{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T12:56:00Z","timestamp":1781528160531,"version":"3.54.1"},"reference-count":35,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","msard-journal.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Multiple Sclerosis and Related Disorders"],"published-print":{"date-parts":[[2026,5]]},"DOI":"10.1016\/j.msard.2026.107110","type":"journal-article","created":{"date-parts":[[2026,3,3]],"date-time":"2026-03-03T17:25:42Z","timestamp":1772558742000},"page":"107110","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["The impact of PLISSIT model-based counseling on the sexual life of women with multiple sclerosis: A systematic review and meta-analysis"],"prefix":"10.1016","volume":"109","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0826-5682","authenticated-orcid":false,"given":"\u0130lknur","family":"\u00d6zkan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7243-0734","authenticated-orcid":false,"given":"Se\u00e7il","family":"Taylan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3029-0446","authenticated-orcid":false,"given":"Cansu","family":"Polat D\u00fcnya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"2","key":"10.1016\/j.msard.2026.107110_bib0001","doi-asserted-by":"crossref","first-page":"103","DOI":"10.4097\/kjae.2018.71.2.103","article-title":"Introduction to systematic review and meta-analysis","volume":"71","author":"Ahn","year":"2018","journal-title":"Korean J Anesth."},{"issue":"5","key":"10.1016\/j.msard.2026.107110_bib0002","doi-asserted-by":"crossref","first-page":"544","DOI":"10.1017\/dmp.2020.90","article-title":"Reporting systematic review in accordance with the PRISMA statement guidelines: an emphasis on methodological quality","volume":"15","author":"Amir-Behghadami","year":"2021","journal-title":"Disaster. Med. Public Health Prep."},{"issue":"1","key":"10.1016\/j.msard.2026.107110_bib0003","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1080\/01614576.1976.11074483","article-title":"The PLISSIT model: a proposed conceptual scheme for the behavioral treatment of sexual problems","volume":"2","author":"Annon","year":"1976","journal-title":"J. Sex. Educ. Ther."},{"issue":"3","key":"10.1016\/j.msard.2026.107110_bib0004","first-page":"228","article-title":"Sexual dysfunction in women with multiple sclerosis: dimensions and contributory factors","volume":"19","author":"Ashtari","year":"2014","journal-title":"J. Res. \u0131n Med. Sci.: Off. J. Isfahan Univ. Med. Sci."},{"key":"10.1016\/j.msard.2026.107110_bib0005","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1007\/s11195-020-09617-4","article-title":"The effect of counseling based on EX-PLISSIT model on sexual dysfunction and quality of sexual life of married women with multiple sclerosis: a randomized controlled clinical trial","volume":"38","author":"Azari-Barzandig","year":"2020","journal-title":"Sex. Disabil."},{"issue":"10","key":"10.1016\/j.msard.2026.107110_bib0006","doi-asserted-by":"crossref","first-page":"1426","DOI":"10.1111\/j.1742-1241.2009.02168.x","article-title":"Understanding heterogeneity in meta-analysis: the role of meta-regression","volume":"63","author":"Baker","year":"2009","journal-title":"Int. J. Clin. Pr."},{"issue":"21","key":"10.1016\/j.msard.2026.107110_bib0007","doi-asserted-by":"crossref","first-page":"6572","DOI":"10.3390\/jcm11216572","article-title":"Neurologic urinary incontinence, lower urinary tract symptoms and sexual dysfunctions in multiple sclerosis: expert opinions based on the review of current evidences","volume":"11","author":"Bientinesi","year":"2022","journal-title":"J. Clin. Med."},{"key":"10.1016\/j.msard.2026.107110_bib0008","doi-asserted-by":"crossref","first-page":"399","DOI":"10.1007\/s11195-017-9482-z","article-title":"The influence of Ex-PLISSIT (extended permission, limited information, specific suggestions, intensive therapy) model on intimacy and sexuality of married women with multiple sclerosis","volume":"35","author":"Daneshfar","year":"2017","journal-title":"Sex. Disabil."},{"issue":"2","key":"10.1016\/j.msard.2026.107110_bib0009","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1111\/j.1743-6109.2007.00672.x","article-title":"Validation of the female sexual distress scale-revised for assessing distress in women with hypoactive sexual desire disorder","volume":"5","author":"DeRogatis","year":"2008","journal-title":"J. Sex. Med."},{"issue":"4","key":"10.1016\/j.msard.2026.107110_bib0010","doi-asserted-by":"crossref","first-page":"422","DOI":"10.20982\/tqmp.16.4.p422","article-title":"Erratum to appendix C of \u201ca review of effect sizes and their confidence intervals, part I: the Cohen\u2019sd family","volume":"16","author":"Goulet-Pelletier","year":"2020","journal-title":"Quant. Methods Psychol."},{"issue":"4","key":"10.1016\/j.msard.2026.107110_bib0011","doi-asserted-by":"crossref","first-page":"337","DOI":"10.1007\/s10654-016-0149-3","article-title":"Statistical tests, P values, confidence intervals, and power: a guide to misinterpretations","volume":"31","author":"Greenland","year":"2016","journal-title":"Eur. J. Epidemiol."},{"key":"10.1016\/j.msard.2026.107110_bib0012","doi-asserted-by":"crossref","first-page":"d5928","DOI":"10.1136\/bmj.d5928","article-title":"The cochrane collaboration's tool for assessing risk of bias in randomised trials","volume":"343","author":"Higgins","year":"2011","journal-title":"BMJ"},{"issue":"1\u20132","key":"10.1016\/j.msard.2026.107110_bib0013","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1159\/000492126","article-title":"Sexual dysfunction seems to trigger depression in female multiple sclerosis patients","volume":"80","author":"H\u00f6sl","year":"2018","journal-title":"Eur. Neurol."},{"key":"10.1016\/j.msard.2026.107110_bib0014","doi-asserted-by":"crossref","DOI":"10.1016\/j.msard.2023.104672","article-title":"Sexual problems in MS: sex differences and their impact on quality of life","volume":"74","author":"Kaplan","year":"2023","journal-title":"Mult. Scler. Relat. Disord."},{"key":"10.1016\/j.msard.2026.107110_bib0015","doi-asserted-by":"crossref","first-page":"437","DOI":"10.1007\/s00737-020-01080-6","article-title":"The effect of counseling based on the PLISSIT model on sexual quality of life of married women with multiple sclerosis referring to MS center in 2019: a randomized, controlled trial","volume":"24","author":"Kazemi","year":"2021","journal-title":"Arch. Womens Ment. Health"},{"key":"10.1016\/j.msard.2026.107110_bib0016","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1016\/j.msard.2016.05.007","article-title":"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","volume":"8","author":"Khakbazan","year":"2016","journal-title":"Mult. Scler. Relat. Disord."},{"issue":"3","key":"10.1016\/j.msard.2026.107110_bib0017","doi-asserted-by":"crossref","first-page":"199","DOI":"10.46413\/boneyusbad.943252","article-title":"The effect of the PLISSIT Model on sexual functions: a systematic review","volume":"3","author":"K\u0131r\u0131c\u0131","year":"2021","journal-title":"Band\u0131rma Onyedi Eyl\u00fcl \u00dcniv. Sa\u011fl\u0131k Bilim. ve Ara\u015ft\u0131rmalar\u0131 Derg."},{"issue":"1","key":"10.1016\/j.msard.2026.107110_bib0018","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1016\/j.esxm.2018.11.003","article-title":"Female sexual dysfunction among Greek women with multiple sclerosis: correlations with organic and psychological factors","volume":"7","author":"Konstantinidis","year":"2019","journal-title":"Sex. Med."},{"key":"10.1016\/j.msard.2026.107110_bib0019","article-title":"Sex effects across the lifespan in women with multiple sclerosis","volume":"13","author":"Krysko","year":"2020","journal-title":"Ther. Adv. \u0131n Neurol. Disord."},{"issue":"3","key":"10.1016\/j.msard.2026.107110_bib0020","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1080\/00926239808404933","article-title":"A longitudinal study of the effects of premarital communication, relationship stability, and self-esteem on sexual satisfaction in the first year of marriage","volume":"24","author":"Larson","year":"1998","journal-title":"J. Sex. Marital. Ther."},{"key":"10.1016\/j.msard.2026.107110_bib0021","first-page":"16","article-title":"The effects of counseling based on PLISSIT model on sexual dysfunction: a systematic review and meta-analysis","volume":"1","author":"Mashhadi","year":"2022","journal-title":"Res. Health Med. Sci."},{"key":"10.1016\/j.msard.2026.107110_bib0022","first-page":"229","article-title":"Summarizing study characteristics and preparing for synthesis","author":"McKenzie","year":"2019","journal-title":"Cochrane Handb. Syst. Rev. Interv."},{"issue":"1","key":"10.1016\/j.msard.2026.107110_bib0023","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1111\/j.1743-6109.2005.20107.x","article-title":"Development and validation of a five-factor sexual satisfaction and distress scale for women: the Sexual Satisfaction Scale for women (SSS-W)","volume":"2","author":"Meston","year":"2005","journal-title":"J. Sex. Med."},{"issue":"3","key":"10.1016\/j.msard.2026.107110_bib0024","doi-asserted-by":"crossref","first-page":"363","DOI":"10.1002\/jrsm.1547","article-title":"Meta-analysis of prevalence: I2 statistic and how to deal with heterogeneity","volume":"13","author":"Migliavaca","year":"2022","journal-title":"Res. Synth. Met."},{"key":"10.1016\/j.msard.2026.107110_bib0025","first-page":"1","article-title":"Sexual dysfunction in women with multiple sclerosis: prevalence and impact on quality of life","volume":"20","author":"Nazari","year":"2020","journal-title":"BMC. Urol."},{"issue":"2","key":"10.1016\/j.msard.2026.107110_bib0026","doi-asserted-by":"crossref","first-page":"467","DOI":"10.1007\/s11195-023-09787-x","article-title":"The effect of ex-PLISSIT model on sexual satisfaction in women with multiple sclerosis","volume":"41","author":"Nazari","year":"2023","journal-title":"Sex. Disabil."},{"issue":"2","key":"10.1016\/j.msard.2026.107110_bib0027","doi-asserted-by":"crossref","first-page":"336","DOI":"10.1093\/aje\/kwaa205","article-title":"Meta-analysis and sparse-data bias","volume":"190","author":"Richardson","year":"2021","journal-title":"Am. J. Epidemiol."},{"issue":"1","key":"10.1016\/j.msard.2026.107110_bib0028","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1007\/s10072-022-06406-z","article-title":"The global prevalence of sexual dysfunction in women with multiple sclerosis: a systematic review and meta-analysis","volume":"44","author":"Salari","year":"2023","journal-title":"Neurol. Sci."},{"key":"10.1016\/j.msard.2026.107110_bib0029","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1023\/A:1005421627154","article-title":"The multiple sclerosis intimacy and sexuality questionnaire-19 (MSISQ-19)","volume":"18","author":"Sanders","year":"2000","journal-title":"Sex. Disabil."},{"issue":"5","key":"10.1016\/j.msard.2026.107110_bib0030","first-page":"14","article-title":"Effect comparison between Egger\u2019s test and Begg\u2019s test in publication bias diagnosis in meta-analyses: evidence from a pilot survey","volume":"5","author":"Shi","year":"2017","journal-title":"Int. J. Res. Stud. Biosci."},{"issue":"5","key":"10.1016\/j.msard.2026.107110_bib0031","doi-asserted-by":"crossref","first-page":"385","DOI":"10.1080\/00926230591006502","article-title":"Development of a questionnaire on sexual quality of life in women","volume":"31","author":"Symonds","year":"2005","journal-title":"J. Sex. Marital. Ther."},{"issue":"3","key":"10.1016\/j.msard.2026.107110_bib0032","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1080\/0092623X.2021.1998270","article-title":"Sexual counseling with the PLISSIT model: a systematic review","volume":"48","author":"Tuncer","year":"2022","journal-title":"J. Sex. Marital. Ther."},{"key":"10.1016\/j.msard.2026.107110_bib0033","series-title":"Psycho-oncology care: Companion Guides For clinicians, Book two: Sexual health, Fertility and Relationships","article-title":"Provision of sexual health support","author":"Ussher","year":"2020"},{"key":"10.1016\/j.msard.2026.107110_bib0034","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12874-015-0024-z","article-title":"The heterogeneity statistic I 2 can be biased in small meta-analyses","volume":"15","author":"Von Hippel","year":"2015","journal-title":"BMC. Med. Res. Methodol."},{"issue":"12","key":"10.1016\/j.msard.2026.107110_bib0035","doi-asserted-by":"crossref","first-page":"1716","DOI":"10.1016\/j.jsxm.2018.09.016","article-title":"Association between multiple sclerosis and risk of female sexual dysfunction: a systematic review and meta-analysis","volume":"15","author":"Zhao","year":"2018","journal-title":"J. Sex. Med."}],"container-title":["Multiple Sclerosis and Related Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S221103482600146X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S221103482600146X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T12:25:51Z","timestamp":1781526351000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S221103482600146X"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5]]},"references-count":35,"alternative-id":["S221103482600146X"],"URL":"https:\/\/doi.org\/10.1016\/j.msard.2026.107110","relation":{},"ISSN":["2211-0348"],"issn-type":[{"value":"2211-0348","type":"print"}],"subject":[],"published":{"date-parts":[[2026,5]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"The impact of PLISSIT model-based counseling on the sexual life of women with multiple sclerosis: A systematic review and meta-analysis","name":"articletitle","label":"Article Title"},{"value":"Multiple Sclerosis and Related Disorders","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.msard.2026.107110","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier B.V. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"107110"}}