Comparing the Effect of Solution-Focused Group Counseling and Individual Counseling Based on PLISSIT Model on Sexual Satisfaction of Women with High Body Mass Index

Abstract

Background & aim: obesity can negatively affect sexual function and lower sexual satisfaction in obese people. The present study aimed to compare the effect of solution-focused group counseling and individual counseling based on the Plissit model on the sexual satisfaction of women with high body mass index. Methods: This randomized clinical was conducted on 60 women with a BMI˃30 kg/m²  who were randomly assigned to two groups of solution-focused group counseling and individual counseling based on the Plissit model. Data collection tools included personal and midwifery information questionnaires, as well as Larson's sexual satisfaction questionnaire. Solution-focused group counseling group received eight 45-minute counseling sessions, while the individual counseling group received three 60-minute sessions of counseling based on the Plissit model. Data were analyzed in SPSS software (version 16) using Chi-square, independent t-test, Mann-Whitney, and Wilcoxon tests. Results: In the solution-focused counseling group, the scores significantly improved in the dimensions of quality of sex life (pre-test=30.87±5.51; post-test=38.33±1.71), sexual attitude (pre-test=26.13±2.75; post-test=29.30±0.88), desire to have sex (pre-test=21.50±3.31; post-test=23.40±1.40), and total sexual satisfaction (pre-test=102.17±13.42; post-test=115.07±4.16), after the intervention, compared to the scores obtained before the intervention (p <0.001). In the individual counseling group based on the Plissit model, the scores significantly improved in the dimensions of quality of sex life (p <0.001; pre-test=30.30±3.70; post-test=35.103±3.69), sexual attitude (P=0.01;pre-test=24.53±2.26;post-test=26.10±1.92), sexual compatibility (P=0.008; pre-test=21.80±1.61, post-test=22.67±0.99), as well as total sexual satisfaction (P=0.001; pre-test=98.93±8.46; post-test=106.17±5.10) after the intervention, compared to their scores before the intervention. Conclusion: As evidenced by the obtained results, solution-focused group counseling can lead to increased sexual satisfaction of women with high BMI.