The Effectiveness of Group Counseling Based on Acceptance and Commitment Therapy (ACT) on Sexual Satisfaction among Women with HIV and Their HIV Positive Husbands: A Parallel Randomized Controlled Clinical Trial

Document Type : Original Research Article

Authors

1 a) Associate Professor, Research Center for Nursing and Midwifery Care, Non-Communicable Diseases Research Institute, Shahid Sadoughi University of Medical Sciences, Yazd, Iran b) Department of Midwifery, School of Nursing and Midwifery, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

2 MSc in Midwifery Counseling, Department of Midwifery, School of Nursing and Midwifery, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

3 Associate Professor, Research Center for Nursing and Midwifery Care, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

10.22038/jmrh.2024.66380.1937

Abstract

Background & aim: Half of individuals living with HIV experience a decline in their quality of life due to sexual issues. The study investigates the effect of acceptance and commitment therapy group counseling on sexual satisfaction among HIV-positive women and their HIV positive husbands.
Methods: The Behavioral Disease Counseling Center in Yazd and Meybod, Iran conducted a RCT on HIV positive women and their HIV positive husbands. The study involved 32 women who were randomly assigned to two groups. One group comprised 16 participants who attended ten weekly 2-hour sessions, while the other group underwent routine counseling at the center. The study utilized a sexual satisfaction questionnaire and analyzed its data by SPSS (version 16) using Chi-square, independent t-test, and repeated measures ANOVA (P<0.05).  
Results: The demographic variables between the two groups did not show any significant difference. The intervention group demonstrated significant differences in average of sexual satisfaction scores before, after, and one month after the intervention (90.87±13.3, 96.31±12.94, and 97.81±12.52, P= 0.008) respectively. However, the control group did not exhibit any significant differences in sexual satisfaction scores (83.93±18.07, 84.87±17.49, and 85.06±16.70, p=0.343). Also the difference between these two groups was significant immediately (P= 0.044) and one month after counseling (P= 0.021)
Conclusion: The study reveals that acceptance and commitment therapy group counseling can increase sexual satisfaction. By empowering women affected to HIV through the use of ACT in their clinical service, their sexual satisfaction can be significantly improved and it helps to improve the quality of life.

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