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Öğe Association Between Cyber Pornography Use and Sexual Health Literacy and Sexual Function in Women of Reproductive Age: A Cross-Sectional Study(Routledge Journals, Taylor & Francis Ltd, 2025) Bilgic, Fatma Sule; Karaahmet, Aysu Yildiz; Karakas, SevdaThis 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 (beta = 0.550), resulting in a 0.57-unit increase. Furthermore, as sexual health literacy increased, cyber pornography use also increased (beta = 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.Öğe Educational interventions and self-efficacy in complementary feeding transition: a randomised controlled trial(Routledge Journals, Taylor & Francis Ltd, 2025) Bilgic, Fatma Sule; Yildiz Karaahmet, AysuBackgroundThis study aimed to examine the effects of education and counselling provided to mothers of six-month-old infants during the transition to complementary feeding on complementary feeding behaviours and parenting self-efficacy.MethodsThis randomised controlled study was conducted between December 2023 and February 2024. The sample comprised 608 mothers with six-month-old infants (Education + Counselling group n = 305, Counselling group n = 303). The study results focused on the mothers' behaviours related to complementary feeding and parenting self-efficacy The data were analysed using the Statistical Package for the Social Sciences (SPSS) Version 26.0.ResultsIn the Education + Counselling group, the mothers' average age was 27.43 +/- 3.94 years, whereas in the Counselling group, the average age was 27.59 +/- 3.91 years. There were no significant differences in sociodemographic scores between the groups. After the four-week intervention, the Complementary Feeding Behaviour Scale (CFBS) score of the Education + Counselling group (101.22 +/- 10.31) was found to be significantly higher than that of the Counselling group (97.81 +/- 9.79). Additionally, the parenting self-efficacy scores of the Education + Counselling group (79.18 +/- 6.99) were significantly higher than those of the Counselling group (64.23 +/- 14.97).ConclusionThe education provided to mothers positively influenced their complementary feeding behaviours and increased their parenting self-efficacy. Recommendations include the development of health policies and initiatives to support healthy feeding behaviours. Online training given to mothers can be used to support complementary feeding behaviours.Öğe Effect of Prebiotic-Added Foods on Infant Health: A Systematic Review and Meta-analysis of Randomized Controlled Trials(Istanbul Univ, 2025) Tanriverdi, Dogan Cagri; Karaahmet, Aysu Yildiz; Bilgic, Fatma SuleObjective: In cases where breastfeeding is not possible, one of the recommended strategies to change the composition of the nutritional baby's gut microbiota and bring it closer to breastfed infants is to enrich the infant's food with prebiotics. The aim of this study was to systematically review the results of its effect on growth, gait and gastrointestinal (GI) system in infants fed with prebiotic-added formula and to perform a meta-analysis of the available evidence. Materials and Methods: The literature review for this systematic review was conducted between January and February 2023 using five electronic databases: PubMed, CINAHL, Scopus, WOS and ULAKB & Idot;M. Articles were scanned using MeSH-based keywords. Only Randomized Controlled Trials conducted in the last five years were included. The data were analyzed using the Review Manager computer program (Version 5.3). Results: The analysis included six studies involving 1399 formula-fed infants. In the post-intervention analysis of the included studies, there were no significant differences in weight (SMD: -0.21 95% CI: -0.45 to 0.03, Z=1.68, p=0.09), stool frequency (SMD:0.34 95% CI:-2. 89 to 3.58, Z=4.58, p=0.84), but there was a significant difference in the stool consistency (SMD:-0.50 95% CI:-0.73 to-0.27, Z=4.24, p<0.00001). Conclusion: This systematic review and meta-analysis confirmed that prebiotic-enriched infant formulas are likely to provide benefits for healthy infants. The studies indicate that the inclusion of prebiotics in formulas improves stool consistency. However, no significant effects were found on growth or stool frequency. These findings suggest that further research is needed to better understand the effects of prebiotics on infant gastrointestinal health.Öğe Exploring sexual myths and influencing factors among Muslim men in Turkey: a cross-sectional analysis(Bmc, 2025) Yildiz Karaahmet, Aysu; Bilgic, Fatma Sule; Shafaati Laleh, ShahlaBackground This study investigates the relationship between belief in sexual myths and socio-demographic variables, family planning behaviors, and sexual value judgments among Muslim men in Turkey. The objective is to understand how traditional and religiously rooted myths shape male sexual perceptions and behaviors within a culturally sensitive context. Results The study involved 953 Muslim men from various regions of Turkey, utilizing an anonymous online survey that included the validated Sexual Myths Scale (SMS) and researcher-developed inventories assessing family planning behaviors and sexual values. The findings revealed that men with lower levels of education (mean SMS score of 75.23) and those living in extended families or rural areas exhibited significantly stronger beliefs in sexual myths (p < 0.05). Additionally, high levels of myth endorsement (mean SMS score of 71.01 among non-users of family planning methods) were associated with negative attitudes towards premarital sex and a strong emphasis on female virginity prior to marriage, which are core principles rooted in Islamic religious teachings. However, the disapproval of sexual activity post-menopause and rigid gender role beliefs may reflect broader societal or myth-based beliefs rather than being directly derived from religious doctrine. Regression analysis revealed that sexual value judgments were significantly associated with belief in sexual myths (beta = - 0.18, p < 0.001). Given that higher scores on the sexual prejudice scale reflect less prejudiced, more positive sexual values, this negative coefficient indicates that more negative or prejudiced sexual value judgments (i.e., lower scores) are associated with stronger endorsement of sexual myths. Conclusions The results underscore the influence of educational attainment, family structure, and sociocultural environment on men's beliefs in sexual myths. These findings emphasize the necessity for culturally sensitive and male-oriented sexual education initiatives aimed at addressing misinformation and challenging traditional prejudices. Targeted interventions are crucial for fostering healthier, more informed sexual attitudes in traditionally structured societies like Turkey.Öğe Health outcomes of umbilical cord clamping techniques in preterm neonates: meta-analysis(Assoc Medica Brasileira, 2025) Bilgic, Fatma Sule; Karaahmet, Aysu Yildiz; Alaybeyoglu, AltanOBJECTIVE: The aim of this studywasto determine the effect of umbilical cord clamping time and milking on blood parameters in preterm neonates. METHODS: A literature search was conducted between July and September 2024 in four databases. The search was performed using MeSHbased keywords. RESULTS: In this study, the results of 14 studies covering a total of 1,609 preterm neonates were analyzed. Follow-up after intervention showed no statisticallysignificantdifference in hemoglobin (standardized mean difference=0.22, 95%CI 0.04-0.48, Z=1.65, p=0.10) and bilirubin (standardized mean difference=0.22, 95%CI 0.30-0.74, Z=0.82, p=0.41) between the groups. Therewas a statistically significant difference in ferritin (standardized mean difference=0.73, 95%CI 0.30-1.15, Z=3.37, p=0.00008) and hematocrit (standardized mean difference=0.30, 95%CI 0.05-0.54, Z=2.41, p=0.02) values, and the effect size was positive. According to the subgroup analysis of the combined results of the studies, it was seen that there was no statistically significant difference in the adverse health outcomes in preterms (OR 0.92, 95%CI 0.74-1.15, Z=0.72, p=0.47). CONCLUSION: From the analysis, it can be observed that late cord clamping and cord milking can prevent premature anemia by increasing hematocrit and ferritin formation in preterm newborns.Öğe Interventions to improve comfort and physiological parameters in premature infants: a meta-analysis(Assoc Medica Brasileira, 2025) Tanriverdi, Dogan Cagri; Bilgic, Fatma Sule; Karaahmet, Aysu Yildiz[No abstract available]Öğe Results of Interventions to Increase Breastfeeding Self-Efficacy: Systematic Review and Meta-Analysis(Wiley, 2025) Tanriverdi, Dogan Cagri; Karaahmet, Aysu Yildiz; Bilgic, Fatma SuleAim The objective of this study was to determine the effectiveness of various interventions-including educational programmes, counselling, mobile applications, peer support and home visits-on improving breastfeeding self-efficacy, breastfeeding success and infant-feeding attitudes in pregnant and postpartum women. Method The literature review for this systematic review was conducted between September and October 2024 by searching four electronic databases. Studies related to 'in vivo' were identified using MeSH-based keywords. Only Randomized Controlled Trials (RCTs) published within the last decade were eligible for inclusion in the review. Result The analysis was conducted with 3677 women and a total of 26 studies. Subgroup analysis showed no significant difference in breastfeeding self-efficacy before the intervention (MD: -0.53, 95% CI: -1.43 to 0.38, p = 0.25), while a significant increase was observed after the intervention (MD: 53.53, 95% CI: 29.34 to 77.72, p < 0.0001). Breastfeeding success also improved significantly postintervention (MD: 1.22, 95% CI: 0.52 to 1.92, p = 0.0007). No significant change was found in infant-feeding attitudes (SMD: 0.01, 95% CI: -0.18 to 0.16, p = 0.47). Postnatal interventions were significantly more effective than antenatal ones in increasing breastfeeding self-efficacy (MD: 53.53, 95% CI: 29.34 to 77.72, p < 0.0001). Conclusion Subgroup analyses demonstrated that interventions significantly increased breastfeeding self-efficacy and success, particularly when delivered in the postnatal period. Antenatal interventions were not found to be effective. These findings highlight the importance of the timing of maternal support, suggesting that postnatal interventions are more beneficial in improving breastfeeding-related outcomes.Öğe The Effect of Counseling Based on the Roy Adaptation Model on Mothers' Infant Feeding Attitude and Anthropometric Measurements of the Baby: A Randomized Controlled Study(Springer Publishing Co, 2025) Bilgic, Fatma Sule; Karaahmet, Aysu YildizObjective: Despite all efforts, breastfeeding is still an important global issue. This study aims to determine the effectiveness of breastfeeding counseling based on the Roy adaptation model (RAM). Methods: The randomized controlled study was conducted in the obstetrics and gynecology clinic of a hospital. The research was carried out with a total of 80 mothers and their babies. The data of the study were obtained through the Data Collection Form, Infant Feeding Attitude Scale, and Breastfeeding and Infant Follow-Up Form. Results: In terms of descriptive data, the groups were homogeneous, and no significant difference was observed between the groups (p > .05). When diet, difficulty in breastfeeding, and the idea of discontinuing breastfeeding in mothers were compared, it was statistically significant in the intervention group on the 15th and 30th postpartum days (p < .05). Conclusion: RAM-based counseling improves mothers' feeding attitudes, prevents difficulties in breastfeeding, and reduces thoughts of stopping breastfeeding.Öğe The Effect of Education on Improving Sexual/Reproductive Health in Adolescents: Systematic Review and Meta-Analysis(Routledge Journals, Taylor & Francis Ltd, 2025) Bilgic, Fatma Sule; GencTurk, Nuran; Cakir, ZeynepObjectiveVarious educational interventions are used to improve sexual and reproductive health and to prevent unintended pregnancy among adolescents. This meta-analysis examines how sexual and reproductive health education for adolescents affects their contraceptive use and the prevention of unintended pregnancy.MethodThe search for articles was conducted in PubMed, CINAHL, Scopus, and Science Citation Index (Web of Science) databases between November 2024 and March 2025. A total of 542 articles were identified through database searching and manual screening. After removing duplicates, 223 articles were evaluated, of which 187 were excluded for failing to meet the inclusion criteria. Thirty-six full-text articles were assessed, and seven randomized controlled trials (RCTs) involving 18,773 adolescent boys and girls were deemed eligible and included in the analysis.ResultsAcross the seven RCTs, no significant differences were found between the intervention and control groups in terms of contraceptive use (MD: 0.97, 95% CI: 0.81-1.16, Z = 0.37, p = 0.71), condom use (MD: 0.90, 95% CI: 0.49-1.65, Z = 0.34, p = 0.73), and unprotected sexual intercourse (MD: 0.83, 95% CI: 0.67-1.03, Z = 1.69, p = 0.09). However, a significant difference was found in unintended pregnancy rates (MD: 0.60, 95% CI: 0.42-0.85, Z = 2.85, p = 0.004), favoring the intervention group.ConclusionAlthough sexual and reproductive health education interventions did not significantly increase contraceptive or condom use, they contributed to a reduction in unintended pregnancy and unprotected sexual intercourse among adolescents.Öğe The effect of non-pharmacologic treatments in individuals with problematic pornography use: a meta-analysis of randomized controlled trials(Routledge Journals, Taylor & Francis Ltd, 2025) Yildiz Karaahmet, Aysu; Bilgic, Fatma Sule; Karakas, SevdaThis 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.Öğe The Effect of Oxytocin Massage After Cesarean Section on Anthropometric Characteristics of the Newborn and Breastfeeding Self-Efficacy: A Single-Blind, Randomized Controlled Study(Springer Publishing Co, 2025) Bilgic, Fatma Sule; Karaahmet, Aysu Yildiz; Tanrivedi, Dogan CagnObjective: Delays in breastfeeding and milk release after cesarean section may negatively affect the early initiation of breastfeeding and the mother's breastfeeding self-efficacy. The aim of this study was to investigate the effect of breast and oxytocin massage after cesarean section on the anthropometric characteristics of the newborn and on breastfeeding self-efficacy. Methods: The study was conducted as a single-blind, randomized controlled trial. Mothers (N = 126) who delivered by cesarean section in the postpartum department of a private hospital in Istanbul, Turkey, were randomized into three groups: breast massage group (n = 42), oxytocin massage group (n = 42), and control group (n = 42). Results: When the postpartum breastfeeding characteristics of the mothers were examined, it was found that the mean LATCH (Latch on breast, Audible swallowing, Type of nipple, Comfort of breast/nipple, and Hold) total score did not differ significantly among the three groups during the postnatal period; however, a significant difference was observed at discharge. The anthropometric measurements of the infants in the study were obtained and examined, with their weights recorded on the first postpartum day, at discharge, and on the seventh day. A statistically significant difference was found both among the groups and within each group. The breastfeeding self-efficacy of the mothers was also assessed on the first postpartum day, at discharge, and on the seventh day. According to the repeated-measures analysis of variance, a significant difference was found across these time points (p < .05). Conclusions: Oxytocin massage showed significantly better results than breast massage and the control group on all outcome measures. Oxytocin and breast massage can have a significant impact on breastfeeding and infant health. For this reason, health professionals are expected to provide advice on how to do oxytocin massage and breast care correctly.Öğe The Effectiveness of Therapeutic Interventions on Sexual Function in Women with Vaginismus: A Systematic Review and Meta-Analysis of Randomized Controlled Trials(Routledge Journals, Taylor & Francis Ltd, 2026) Yildiz Karaahmet, Aysu; Bilgic, Fatma SuleObjectives: Vaginismus is a complex sexual pain disorder that severely impairs sexual function and quality of life. Evidence regarding the effectiveness of therapeutic interventions remains fragmented and inconsistent. This systematic review and meta-analysis aimed to evaluate the effects of therapeutic interventions applied to women diagnosed with vaginismus on penetration-related outcomes and multidimensional sexual function, as assessed by validated outcome measures. Methods: The meta-analysis research and study selection were conducted independently by two researchers. The final literature search was completed on July 28, 2025. Studies published between January 2013 and July 2025 were searched in PubMed, Scopus, Web of Science, Cochrane Library, PsycINFO, and TR Dizin databases. Study quality was assessed using the GRADE approach, and risk of bias was evaluated using the Risk of Bias tool. Data synthesis and analyses were performed using Review Manager software. Results: Fifteen RCTs (n = 950; 494 intervention, 456 control) were included. Therapeutic interventions significantly improved overall sexual function in women with vaginismus (FSFI total score(SMD = 0.94; 95% CI:0.37-1.51, p = 0.001; I-2=93%) and penetration success (SMD = 0.61; 95% CI:0.38-0.84, p < 0.00001; I-2=43%). Mindfulness/ACT (SMD = 0.33; 95% CI: 0.07-0.60; I-2=0%) and technology-based interventions (SMD = 0.49; 95% CI:0.15-0.83; I-2 = 0%) showed consistent, moderate effects. Pelvic floor-based approaches had the largest effect (SMD = 4.49; 95% CI: 0.10-8.87; I-2=98%). FSFI subdomains improved significantly, except orgasm. Independent pain outcomes were non-significant (SMD = 0.02; 95% CI:-1.12 to 1.16, p = 0.97; I-2=91%), while combined psychological outcomes showed small improvements (SMD=-0.35; 95% CI:-0.64 to -0.05, p = 0.02; I-2=48%). Conclusion: Therapeutic interventions for vaginismus are associated with meaningful improvements in penetration-related outcomes and multiple dimensions of sexual function, without implying complete resolution of the condition. Mindfulness/ACT-based and technology-assisted approaches appear to offer the most consistent benefits. These findings highlight the importance of integrating evidence-based, multidisciplinary strategies into clinical practice and underscore the need for well-designed, standardized randomized controlled trials to optimize treatment outcomes.Öğe The effects of cognitive interventions on quality of life in infertile women: a meta-analysis of randomized controlled trials(Taylor & Francis Ltd, 2025) Karaahmet, Aysu Yildiz; Bilgic, Fatma Sule; Yilmaz, Tulay; Laleh, Shahla ShafaatiInfertility can lead to significant psychological distress, including depression and anxiety, adversely affecting the quality of life and treatment outcomes for affected women. This study systematically reviews non-pharmacological interventions, particularly cognitive behavioral therapy (CBT), aimed at improving quality of life, mental health, and birth rates among infertile women. A comprehensive literature search was conducted across multiple databases (PUBMED/MEDLINE, Embase, Scopus, Web of Science, and ULAKB & Idot;M) up to 22 February 2025, following PRISMA guidelines, with registration in the PROSPERO database (CRD42023457742). The analysis included randomized controlled trials (RCTs) focusing on CBT, with quality of life as the primary outcome. Eight studies involving 687 women met the inclusion criteria. Meta-analysis results revealed significant enhancements in quality of life (SMD: 1.97), alongside notable reductions in depression (SMD: -3.34) and anxiety (MD: -2.09). Additionally, a positive trend in pregnancy rates was observed (MD: 0.48). Despite the promising findings, the overall quality of evidence was deemed low to moderate due to potential biases. This meta-analysis underscores the effectiveness of CBT in improving mental health and quality of life in infertile women, highlighting the need for further high-quality research to validate these outcomes and endorse cognitive interventions in infertility treatment.Öğe The Effects of Mother Baby Yoga and Baby Massage on Attachment, Weight, and Sleep: A Randomized Crossover Study(Sage Publications Inc, 2025) Bilgic, Fatma Sule; Tunc, Ruken; Amanak, KezibanBackground: Limited research exists on the combined effects of mother-baby yoga and massage on infant health, prompting this investigation. This study was conducted to investigate the effects of mother-baby yoga and massage on mother-infant attachment, sleep, and weight. Method: A randomized, crossover study was conducted in the postpartum ward of a hospital between January and November 2023 with 36 mothers and their infants, 18 in each group, who were in the postpartum period. One group received mother-baby yoga for the first 4 weeks and massage for the second 4 weeks (Group 1), and the other group received massage for the first 4 weeks and mother-baby yoga for the second 4 weeks (Group 2). Results: The groups were homogeneous in sociodemographic and obstetric evaluation before the intervention. There was no statistical difference between the groups in terms of attachment before the intervention and at the end of the first 4-week intervention, but there was a statistical difference at the end of the second intervention. There was no significant difference between the babies in Group 1 and Group 2 in terms of the frequency of nighttime awakenings, nighttime, and all-day sleep duration in the pre-intervention, first and second 4-week follow-ups. There was a statistically significant difference in the body weights of the infants at the first and second 4-week follow-ups. Conclusion: In the study, it was observed that both interventions positively affected mother-infant attachment, sleep, and weight in the intragroup evaluation independently of each other.Öğe The Impact of Mobbing Exposure on Quiet Quitting Attitudes Among Midwifery and Nursing Academics: A Cross-Sectional Study(Wiley, 2025) Bilgic, Fatma Sule; Ay, Fatma; Kaban, Hulya Ulasli; Arikan, BirsenAims This study examined the relationship between mobbing and quiet quitting attitudes among nursing and midwifery academics.Design A descriptive cross-sectional design was used, and data were collected online between June and December 2024 from 209 academics via social media platforms. Methods: The instruments included a Data Collection Form, the Quiet Quitting Attitude Scale (QQAS) and the Academicians Mobbing Scale (AMS). Statistical analyses were applied to assess group differences and relationships. Results: Academics at private universities reported higher mobbing exposure. Nurse academics had higher overall QQAS and 'Personal Thought' scores, whereas midwife academics scored higher in the 'Positive Attitude' subdimension. Doctoral students experienced more professional attacks. Mobbing exposure varied significantly by academic status and was notably linked to deteriorations in social relationships and psychological well-being. A strong positive correlation was found between mobbing and quiet quitting attitudes (t = 24.239, p < 0.001). Conclusion: Midwifery academics reported greater mobbing, while nurse academics showed stronger quiet quitting tendencies. Findings suggest that early-career academics are especially at risk. Institutions should prioritise anti-mobbing strategies and foster academic engagement to promote a healthier work environment. Implications for the Profession and/or Patient Care: This study highlights that mobbing is strongly associated with quiet quitting attitudes among nursing and midwifery academics, particularly affecting early-career professionals. Implementing anti-mobbing strategies and fostering academic engagement are essential to support well-being and productivity in academic settings. Reporting Method: The study's online survey was conducted and reported following the CHERRIES guidelines to ensure transparency, completeness and quality of web-based research data. No Patient or Public Contribution: This study did not involve any direct patient or public contribution in its design, data collection or analysis.Öğe Utopia and Dystopia on the Future of Women from the Perspective of Young Men and Women: A Qualitative Study(Routledge Journals, Taylor & Francis Ltd, 2025) Bilgic, Fatma Sule; Kaban, Hulya UlasliThis study aimed to examine the perspectives of young men and women regarding utopia and dystopia in relation to the future of women. This qualitative study was conducted between April and December 2023. The study sample consisted of 37 participants (17 women and 20 men), selected using purposive sampling. Data were collected through a semi-structured interview form developed by the researchers, exploring positive (utopian) and negative (dystopian) visions about women's futures. Women and men reported that a utopian future for women would include equality of rights and the right to life, the abolition of the concept of chastity and the virginity taboo, and freedom. Their dystopian visions, on the other hand, included a world where women's rights are restricted, where they face violence such as femicide and forced marriage, and where societal pressures-such as the virginity taboo and the concept of chastity-hinder their freedom and equality. These dystopian projections reflect concerns that gender inequality, patriarchal norms, and violence against women will persist in the future. The study reveals that young people's imaginaries of the future are shaped by both hopes for progress and fears of continued oppression.
