The Effect of Sex Counseling Based on (Permission, Limited Information, Specific Suggestions, Intensive Therapy) Model on Sexual Satisfaction in Women with Cyclic Mastalgia: A Randomized Controlled Clinical Trial

Fatemeh Ghodsi, Nasim Bahrami, Maryam Mafi, Forouzan Olfati

Abstract


Background: More than half of the population of women suffer from cyclic mastalgia which can interfere with women’s sexual function and affect their sexual satisfaction. The current study was conducted to determine the effect of sexual counseling on sexual satisfaction in women with cyclic mastalgia.

Materials and Methods: This randomized controlled trial study was performed on 81 women with cyclic mastalgia. The subjects were randomly divided into two groups of intervention (n = 40) and control (n = 41). Intervention was performed as Permission, Limited information, Specific suggestions, Intensive therapy (PLISSIT) sex counseling in four sessions for a maximum of 90 min in the intervention group. The demographic checklist and Index of Sexual Satisfaction (ISS) were used for data collection. Follow‑up was performed 1 and 3 months after the intervention. The obtained data were analyzed using repeated‑measures test.

Results: The intervention and control groups were in good balance in terms of demographic characteristics and sexual satisfaction scores prior to the intervention and no statistically significant differences were observed. There was a statistically significant increase in the mean (SD) score of female sexual satisfaction in the intervention group: 93 (12.52), 101.15 (7.70),101.37 (5.31), (F (1,39) = 27.4, p < 0.001). We also observed a decrease in the mean (SD) score of sexual satisfaction in the control group: 93.39 (13.12), 90.68 (8.41), 90.85 (6.57), (F (1,40) = 11.9, p < 0.001) 1 and 3 months following the intervention.

Conclusions: This study revealed that individual counseling by PLISSIT sex counseling could lead to improvement in sexual satisfaction index in women with cyclic breast pain.



Keywords


Mastodynia, sex counseling, sexual health

Full Text:

PDF

References


Burkman RT. Berek and Novak’s gynecology. JAMA 2012;308:516 7.

Fakhravar S, Bahrami N, Qorbani M, Olfati F. The effect of healthy lifestyle promotion intervention on quality of life in cyclic mastalgia via individual counseling: A randomized controlled clinical trial. Int J Community Based Nurs Midwifery 2021;9:22 30.

Mirghafourvand M, Ahmadpour P, Rahi P. Relationship between physical activity and cyclic mastalgia in Iranian women. Shiraz E Med J 2020;21:e88702.

Scurr J, Hedger W, Morris P, Brown N. The prevalence, severity, and impact of breast pain in the general population. Breast J 2014;20:508 13.

Kanat BH, Atmaca M, Girgin M, Ilhan YS, Bozdağ A, Özkan Z, et al. Effects of mastalgia in young women on quality of life, depression, and anxiety levels. Indian J Surg 2016;78:96 9.

Salati SA, Alhumaid AA. Mastalgia: A narrative literature review of current understanding and management. East Cent Afr J Surg 2018;23:42 51.

Sivarajah R, Welkie J, Mack J, Casas RS, Paulishak M, Chetlen AL. A review of breast pain: Causes, imaging recommendations, and treatment. J Breast Imaging 2020;2:101 11.

Hafiz SP, Barnes NL, Kirwan CC. Clinical management of idiopathic mastalgia: A systematic review. J Primary Health Care 2018;10:312 23.

Fakhravar S, Bahrami N, Olfati F. Effect of individual counseling on pain quality in the women with cyclic mastalgia: A clinical trial. J Qazvin Univ Med Sci 2018;22:22 30.

Bois K, Bergeron S, Rosen NO, McDuff P, Grégoire C. Sexual and relationship intimacy among women with provoked vestibulodynia and their partners: Associations with sexual satisfaction, sexual function, and pain self efficacy. J Sex Med 2013;10:2024 35.

Gruenwald I, Adler T, Haddad M, Leiba R, Eisenberg E. Sexual dysfunction in patients with chronic pain. Urol Nephrol Open Access 2017;2:1 6.

Bahrami N, Sharif Nia H, Soliemani MA, Haghdoost AA. Validity and reliability of the Persian version of Larson sexual Satisfaction Questionnaire in couples. (JKMU) 2016;23:344 56.

Vaziri F, Samsami A, Rahimi Z, Rastgardoost N, Nick N. Prevalence, severity and factors related to mastalgia among women referring to health centers affiliated with Shiraz university of medical sciences. J Health Sci Surveill Sys 2016;4:64 9.

Mofid V, Ahmadi A, Etemadi O. The comparison of cognitive behavioral counseling and solution oriented counseling on women’s sexual satisfaction in Isfahan. J Woman Society 2014;4:67 83.

Rostamkhani F, Ozgoli G, Merghati KE, Jafari F, Alavi MH. Effectiveness of the PLISSIT based Counseling on sexual function of women. Adv Nurs Midwifery 2012;22:1 9.

Faghani S, Ghaffari F. Effects of sexual rehabilitation using the PLISSIT model on quality of sexual life and sexual functioning in post mastectomy breast cancer survivors. Asian Pac J Cancer Prev 2016;17:4845.

Masoumi SZ, Kazemi F, Nejati B, Parsa P, Karami M. Effect of sexual counseling on marital satisfaction of pregnant women referring to health centers in Malayer (Iran): An educational randomized experimental study. Electron Physician 2017;9:3598 604.

Annon JS. The PLISSIT model: A proposed conceptual scheme for the behavioural treatment of sexual problems. J Sex Educ Ther 1976;2:1 15.

Nejati B, Kazemi F, Masoumi S, Parsa P, Karami M, Mortazavi A. Efficacy of sexual consultation based on PLISSIT model (permission, limited information, specific suggestions, intensive therapy) on sexual function among pregnant women: A randomized controlled clinical trial. (IUMS) 2017;35:739 48.

Banaei M, Tork Zahrani S, Pormehr Yabandeh A, Ozgoli G, Azad M. Investigating the impact of counseling based on PLISSIT model on sexual intimacy and satisfaction of breastfeeding women. Int J Pharm Res Allied Sci 2016;5:489 99.

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.

Kataria K, Dhar A, Srivastava A, Kumar S, Goyal A. A systematic review of current understanding and management of mastalgia. Indian J Surg 2014;76:217 22.

Phan NQ, Blome C, Fritz F, Gerss J, Reich A, Ebata T, et al. Assessment of pruritus intensity: Prospective study on validity and reliability of the visual analogue scale, numerical rating scale and verbal rating scale in 471 patients with chronic pruritus. Acta Derm Venereol 2012;92:502 7.

Rezvani Amin M, Siratinayer M, Abadi A, Moradyan T. Correlation between visual analogue scale and short form of McGill questionnaire in patients with chronic low back pain. Qom Univ Med Sci J 2011;5:31 4.

Gautam S, Srivastava A, Kataria K, Dhar A, Ranjan P, Kumar J. New breast pain chart for objective record of mastalgia. Indian J Surg 2016;78:245 8.

Zamani M, Roudsari RL, Moradi M, Esmaily H. The effect of sexual health counseling on women’s sexual satisfaction in postpartum period: A randomized clinical trial. Int J Reprod Biomed 2019;17:41 50.

Khakbazan Z, Daneshfar F, Behboodi Moghadam Z, Nabavi SM, Ghasemzadeh S, Mehran A. The effectiveness of the Permission, Limited Information, Specific suggestions, Intensive Therapy (PLISSIT) model based sexual counseling on the sexual function of women with Multiple Sclerosis who are sexually active. Mult Scler Relat Disord 2016;8:113 9.

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.

Sabeti F, Sadat Tavafian S, Zarei F. The effect of educational intervention on sexual function of women referred to Health center of southern Tehran. Nurs Pract Today 2018;5:280 9.

Rutte A, van Oppen P, Nijpels G, Snoek FJ, Enzlin P, Leusink P, et al. Effectiveness of a PLISSIT model intervention in patients with type 2 diabetes mellitus in primary care: Design of a cluster randomised controlled trial. BMC Fam Pract 2015;16:69. 31. Tavakol Z, Mirmolaei ST, Momeni Movahed Z. The survey of sexual function relationship with sexual satisfaction in referred to Tehran South City health centers. Avicenna J Nurs Midwifery Care 2011;19:50 60.

Sasanpour M, Shahverdyan G, Ahmadi A. The impact of sexual cognitive reconstruction on reducing sexual problems and increasing sexual satisfaction of couples (elementary students Parents). Armaghane Danesh 2015;19:994 1007.

Mirghafourvand M, Ahmadpour P, Rahi P, Salehiniya H. Relationship between depression and anxiety with the severity and length of cyclic mastalgia in women. Iranian J Obstet Gynecol Infertil 2016;18:1 7.

Gallach E, de Juan A, García Blanco A, Izquierdo R, Robledo R, Fenollosa P. Sex and pain: Sexual satisfaction and sexual function in a sample of patients with chronic, non pelvic pain. Rev Soc Esp Dolor 2018;25:145 54.

Abedini M, Olfati F, Oveisi S, Bahrami N, Astrologo L, Chan YH. Examining the effect of a brief psychoeducation intervention based on self regulation model on sexual satisfaction for women with breast cancer: A randomized controlled trial. Eur J Oncol Nurs 2019;47:101673.


Refbacks

  • There are currently no refbacks.