{"title":"基于 PLISSIT 模型的性咨询对多发性硬化症女性患者家庭功能和性生活质量的影响","authors":"Fatemeh Sohrabi, Batool Tirgari, Sajjad Alizadeh, Shila Salehi","doi":"10.1007/s11195-024-09864-9","DOIUrl":null,"url":null,"abstract":"<p>Sexual dysfunction is a common and significant issue for patients with multiple sclerosis (MS), adversely affecting their overall quality of life. Proper sexual counseling can be beneficial for these women. This study aimed to evaluate the impact of a counseling intervention based on the PLISSIT model on family functioning and sexual quality of life in women with MS. This interventional study was conducted in 2020 at the largest center for special diseases in southeast Iran. Sixty women with MS were selected through convenience sampling and randomly assigned to either an intervention group or a control group. The intervention group participated in four 90-minute individual counseling sessions based on the PLISSIT model over four weeks, while the control group received routine training. Data were collected using a demographic information form and questionnaires on family functioning and sexual quality of life, both before and after the intervention. Results showed no significant differences between the two groups in terms of family functioning and sexual quality of life scores before the intervention (<i>p</i> > 0.05). However, after the intervention, the intervention group exhibited significant improvements in both family functioning and sexual quality of life scores (<i>P</i> < 0.0001). Specifically, there was a notable increase in the mean scores for family functioning and sexual quality of life in the intervention group post-intervention (<i>P</i> = 0.001 and <i>P</i> = 0.0001, respectively). In contrast, the control group showed no significant change in family functioning (<i>P</i> = 0.79) and a significant decrease in sexual quality of life (<i>P</i> = 0.014) during the second assessment. The results suggest that sexual counseling based on the PLISSIT model can effectively enhance family functioning and sexual quality of life in women with multiple sclerosis.</p>","PeriodicalId":51537,"journal":{"name":"Sexuality and Disability","volume":"4 1","pages":""},"PeriodicalIF":1.1000,"publicationDate":"2024-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The Effect of Sexual Counseling Based on the PLISSIT Model on Family Functioning and Sexual Quality of Life of Women with Multiple Sclerosis\",\"authors\":\"Fatemeh Sohrabi, Batool Tirgari, Sajjad Alizadeh, Shila Salehi\",\"doi\":\"10.1007/s11195-024-09864-9\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p>Sexual dysfunction is a common and significant issue for patients with multiple sclerosis (MS), adversely affecting their overall quality of life. Proper sexual counseling can be beneficial for these women. This study aimed to evaluate the impact of a counseling intervention based on the PLISSIT model on family functioning and sexual quality of life in women with MS. This interventional study was conducted in 2020 at the largest center for special diseases in southeast Iran. Sixty women with MS were selected through convenience sampling and randomly assigned to either an intervention group or a control group. The intervention group participated in four 90-minute individual counseling sessions based on the PLISSIT model over four weeks, while the control group received routine training. Data were collected using a demographic information form and questionnaires on family functioning and sexual quality of life, both before and after the intervention. Results showed no significant differences between the two groups in terms of family functioning and sexual quality of life scores before the intervention (<i>p</i> > 0.05). However, after the intervention, the intervention group exhibited significant improvements in both family functioning and sexual quality of life scores (<i>P</i> < 0.0001). Specifically, there was a notable increase in the mean scores for family functioning and sexual quality of life in the intervention group post-intervention (<i>P</i> = 0.001 and <i>P</i> = 0.0001, respectively). In contrast, the control group showed no significant change in family functioning (<i>P</i> = 0.79) and a significant decrease in sexual quality of life (<i>P</i> = 0.014) during the second assessment. The results suggest that sexual counseling based on the PLISSIT model can effectively enhance family functioning and sexual quality of life in women with multiple sclerosis.</p>\",\"PeriodicalId\":51537,\"journal\":{\"name\":\"Sexuality and Disability\",\"volume\":\"4 1\",\"pages\":\"\"},\"PeriodicalIF\":1.1000,\"publicationDate\":\"2024-07-30\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Sexuality and Disability\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1007/s11195-024-09864-9\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"REHABILITATION\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Sexuality and Disability","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s11195-024-09864-9","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"REHABILITATION","Score":null,"Total":0}
The Effect of Sexual Counseling Based on the PLISSIT Model on Family Functioning and Sexual Quality of Life of Women with Multiple Sclerosis
Sexual dysfunction is a common and significant issue for patients with multiple sclerosis (MS), adversely affecting their overall quality of life. Proper sexual counseling can be beneficial for these women. This study aimed to evaluate the impact of a counseling intervention based on the PLISSIT model on family functioning and sexual quality of life in women with MS. This interventional study was conducted in 2020 at the largest center for special diseases in southeast Iran. Sixty women with MS were selected through convenience sampling and randomly assigned to either an intervention group or a control group. The intervention group participated in four 90-minute individual counseling sessions based on the PLISSIT model over four weeks, while the control group received routine training. Data were collected using a demographic information form and questionnaires on family functioning and sexual quality of life, both before and after the intervention. Results showed no significant differences between the two groups in terms of family functioning and sexual quality of life scores before the intervention (p > 0.05). However, after the intervention, the intervention group exhibited significant improvements in both family functioning and sexual quality of life scores (P < 0.0001). Specifically, there was a notable increase in the mean scores for family functioning and sexual quality of life in the intervention group post-intervention (P = 0.001 and P = 0.0001, respectively). In contrast, the control group showed no significant change in family functioning (P = 0.79) and a significant decrease in sexual quality of life (P = 0.014) during the second assessment. The results suggest that sexual counseling based on the PLISSIT model can effectively enhance family functioning and sexual quality of life in women with multiple sclerosis.
期刊介绍：
Sexuality and Disability is an international forum for the publication of peer-reviewed original interdisciplinary scholarly papers that address the psychological and medical aspects of sexuality in relation to rehabilitation. Publishing timely research articles, review articles, case studies, clinical practice reports, brief research reports, survey data reports, and book and film reviews, the journal offers the latest developments in the area of sexuality as it relates to a wide range of disabilities and conditions. Contributions address: clinical and research progress; community programs; independent-living programs; guidelines for clinical practice; special grand-rounds topics; consumer issues; and contemporary developments in special programs in sex education and counseling for people with disabilities. The journal features special issues with internationally renowned guest editors focusing on current topics in sexual health. By publishing research, best-practice, evidence-based, and educational articles, the journal seeks to contribute to the field''s knowledge base and advancement. Sexuality and Disability is an essential resource for the exchange of new knowledge, issues, techniques, and available modalities for researchers and other professionals addressing the psychological and medical aspects of sexuality in rehabilitation, medical, academic, and community settings.
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