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

Background & aim: obesity can negatively affect sexual function and obese women experience lower sexual satisfaction. This study compared the effect of solution-focused group counseling and individual counseling based on the PLISSIT model on sexual satisfaction of women with high body mass index. Methods: This randomized clinical trial was conducted on 60 women with a BMI˃30 who were randomly assigned to two groups of solution-focused group counseling and individual counseling based on the PLISSIT model. Data collection tools included a demographic, as well as Larson's sexual satisfaction questionnaire. Solution-focused 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: There was a significant difference in sexual satisfaction score between two groups after intervention and it was higher in solution-focused group counseling group (P=0.001). Also the score of sexual satisfaction was significantly higher in the dimensions of sexual attitude (P<0.001), quality of sex life (P<0.001), and sexual compatibility (P<0.001) in solution-focused group counseling group compared with individual counseling based on the PLISSIT model. Conclusion: As evidenced by the obtained results, solution-focused group counseling can lead to increased sexual satisfaction of women with high BMI.