Çuvadar Ayşe, Özcan Handan
Department of Midwifery, Faculty of Health Sciences, Karabuk University, Karabük, Turkey.
Department of Midwifery, Faculty of Health Sciences, University of Health Sciences, İstanbul, Turkey.
Int J Sex Health. 2024 Oct 23;37(1):46-59. doi: 10.1080/19317611.2024.2414064. eCollection 2025.
This study was carried out to determine the effect of mindfulness-based cognitive therapies adapted for sexual function concerns on women's sexual function, sexual distress, and depression levels. For this meta-analysis study, a review was conducted by screening studies published in the last 10 years on PubMed, Web of Science, EBSCOhost, Google Scholar, and YÖK National Thesis Center databases from February to May 2024. After this initial review, 11 studies were included in this study. Considering the study design, quality assessment tools developed by JBI were used to evaluate the risk of bias. CMA version 2 was used for data synthesis. Data were synthesized using meta-analysis and narrative synthesis methods. In this meta-analysis, mindfulness-based cognitive therapies were found to be effective in improving sexual function in women, and a high level of heterogeneity was detected among studies (standardized mean difference [SMD] = 0.461, 95% confidence interval [CI] = 0.163 to 0.760; = 3.027, = .002, I = 79.083). Additionally, it was also determined that mindfulness-based cognitive therapies were effective in reducing sexual distress in women (SMD = -0.352, 95% CI = -0.638 to -0.066; = -2.412, = .016, I = 78.377). Finally, mindfulness-based cognitive therapies were also determined to be effective in reducing symptoms of depression in women (SMD = -0.217, 95% CI = -0.420 to -0.015; = -2.101, = .036, I = 27.688). Mindfulness-based cognitive therapies were found to be effective in decreasing women's sexual dysfunction and reducing levels of sexual distress and depression.
本研究旨在确定针对性功能问题进行调整的正念认知疗法对女性性功能、性困扰和抑郁水平的影响。对于这项荟萃分析研究，于2024年2月至5月通过筛选过去10年在PubMed、科学网、EBSCOhost、谷歌学术和土耳其国家论文中心数据库上发表的研究进行综述。经过初步综述，本研究纳入了11项研究。考虑到研究设计，采用了由循证卫生保健中心（JBI）开发的质量评估工具来评估偏倚风险。使用CMA 2版本进行数据合成。数据采用荟萃分析和叙述性合成方法进行合成。在这项荟萃分析中，发现基于正念的认知疗法在改善女性性功能方面有效，并且在各研究中检测到高度异质性（标准化均数差[SMD] = 0.461，95%置信区间[CI] = 0.163至0.760；Q = 3.027，P = 0.002，I² = 79.083）。此外，还确定基于正念的认知疗法在减轻女性性困扰方面有效（SMD = -0.352，95% CI = -0.638至-0.066；Q = -2.412，P = 0.016，I² = 78.377）。最后，还确定基于正念的认知疗法在减轻女性抑郁症状方面有效（SMD = -0.217，95% CI = -0.420至-0.015；Q = -2.101，P = 0.036，I² = 27.688）。基于正念的认知疗法被发现可有效降低女性性功能障碍，并减轻性困扰和抑郁水平。
