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.

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‑P...

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Published in:Sexuality & Disability Vol. 41; no. 2; pp. 451 - 467
Main Authors: Shami, Maryam, Montazeri, Ali, Faezi, Seyedeh Tahereh, Behboodi Moghadam, Zahra
Format: research tables/charts randomized controlled trial Journal Article
Published: Springer Nature Jun2023
Online Access:View this record in EBSCOhost
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      place: New York, New York
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        atl: 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.
      aug:
        au:
          Shami, Maryam
          Montazeri, Ali
          Faezi, Seyedeh Tahereh
          Behboodi Moghadam, Zahra
        affil: Department of Reproductive Health and Midwifery, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
      sug:
        subj:
          Sexual Counseling
          Models, Theoretical
          Lupus Erythematosus, Systemic Complications
          Married Women
          Sexuality
          Human
          Randomized Controlled Trials
          Random Assignment
          Iran
          Adult
          Questionnaires
          Scales
          Paired T-Tests
          Chi Square Test
          Descriptive Statistics
          Female
          Data Analysis Software
          Analysis of Variance
          Depression
          Anxiety
          Funding Source
          Adult: 19-44 years
          Female
      ab: 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.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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