Skip Navigation
Skip to contents

J Korean Acad Nurs : Journal of Korean Academy of Nursing

OPEN ACCESS

Articles

Page Path
HOME > J Korean Acad Nurs > Volume 43(5); 2013 > Article
Original Article
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):681-689.
DOI: https://doi.org/10.4040/jkan.2013.43.5.681
Published online: October 31, 2013

Department of Nursing, University of Ulsan, Ulsan, Korea.

Address reprint requests to: Nho, Ju-Hee. Department of Nursing, University of Ulsan, 93 Daehakro, Nam-gu, Ulsan 680-749, Korea. Tel: +82-10-9703-7092, Fax: +82-259-1236, jhnho@ulsan.ac.kr
• Received: July 17, 2013   • Accepted: September 24, 2013

© 2013 Korean Society of Nursing Science

  • 270 Views
  • 11 Download
  • 25 Crossref
  • 28 Scopus
prev next
  • 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.
  • 1. Anderson B, Anderson JE, Yi MY. Stretching. Seoul: Nexusbook; 2001.
  • 2. Annon JS. Behavioural treatment of sexual problems: Brief therapy. Hagerstown, MD: Joanna Cotler Books; 1977.
  • 3. Brotto LA, Heiman JR, Goff B, Greer B, Lentz GM, Swisher E, et al. A psychoeducational intervention for sexual dysfunction in women with gynecologic cancer. Arch Sex Behav. 2008;37(2):317–329. http://dx.doi.org/10.1007/s10508-007-9196-xArticlePubMedPDF
  • 4. Chun N. A structural equation model on sexual function in women with gynecologic cancer. J Korean Acad Nurs. 2008;38(5):639–648. http://dx.doi.org/10.4040/jkan.2008.38.5.639ArticlePubMed
  • 5. Chun N. Effectiveness of PLISSIT model sexual program on female sexual function for women with gynecologic cancer. J Korean Acad Nurs. 2011;41(4):471–480. http://dx.doi.org/10.4040/jkan.2011.41.4.471ArticlePubMed
  • 6. Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. Hillsdale, NJ: Lawrence Erlbaum Associates; 1988.
  • 7. Derogatis LR, Rosen R, Leiblum S, Burnett A, Heiman J. The female sexual distress scale (FSDS): Initial validation of a standardized scale for assessment of sexually related personal distress in women. J Sex Marital Ther. 2002;28(4):317–330.ArticlePubMed
  • 8. Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007;39(2):175–191.ArticlePubMedPDF
  • 9. Han C, Kim HC, Kang SH, Moon DG, Kim JJ, Choi JY. Validity and reliability of Korean version of the female sexual distress scale (FSDS). Korean J Androl. 2004;22(2):68–74.
  • 10. Jensen PT, Groenvold M, Klee MC, Thranov I, Petersen MA, Machin D. Longitudinal study of sexual function and vaginal changes after radiotherapy for cervical cancer. Int J Radiat Oncol Biol Phys. 2003;56(4):937–949.ArticlePubMed
  • 11. Juraskova I, Butow P, Robertson R, Sharpe L, McLeod C, Hacker N. Post-treatment sexual adjustment following cervical and endometrial cancer: A qualitative insight. Psychooncology. 2003;12(3):267–279. http://dx.doi.org/10.1002/pon.639ArticlePubMed
  • 12. Kalaitzi C, Papadopoulos VP, Michas K, Vlasis K, Skandalakis P, Filippou D. Combined brief psychosexual intervention after mastectomy: Effects on sexuality, body image, and psychological well-being. J Surg Oncol. 2007;96(3):235–240. http://dx.doi.org/10.1002/jso.20811ArticlePubMed
  • 13. Katz A. Breaking the silence on cancer and sexuality: A handbook for healthcare providers. Pittsburgh, PA: Oncology Nursing Society; 2007.
  • 14. Katz A. Woman cancer sex. Pittsburgh, PA: Hygeia Media; 2009.
  • 15. King IM. A theory for nursing: Systems, concepts, process. New York, NY: Wiley; 1981.
  • 16. Laumann EO, Paik A, Glasser DB, Kang JH, Wang T, Levinson B, et al. A cross-national study of subjective sexual well-being among older women and men: Findings from the global study of sexual attitudes and behaviors. Arch Sex Behav. 2006;35(2):145–161. http://dx.doi.org/10.1007/s10508-005-9005-3ArticlePubMedPDF
  • 17. Lee KH. A measure of marital intimacy. J Korean Home Econ Assoc. 1995;33(4):235–249.
  • 18. Lim JS. The relationships of a self-enhancement bias, life events and subjective well-being in old-adults. Seoul, Ewha Womans University. 2004;Unpublished master's thesis.
  • 19. Lyubomirsky S, Lepper HS. A measure of subjective happiness: Preliminary reliability and construct validation. Soc Indic Res. 1999;46(2):137–155.
  • 20. Manne S, Sherman M, Ross S, Ostroff J, Heyman RE, Fox K. Couples' support-related communication, psychological distress, and relationship satisfaction among women with early stagebreast cancer. J Consult Clin Psychol. 2004;72(4):660–670. http://dx.doi.org/10.1037/0022-006x.72.4.660ArticlePubMed
  • 21. Masters WH, Johnson VE. Human sexual inadequacy. Boston, MA: Little, Brown; 1970.
  • 22. Nho JH, Park YS. Descriptive study on sexuality for women with gynecological cancer. Korean J Women Health Nurs. 2012;18(1):17–27. http://dx.doi.org/10.4069/kjwhn.2012.18.1.17ArticlePubMed
  • 23. Park JS, Lee YE. Effects of integrated menopause management program for middle aged woman. Korean J Women Health Nurs. 2011;17(1):10–20. http://dx.doi.org/10.4069/kjwhn.2011.17.1.10ArticlePubMed
  • 24. Park YS, Cho IS, Kim YM. A survey of urban middle-aged women's sexual function and sexual distress. Korean J Women Health Nurs. 2007;13(4):254–261.ArticlePDF
  • 25. Rivalta M, Sighinolfi MC, De Stefani S, Micali S, Mofferdin A, Grande M, et al. Biofeedback, electrical stimulation, pelvic floor muscle exercises, and vaginal cones: A combined rehabilitative approach for sexual dysfunction associated with urinary incontinence. J Sex Med. 2009;6(6):1674–1677. http://dx.doi.org/10.1111/j.1743-6109.2009.01238.xArticlePubMedPDF
  • 26. Rosen R, Brown C, Heiman J, Leiblum S, Meston C, Shabsigh R, 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(2):191–208. http://dx.doi.org/10.1080/009262300278597ArticlePubMed
  • 27. Scott JL, Halford WK, Ward BG. United we stand? The effects of a couple-coping intervention on adjustment to early stage breast or gynecological cancer. J Consult Clin Psychol. 2004;72(6):1122–1135. http://dx.doi.org/10.1037/0022-006x.72.6.1122ArticlePubMed
Figure 1
Conceptual framework of sexual health enhancement program.
jkan-43-681-g001.jpg
Table 1
Sexual Health Enhancement Program
jkan-43-681-i001.jpg

FSFI=Female sexual function index; FSDS=Female sexual distress scale.

Table 2
Baseline Characteristics of Participants (N=43)
jkan-43-681-i002.jpg

Exp.=Experimental group; Cont.=Control group.

Table 3
Homogeneity Test for FSFI, Sexual Distress, Marital Intimacy and Subjective Happiness (N=43)
jkan-43-681-i003.jpg

Exp.=Experimental group; Cont.=Control group; FSFI=Female sexual function index.

Table 4
Effectiveness of Sexual Health Enhancement Program (N=43)
jkan-43-681-i004.jpg

Exp.=Experimental group; Cont.=Control group; FSFI=Female sexual function index.

Figure & Data

REFERENCES

    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
    • 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
      Hamideh Zahedi, Zohreh Alizadeh-Dibazari, Mojgan Mirghafourvand, Mohammad Hasan Sahebihagh, Mina Hosseinzadeh
      BMC Cancer.2024;[Epub]     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
    • The Effect of Sexual Counseling Based on PLISSIT and EX-PLISSIT Models on Sexual Function, Satisfaction, and Quality of Life: A Systematic Review and Meta-Analysis
      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
      Sexual and Relationship Therapy.2023; 38(2): 277.     CrossRef
    • Sexual health outcomes of PLISSIT-based counseling versus grouped sexuality education among Iranian women with breast cancer: A randomized clinical trial
      Effat Merghati Khoei, Rhoghieh Kharaghani, Elham Shakibazadeh, Soghrat Faghihzadeh, Noura Aghajani, Jeffrey E. Korte, Mina Esmkhani
      Sexual and Relationship Therapy.2022; 37(4): 557.     CrossRef
    • Effects of the Better Model Based Counseling on Sexuality of Women with Breast Cancer
      Zeynep Ozkan Olcer, Umran Oskay
      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
      BMC Women's Health.2021;[Epub]     CrossRef
    • Development and Evaluation of a Sexual Health Improvement Program for Women with Gynecologic Cancer
      Soon Yang Jang
      Asian Oncology Nursing.2021; 21(3): 163.     CrossRef
    • Effects of Nurse-Led Intervention Programs Based on Goal Attainment Theory: A Systematic Review and Meta-Analysis
      Bom-Mi Park
      Healthcare.2021; 9(6): 699.     CrossRef
    • The Effect of the PLISSIT Model on Sexual Functions: A Systematic Review
      Serap KIRICI, Emel EGE
      Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi.2021; 3(3): 199.     CrossRef
    • Sexual Health Outcomes of PLISSIT-based Counseling versus Grouped Sexuality Education among Iranian Women with Breast Cancer: A Randomized Clinical Trial

      Medical & Clinical Research.2019;[Epub]     CrossRef
    • PLISSIT Interventions and Sexual Functioning: Useful Tools for Social Work in Palliative Care?
      Michael R. Bennett
      Journal of Social Work in End-of-Life & Palliative Care.2019; 15(4): 157.     CrossRef
    • Effect of a Web-Based Sexual Health Enhancement Program for Women with Gynecologic Cancer and Their Husbands
      Ju-Hee Nho, Yeon Hee Kim, Hye-Ji Kook
      International Journal of Sexual Health.2019; 31(1): 50.     CrossRef
    • Oncology Nurses' Knowledge Regarding Fertility Preservation for Patients with Cancer
      Miok Kim, Ju-Hee Nho, Aeran Lee
      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
      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
    • Development of a Web-based Sexual Health Program for Women Undergoing Treatment for Gynecologic Cancer and Their Partners
      Ju-Hee Nho
      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
      Zohreh Khakbazan, Fatemeh. Daneshfar, Zahra Behboodi-Moghadam, Seyed Massood Nabavi, Sogand Ghasemzadeh, Abbas Mehran
      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.
      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
    • Interventions for sexual dysfunction following treatments for cancer in women
      Bridget Candy, Yuan Chi, Lisa Graham-Wisener, Louise Jones, Michael King, Anne Lanceley, Victoria Vickerstaff, Adrian Tookman
      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
      Hyunjin An, Ju-Hee Nho, Sunyoung Yoo, Hyunmin Kim, Minji Nho, Hojeong Yoo
      Journal of Korean Academy of Nursing.2015; 45(6): 812.     CrossRef

    • Cite
      CITE
      export Copy Download
      Close
      Download Citation
      Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

      Format:
      • RIS — For EndNote, ProCite, RefWorks, and most other reference management software
      • BibTeX — For JabRef, BibDesk, and other BibTeX-specific software
      Include:
      • Citation for the content below
      Effect of PLISSIT Model Sexual Health Enhancement Program for Women with Gynecologic Cancer and Their Husbands
      J Korean Acad Nurs. 2013;43(5):681-689.   Published online October 31, 2013
      Close
    • XML DownloadXML Download
    Figure
    • 0
    We recommend
    Related articles
    Effect of PLISSIT Model Sexual Health Enhancement Program for Women with Gynecologic Cancer and Their Husbands
    Image
    Figure 1 Conceptual framework of sexual health enhancement program.
    Effect of PLISSIT Model Sexual Health Enhancement Program for Women with Gynecologic Cancer and Their Husbands

    Sexual Health Enhancement Program

    FSFI=Female sexual function index; FSDS=Female sexual distress scale.

    Baseline Characteristics of Participants (N=43)

    Exp.=Experimental group; Cont.=Control group.

    Homogeneity Test for FSFI, Sexual Distress, Marital Intimacy and Subjective Happiness (N=43)

    Exp.=Experimental group; Cont.=Control group; FSFI=Female sexual function index.

    Effectiveness of Sexual Health Enhancement Program (N=43)

    Exp.=Experimental group; Cont.=Control group; FSFI=Female sexual function index.

    Table 1 Sexual Health Enhancement Program

    FSFI=Female sexual function index; FSDS=Female sexual distress scale.

    Table 2 Baseline Characteristics of Participants (N=43)

    Exp.=Experimental group; Cont.=Control group.

    Table 3 Homogeneity Test for FSFI, Sexual Distress, Marital Intimacy and Subjective Happiness (N=43)

    Exp.=Experimental group; Cont.=Control group; FSFI=Female sexual function index.

    Table 4 Effectiveness of Sexual Health Enhancement Program (N=43)

    Exp.=Experimental group; Cont.=Control group; FSFI=Female sexual function index.


    J Korean Acad Nurs : Journal of Korean Academy of Nursing
    Close layer
    TOP