The impact of PLISSIT model-based counseling on the sexual life of women with multiple sclerosis: A systematic review and meta-analysis

IF 3 3区医学 Q2 CLINICAL NEUROLOGY

Multiple sclerosis and related disorders Pub Date : 2026-05-01 Epub Date: 2026-03-03 DOI:10.1016/j.msard.2026.107110

İlknur Özkan , Seçil Taylan , Cansu Polat Dünya

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引用次数: 0

Abstract

Background

Women with Multiple Sclerosis (MS) face significant challenges in their sexual life, including physical limitations and emotional barriers. The PLISSIT model offers a structured framework for counselors to address these issues effectively. This study aimed to investigate the effects of counseling interventions based on the PLISSIT model on the sexual life of women with MS through randomized controlled trials.

Methods

This was a systematic review and meta-analysis study. Databases such as Google Scholar, OpenAIRE, Web of Science, Social Sciences Citation Index, Academic Search Ultimate, Complementary Index, Scopus, CINAHL Complete, MEDLINE, and PubMed were searched for English-language studies without year restrictions up to February 2024. The PRISMA guidelines were followed. Comprehensive Meta-Analysis 3 software was used for data analysis. Two researchers independently assessed the quality of the included studies using the Cochrane Collaboration tool.

Results

Three randomized controlled trials with a total of 232 participants were included in this study. Counseling based on the PLISSIT model was found to have a high and positive effect on the sexual life of women with MS (Hedges' g = 0.927, 95 % CI = -1.122 to 2.976, p = 0.375).

Conclusions

This meta-analysis suggests that sexual counseling based on the PLISSIT model may have a positive impact on the sexual life of women with MS, although statistically significant results were not obtained. Future research with larger sample sizes and more homogeneous study groups may provide clearer results.

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基于PLISSIT模型的咨询对多发性硬化症女性性生活的影响：系统回顾和荟萃分析

患有多发性硬化症（MS）的女性在性生活中面临着巨大的挑战，包括身体限制和情感障碍。PLISSIT模型为辅导员有效地解决这些问题提供了一个结构化的框架。本研究旨在通过随机对照试验，探讨基于PLISSIT模型的咨询干预对MS女性性生活的影响。方法采用系统综述和荟萃分析研究。在谷歌Scholar、OpenAIRE、Web of Science、Social Sciences Citation Index、Academic Search Ultimate、Complementary Index、Scopus、CINAHL Complete、MEDLINE和PubMed等数据库中检索了截至2024年2月的无年份限制的英语研究。遵循了PRISMA准则。采用综合Meta-Analysis 3软件进行数据分析。两位研究者使用Cochrane协作工具独立评估纳入研究的质量。结果本研究共纳入3项随机对照试验，共232名受试者。基于PLISSIT模型的咨询对MS女性的性生活有很高的积极影响（Hedges’g = 0.927, 95% CI = -1.122 ~ 2.976, p = 0.375）。结论本荟萃分析表明，基于PLISSIT模型的性咨询可能对MS女性的性生活有积极影响，尽管没有统计学上显著的结果。未来有更大样本量和更均匀的研究小组的研究可能会提供更清晰的结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Multiple sclerosis and related disorders CLINICAL NEUROLOGY-

CiteScore

5.80

自引率

20.00%

发文量

814

审稿时长

66 days

期刊介绍： Multiple Sclerosis is an area of ever expanding research and escalating publications. Multiple Sclerosis and Related Disorders is a wide ranging international journal supported by key researchers from all neuroscience domains that focus on MS and associated disease of the central nervous system. The primary aim of this new journal is the rapid publication of high quality original research in the field. Important secondary aims will be timely updates and editorials on important scientific and clinical care advances, controversies in the field, and invited opinion articles from current thought leaders on topical issues. One section of the journal will focus on teaching, written to enhance the practice of community and academic neurologists involved in the care of MS patients. Summaries of key articles written for a lay audience will be provided as an on-line resource. A team of four chief editors is supported by leading section editors who will commission and appraise original and review articles concerning: clinical neurology, neuroimaging, neuropathology, neuroepidemiology, therapeutics, genetics / transcriptomics, experimental models, neuroimmunology, biomarkers, neuropsychology, neurorehabilitation, measurement scales, teaching, neuroethics and lay communication.