The Influence of Ex-Plissit (Extended Permission, Limited Information, Specific Suggestions, Intensive Therapy) Model on Intimacy and Sexuality of Married Women With Multiple Sclerosis Publisher



Daneshfar F¹ ; Behboodimoghadam Z¹ ; Khakbazan Z¹ ; Nabavi SM² ; Nayeri ND³ ; Ghasemzadeh S⁴ ; Montazeri A⁵ Show Affiliations
Source: Sexuality and Disability Published:2017

Abstract

This study was planned to assess the effect of using Ex-PLISSIT (Extended Permission, Limited Information, Specific Suggestion, and Intensive Therapy) model on sexuality and intimacy of married women who suffer from Multiple Sclerosis (MS). The volunteer women who had definite MS and sexual dysfunction (SD), EDSS score <7 and aged between 20 and 50 years were randomized as experimental group (n = 60) and control group (n = 60). Fatigue severity Scale was used to evaluate women’s fatigue. Sexual counseling based on Ex-PLISSIT model (four 60–100 min weekly sessions) were applied for experimental group. Sexual function was assessed before intervention, 8 and 12 weeks after intervention by using Multiple Sclerosis Sexuality and Intimacy Questionnaire-19. Depending on the type of data, descriptive statistics in the form of relative and absolute frequency distribution tables, Chi square test (for demographic variables), repeated measures ANOVA, and single and paired t test were used and SPSS software version 16 was used for data analysis. There was a statistically significant decrease in SD score when data were compared through 3 stages of evaluation in experimental group (P < 0.05). No statistical difference has been considered in control group about secondary and tertiary SD. According to this study, using Ex-PLISSIT model for sexual counseling, is effective in addressing SD of married women with MS. © 2017, Springer Science+Business Media New York.