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Published in: BMC Women's Health 1/2021

Open Access 01-12-2021 | Breast Cancer | Research article

The effect of PLISSIT based counseling model on sexual function, quality of life, and sexual distress in women surviving breast cancer: a single-group pretest–posttest trial

Authors: Zohreh Keshavarz, Elham Karimi, Samira Golezar, Giti Ozgoli, Maliheh Nasiri

Published in: BMC Women's Health | Issue 1/2021

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Abstract

Background

Diagnosis and treatment of breast cancer potentially leads to sexual dysfunction and sexual distress in women and negatively affects their quality of life (QoL). This study aimed at determining the effect of PLISSIT based counseling on sexual function, sexual distress, and QoL in women surviving breast cancer.

Methods

In this pre-test, post-test, single-group semi-experimental study, 65 women surviving breast cancer who were referred to the selected centers were included in the study via the available sampling method. Data gathering tools included a researcher-made demographic questionnaire, female sexual function index, beck depression inventory-II, State‐Trait Anxiety Inventory, World Health Organization QoL-Brief, and Female Sexual Distress Scale-Revised. The counseling program (7 sessions 60 min each) was designed based on the PLISSIT model. The sexual function, sexual distress, and QoL were evaluated before, and 2 and 4 weeks after the intervention. To compare the mean scores of variables before and after the intervention, repeated-measured ANOVA was used.

Results

The findings showed that PLISSIT based counseling significantly reduced sexual distress and increased the scores of QoL and all its domains, as well as sexual function and all its domains in women surviving breast cancer (p < 0.05). There was no significant difference in the mean scores of variables 2 and 4 weeks after the intervention.

Conclusions

It seems that PLISSIT based counseling reduces sexual dysfunction and sexual distress and improves the QoL of women surviving breast cancer. So, it is recommended that these counseling programs be integrated into the health care program of this group of women.

Trial registration

TCTR202103170010, 17 March 2021, Retrospectively registered, at https://​www.​thaiclinicaltria​ls.​org/​.
Appendix
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Literature
9.
go back to reference Casellas-Grau A, Font A, Vives JJPO. Positive psychology interventions in breast cancer. A systematic review. JPO. 2014;23(1):9–19. Casellas-Grau A, Font A, Vives JJPO. Positive psychology interventions in breast cancer. A systematic review. JPO. 2014;23(1):9–19.
16.
go back to reference Zeighami Mohammadi S, Ghaffari F. Sexual dysfunction and its correlation with quality of life among women affected with cancer. Iran J Obstet Gynecol Infertil. 2009;12(2):39–46. Zeighami Mohammadi S, Ghaffari F. Sexual dysfunction and its correlation with quality of life among women affected with cancer. Iran J Obstet Gynecol Infertil. 2009;12(2):39–46.
19.
go back to reference Tork Zahrani S, Azad M, Ozgoli G, Banaei M, Mahmoudikohani F. The effectiveness of consultation based on plissit model on sexual function of lactating women. Nurs Midwifery J. 2016;14(7):639–47. Tork Zahrani S, Azad M, Ozgoli G, Banaei M, Mahmoudikohani F. The effectiveness of consultation based on plissit model on sexual function of lactating women. Nurs Midwifery J. 2016;14(7):639–47.
21.
go back to reference Aghabarari M, Ahmadi F, Mohammadi E, Hagizadeh E, Varvarani Farahani A. Physical, emotional and social dimension of quality of life among breast cancer women under chemotherapy. Iran J Nurs Res. 2007;1(3):55–65. Aghabarari M, Ahmadi F, Mohammadi E, Hagizadeh E, Varvarani Farahani A. Physical, emotional and social dimension of quality of life among breast cancer women under chemotherapy. Iran J Nurs Res. 2007;1(3):55–65.
23.
go back to reference Mohammadi KH, Heydari M, Faghihzadeh S. The female sexual function index (FSFI): validation of the Iranian version. Payesh. 2008;7(3):269–78. Mohammadi KH, Heydari M, Faghihzadeh S. The female sexual function index (FSFI): validation of the Iranian version. Payesh. 2008;7(3):269–78.
24.
go back to reference Ghassamia M, Asghari A, Shaeiri MR, Safarinejad MR. Validation of psychometric properties of the Persian version of the Female Sexual Function Index. Urol J. 2013;10(2):878–85.PubMed Ghassamia M, Asghari A, Shaeiri MR, Safarinejad MR. Validation of psychometric properties of the Persian version of the Female Sexual Function Index. Urol J. 2013;10(2):878–85.PubMed
27.
go back to reference Stefan-Dabson K, Mohammadkhani P, Massah-Choulabi O. Psychometrics characteristic of Beck Depression Inventory-II in patients with magor depressive disorder. J Rehabil. 2007;8:82–6. Stefan-Dabson K, Mohammadkhani P, Massah-Choulabi O. Psychometrics characteristic of Beck Depression Inventory-II in patients with magor depressive disorder. J Rehabil. 2007;8:82–6.
29.
go back to reference Azizi M, Momeni K. The effectiveness of cognitive group therapy on reducing depression and anxiety in the Kermanshah older women. J Clin Res Paramed Sci. 2014;3(3):178–87. Azizi M, Momeni K. The effectiveness of cognitive group therapy on reducing depression and anxiety in the Kermanshah older women. J Clin Res Paramed Sci. 2014;3(3):178–87.
30.
go back to reference Mahram B. Standardization speilberger state-trait anxiety inventory in Mashad city (Iran). Tehran: Allame Tabatabayee University; 1993. Mahram B. Standardization speilberger state-trait anxiety inventory in Mashad city (Iran). Tehran: Allame Tabatabayee University; 1993.
32.
go back to reference Nejat S, Montazeri A, Holakouie Naieni K, Mohammad K, Majdzadeh SR. The World Health Organization quality of Life (WHOQOL-BREF) questionnaire: translation and validation study of the Iranian version. J School Public Health Inst Public Health Res. 2006;4(4):1–12. Nejat S, Montazeri A, Holakouie Naieni K, Mohammad K, Majdzadeh SR. The World Health Organization quality of Life (WHOQOL-BREF) questionnaire: translation and validation study of the Iranian version. J School Public Health Inst Public Health Res. 2006;4(4):1–12.
37.
go back to reference Golbabaei F, Jamshidimanesh M, Ranjbar H, Azin SA, Moradi S. Efficacy of sexual counseling based on PLISSIT model on sexual functioning in women with polycystic ovarian syndrome. J Mazandaran Univ Med Sci. 2019;29(172):43–52. Golbabaei F, Jamshidimanesh M, Ranjbar H, Azin SA, Moradi S. Efficacy of sexual counseling based on PLISSIT model on sexual functioning in women with polycystic ovarian syndrome. J Mazandaran Univ Med Sci. 2019;29(172):43–52.
Metadata
Title
The effect of PLISSIT based counseling model on sexual function, quality of life, and sexual distress in women surviving breast cancer: a single-group pretest–posttest trial
Authors
Zohreh Keshavarz
Elham Karimi
Samira Golezar
Giti Ozgoli
Maliheh Nasiri
Publication date
01-12-2021
Publisher
BioMed Central
Published in
BMC Women's Health / Issue 1/2021
Electronic ISSN: 1472-6874
DOI
https://doi.org/10.1186/s12905-021-01570-4

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