Cengizhan Sıdıka Özlem, Uçar Tuba
Department of Midwifery, Faculty of Health Sciences, Adıyaman University, Adıyaman, Turkey.
Department of Midwifery, Faculty of Health Sciences, İnönü University, Malatya, Turkey.
J Midwifery Womens Health. 2023 Sep-Oct;68(5):611-618. doi: 10.1111/jmwh.13518. Epub 2023 Jun 9.
Sexual distress during pregnancy can cause a negative attitude toward sexuality during pregnancy, and this can be seen especially in conjunction with body image concerns. This study was conducted to determine the effects of mindfulness-based sexual counseling (MBSC) on sexual distress, attitudes toward sexuality, and body image concerns in pregnant women.
A randomized controlled trial was conducted in a sample of women who experienced sexual distress presenting to a Healthy Living Center in eastern Turkey. Women (N = 134) were randomly assigned to receive a 4-week, 8-session counseling program based on mindfulness (experimental group; n = 67) or treatment as usual (control group; n = 67). The primary outcome of the study, sexual distress, was assessed using the Female Sexual Distress Scale-Revised. Secondary outcomes included attitude toward sexuality, assessed using the Attitude Scale toward Sexuality during Pregnancy, and body image concerns, using the Body Image Concerns during Pregnancy Scale. Outcomes were compared postintervention, correcting for baseline using analysis of covariance. The study was registered with ClinicalTrials.gov (NCT04900194).
Mean scores for sexual distress (7.69 vs 17.36; P < .001) and body image concerns (57.76 vs 73.88; P < .001) decreased significantly in the mindfulness group compared with the control group. Similarly, mean scores for attitudes toward sexuality significantly improved in the mindfulness group compared with the control group (133.52 vs 105.78; P < .05).
MBSC is a promising strategy to help women experiencing sexual distress during pregnancy to reduce their levels of sexual distress, raise their positive attitudes toward sexuality, and lower their body image concerns. Larger clinical trials of MBSC are recommended to support introduction of MBSC into clinical practice.
孕期性困扰会导致对孕期性行为产生消极态度，尤其是与身体形象问题相关时，这种情况更为明显。本研究旨在确定基于正念的性咨询（MBSC）对孕妇性困扰、性态度及身体形象问题的影响。
在土耳其东部一家健康生活中心对有性困扰的女性样本进行了一项随机对照试验。女性（N = 134）被随机分配接受为期4周、共8节基于正念的咨询项目（实验组；n = 67）或常规治疗（对照组；n = 67）。研究的主要结局指标性困扰，采用修订版女性性困扰量表进行评估。次要结局指标包括性态度，采用孕期性态度量表进行评估，以及身体形象问题，采用孕期身体形象问题量表进行评估。干预后对结局进行比较，并使用协方差分析对基线进行校正。该研究已在ClinicalTrials.gov（NCT04900194）注册。
与对照组相比，正念组的性困扰平均得分（7.69对17.36；P <.001）和身体形象问题平均得分（57.76对73.88；P <.001）显著降低。同样，与对照组相比，正念组的性态度平均得分显著提高（133.52对105.78；P <.05）。
MBSC是一种有前景的策略，可帮助孕期有性困扰的女性降低性困扰水平，提高对性的积极态度，并减少其身体形象问题。建议开展更大规模的MBSC临床试验，以支持将MBSC引入临床实践。
