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The Effect of Sexual Counseling Based on EX‑PLISSIT Model on Improving the Sexual Function of Married Women with Systemic Lupus Erythematosus: A Randomized Controlled Trial. 基于EX - PLISSIT模型的性咨询对改善已婚系统性红斑狼疮女性性功能的影响:一项随机对照试验
IF 1.5 4区 医学 Q2 Medicine Pub Date : 2023-01-01 DOI: 10.1007/s11195-023-09776-0
Maryam Shami, Ali Montazeri, Seyedeh Tahereh Faezi, Zahra Behboodi Moghadam

Systemic Lupus erythematosus (SLE) is a multisystem autoimmune disease. This disease triggers sexual dysfunction due to physiological, cognitive and mental effects. Since sexual function is often ignored in these patients, this study aimed to investigate the effect of sexual counseling based on EX‑PLISSIT model on improving the sexual function of married women with SLE. This clinical trial was conducted on 101 married women suffering from SLE (18-49 years) residing in Tehran. Randomization was performed by random block allocation with six blocks in a rheumatology clinic. A demographic questionnaire, the Depression, Anxiety, Stress Scales-21 Items (DASS-21), and the female sexual function index were used to collect the data. The intervention group received counselling sessions every week while the control group (n = 55) received routine care for the disease. Eight and twelve weeks after completion of counselling sessions, outcomes compared between the intervention and control groups, using independent ttest, paired t-test, repeated measures and Chi-squared test. The scores of sexual function in both groups did not differ significantly before the intervention (p > 0.05). At the first follow-up session, the score of all sexual function domains except sexual pain increased significantly in the intervention group while a significant reduction was observed in all domains of sexual function in the control group (p < 0.05). In the second follow-up, sexual function significantly increased in the intervention group whereas it significantly decreased in the control group (p < 0.05). According to the findings of this study, counseling based on EX-PLISSIT model positively affected the sexual function of women with SLE. Therefore, this model can be used as a cost-effective and simple counseling method to improve the sexual functions.

系统性红斑狼疮(SLE)是一种多系统自身免疫性疾病。这种疾病由于生理、认知和精神上的影响而引发性功能障碍。由于这些患者的性功能往往被忽视,本研究旨在探讨基于EX - PLISSIT模型的性咨询对改善已婚SLE女性性功能的影响。本临床试验对居住在德黑兰的101名患有SLE的已婚妇女(18-49岁)进行了研究。随机化是通过在风湿病诊所随机分配6个区块来进行的。采用人口统计学问卷、抑郁、焦虑、压力量表21项(DASS-21)和女性性功能指数进行数据收集。干预组每周接受咨询,对照组(n = 55)接受常规护理。咨询结束后8周和12周,使用独立检验、配对t检验、重复测量和卡方检验比较干预组和对照组之间的结果。干预前两组性功能评分差异无统计学意义(p > 0.05)。在第一次随访中,干预组除性疼痛外的所有性功能领域得分均显著增加,而对照组的所有性功能领域得分均显著降低(p < 0.05)
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引用次数: 0
Sexual Rehabilitation and Relational Satisfaction in People with Multiple Sclerosis and their Partners. 多发性硬化症患者及其伴侣的性康复和关系满意度。
IF 1.5 4区 医学 Q2 Medicine Pub Date : 2023-01-01 DOI: 10.1007/s11195-023-09785-z
M Tzitzika, C C Daoultzis, P Kordoutis

Sexuality is an integral part of our existence. Multiple Sclerosis (MS) can complicate the lifelong course of sexual development and the ways in which one defines and expresses sexuality. Unfortunately, these issues are not adequately addressed by the health professionals involved in the rehabilitation process. Present research attempts to study the effect that can arise on the sexual and relational satisfaction of couples having a partner with MS after the implementation of a sexual rehabilitation program. 60 couples where one partner has MS and the other does not, were divided into three groups and accepted the PLISSIT (PLISSIT stands for Permission, Limited Information, Specific Suggestions, Intensive Therapy) sexual rehabilitation program as follows: Group a (n = 40, control group) completed self-referencing questionnaires at three times (initial measurement, after 10 weeks and 6 months later), group b (n = 40) did 10 weeks of sexual counselling and completed the same questionnaires at the same times and group c (n = 40) followed the PLISSIT programme and was evaluated in the same way at the same times. The implementation of PLISSIT improved Sexual Dysfunction (SD) levels, increased sexual satisfaction between partners along with general relational satisfaction. PLISSIT can be used by professionals involved in the management of the disease as a comprehensive psychosexual rehabilitation program for MS patients and their partners.

性是我们存在的一个组成部分。多发性硬化症(MS)会使性发育的终生过程以及一个人定义和表达性行为的方式复杂化。不幸的是,参与康复过程的保健专业人员没有充分处理这些问题。目前的研究试图研究在实施性康复计划后,对患有多发性硬化症的伴侣的性和关系满意度可能产生的影响。60对夫妻,其中一方患有多发性硬化症,另一方没有,被分为三组,接受PLISSIT (PLISSIT代表许可,有限信息,具体建议,强化治疗)性康复计划如下:a组(n = 40,对照组)分三次(首次测量,10周后和6个月后)完成自我参考问卷,b组(n = 40)进行10周的性咨询并在同一时间完成相同的问卷,c组(n = 40)遵循PLISSIT计划并在同一时间以相同的方式进行评估。PLISSIT的实施改善了性功能障碍(SD)水平,提高了伴侣之间的性满意度以及总体关系满意度。PLISSIT可以被参与疾病管理的专业人员用作MS患者及其伴侣的综合性心理康复计划。
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引用次数: 0
Sexual Wellbeing and Supportive Care Needs After Cancer in a Multiethnic Asian Setting: A Qualitative Study 亚洲多种族癌症患者的性幸福感和支持性护理需求:一项定性研究
IF 1.5 4区 医学 Q2 Medicine Pub Date : 2022-12-28 DOI: 10.1007/s11195-022-09772-w
Waichu Kuan, Y. Kong, R. S. Bustamam, L. Wong, Y. Woo, N. A. Taib, G. Ho, H. Zaharah, C. Yip, N. Bhoo-Pathy
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引用次数: 0
Online Dating for People with Disabilities: A Scoping Review 残疾人在线约会:范围审查
IF 1.5 4区 医学 Q2 Medicine Pub Date : 2022-12-27 DOI: 10.1007/s11195-022-09771-x
Mirabelle Miron, Katia Goulet, Louis-Pierre Auger, Chantal Robillard, Catherine L. Dumas, François Rochon, D. Kairy
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引用次数: 0
“It Gives Me, as her Caregiver, a Sense of Security.” Young People with Intellectual Disability and Their Experiences with Sexuality, Menstruation, Gynecological Treatment and Contraception: A Follow-up Analysis of Parents’ and Caregivers’ Perspectives “作为她的看护人,这给了我一种安全感。”智障青少年在性、月经、妇科治疗和避孕方面的经历:父母和照顾者视角的随访分析
IF 1.5 4区 医学 Q2 Medicine Pub Date : 2022-12-17 DOI: 10.1007/s11195-022-09770-y
Laura Retznik, Sabine Wienholz, Annelen Höltermann, I. Conrad, S. Riedel-Heller
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引用次数: 1
Decoding Neurodiverse Couples Therapy: A Solution-Focused Approach 解码神经多样性夫妻治疗:以解决方案为中心的方法
IF 1.5 4区 医学 Q2 Medicine Pub Date : 2022-12-02 DOI: 10.1007/s11195-022-09765-9
Chrystal N. McDowell, Madeline E. Bryant, M. Parker
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引用次数: 0
A Model of Psychosexual Wellbeing for Autistic and Neurotypical Adults in the United States 美国自闭症和神经典型成年人的性心理健康模型
IF 1.5 4区 医学 Q2 Medicine Pub Date : 2022-12-01 DOI: 10.1007/s11195-022-09764-w
Jessica Rocha, S. Aladin, Eileen T. Crehan
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引用次数: 1
“But, You’re in a Wheelchair!”: A Systematic Review Exploring the Sexuality of Youth with Physical Disabilities “但是,你坐在轮椅上!”:《身体残疾青少年性行为的系统综述》
IF 1.5 4区 医学 Q2 Medicine Pub Date : 2022-11-27 DOI: 10.1007/s11195-022-09769-5
Madison L. Giles, C. Juandó-Prats, A. McPherson, D. Gesink
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引用次数: 1
Sexual Quality of life, Depression, and Anxiety Symptoms in Women Candidates for Social Egg Freezing 社会卵子冷冻候选者的性生活质量、抑郁和焦虑症状
IF 1.5 4区 医学 Q2 Medicine Pub Date : 2022-11-02 DOI: 10.1007/s11195-022-09761-z
S. Vesali, Nadia Zameni, Reza Moghinasr, S. Sazvar, Zahra Nemati Agamaleki, M. Hafezi
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引用次数: 0
From the Editor of Sexuality and Disability: The Journey Continues 来自《性与残疾》的编辑:旅程还在继续
IF 1.5 4区 医学 Q2 Medicine Pub Date : 2022-10-31 DOI: 10.1007/s11195-022-09767-7
Sigmund Hough
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引用次数: 0
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Sexuality and Disability
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