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

Daneshfar, Fatemeh; Moghadam, Zahra Behboodi; Khakbazan, Zohreh; Nabavi, Seyed Massood; Nayeri, Nahid Dehghan; Ghasemzadeh, Sogand; Montazeri, Ali

doi:10.1007/s11195-017-9482-z

Cited by 22 publications

(16 citation statements)

References 27 publications

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“…Therefore, they reported a high internal consistency for this scale (23). Krupp et a. reported a Cronbach's alpha coefficient of 0.81 in patients with multiple sclerosis, which is comparable to the results of Khezri Moghaddam et al, who reported the validity and reliability of 0.86 through test-retest and the internal consistency of 0.89 (24).…”

Section: Methodssupporting

confidence: 66%

Efficacy of Acceptance and Commitment Therapy in Reducing Disappointment, Psychological Distress, and Psychasthenia among Systemic lupus Erythematosus (SLE) Patients

Sahebari

Ebrahimabad

Shoraketokanlo

et al. 2019

IJPS

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Objective: The aim of this study was to evaluate the efficacy of acceptance and commitment therapy (ACT) in the reduction of disappointment, psychological distress, and psychasthenia among patients with systemic lupus erythematosus (SLE). Method: This quasi-experimental study was conducted on 24 females with lupus who referred to the Rheumatoid Disease Research Center (RDRC) of Ghaem hospital in Mashhad, Iran. This study had a pretest-posttest control group design. The participants were randomly assigned into 2 groups of experimental and control. The experimental group was treated with ACT. Data were collected using the Beck’s Hopelessness Scale, Kessler’s Psychological Distress Inventory, and Krupp’s Psychasthenia Inventory. Results: Mean age and mean duration of illness were 37.25±4.61 and 5.12±2.33 years, respectively. The mean disappointment score and psychological distress in the experimental group were lower compared to those in control group at the post experimental stage (P<0.001). Moreover, there was a significant difference between the experimental and control groups in the mean scores of psychasthenia in the posttest stage (P<0.001). Conclusion: According to the obtained results of this study, the enhancement of psychological flexibility based on ACT positively affected disappointment, psychological distress, and psychasthenia among the lupus patients. Therefore, it can be concluded that this therapeutic approach could reduce psychasthenia in patients through clarification of the values.

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Section: Methodssupporting

confidence: 66%

Efficacy of Acceptance and Commitment Therapy in Reducing Disappointment, Psychological Distress, and Psychasthenia among Systemic lupus Erythematosus (SLE) Patients

Sahebari

Ebrahimabad

Shoraketokanlo

et al. 2019

IJPS

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“…They were then invited to participate in the study, of which only 72 were joined with their consent. The standard deviation in women was S =15 as estimated in similar studies (Daneshfar, et al, 2017) and (Zamani, Tavoli, Khasti, Sedighimornani, & Zafar, 2017). To test if the effect of preventive counseling statistically signi cant, along with the acceptable error rate d=10, con dence level 95%, and the power 80%, the sample was divided into two groups intervention and control including 36 people aged 21-43 years.…”

Section: Stage Threesupporting

confidence: 53%

Designing and Implementing Health Concerns Caused by the COVID-19 Pandemic: Explorative Study

Rostamzadeh

Zamani

Haddadi

2020

Preprint

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Background Coronavirus and its psychological impacts on people have been taken into attention by scholars due to the psychosocial crisis. Fear, worry, and psychological agitation are common experiences due to uncertainties in the context of the COVID-19 pandemic. This study is a comprehensive research for finding the methods of intervention to these psychological health issues based on presumable concerns.Method a multi-stage mixed study conducted in 3 stages. Stage one was a qualitative study to prioritizing and determining concerns about coronavirus with an in-depth semi-structured interview. Stage two was another qualitative study to design an appropriate intervention through the Nominal group technique (NGT) by collecting the brainstorming’s health specialists or expert panel. Stage three was a quantitative study to determine the effect of BETTER therapy; the counseling method as a clinical intervention for high-risk populations who were randomly assigned to experimental or intervention and control groups. Results In stage one, participants expressed five main concerns about COVID-19. In stage two, the health concern like inaccurate information and unpredictable disease were identified as the priority concerns preceded in designing the intervention. In stage three, a significant difference between the two groups presents the clinical intervention was effective in improving performance, marital intimacy, and reducing the subjects’ distress.

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“…The topics of the articles analysed included sexual therapy (four studies), [10][11][12][13] the use of pharmaceutical drugs (three studies), [14][15][16] pelvic floor muscle exercises in combination with other therapies (two studies), 17,18 practising yoga (one study), 19 applying mindfulness (one study) 20 and the use of vaginal stimulation devices (one study). 21 The main characteristics of the articles included and the evaluated interventions are summarized in Table 1.…”

Section: Resultsmentioning

confidence: 99%

“…Pain was the main secondary outcome of sexual dysfunction evaluated in most of the studies included. It was reduced significantly in two of the studies that evaluated sexual therapy 12,13 and only in one group of women who practised pelvic floor muscle exercises in combination with electromyographic biofeedback and intravaginal neuromuscular electrostimulation. 17 The remaining interventions identified did not show a significant improvement in pain.…”

Section: Secondary Outcomes Of Sexual Dysfunctionmentioning

confidence: 97%

“…17 The use of sildenafil demonstrated improvements in orgasm in an extension phase. 14 The studies indicated that desire improves with sexual therapy, [10][11][12][13] the administration of Onabotulinumtoxin A, 15,16 an intervention combining pelvic floor exercises with tibial and intravaginal stimulation, 17 mindfulness 20 and the use of clitoral suction devices. 21…”

Section: Primary Outcomes Of Sexual Dysfunctionmentioning

confidence: 99%

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Effectiveness of interventions aimed at improving the sexuality of women with multiple sclerosis: a systematic review

et al. 2020

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Objective: To evaluate the effectiveness of interventions aimed at improving the sexuality of women with multiple sclerosis. Data sources: MEDLINE, CINAHL, PsycINFO, Web of Science, Scopus, Embase and the Cochrane Library, as well as doctoral thesis databases Teseo and ProQuest Dissertations & Theses Global and the grey literature database Opengrey were searched, last on 15 October 2019. Journals related to the topic were also consulted. The bibliographic references of the articles included were reviewed. Method: Studies were selected if they included women with multiple sclerosis in whom interventions aimed at reducing sexual dysfunction were applied. Data extraction was carried out by two independent reviewers. The Jadad scale was used to evaluate the methodological quality of the studies included. Results: In total, 12 clinical trials were selected, and 611 patients were examined. Studies were classified into six interventions: sexual therapy (4), pharmaceutical drugs (3), pelvic floor exercises (2), yoga (1), mindfulness (1) and vaginal devices (1). Most of them improved some primary outcomes of sexual dysfunction such as lubrication, arousal, desire or orgasm. Pain was the most common secondary outcome evaluated and it became better in two studies including sexual therapy and in one intervention with pelvic floor exercises. Tertiary outcomes such as anxiety or depression were rarely examined, and they improved with sexual therapy and with OnabotulinumtoxinA. Conclusion: Sexual therapy, administration of OnabotulinumtoxinA, pelvic floor muscles exercises alone or combined with electrostimulation and the use of clitoral devices could be the most recommended interventions to improve the sexuality in women with multiple sclerosis.

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

Cited by 22 publications

References 27 publications

Efficacy of Acceptance and Commitment Therapy in Reducing Disappointment, Psychological Distress, and Psychasthenia among Systemic lupus Erythematosus (SLE) Patients

Efficacy of Acceptance and Commitment Therapy in Reducing Disappointment, Psychological Distress, and Psychasthenia among Systemic lupus Erythematosus (SLE) Patients

Designing and Implementing Health Concerns Caused by the COVID-19 Pandemic: Explorative Study

Effectiveness of interventions aimed at improving the sexuality of women with multiple sclerosis: a systematic review

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