Effect of Counseling based on PLISSIT Model Focused on Dysfunctional Sexual Beliefs among women with Sexual Dysfunction: A randomized clinical trial

Document Type : Original Research Article


1 MSc of Counselling in Midwifery, Research Student Committee, Mashhad University of Medical Sciences, Mashhad, Iran

2 Assistant Senior Research Fellow, Department of General Practice, School of Public Health and Preventive Medicine, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Australia

3 Professor, Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

4 Assistant professor, Family Research Institude, Shahid Beheshti University, Tehran, Iran

5 Professor, Department of Epidemiology and Biostatistics, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran



Background & aim: Sexual beliefs has a tremendous role in sexual dysfunction. Previous studies have not focused on dysfunctional sexual beliefs. As the PLISSIT model is one of the methods in sex therapy, the present study was performed to evaluate the effect of counseling based on PLISSIT Model focused on dysfunctional sexual beliefs among women with sexual dysfunction.
Methods: This parallel randomized clinical trial study was performed incomprehensive Health Centers of Mashhad, Iran in 2019. 61 eligible women with sexual dysfunction were selected through convenient sampling methods. Data was collected by the Female Sexual Function Index and Sexual Dysfunctional Beliefs questionnaire. The intervention group received 4 sexual counseling sessions (individual or in group)based on the PLISSIT model focused on dysfunctional sexual beliefs at one-week intervals. The control group received routine care of the health centers. Data were analyzed by SPSS software (version 24) using Paired t-test and Wilcoxon tests.
Results:  The mean of the overall sexual function scores immediately and one month after the intervention were 30.5±2.2 and 30.5±2.4, respectively in the intervention group and 23.4±3.6 and 23.4±3.2, respectively in the control group. The differences between the two groups were significant in both evaluation (P<0.001).
Conclusion: The results showed that the PLISSIT model counseling focused on dysfunctional sexual beliefs improved the sexual function of women with sexual dysfunction. Therefore, it is recommended to use this intervention in the women with sexual dysfunction on the agenda of sexual counseling clinics to improve their sexual function.


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