Sürdürülebilir Kalkınma Amaçları
Yayınlar
- Derleme MakaleAçık Erişim2026The effect of non-pharmacologic treatments in individuals with problematic pornography use: a meta-analysis of randomized controlled trials
Yıldız Karaahmet, Aysu; Bilgiç, Fatma Şule; Karakaş, Sevda
This study aimed to systematically review and meta-analyze the effects of non-pharmacological treatments on problematic pornography use (PPU), pornography use frequency, sexual dysfunction, psychological symptoms, and quality of life in individuals with PPU. A comprehensive literature search was conducted in PubMed/MEDLINE, Embase, PsycINFO, and Web of Science between June and July 2024. MeSH-based keywords were used to identify relevant Randomized Controlled Trials (RCTs) published in the last ten years. Five RCTs with a total of 826 participants were included. Non-pharmacological interventions significantly reduced PPU (SMD: −1.16; 95% CI: −2.10 to −0.22; p = 0.02) and pornography use frequency (SMD: −0.74; 95% CI: −1.43 to −0.05; p = 0.04) compared to control groups. No statistically significant effects were found for sexual dysfunction (SMD: −0.47; p = 0.05) or psychological symptoms (SMD: −0.42; p = 0.06), though moderate effects were observed. Risk of bias was high or unclear in terms of participant and outcome blinding. Non-pharmacological interventions appear effective in reducing PPU and use frequency. Although effects on sexual function and psychological symptoms were not significant, the findings suggest potential improvements in overall quality of life.
- MakaleAçık Erişim2026Effects of psychosocial interventions on sexual function, quality of life, and stress in women with gynecologic cancer: a systematic review and meta-analysis
Aydın, Esra; Özcan, Handan; Karakaş, Sevda; Uzun, Sevda
Objectives: To evaluate the effects of psychosocial interventions on sexual function, quality of life, and stress levels in women with gynecologic cancer. Methods: This systematic review and meta-analysis was conducted in accordance with the PRISMA 2020 guidelines. PubMed, Web of Science, EBSCOhost, Google Scholar, and the YÖK Thesis Center were searched between June and July 2024 without year restriction. Randomized controlled and quasi-experimental studies evaluating psychosocial interventions were included. Data were synthesized using meta-analysis and narrative synthesis. Outcomes were synthesized separately for sexual function, quality of life, and stress. Results: Seven studies were included in the analysis. Psychosocial interventions significantly improved sexual function (SMD: 0.868; 95% CI: 0.021 to 1.715; Z = 2.008; p = 0.045; I2 = 89.97%) and quality of life (SMD: 0.709; 95% CI: 0.060 to 1.358; Z = 2.142; p = 0.032; I2 = 88.61%) in women with gynecologic cancer. However, psychosocial interventions did not demonstrate a significant effect on stress levels (SMD: − 1.126; 95% CI: − 2.649 to 0.397; Z = − 1.449; p = 0.147; I2 = 95.65%). Conclusion: This systematic review and meta-analysis indicates that psychosocial interventions are associated with improvements in sexual function and quality of life among women with gynecologic cancer, whereas no statistically significant reduction in stress was observed. Although substantial between-study heterogeneity was present, the overall evidence supports the integration of psychosocial approaches into supportive oncology nursing care.
- MakaleAçık Erişim2025The effect of omega-3 fatty acid use on women’s mental health in postpartum depression: a systematic review and meta-analysis study
Karakaş, Sevda; Uzun, Sevda; Özcan, Handan
- MakaleYalnız künye2025Association Between Cyber Pornography Use and Sexual Health Literacy and Sexual Function in Women of Reproductive Age: A Cross-Sectional Study
Bilgiç, Fatma Şule; Yıldız Karaahmet, Aysu; Karakaş, Sevda
This study aimed to examine the association between cyber pornography use, sexual health literacy, and sexual function in women of reproductive age. This cross-sectional study was conducted via an online platform using Google Forms between January 25 and February 23, 2025, with 1,202 female participants aged 18–35. Data were collected using a Data Collection Form, the Cyber Pornography Use Scale-9 (CPUS-9), the Arizona Sexual Experiences Scale (ASEX), and the Sexual Health Literacy Scale (SHLS). The average age of the participants was 23.19 ± 3.34 years. The mean total score for CPUS-9 was 2.26 ± 1.34, for ASEX was 14.98 ± 6.80, and for SHLS was 57.65 ± 13.18. A weak positive correlation was found between CPUS-9 and SHLS, while a weak negative correlation was observed between ASEX and SHLS. According to regression analysis, as sexual dysfunction increased in women, cyber pornography use also increased (β = 0.550), resulting in a 0.57-unit increase. Furthermore, as sexual health literacy increased, cyber pornography use also increased (β = 0.190), leading to a 0.19-unit increase. The findings suggest that cyber pornography use in women is associated with sexual function and sexual health, and these associations may relate to individuals’ levels of sexual health literacy.
- MakaleAçık Erişim2025Is Spirituality a Source of Support or Conflict for Infertility? A Qualitative Study
Karakaş, Sevda; Akarsu, Rukiye Höbek; Tandoğan, Özden; Şahan, Özlem
Background: Infertility has become an important public health problem in developing countries due to its high prevalence. Infertility is a difficult crisis situation with psychological and spiritual dimensions. Aims: The aim of this study is to determine whether religion provides support or conflict for the infertility process in women. Methods: This research was designed as a descriptive qualitative study. This study was conducted in a governmental hospital's infertility outpatient clinic in Istanbul, Turkey. Twenty participants participated in the face-to-face, in-depth interview technique used to gather the research data. A semi-structured interview and a comprehensive information form were used to gather data. Results: In line with the interviews with the participants, 2 main themes, 9 sub-themes and 12 codes for the sub-themes were determined as the findings obtained based on the content analysis in the study, positive religious behaviors and negative religious behaviors. Conclusions: In our study, it was found that women felt unhappy, hopeless and helpless and could not accept not being able to have children. Women blamed religion for their infertility. Religion first caused infertile women to experience conflict. After the conflict, women with religious affiliation perceived religious support as a source of conflict for others.
- MakaleAçık Erişim2025Are Women of Reproductive Age Aware of Gynecological Cancers?
Ketenciler, Aysun Perim; Metinoğlu, Meryem; Karakaş, Sevda; Göncü, Gülin
Objective: This descriptive study aimed to determine the awareness levels of women of reproductive age regarding gynecological cancers. Methods: The study was conducted with 379 women aged between 15 and 49 registered at two separate Family Health Centers in Tekirdağ city center between May 2022 and April 2023. Data were collected using the "Gynecological Cancers Awareness Scale" and an "Introductory Information Form." Descriptive statistics including number, minimum, maximum, percentage, mean, and standard deviation were provided using the SPSS 21 package program. Shapiro-Wilk normality test, Independent Sample T-test, One Way ANOVA, Pearson correlation test, and Bonferroni test were used for data analysis. A statistical significance level of p <0.05 was accepted. Results: The mean age of the women in the study was 34 ±11 years, with 61.5% being married. The average Gynecological Cancers Awareness Scale (GCAS) score was 157.1 ±17.1 (range 106-205). Sub-dimension scores were: "Early Diagnosis and Information Awareness" 17.1 ±2.3 (range 10-20), "Risk Awareness" 28.4 ±5.3 (range 13-45), "Prevention Awareness" 22.4 ±3.4 (range 12-30), and "Routine Checks and Serious Illness Perception" 89.0 ±11.9 (range 45-110). In the study, 48.5% of the women knew about early diagnosis methods for gynecological cancers, and 76% were aware of the Cancer Early Diagnosis Screening and Education Center (KETEM). Women who were aware of risky health behaviors and cancer symptoms had higher awareness levels (p <0.05). There was no significant difference between the number of pregnancies and births and awareness levels (p >0.05). Conclusion: The result shows that women have a moderate level of awareness about gynecological cancers; however, their knowledge of gynecological cancer symptoms and awareness of risky health behaviors is higher. Additionally, more than half of the participants (60.7%) have never had a gynecological examination.
- MakaleAçık Erişim2024The relationship between body image and sexual satisfaction in women who have undergone hysterectomy
Gökçe, Elmas; Karakaş, Sevda
SUMMARY OBJECTIVE: This study aims to examine the relationship between body image and the level of sexual satisfaction in women who have undergone a hysterectomy. METHODS: This descriptive study utilized a relational screening model. Conducted between June 2023 and March 2024, the study included a total of 300 sexually active women who had undergone a hysterectomy 6 months prior. Data were collected using a personal information form, the Golombok-Rust Sexual Satisfaction Scale, and the Body Image Scale through face-to-face interviews lasting approximately 20–30 min. RESULTS: The average age of the participating women was 44.4±10.55 years. Of the participants, 96.7% were married and 42.4% had entered menopause. The average score on the Body Image Scale was 81.2±3.8, and the average score on the Golombok-Rust Sexual Satisfaction Scale was 33.0±15.1. A positive significant relationship was found between body image and sexual satisfaction (p<0.05). There was also a statistically significant positive relationship between the total scores on the Body Image Scale and the Golombok-Rust Sexual Satisfaction Scale with age and frequency of sexual intercourse (p=0.049, p<0.001, p<0.001, p=0.047, and p=0.014). It was determined that as the age and frequency of sexual intercourse increased, the levels of body image and sexual satisfaction also increased. CONCLUSION: Our study found that women’s self-image is negatively affected, and their level of sexual satisfaction decreases following a hysterectomy.
- MakaleAçık Erişim2017Sexual health literacy as a predictor of reproductive health and family planning attitudes among university students: a cross-sectional study
Karaahmet, Aysu Yıldız; Bilgiç, Fatma Şule; Karakaş, Sevda
Introduction: This study was conducted to investigate the relationship between sexual health literacy (SHL) and reproductive health and family planning (RHFP) attitudes among university students and to identify the sociodemographic and informational predictors influencing these variables. Methods: A descriptive, cross-sectional design was employed with a sample of 867 university students aged 18-35 in Türkiye between May and September 2024. Data were collected using a Sociodemographic Questionnaire, the Sexual Health Literacy Scale (SHLS), and the Reproductive Health and Family Planning Attitude Scale (RHFPAS). Data analysis included Pearson correlation and multiple linear regression models to determine predictors and relationships. Results: The findings revealed a strong positive correlation between SHL and RHFP attitudes (r = 0.880, P < .05). Multiple linear regression analysis showed that total SHLS scores and students’ conceptual definitions of sexual health were significant predictors of RHFP attitudes. In particular, the knowledge and attitude subscales of the SHLS were identified as key determinants. Furthermore, residence type, sexual activity status, and information sources were found to significantly influence both SHL levels and RHFP attitudes. Discussion: SHL is a critical determinant in shaping the RHFP attitudes of young adults. Higher literacy levels directly correlate with more positive attitudes toward reproductive health services, suggesting that targeted educational interventions are necessary to improve health outcomes in this population.