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.