Comparing the Effectiveness of Sexual Counseling Based on PLISSITand BETTER Models on Sexual Selfdisclosure in Women with Sexual Problems after Childbirth: A Randomized Trial

Farzane Karimi, Raheleh Babazadeh, Robab Latifnejad Roudsari, Negar Asgharipour, Habibollah Esmaily

Abstract


Background: Sexual self-disclosure is one of the factors that affect sexual satisfaction. The aim of this study was to assess the efficacy of individual therapy using the Bring up, Explain, Tell, Timing, Educate, and Record (BETTER model) in comparison to individual therapy using the Permission, Limited Information, Specific Suggestions, and Intensive Therapy (PLISSIT model) in terms of increasing sexual self-disclosure in women with sexual problems after childbirth.

Materials and Methods: This randomized trial was conducted in 2017 in Mashhad, Iran. 80 women with sexual problems within 4 weeks to 6 months after childbirth were randomized into two equal groups and received the interventions in 2 sessions of 60–90 minutes. The research instruments included a demographic questionnaire, the Female Sexual Function Index (FSFI) and Hulbert sexual self-disclosure index. Changes in mean (SD) scores of sexual self-disclosures between groups were assessed before and 4 weeks after the intervention and the results (mean changes) were compared between groups. The data analysis was conducted using independent t-test, paired t-test, Chi-square, analysis of covariance (ANOVA), and Mann-Whitney U test in SPSS (p < 0.05).

Results: In the PLISSIT group, the mean (SD) sexual self-disclosure score at baseline was 43.80 (9.50) and after 4 weeks was 51.60 (8.30). In the BETTER group, at baseline and after 4 weeks the mean (SD) sexual self-disclosure score was, respectively, 44.10 (10.30) and 55.60 (8.20) (Z = -2.5, p = 0.013).

Conclusions: The findings confirm the effectiveness of the BETTER counseling model in increasing sexual self-disclosure after childbirth.


Keywords


Postpartum, sexual dysfunctions, self disclosures, sex counseling

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References


Masaviru M. Self-disclosure: Theories and model review. J Cult Soc Dev 2016;18:43-7.

Bahrami H, Eftekhar M, Kiamanesh A, Sokhandani F. Sexual function and self-disclosure in unconsummated marriages. Iran J Psychiatry Clin Psychol 2013;19:149-55.

Metts S. Sexuality and Communication in Close Relationships. Sexuality in Close Relationships. 2014:93.

MacNeil S, Byers ES. Role of sexual self-disclosure in the sexual satisfaction of long-term heterosexual couples. J Sex Res 2009;46:3-14.

Woolhouse H, McDonald E, Brown S. Women’s experiences of sex and intimacy after childbirth: Making the adjustment to motherhood. J Psychosom Obstet Gynecol 2012;33:185-90.

Schlagintweit HE, Bailey K, Rosen NO. A new baby in the bedroom: Frequency and severity of postpartum sexual concerns and their associations with relationship satisfaction in new parent couples. J Sex Med 2016;13:1455-65.

Olds SB, London ML, Ladewig PW. Maternal-newborn nursing: A family and community-based approach. Prentice Hall; 2000.

Rezaei N, Azadi A, Sayehmiri K, Valizadeh R. Postpartum sexual functioning and its predicting factors among Iranian women. Malays J Med Sci 2017;24:94-103.

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. J Urmia Nurs Midwifery Fac 2016;14:639-47.

Quinn C, Happell B. Getting BETTER: Breaking the ice and warming to the inclusion of sexuality in mental health nursing care. Int J Ment Health Nurs 2012;21:154-62.

Mick J, Hughes M, Cohen M. Sexuality And Cancer: How Oncology Nurses Can Address It Better.: 180. Oncology Nursing Forum; 2003.

Taylor B, Davis S. The extended PLISSIT model for addressing the sexual wellbeing of individuals with an acquired disability or chronic illness. Sex Disabil 2007;25:135-9.

Hezbiiyan Z, Khodakarami B, Parsa P, Faradmal MJ. The effect of postnatal counseling on sexual function in women referred to health centers in Hamedan in 1392. Sci J Hamadan Nurs Midwifery Fac 2016;24:272-80.

Farnam F, Janghorbani M, Raisi F, Merghati‐Khoei E. Compare the effectiveness of PLISSIT and sexual health models on Women’s sexual problems in Tehran, Iran: A randomized controlled trial. J Sex Med 2014;11:2679-89.

Mohammadi Kh, Heydari M, Faghihzadeh S: The Female Sexual Function Index (FSFI): validation of the Iranian version. Payesh. 2008, 7: 269-278.

Rosen CB, Heiman J, Leiblum S, Meston C, Shabsigh R, Ferguson D, et al. The Female Sexual Function Index (FSFI): A multidimensional self-report instrument for the assessment of female sexual function. J Sex Marital Ther 2000;26:191-208.

Taherian Z, Abad MJ. The effectiveness of sexual skills training on the sexual desire and self-disclosure in women with sexual dysfunction. Journal of Advanced Pharmacy Education & Research 2020;10(S2).

Rehman US, Rellini AH, Fallis E. The importance of sexual self‐ disclosure to sexual satisfaction and functioning in committed relationships. J Sex Med 2011;8:3108-15.

Karakas S, Aslan E. Sexual counseling in women with primary infertility and sexual dysfunction: Use of the BETTER model. J Sex Marital Ther 2019;45:21-30.

Hurlbert DF. The role of assertiveness in female sexuality: A comparative study between sexually assertive and sexually nonassertive women. J Sex Marital Ther 1991;17:183-90.

Yörük F, Karaçam Z. The effectiveness of the PLISSIT model in solving postpartum sexual problems experienced by women. Athens J Health 2016;3:235-7.

Torkzahrani S, Azad M, Ozgoli G, Banaei M, Mahmoudikohani F. The effectiveness of consultation based on plissit model on sexual function of lactating women. J Urmia Nurs Midwifery Fac 2016;14:639-47


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