barzandig, Roya Sattarzadeh-Jahdi, Niloofar Nourizadeh, Roghaiyeh Malakouti, Jamileh Mousavi, Saeed Dokhtvasi, Gasem affil: Counseling in Midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran sug: subj: Counseling Methods Sexual Dysfunction, Female Therapy Quality of Life Sexuality Married Women Multiple Sclerosis Treatment Outcomes Models, Theoretical Human Randomized Controlled Trials Iran Questionnaires Clinical Assessment Tools Scales Neurologists Persons with Disabilities Random Assignment Comparative Studies Pretest-Posttest Design Data Analysis Software T-Tests Analysis of Covariance Confidence Intervals Descriptive Statistics Female Adolescence Adult Middle Age Summated Rating Scaling Adolescent: 13-18 years Adult: 19-44 years Middle Aged: 45-64 years Female ab: Sexual dysfunction is one of the most common complaints of patients with multiple sclerosis (MS). The study aimed to determine the effect of counseling based on the extended PLISSIT model (Permission, Limited Information, Specific Suggestion, and Intensive Therapy) on sexual dysfunction and the quality of sexual life of married women with MS. This randomized clinical trial was performed on 70 married women with MS aged between 18 and 45 years referring to the MS Association of Tabriz, Iran. The data were collected using a demographic questionnaire, Multiple Sclerosis Intimacy and Sexuality Questionnaire-19 (MSISQ-19), Sexual Quality of Life for a Female, Fatigue Severity Scale, and Beck Depression Inventory-Short Form Items (BDI-13). A neurologist rated the disability level using the Expanded Disability Status Scale. Using randomization, the participants with a score of 4 or 5 in each item of MSISQ-19 were assigned to counseling and the control group, with block sizes of four and six and allocation ratio of 1:1. The intervention group attended a counseling session or more if needed, based on the EX-PLISSIT model. Data were analyzed using SPSS software (Version 25). Independent t test and ANCOVA were used to analyze the data. After intervention, there was a significant difference between the two groups in terms of primary and tertiary sexual dysfunctions [AMD, − 7.84; 95% CI − 14.82 to − 0.86; P = 0.02]. Despite an increased mean score of quality of sexual life in the intervention group after counseling, there was no statistically significant difference between the two groups [AMD, 9.29; 95% CI − 1.46 to 20.04; P = 0.08]. Although counseling based on EX-PLISSIT had a positive effect on decreasing sexual dysfunction, it could not improve the quality of sexual life of women suffering from MS. Applying sexual counseling approaches with a focus on couple counseling is suggested for improving the quality of sexual life. pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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