Sexual health outcomes of PLISSIT-based counseling versus grouped sexuality education among Iranian women with breast cancer: A randomized clinical trial.
Effat Merghati Khoei, Rhoghieh Kharaghani, Elham Shakibazadeh, Soghrat Faghihzadeh, Noura Aghajani, Jeffrey E Korte, Mina Esmkhani
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引用次数: 9
Abstract
In-person, individual counseling using the PLISSIT model is a well-known approach to help people with sexual problems. Evidence suggests that Grouped Sexuality Education (GSE) can be as effective as in-person sexuality education. The efficacy of PLISSIT versus GSE has not previously been evaluated in women with Breast Cancer (BC). In this paper, we report on the effect of PLISSIT versus GSE on self-reported sexual behaviors experienced by women after a BC diagnosis (n = 75). The women were randomly allocated into three groups, with 25 women in each arm. Data analysis of the intention-to-treat population (n = 65) revealed efficacy of both GSE and PLISSIT in improving sexual behaviors (p < 0.0001) with a positive change in sexual capacity, motivation and performance after 6- and 12-weeks post-intervention follow ups. We found the GSE model showed a greater efficacy than the PLISSIT model. Due to the substantial needs faced by women with cancer and the cost associated with implementing the PLISST model, GSE seems to be more effective. We recommend GSE for Iranian communities where management of sexual problems is at an early stage and where the sexuality of women with cancer is routinely overlooked.
期刊介绍:
Sexual and Relationship Therapy is a leading independent journal in its field, well established and internationally recognized. It offers an active, multidisciplinary forum for review and debate across the spectrum of sexual and relationship dysfunctions and therapies. The journal presents original research and best practice and is a vehicle for new theory, methodology, and application. Sexual and Relationship Therapy is edited by a respected international team and publishes contributions from around the world. It is the official journal of the British Association for Sexual and Relationship Therapy (BASRT).