The effectiveness of the Permission, Limited Information, Specific suggestions, Intensive Therapy (PLISSIT) model based sexual counseling on the sexual function of women with Multiple Sclerosis who are sexually active

2016 ◽  
Vol 8 ◽  
pp. 113-119 ◽  
Author(s):  
Zohreh Khakbazan ◽  
Fatemeh. Daneshfar ◽  
Zahra Behboodi-Moghadam ◽  
Seyed Massood Nabavi ◽  
Sogand Ghasemzadeh ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Sexual Function ◽  
Intensive Therapy ◽  
Sexually Active ◽  
Limited Information ◽  
Model Based ◽  
Sexual Counseling ◽  
Plissit Model

LION-PAW (lymphadenectomy in ovarian neoplasm) sexual function assessment: a prospective sub-study of the LION trial

2020 ◽  
Vol 30 (10) ◽  
pp. 1548-1553 ◽  
Author(s):  
Annette Hasenburg ◽  
Jalid Sehouli ◽  
Bjoern Lampe ◽  
Alexander Reuss ◽  
Barbara Schmalfeld ◽  
...  
Keyword(s):  
Ovarian Cancer ◽  
Sexual Function ◽  
Radical Surgery ◽  
Performance Status ◽  
Advanced Ovarian Cancer ◽  
Sexually Active ◽  
Limited Information ◽  
Platinum Based Chemotherapy ◽  
Eortc Qlq ◽  
The Impact

BackgroundThere is limited information about the impact of radical surgery including pelvic and para-aortic lymphadenectomy and subsequent platinum-based chemotherapy on sexuality in patients with advanced ovarian cancer.ObjectiveTo evaluate the impact of radical surgery including pelvic and para-aortic lymphadenectomy and subsequent platinum-based chemotherapy on sexuality in patients with advanced ovarian cancer as a sub-protocol of the prospectively randomized LION trial.MethodsThe Sexual Activity Questionnaire was applied to assess sexual function according to its sub-scales activity, pleasure, and discomfort. The 'orgasm' sub-scale from the Female Sexual Function Index was also added. The questionnaire was administered in combination with the EORTC QLQ-C30 questionnaire at baseline prior surgery, after 6, 12, and 24 months. The primary endpoint was changes in sexual function.ResultsOverall, 495 patients received the questionnaires. 254 (51%) responded at baseline. Of these, 55 (22%) patients were sexually active, 182 (72%) were sexually inactive, and for 17 (7%) patients' data were not available. There was a total of 55/495 (11%) patients at 6 months, 139 (28%) patients at 12 months, and 81 (16%) patients at 24 months. Median age was 60.5 years (range 21.4–75.8). At baseline, sexually active responders were significantly younger (median age 51.5 years,) than sexually inactive responders (median age 61.8 years) and tended to have a better performance status. Discomfort evaluated as dryness of the vagina and pain during sexual intercourse was significantly worse at 12 months than at baseline (p<0.001); however, the surgical variable, lymphadenectomy, did not have any impact on this. The orgasm sub-scale showed diverging results with a deterioration from baseline to 12 months in the lymphadenectomy group compared with the no-lymphadenectomy group (p=0.02).ConclusionThe majority of patients were sexually inactive; however, in those who were sexually active, pain during intercourse was worse at 12 months. In addition, the orgasm sub-scale demonstrated worse results in patients who underwent complete lymphadenectomy. The study suggests that surgery in the retroperitoneal space may influence sexual function.

Training Health Care Providers to Deal with Sexual Health and Intimacy Issues

2016 ◽  
Author(s):  
Hani Miletski
Keyword(s):  
Health Care ◽  
Sexual Health ◽  
Health Care Providers ◽  
Knowledge Building ◽  
Intensive Therapy ◽  
Sexual Attitude ◽  
Sexual History ◽  
Limited Information ◽  
Care Providers ◽  
Plissit Model

This chapter outlines and describes the training for health care providers so that they can be more helpful to our wounded warriors who are dealing with sexual health and intimacy issues. Unfortunately, few medical and mental health care providers are trained in intimacy and sexuality matters, and many are not comfortable discussing these intimate issues at all. Therefore, the first step is to complete a Sexual Attitude Reassessment (SAR) seminar, if possible. In addition, training suggestions for knowledge building and skill development are described. These include the inviting the patient to talk, the PLISSIT model (Permission, Limited Information, Specific Suggestions, Intensive Therapy), taking a sexual history, and sex therapy.

The Influence of Ex-PLISSIT (Extended Permission, Limited Information, Specific Suggestions, Intensive Therapy) Model on Intimacy and Sexuality of Married Women with Multiple Sclerosis

2017 ◽  
Vol 35 (4) ◽  
pp. 399-414 ◽  
Author(s):  
Fatemeh Daneshfar ◽  
Zahra Behboodi-Moghadam ◽  
Zohreh Khakbazan ◽  
Seyed Massood Nabavi ◽  
Nahid Dehghan Nayeri ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Intensive Therapy ◽  
Married Women ◽  
Limited Information ◽  
Therapy Model

Sexual functioning in multiple sclerosis: Relationships with depression, fatigue and physical function

2016 ◽  
Vol 23 (9) ◽  
pp. 1268-1275 ◽  
Author(s):  
Carolyn A Young ◽  
Alan Tennant ◽  
RJ Mills ◽  
DJ Rog ◽  
HL Ford ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Sexual Function ◽  
Physical Function ◽  
Sexual Functioning ◽  
Latent Variables ◽  
National Study ◽  
Limited Information ◽  
Psychological Issues ◽  
Disease Subtype ◽  
Disability Status

Background: Sexual dysfunction (SD) is common among people with multiple sclerosis, but there is limited information on its relationships. Objective: This national study examines the relationships between sexual function with demographic factors, physical function, fatigue and depression. Methods: Participants in the Trajectories of Outcomes in Neurological Conditions (TONiC) study completed the measures of fatigue, physical function and depression together with the Multiple Sclerosis Intimacy and Sexuality Questionnaire-15 (MSISQ-15), which covers sexual function (primary), symptoms that interfere with sexual function (secondary) and psychological issues (tertiary). All ordinal scores from the measures were converted to interval scale latent estimates via the Rasch model and used as single indicator latent variables in path analysis. Results: From 722 patients, 538 were sexually active of whom 431 (80.1%) answered questions on sexual functioning. Of these, only 18.5% reported no impact on any aspect of sexual function. Dysfunction was linked to disease subtype and Expanded Disability Status Scale (EDSS). Subtype influenced the relationship between symptoms and sexual function, which was fully mediated by psychological factors in secondary progressive patients. Depression was not directly associated with sexual functioning, but appeared as a consequence of the psychological issues associated with SD. Conclusion: SD is common among participants in this UK-wide study, and psychological aspects of SD contributed to depression.

scholarly journals The Effect of Sexual Counseling Based on PLISSIT Model on Sexual Function of Pregnant Women: A Randomized Controlled Clinical Trial

2018 ◽  
Vol 7 (3) ◽  
pp. 372-379
Author(s):  
Zhila Shahbazi ◽  
Azizeh Farshbaf-Khalili ◽  
Niloofar Sattarzadeh ◽  
Mahin Kamalifard
Keyword(s):  
Sexual Function ◽  
Pregnant Women ◽  
Control Group ◽  
Female Sexual Function ◽  
Control Groups ◽  
Randomized Controlled ◽  
Sexual Counseling ◽  
Significant Difference ◽  
Plissit Model ◽  
And Control

Objectives: Several factors, including pregnancy which is associated with physical, psychological, and hormonal changes, affect females and their sexual partners’ relation and function. This study aimed to investigate the effect of "permission, limited information, specific suggestions, intensive therapy" (PLISSIT)-based sexual counseling on the sexual function of pregnant women. Materials and Methods: The present randomized controlled trial was performed on 70 pregnant women who had a sexual function score of less than the cut-off point within a gestation period of 16-20 weeks. The participants were randomly divided into intervention and control groups by the blocking method. The intervention group received individual counseling based on the PLISSIT model by a well-trained midwife while the control group only received the usual care for pregnancy. The primary outcome measures were the total score of female sexual function four weeks after the intervention. Finally, the data were collected using a questionnaire of personal and midwifery information, as well as the female sexual function index in previous stages and four weeks after the intervention. All analyses were based on the intention to treat the approach. Results: There was a significant difference between the mean total score of sexual function (adjusted mean difference: 9.07; 95% CI: 7.24 to 10.90) and all the sub-scales that intervention and control groups adjusted for baseline scores four weeks after the intervention (P<0.05). Consultation significantly reduced the frequency of sexual dysfunction and there was a significant difference between the 2 groups in this regard (P<0.001). Conclusions: Given the effect of sexual counseling on the improvement of sexual function of pregnant women based on the PLISSIT model, this approach is recommended during pregnancy.

The impact of sexual dysfunction on the quality of life measured by MSQoL-54 in patients with multiple sclerosis

2008 ◽  
Vol 14 (8) ◽  
pp. 1131-1136 ◽  
Author(s):  
DK Tepavcevic ◽  
J Kostic ◽  
ID Basuroski ◽  
N Stojsavljevic ◽  
T Pekmezovic ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Multiple Sclerosis ◽  
Sexual Dysfunction ◽  
Sexual Function ◽  
Health Distress ◽  
Pain Subscale ◽  
Related Quality ◽  
Vaginal Lubrication ◽  
The Impact

Objective Sexual dysfunction (SD) is a common but often overlooked symptom in multiple sclerosis (MS). The aim of this study was to estimate the frequency, type, and intensity of SD in our patients with MS and to investigate its influence on all the domains of quality of life. Methods The study population comprised a cohort of 109 patients with MS (McDonald's criteria, 2001). SD was quantified by a Szasz sexual functioning scale. Health-related quality of life was measured by a disease-specific instrument MSQoL-54 (Serbian version). Results The presence of at least one symptom of SD was found in about 84% of the men and in 85% of the women. The main complaints in women were reduced libido, difficulties in achieving orgasm, and decreased vaginal lubrication; in men, the main complaints were reduced libido, incomplete erections, and premature ejaculation. In women, statistically significant negative correlations between the presence and level of SD and quality of life domains were reached for all subscales ( P < 0.01), except for the Pain subscale ( P = 0.112). In men, negative correlations were also observed for all domains, but they were statistically significant for physical health, physical role limitations, social function, health distress, sexual function, and sexual function satisfaction ( P < 0.01). We found that the presence of all the analyzed types of sexual problems statistically significantly lowered scores on the sexual function and the sexual function satisfaction subscales in both men and women ( P < 0.01). The most prominent impact on both domains was observed for the total loss of erection in men and for anorgasmia in women. Conclusions Our results reveal that frequent occurrence of SD in MS patients prominently affects all aspects of their quality of life.

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