The effect of the EX-PLISSIT model-based psychosexual counseling on improving sexual function and sexual quality of life in gynecologic cancer survivors: a randomized controlled clinical trial

Mohammadi, Zohreh; Maasoumi, Raziyeh; Vosoughi, Nafiseh; Eftekhar, Tahereh; Soleimani, Mehrdad; Montazeri, Ali

doi:10.1007/s00520-022-07332-8

Cited by 10 publications

(27 citation statements)

References 40 publications

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“…The most commonly used tool was the specific, stepwise model PLISSIT [ 39 , 48 – 50 , 54 , 61 , 66 , 75 ]. Two studies used the Extended PLISSIT model (EX-PLISSIT), which differs from the original PLISSIT model in that it is feedback-oriented while PLISSIT is a linear model [ 59 , 68 ]. Other tools used were BETTER (Bring up the topic, Explain, Telling, Timing, Education, Recording), EASSi (Engagement, Assessment, Support and Signposting) or self-developed tools.…”

Section: Resultsmentioning

confidence: 99%

Feasibility and effectiveness of communication tools for addressing intimacy and sexuality in patients with cancer: a systematic review

Arends,

van Rossum,

Eeltink

et al. 2024

Support Care Cancer

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Purpose Patients diagnosed with cancer might experience changes in intimacy and sexuality due to the illness itself, treatment, or psychological and social factors. Healthcare professionals (HCPs) often feel reluctant to discuss these changes. This study aimed to provide an overview of the feasibility and effectiveness of communication tools that support communication regarding changes in intimacy or sexuality among patients with cancer. Methods This is a systematic review. Databases are PubMed, Embase, CINAHL, PsycInfo, Web of Science and Cochrane Library from inception to June 2023. The Mixed Methods Appraisal Tool was used to assess included studies. Data were summarized in data charting forms. Results In total 35 studies were included, published between 2001 and 2023. Most had a quantitative design and moderate methodological quality. In 11 studies, the PLISSIT model (Permission, Limited Information, Specific Suggestions, Intensive Therapy) was used. Tools were integrated in counselling sessions or training programmes for individual patients, couples, groups of patients, or HCPs. All tools were considered feasible by patients or HCPs. Twenty studies reported significant improvement in sexual functioning, quality of life, quality of care or combined outcomes. Conclusion Tools to support communication about changes in intimacy and sexuality among patients with cancer seem feasible and effective. The most commonly used tool, the PLISSIT model, proved to be feasible for HCPs and to have a positive effect on patients’ and partners’ sexual functioning and quality of life. Giving attention to changes in intimacy and sexuality seems to be important in itself, regardless of the communication tool or approach used.

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Section: Resultsmentioning

confidence: 99%

Feasibility and effectiveness of communication tools for addressing intimacy and sexuality in patients with cancer: a systematic review

Arends,

van Rossum,

Eeltink

et al. 2024

Support Care Cancer

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show abstract

“…Studies have found a negative correlation between sexual dysfunction in women with gynecological cancer and their sexual quality of life. It has been reported that women with gynecological cancer experience more sexual dysfunction particularly after cancer treatment, and their sexual quality of life deteriorates 6,13,14 . In this way, it can be said that the treatments which women receive for gynecological cancers and the side‐effects of the treatments disrupt sexual functioning and thus sexual quality of life.…”

Section: Discussionmentioning

confidence: 99%

“…Chemotherapy drugs and their side effects impair the quality of sexual life in women with gynecological cancer and cause sexual dysfunctions. Most of the previous studies reported that the quality of sexual life and sexual functions of women with gynecological cancer were worse after chemotherapy treatment 6,13,14,24 . However, there were very few studies in Türkiye that determined the quality of sexual life of women with gynecological cancer after chemotherapy 3,21 .…”

Section: Discussionmentioning

confidence: 99%

“…At the same time, the biology of cancer disrupts sexual functions and causes sexual problems for women and a decline in the sexual quality of life. Along with this biological process, many factors such as psychological and interpersonal factors, the religious beliefs of the patient and their families, and the cultural norms of the society in which they live may affect the sexual quality of life of cancer patients 2,5,6 …”

Section: Discussionmentioning

confidence: 99%

“…Studies have shown that the sexual dysfunctions experienced by women with gynecological cancer have a negative effect on the quality of their sex lives 6,13,14 . At the same time, it is reported in the literature that the age, menopause status, relationship status, and treatment status of women with gynecological cancer and their quality of sexual life are related to each other 4 .…”

Section: Introductionmentioning

confidence: 99%

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Sexual quality of life between healthy women and women with gynecological cancer: Results of a hospital‐based case–control study in Türkiye

Ören,

Kiziltaş

2023

J of Obstet and Gynaecol

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BackgroundGynecological cancers among women were both chronic and vitally health problems. The increasing prevalence of women with surviving gynecological cancers and the receiving treatments of cancer negatively affected the sexual quality of life.AimThe study was conducted to determine the sexual quality of life of healthy women and women with gynecological cancer and to determine the predictors of sexual quality of life in women with gynecological cancer.MethodsThe research is a hospital‐based case–control study was conducted. The study was carried out with 65 patients with histologically confirmed gynecological cancer were compared with 75 controls, who were admitted to the different departments of the same hospital in the Izmir, in western Türkiye.ResultsThe Sexual Quality of Life Questionnaire score (SQOL) of cases was 60.12 ± 9.01 and controls was 78.92 ± 7.08. SQOL scores of cases were significantly lower than controls (p < 0.05). Multiple linear regression analysis results showed that age (B = −0.295, p = 0.072), working (B = 4.981, p = 0.016), smoking (B = −4.590, p = 0.035), diagnosed with cervical cancer (B = −4.214, p = 0.045), and receiving chemotherapy (B = −4.722, p = 0.028) were associated with sexual quality of life in women with gynecological cancer (p < 0.05, R2: 0.40).ConclusionWomen with gynecological cancer had lower quality of sex life compared with healthy women. Gynecological cancers negatively affect women's sexual quality of life. Health professionals (especially nurses) should be aware of the potential problems that women with gynecological cancer may experience with their sexual lives. They should develop coping strategies and offer solutions for the problems experienced by women with gynecological cancer.

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Sexual Health and Kidney Failure

McKeaveney,

Dumanski

2024

Principles of Specialty Nursing

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The effect of the EX-PLISSIT model-based psychosexual counseling on improving sexual function and sexual quality of life in gynecologic cancer survivors: a randomized controlled clinical trial

Cited by 10 publications

References 40 publications

Feasibility and effectiveness of communication tools for addressing intimacy and sexuality in patients with cancer: a systematic review

Feasibility and effectiveness of communication tools for addressing intimacy and sexuality in patients with cancer: a systematic review

Sexual quality of life between healthy women and women with gynecological cancer: Results of a hospital‐based case–control study in Türkiye

Sexual Health and Kidney Failure

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