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Original Articles
- Effect of PLISSIT Model Sexual Health Enhancement Program for Women with Gynecologic Cancer and Their Husbands
- Ju-Hee Nho
- J Korean Acad Nurs 2013;43(5):681-689. Published online October 31, 2013
- DOI: https://doi.org/10.4040/jkan.2013.43.5.681
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Abstract
PDF Purpose The purpose of this study was to examine effects of the Permission, Limited Information, Specific Suggestions, Intensive Therapy (PLISSIT) model sexual health enhancement program on, and development in, sexual function, sexual distress, marital intimacy, and subjective happiness of women with gynecologic cancer and their husbands.
Methods The comprehensive program (4 session, 90 minutes per session) was developed based on the PLISSIT model. Participants were 43 couples, 21 assigned to the experimental group who attended the 4-week program, and 22 to the control group. Sexual function, sexual distress, marital intimacy, subjective happiness of the women, marital intimacy, subjective happiness of husbands were determined by a questionnaire that was completed by the participants before and after the program. The control group received the intervention post experiment. Chi-square test, t-test, Fisher's exact test were used to test the effectiveness of the program.
Results Post intervention results showed significant differences between the groups for sexual function, sexual distress, and marital intimacy in the women and for subjective happiness in the husbands.
Conclusion Results indicate that the sexual health enhancement program is effective in improving sexual function, lowering sexual distress, increasing marital intimacy, and subjective happiness in women with gynecologic cancer and their husbands.
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Citations
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Current Womens Health Reviews.2025;[Epub] CrossRef - Effects of a sexual health enhancement program for women with breast cancer: A quasi-experimental study
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European Journal of Oncology Nursing.2025; 76: 102852. CrossRef - The effectiveness of couple-based interventions on the marital outcomes of women with genital and breast cancer and their partners: a systematic review and meta-analysis
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BMC Cancer.2024;[Epub] CrossRef - Feasibility and effectiveness of communication tools for addressing intimacy and sexuality in patients with cancer: a systematic review
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Sevil Cicek Ozdemir, Aliye Dogan Gangal, Ayten Senturk Erenel
Archives of Sexual Behavior.2024; 53(9): 3485. CrossRef - 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
Maryam Shami, Ali Montazeri, Seyedeh Tahereh Faezi, Zahra Behboodi Moghadam
Sexuality and Disability.2023; 41(2): 451. CrossRef - The Effect of Post-Operative Sexual Counseling Carried out with PLISSIT Model on Sexual Function and Sexual Satisfaction in Gynecologic Cancers
Çiğdem BİLGE, Ergül ASLAN
Clinical and Experimental Health Sciences.2023; 13(3): 623. CrossRef - The effect of a psycho-educational intervention on sexuality of women with acute coronary syndromes: a randomized controlled trial
Fatemeh Soleimaninejad, Razieh Lotfi, Mehdi Mousavi, Majid Taghizadeh, Kourosh Kabir
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International Journal of Sexual Health.2022; 34(1): 41. CrossRef - The effect of PLISSIT based counseling model on sexual function, quality of life, and sexual distress in women surviving breast cancer: a single-group pretest–posttest trial
Zohreh Keshavarz, Elham Karimi, Samira Golezar, Giti Ozgoli, Maliheh Nasiri
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Healthcare.2021; 9(6): 699. CrossRef - The Effect of the PLISSIT Model on Sexual Functions: A Systematic Review
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International Journal of Sexual Health.2019; 31(1): 50. CrossRef - Oncology Nurses' Knowledge Regarding Fertility Preservation for Patients with Cancer
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Korean Journal of Adult Nursing.2019; 31(3): 315. CrossRef - The Influence of Ex-PLISSIT (Extended Permission, Limited Information, Specific Suggestions, Intensive Therapy) Model on Intimacy and Sexuality of Married Women with Multiple Sclerosis
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Korean Journal of Women Health Nursing.2016; 22(2): 104. CrossRef - 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
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Multiple Sclerosis and Related Disorders.2016; 8: 113. CrossRef - Comments on female sexual dysfunction with cervical cancer in Republic of Korea
Gyeong-Eun Heo, Tae-Hee Kim, Hae-Hyeog Lee, Jun-Mo Kim
Archives of Gynecology and Obstetrics.2016; 294(1): 209. CrossRef - Reply to letter to the editor by J.-M. Kim et al. on "Sexual function and quality of life in women with cervical cancer before radiotherapy: a pilot study" by Grion et al.
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Cochrane Database of Systematic Reviews.2016;[Epub] CrossRef - Effects of Lifestyle Intervention on Fatigue, Nutritional Status and Quality of Life in Patients with Gynecologic Cancer
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Journal of Korean Academy of Nursing.2015; 45(6): 812. CrossRef
- The Effect of Sexual Education Program on Sexual Function and Genital Self-image, Sexual Quality of Life among Primiparous Women
- 271 View
- 11 Download
- 25 Crossref
- Effectiveness of PLISSIT Model Sexual Program on Female Sexual Function for Women with Gynecologic Cancer
- Nami Chun
- J Korean Acad Nurs 2011;41(4):471-480. Published online August 31, 2011
- DOI: https://doi.org/10.4040/jkan.2011.41.4.471
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Abstract
PDF
Purpose The purpose of this study was to evaluate the effectiveness of the Permission, Limited Information, Specific Suggestions, Intensive Therapy (PLISSIT) model sexual program on female sexual function for women with gynecologic cancer.
Methods The integrative 6-hr (two hours per session) program reflecting physical and psychosocial aspects of women's sexuality was developed based on Annon's PLISSIT model. Participants were 61 women with cervical, ovarian, or endometrial cancer. Of them, 29 were assigned to the experimental group and 32 to the control group. The women completed the Female Sexual Function Index (FSFI) including sexual desire, arousal, lubrication, orgasm, satisfaction, and pain. Independent t-test and repeated measured ANOVA were used to test the effectiveness of the program.
Results Significant group differences were found on FSFI sub-domain scores including sexual desire, arousal, lubrication, orgasm, and satisfaction but not pain. Significant time differences were found on all domains except for pain in the experimental group repeated measured ANOVA.
Conclusion The results indicate that the three-week PLISSIT model sexual program is effective in increasing sexual function for women with gynecologic cancer. Nurses may contribute to improving women's sexual function by utilizing the program. Strategies to relieve sexual pain need to be considered for greater effectiveness of the program.
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Citations
Citations to this article as recorded by- The Effect of Sexual Education Program on Sexual Function and Genital Self-image, Sexual Quality of Life among Primiparous Women
Athar Rasekh Jahromi, Hanie Jafari, Parvin Adedi, Mojgan Javadnoori, Solmaz Mohammadi, Vahid Rahmanian, Safieh Jamali
Current Womens Health Reviews.2025;[Epub] CrossRef - Effects of a sexual health enhancement program for women with breast cancer: A quasi-experimental study
Hye Sook Kim, Chaewon Yun
European Journal of Oncology Nursing.2025; 76: 102852. CrossRef - Feasibility and effectiveness of communication tools for addressing intimacy and sexuality in patients with cancer: a systematic review
Susanne A. M. Arends, Carlijn E. van Rossum, Corien M. Eeltink, Jantien E. Robertus, Linda J. Schoonmade, Anneke L. Francke, Irene P. Jongerden
Supportive Care in Cancer.2024;[Epub] CrossRef - Educational programs and counseling models for improving postpartum sexual health: a narrative review
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Jill H. A. Hwang, Marina Downing, Jennie L. Ponsford
Neuropsychological Rehabilitation.2024; : 1. CrossRef - The Effect of Post-Operative Sexual Counseling Carried out with PLISSIT Model on Sexual Function and Sexual Satisfaction in Gynecologic Cancers
Çiğdem BİLGE, Ergül ASLAN
Clinical and Experimental Health Sciences.2023; 13(3): 623. CrossRef - The effect of a psycho-educational intervention on sexuality of women with acute coronary syndromes: a randomized controlled trial
Fatemeh Soleimaninejad, Razieh Lotfi, Mehdi Mousavi, Majid Taghizadeh, Kourosh Kabir
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Diabetic Medicine.2021;[Epub] CrossRef - Development and Evaluation of a Sexual Health Improvement Program for Women with Gynecologic Cancer
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Asian Oncology Nursing.2021; 21(3): 163. CrossRef - The effect of PLISSIT based counseling model on sexual function, quality of life, and sexual distress in women surviving breast cancer: a single-group pretest–posttest trial
Zohreh Keshavarz, Elham Karimi, Samira Golezar, Giti Ozgoli, Maliheh Nasiri
BMC Women's Health.2021;[Epub] CrossRef - ´Tratamientos psicológicos para mejorar la vida sexual en mujeres supervivientes de cáncer ginecológico: revisión sistemática.
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International Journal of Diabetes in Developing Countries.2019; 39(4): 626. CrossRef - The Effect of Cognitive Behavioral Therapy on Sexual Function in Infertile Women: A Randomized Controlled Clinical Trial
Maryam Sahraeian, Razieh Lotfi, Mostafa Qorbani, Mahbobeh Faramarzi, Fatemeh Dinpajooh, Fahimeh Ramezani Tehrani
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Michael R. Bennett
Journal of Social Work in End-of-Life & Palliative Care.2019; 15(4): 157. CrossRef - Influence of Urinary Dysfunction on Quality of Life in Women with Cervical Cancer after Radical Hysterectomy
Nami Chun, Gie-Ok Noh
Asian Oncology Nursing.2019; 19(3): 150. CrossRef - The Influence of Ex-PLISSIT (Extended Permission, Limited Information, Specific Suggestions, Intensive Therapy) Model on Intimacy and Sexuality of Married Women with Multiple Sclerosis
Fatemeh Daneshfar, Zahra Behboodi-Moghadam, Zohreh Khakbazan, Seyed Massood Nabavi, Nahid Dehghan Nayeri, Sogand Ghasemzadeh, Ali Montazeri
Sexuality and Disability.2017; 35(4): 399. CrossRef - Comments on female sexual dysfunction with cervical cancer in Republic of Korea
Gyeong-Eun Heo, Tae-Hee Kim, Hae-Hyeog Lee, Jun-Mo Kim
Archives of Gynecology and Obstetrics.2016; 294(1): 209. CrossRef - Reply to letter to the editor by J.-M. Kim et al. on "Sexual function and quality of life in women with cervical cancer before radiotherapy: a pilot study" by Grion et al.
R. C. Grion, Luiz Francisco Baccaro, A. F. Vaz, L. Costa-Paiva, D. M. Conde, A. M. Pinto-Neto
Archives of Gynecology and Obstetrics.2016; 294(1): 211. CrossRef - 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
Zohreh Khakbazan, Fatemeh. Daneshfar, Zahra Behboodi-Moghadam, Seyed Massood Nabavi, Sogand Ghasemzadeh, Abbas Mehran
Multiple Sclerosis and Related Disorders.2016; 8: 113. CrossRef - Sexual Health Care Attitudes and Practices of Nurses Caring for Patients with Cancer
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The Journal of Sexual Medicine.2014; 11(11): 2679. CrossRef - Discussing Sexuality with Cancer Patients: Oncology Nurses Attitudes and Views
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Asian Pacific Journal of Cancer Prevention.2014; 15(17): 7321. CrossRef - Effect of PLISSIT Model Sexual Health Enhancement Program for Women with Gynecologic Cancer and Their Husbands
Ju-Hee Nho
Journal of Korean Academy of Nursing.2013; 43(5): 681. CrossRef - Development and Evaluation of the Psychosocial Distress Nursing Intervention for Patients with Gynecological Cancer
Jeong-Sook Park, Yun-Jung Oh
Korean Journal of Adult Nursing.2012; 24(3): 219. CrossRef
- The Effect of Sexual Education Program on Sexual Function and Genital Self-image, Sexual Quality of Life among Primiparous Women
- 315 View
- 12 Download
- 29 Crossref
- Predictors of Sexual Desire, Arousal, Lubrication, Orgasm, Satisfaction, and Pain in Women with Gynecologic Cancer
- Nami Chun
- J Korean Acad Nurs 2010;40(1):24-32. Published online February 28, 2010
- DOI: https://doi.org/10.4040/jkan.2010.40.1.24
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Abstract
PDF
Purpose This study was done to identify psychosocial factors that might be predictive of sexual desire, arousal, lubrication, orgasm, satisfaction, and pain in women with gynecologic cancer.
Methods Two hundred and twelve women with cervical, ovarian, or endometrial cancer completed questionnaires on the Female Sexual Function Index including sexual desire, arousal, lubrication, orgasm, satisfaction, and pain, and data on their psychosocial factors including body image, sexual attitude, sexual information, depression, and marital intimacy. Stepwise multivariable regression analysis was performed to explore psychosocial predictors of women's sexual function domains.
Results Predictors were identified as sexual attitude, depression, sexual information, and body image for sexual desire; sexual information, depression, and sexual attitude for sexual arousal; sexual information, marital intimacy, and depression for lubrication; sexual information, marital intimacy, depression, and body image for orgasm; marital intimacy, sexual information, sexual attitude, and depression for satisfaction; sexual information, depression, and marital intimacy for pain.
Conclusion The results indicate that women's sexual function needs to be approached to domains of female sexual function psychosocially as well as to general sexual function. These factors should be considered in future interventions to positively promote sexual function in women with gynecologic cancer.
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Citations
Citations to this article as recorded by- Assessment of factors influencing sexual dysfunction and the coping strategies adopted by cancer patients in selected hospitals of the city
Samina Mehaboob Mulani
i-manager’s Journal on Nursing.2022; 12(3): 28. CrossRef - Psychosexual Advantages of Physical Adaptation
Sujita Kumar Kar, Garima Singh
Journal of Psychosexual Health.2022; 4(3): 203. CrossRef - Influence of Urinary Dysfunction on Quality of Life in Women with Cervical Cancer after Radical Hysterectomy
Nami Chun, Gie-Ok Noh
Asian Oncology Nursing.2019; 19(3): 150. CrossRef - Sexual function, depression, and quality of life in patients with cervical cancer
Hyewoo Bae, Hyojung Park
Supportive Care in Cancer.2016; 24(3): 1277. CrossRef - Comparison of Distress and Body Image according to the Stages of Cancer Survivorship in Gynecological Cancer Patients
Jeong Sook Park, Hye Ran Lee
Asian Oncology Nursing.2014; 14(1): 15. CrossRef - Factors Related to Female Sexual Dysfunction of North Korean Women Defectors
Young Sun Rhee, Hye Wan Ku, In Young Han
Korean Journal of Health Education and Promotion.2013; 30(2): 55. CrossRef - Menopausal symptoms, sexual function, depression, and quality of life in Korean patients with breast cancer receiving chemotherapy
Hyojung Park, Hyeon Gyeong Yoon
Supportive Care in Cancer.2013; 21(9): 2499. CrossRef - Factors Influencing on Quality of Life in Gynecological Cancer Patients
Jeong-Sook Park, Yun-Jung Oh
Korean Journal of Adult Nursing.2012; 24(1): 52. CrossRef - A Study on the Predictive Factors of Sexual Function in Women with Gynecologic Cancer
Jeong Sook Park, Soon Yang Jang
Asian Oncology Nursing.2012; 12(2): 156. CrossRef - Effectiveness of PLISSIT Model Sexual Program on Female Sexual Function for Women with Gynecologic Cancer
Nami Chun
Journal of Korean Academy of Nursing.2011; 41(4): 471. CrossRef
- Assessment of factors influencing sexual dysfunction and the coping strategies adopted by cancer patients in selected hospitals of the city
- 185 View
- 0 Download
- 10 Crossref
- Construction of an Explanatory Model of Female Sexual Dysfunction
- Jeongyee Bae, Kweonsik Min, Sukhee Ahn
- Journal of Korean Academy of Nursing 2007;37(7):1080-1090. Published online December 31, 2007
- DOI: https://doi.org/10.4040/jkan.2007.37.7.1080
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Abstract
PDF
Purpose Although concerns of female sexual dysfunction (FSD) are increasing in Korea, sexual dysfunction related factors are limited in research studies. The aim of this study was to develop an explanatory model that will further explain the continuously increasing female sexual dysfunction cases in Korea.
Methods Survey visits were conducted to four hundred and eighty five women, over 25 years of age and presently residing in either urban or rural areas. All of them were analyzed using a structured questionnaire. A total of 8 instruments were used in this model. The analysis of data was done with both SPSS WIN for descriptive statistics and AMOS 5.0 for covariance structure analysis.
Results As a result, variables that showed notably direct effects on FSD were: sexual concept (sexual attitude), sexual distress, and psychosocial health (depression, crisis, traumatic life events). On the other hand, variables such as age, educational level, economic status, and marital status showed indirect influences on health-promoting behaviors.
Conclusion By comprehensively addressing the factors related to sexual dysfunction, and comparing each influence, this study can contribute to designing an appropriate sexual dysfunction prevention strategy in tune with the particular characteristics and problems of a client.
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Citations
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Korean Journal of Women Health Nursing.2016; 22(4): 287. CrossRef - Factors influencing sexual function of middle-aged married Korean women
YoungJu Jee, YoungHae Kim
Journal of Physical Therapy Science.2015; 27(3): 819. CrossRef - Study of the Sexual Behaviors and Influential Factors Affecting Premenopausal Women with Breast Cancer: Application of the Method of Triangulation
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Korean Journal of Women Health Nursing.2014; 20(1): 72. CrossRef - Factors Influencing Illness Intrusiveness of the Sexual Life in Women with Overactive Bladder
Jeong Lim Cho, Eun Nam Lee
Journal of muscle and joint health.2013; 20(1): 62. CrossRef - Factors Related to Female Sexual Dysfunction of North Korean Women Defectors
Young Sun Rhee, Hye Wan Ku, In Young Han
Korean Journal of Health Education and Promotion.2013; 30(2): 55. CrossRef - Relationship among Sexual Knowledge, Frequency, Satisfaction, Marital Intimacy and Levels of Depression in Stroke Survivors and Their Spouses
Jung-Hee Kim
Journal of Korean Academy of Nursing.2008; 38(3): 483. CrossRef - A Structural Equation Model on Sexual Function in Women with Gynecologic Cancer
Nami Chun
Journal of Korean Academy of Nursing.2008; 38(5): 639. CrossRef
- Unmet Needs and Sexual Distress of Gynecological Cancer Patients according to the Period after Initial Treatment
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