Sexuality and Disability

, Volume 35, Issue 4, pp 399–414 | Cite as

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
Original Paper


This study was planned to assess the effect of using Ex-PLISSIT (Extended Permission, Limited Information, Specific Suggestion, and Intensive Therapy) model on sexuality and intimacy of married women who suffer from Multiple Sclerosis (MS). The volunteer women who had definite MS and sexual dysfunction (SD), EDSS score <7 and aged between 20 and 50 years were randomized as experimental group (n = 60) and control group (n = 60). Fatigue severity Scale was used to evaluate women’s fatigue. Sexual counseling based on Ex-PLISSIT model (four 60–100 min weekly sessions) were applied for experimental group. Sexual function was assessed before intervention, 8 and 12 weeks after intervention by using Multiple Sclerosis Sexuality and Intimacy Questionnaire-19. Depending on the type of data, descriptive statistics in the form of relative and absolute frequency distribution tables, Chi square test (for demographic variables), repeated measures ANOVA, and single and paired t test were used and SPSS software version 16 was used for data analysis. There was a statistically significant decrease in SD score when data were compared through 3 stages of evaluation in experimental group (P < 0.05). No statistical difference has been considered in control group about secondary and tertiary SD. According to this study, using Ex-PLISSIT model for sexual counseling, is effective in addressing SD of married women with MS.


Ex-PLISSIT model Married women Multiple sclerosis Sexuality and intimacy Iran 



This report is the result of a research project entitled “the effect of extended PLISSIT model on the intimacy and sexuality of married women with Multiple Sclerosis who visit Iran’s MS Society for protection and support”. The authors would like to thank Vice Chancellor for Education and Research of Tehran University of Medical Sciences, the participants, and all the people who helped us to conduct this research. This study was approved by the Nursing and Midwifery Care Research Center, Tehran University of Medical Sciences, and was funded by the code of 93-02-99-26076 dated 30-05-2014 by Tehran University of Medical Sciences. Also, it has been registered in the Iranian Registry of Clinical Trials under the code IRCT2014092817965N1.

Compliance with Ethical Standards

Conflict of interest

The authors are declare that they have no conflict of interest.

Ethical Approval

All procedures performed in this study were in accordance with the ethical standards of the Ethics Committee of Tehran University of Medical Sciences and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.


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Copyright information

© Springer Science+Business Media New York 2017

Authors and Affiliations

  • Fatemeh Daneshfar
    • 1
  • Zahra Behboodi-Moghadam
    • 1
  • Zohreh Khakbazan
    • 1
  • Seyed Massood Nabavi
    • 2
  • Nahid Dehghan Nayeri
    • 3
  • Sogand Ghasemzadeh
    • 4
  • Ali Montazeri
    • 5
  1. 1.School of Nursing and MidwiferyTehran University of Medical SciencesTehranIran
  2. 2.Neurology Group, Department of Regenerative Biomedicine, Cell Science Research CenterRoyan Institute for Stem Cell Biology and Technology, ACECRTehranIran
  3. 3.Department of Nursing Management, Nursing and Midwifery Care Research Center, School of Nursing and MidwiferyTehran University of Medical SciencesTehranIran
  4. 4.Faculty of PsychologyTehran UniversityTehranIran
  5. 5.Health Metrics Research Centre, Iranian Institute for Health Sciences ResearchACECRTehranIran

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