The effect of extended PLISSIT model-based counseling on sexual satisfaction in women with systemic lupus erythematosus: A randomized controlled trial.

Background & Aim: Systemic Lupus Erythematosus has physiological, cognitive, and mental effects on sexual satisfaction in afflicted women. This study aimed to investigate the effect of sexual counseling based on the EX-PLISSIT model on sexual satisfaction in this group of patients. Materials & Metho...

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Publicado en:Nursing Practice Today Vol. 13; no. 2; pp. 175 - 187
Autores principales: Shami, Maryam, Behboodi Moghadam, Zahra, Ghanbaran, Alireza, Montazeri, Ali, Javadnoori, Mojgan
Formato: research tables/charts randomized controlled trial Journal Article
Publicado: Tehran University of Medical Sciences Spring2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Spring2026
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      pub: Tehran University of Medical Sciences
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        193821347
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        10.18502/npt.v13i2.21467
        193821347
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        atl: The effect of extended PLISSIT model-based counseling on sexual satisfaction in women with systemic lupus erythematosus: A randomized controlled trial.
      aug:
        au:
          Shami, Maryam
          Behboodi Moghadam, Zahra
          Ghanbaran, Alireza
          Montazeri, Ali
          Javadnoori, Mojgan
        affil: Student Research Committee, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
      sug:
        subj:
          Married Women Psychosocial Factors
          Lupus Erythematosus, Systemic Complications
          Sexual Counseling
          Models, Educational
          Sexual Satisfaction Evaluation
          Treatment Outcomes
          Human
          Iran
          Funding Source
          Randomized Controlled Trials
          Random Assignment
          Questionnaires
          Unpaired T-Tests
          Paired T-Tests
          Chi Square Test
          Repeated Measures
          Analysis of Variance
          Descriptive Statistics
          After Care
          Comparative Studies
          Sex Education
          Adult
          Scales
          Data Analysis Software
          Adult: 19-44 years
      ab: Background & Aim: Systemic Lupus Erythematosus has physiological, cognitive, and mental effects on sexual satisfaction in afflicted women. This study aimed to investigate the effect of sexual counseling based on the EX-PLISSIT model on sexual satisfaction in this group of patients. Materials & Methods: A randomized controlled trial was conducted on 120 married women with SLE in Ahvaz, Iran. Eligible women were randomly assigned to the intervention group (four weeks of psychosexual counseling sessions based on EX-PLISSIT) and the control group, using block randomization with a 1:1 allocation ratio. Before the intervention and eight and twelve weeks after the completion of counseling sessions, the Larson Sexual Satisfaction Questionnaire was administered. Data was analyzed using independent t-tests, paired t-tests, Chi-square test, and repeated measures ANOVA. Results: There was no significant difference in sexual satisfaction scores between the two groups before the intervention (p=0.718). Following the intervention, the mean sexual satisfaction score in the intervention group significantly increased (from 93.8±15.59 to 104.5±13.32 after 12 weeks), while a significant decrease was observed in the control group. At the 12-week follow-up, the mean satisfaction in the intervention group was significantly higher than the control group (p<0.0001). Repeated Measures ANOVA confirmed a significant difference in the trend of changes between the two groups over time (p<0.0001). Conclusion: The results demonstrated that sexual counseling based on the EX-PLISSIT model significantly enhanced sexual satisfaction in married women with SLE compared to the control group. Therefore, this type of counseling is recommended as an effective and simple adjunctive therapeutic service for enhancing sexual satisfaction in women with SLE.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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