Comparison of the effects of two sexual counseling models, GES (Good Enough Sex) and PLISSIT (Permission, Limited Information, Specific Suggestions, Intensive Therapy), on sexual dysfunction in postmenopausal women: a randomized controlled trial.

IF 3.9 3区医学 Q1 OBSTETRICS & GYNECOLOGY

Menopause: The Journal of The North American Menopause Society Pub Date : 2026-09-15 DOI:10.1097/GME.0000000000002882

Leila AliAghdami, Fatemeh Nasiri-Amiri, Hossein-Ali Nikbakht, Farideh Mohsenzadeh-Ledari, Samira Barjasteh, Mah Monir Haghighi

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引用次数: 0

Abstract

Objectives: To evaluate and compare the impacts of GES (Good Enough Sex) and PLISSIT (Permission, Limited Information, Specific Suggestions, Intensive Therapy) sexual counseling models on sexual intimacy, sexual quality of life, and sexual satisfaction relative to standard care.

Methods: This randomized controlled trial included 108 postmenopausal women aged 45-60 years, recruited from comprehensive health centers in Urmia, Iran, between June 2023 and December 2024. Participants were randomly assigned to three groups of 36 individuals each: the GES, PLISSIT, and control groups. Data were collected using validated questionnaires that assessed sexual intimacy, sexual quality of life, and sexual satisfaction at baseline and 2 months postintervention. The GES group participated in weekly group counseling sessions, while the PLISSIT group received individual counseling over a 4-week period. The control group received standard care without any specialized counseling interventions. Sample characteristics were summarized using descriptive statistics (means and SDs). Inferential tests (χ2, Fisher exact, paired t tests, ANOVA, Kruskal-Wallis, and Tukey) were used for group comparisons and change analysis, with P < 0.05 considered significant.

Results: Both the GES and PLISSIT groups demonstrated significant improvements in sexual intimacy, sexual quality of life, and sexual satisfaction, compared with the control group (P < 0.001). The intervention demonstrated a substantial improvement compared with the control group. The standardized mean difference (SMD) for overall outcomes was 1.83 (95% CI: 1.27-2.38). Within-group analysis showed a large positive effect in the PLISSIT group (SMD = 1.48; 95% CI: 0.98-1.97) and the GES group (SMD = 1.83; 95% CI: 1.27-2.38), whereas the control group showed no meaningful change (SMD = -0.26; 95% CI: -0.60 to 0.08).

Conclusions: Both the GES and PLISSIT models effectively enhance sexual intimacy, sexual quality of life, and sexual satisfaction in postmenopausal women. Incorporating structured sexual counseling into health care strategies can significantly improve their quality of life, emphasizing the importance of tailored, accessible interventions.

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GES （Good Enough Sex）和PLISSIT （Permission, Limited Information, Specific Suggestions, Intensive Therapy）两种性咨询模式对绝经后女性性功能障碍的效果比较：一项随机对照试验。

目的：评价和比较GES （Good Enough Sex）和PLISSIT （Permission, Limited Information, Specific Suggestions, Intensive Therapy）性咨询模式相对于标准治疗对性亲密、性生活质量和性满意度的影响。方法：该随机对照试验纳入了2023年6月至2024年12月从伊朗乌尔米娅综合卫生中心招募的108名年龄在45-60岁的绝经后妇女。参与者被随机分为三组，每组36人：GES组、PLISSIT组和对照组。数据收集使用有效的问卷，在基线和干预后2个月评估性亲密度、性生活质量和性满意度。GES组参加每周一次的小组咨询会议，而PLISSIT组接受为期4周的个人咨询。对照组接受标准治疗，没有任何专门的咨询干预。采用描述性统计（均数和标准差）总结样本特征。采用推断检验（χ2、Fisher精确检验、配对t检验、方差分析、Kruskal-Wallis和Tukey检验）进行组间比较和变化分析，P < 0.05为显著性。结果：与对照组相比，GES组和PLISSIT组在性亲密度、性生活质量和性满意度方面均有显著改善（P < 0.001）。与对照组相比，干预显示出实质性的改善。总体结果的标准化平均差（SMD）为1.83 （95% CI: 1.27-2.38）。组内分析显示PLISSIT组（SMD = 1.48, 95% CI: 0.98-1.97）和GES组（SMD = 1.83, 95% CI: 1.27-2.38）有很大的积极作用，而对照组无显著变化（SMD = -0.26, 95% CI: -0.60 - 0.08）。结论：GES和PLISSIT模型均能有效提高绝经后妇女的性亲密度、性生活质量和性满意度。将结构化的性咨询纳入保健战略可以显著提高她们的生活质量，强调量身定制、可获得的干预措施的重要性。

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

Menopause: The Journal of The North American Menopause Society 医学-妇产科学

CiteScore

5.40

自引率

7.40%

发文量

330

审稿时长

3-8 weeks

期刊介绍： Menopause, published monthly, provides a forum for new research, applied basic science, and clinical guidelines on all aspects of menopause. The scope and usefulness of the journal extend beyond gynecology, encompassing many varied biomedical areas, including internal medicine, family practice, medical subspecialties such as cardiology and geriatrics, epidemiology, pathology, sociology, psychology, anthropology, and pharmacology. This forum is essential to help integrate these areas, highlight needs for future research, and enhance health care.