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

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.

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.

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.

As evidenced by the obtained results, solution-focused group counseling can lead to increased sexual satisfaction of women with high BMI.