The Effectiveness of Counseling using PLISSIT Model on Depression, Anxiety and Stress, among Postpartum Women with Sexual Dysfunction: A Randomized Trial
<strong><em>Background & aim:</em></strong> Sexual dysfunction is common among women after childbirth, which could be associated with depression, anxiety and stress. The majority of these problems can be treated in early stages with different counseling approaches. The ai...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Mashhad University of Medical Sciences
2019-10-01
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| Series: | Journal of Midwifery & Reproductive Health |
| Subjects: | |
| Online Access: | http://jmrh.mums.ac.ir/article_13679_f3d4995a22920445207ec33f61710e2c.pdf |
| _version_ | 1818050182708723712 |
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| author | Farzaneh Karimi Raheleh Babazadeh Negar Asgharipur Habibollah Esmaily Robab Latifnejad Roudsari |
| author_facet | Farzaneh Karimi Raheleh Babazadeh Negar Asgharipur Habibollah Esmaily Robab Latifnejad Roudsari |
| author_sort | Farzaneh Karimi |
| collection | DOAJ |
| description | <strong><em>Background & aim:</em></strong> Sexual dysfunction is common among women after childbirth, which could be associated with depression, anxiety and stress. The majority of these problems can be treated in early stages with different counseling approaches. The aim of this study was to assess the effect of counselling based on the PLISSIT model on depression, anxiety and stress among postpartum women with sexual dysfunction.<br /> <strong><em>Methods</em></strong><strong><em>:</em></strong> This clinical trial was carried out on 80 women referred to urban healthcare centers of Mashhad, Iran in 2017, who had a score ≤ 28 based on the female sexual function index, with no history of sexual dysfunction before and during the pregnancy. They were randomly assigned to two groups of PLISSIT and control group. The subjects in the PLISSIT group attended two counseling sessions in two consecutive weeks and those in the control group received routine care. A demographic questionnaire, FSFI, as well as DASS-21 were used to measure female sexual function as well as depression, anxiety and stress before and 4 weeks after the last session in both groups. Data was analyzed using independent t-test, analysis of covariance, and Mann-Whitney U test.<br /> <strong><em>Results:</em></strong> The mean scores of DASS-21 total score were 9.6±7.5 and 3.3±2.9 in the PLISSIT group and 9.2±9.5 and 8.7±4.3 in the control group at the baseline and 4 weeks after the last session, respectively. The difference between means in two groups was significant (P=0.026). By controlling the intervening variables, the DASS-21 score in the intervention group decreased, compared to that in the control group.<br /> <strong><em>Conclusion: </em></strong>The PLISSIT model decreases the DASS-21 total score in women with sexual dysfunction after childbirth. |
| first_indexed | 2024-12-10T10:49:25Z |
| format | Article |
| id | doaj.art-b9f32e9342eb4cb4a07f52d38a406783 |
| institution | Directory Open Access Journal |
| issn | 2345-4792 2345-4792 |
| language | English |
| last_indexed | 2024-12-10T10:49:25Z |
| publishDate | 2019-10-01 |
| publisher | Mashhad University of Medical Sciences |
| record_format | Article |
| series | Journal of Midwifery & Reproductive Health |
| spelling | doaj.art-b9f32e9342eb4cb4a07f52d38a4067832022-12-22T01:52:04ZengMashhad University of Medical SciencesJournal of Midwifery & Reproductive Health2345-47922345-47922019-10-01741912192010.22038/jmrh.2019.36434.139913679The Effectiveness of Counseling using PLISSIT Model on Depression, Anxiety and Stress, among Postpartum Women with Sexual Dysfunction: A Randomized TrialFarzaneh Karimi0Raheleh Babazadeh1Negar Asgharipur2Habibollah Esmaily3Robab Latifnejad Roudsari4Lecturer, Department of Midwifery, Birjand branch,Islamic Azad University, Birjand, IranAssistant Professor, Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, IranAssistant Professor, Psychiatry and Behavioral Research Center, Mashhad University of Medical Sciences, Mashhad, IranProfessor in Biostatistics, Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, IranProfessor in Professor, Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran<strong><em>Background & aim:</em></strong> Sexual dysfunction is common among women after childbirth, which could be associated with depression, anxiety and stress. The majority of these problems can be treated in early stages with different counseling approaches. The aim of this study was to assess the effect of counselling based on the PLISSIT model on depression, anxiety and stress among postpartum women with sexual dysfunction.<br /> <strong><em>Methods</em></strong><strong><em>:</em></strong> This clinical trial was carried out on 80 women referred to urban healthcare centers of Mashhad, Iran in 2017, who had a score ≤ 28 based on the female sexual function index, with no history of sexual dysfunction before and during the pregnancy. They were randomly assigned to two groups of PLISSIT and control group. The subjects in the PLISSIT group attended two counseling sessions in two consecutive weeks and those in the control group received routine care. A demographic questionnaire, FSFI, as well as DASS-21 were used to measure female sexual function as well as depression, anxiety and stress before and 4 weeks after the last session in both groups. Data was analyzed using independent t-test, analysis of covariance, and Mann-Whitney U test.<br /> <strong><em>Results:</em></strong> The mean scores of DASS-21 total score were 9.6±7.5 and 3.3±2.9 in the PLISSIT group and 9.2±9.5 and 8.7±4.3 in the control group at the baseline and 4 weeks after the last session, respectively. The difference between means in two groups was significant (P=0.026). By controlling the intervening variables, the DASS-21 score in the intervention group decreased, compared to that in the control group.<br /> <strong><em>Conclusion: </em></strong>The PLISSIT model decreases the DASS-21 total score in women with sexual dysfunction after childbirth.http://jmrh.mums.ac.ir/article_13679_f3d4995a22920445207ec33f61710e2c.pdfPLISSITPostpartumDepressionAnxietystress |
| spellingShingle | Farzaneh Karimi Raheleh Babazadeh Negar Asgharipur Habibollah Esmaily Robab Latifnejad Roudsari The Effectiveness of Counseling using PLISSIT Model on Depression, Anxiety and Stress, among Postpartum Women with Sexual Dysfunction: A Randomized Trial Journal of Midwifery & Reproductive Health PLISSIT Postpartum Depression Anxiety stress |
| title | The Effectiveness of Counseling using PLISSIT Model on Depression, Anxiety and Stress, among Postpartum Women with Sexual Dysfunction: A Randomized Trial |
| title_full | The Effectiveness of Counseling using PLISSIT Model on Depression, Anxiety and Stress, among Postpartum Women with Sexual Dysfunction: A Randomized Trial |
| title_fullStr | The Effectiveness of Counseling using PLISSIT Model on Depression, Anxiety and Stress, among Postpartum Women with Sexual Dysfunction: A Randomized Trial |
| title_full_unstemmed | The Effectiveness of Counseling using PLISSIT Model on Depression, Anxiety and Stress, among Postpartum Women with Sexual Dysfunction: A Randomized Trial |
| title_short | The Effectiveness of Counseling using PLISSIT Model on Depression, Anxiety and Stress, among Postpartum Women with Sexual Dysfunction: A Randomized Trial |
| title_sort | effectiveness of counseling using plissit model on depression anxiety and stress among postpartum women with sexual dysfunction a randomized trial |
| topic | PLISSIT Postpartum Depression Anxiety stress |
| url | http://jmrh.mums.ac.ir/article_13679_f3d4995a22920445207ec33f61710e2c.pdf |
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