The Effect of Mindfulness-Based Sexual Counseling on Body Appreciation, Sexual Distress, and Sexual Self-Confidence in Postpartum Women With Episiotomy

NCT07139704 | Not Yet Recruiting DMC

• 1 other identifier: KahramanmaraşSIUIE7
• Study Type: interventional
• Target: 124
• Locations: 1 country
• Sites: 1

Brief Summary

Aim: This study will aim to evaluate the effect of mindfulness-based sexual counseling on body appreciation, sexual distress, and sexual self-confidence in postpartum women with episiotomy. Method: This randomized controlled experimental study will include participants assigned to intervention and control groups. The intervention group will receive a four-week mindfulness-based sexual counseling program consisting of eight sessions, while the control group will receive routine care. Body Appreciation, Sexual Distress, and Sexual Self-Confidence scales will be administered as pre- and post-tests.

Conditions

Postpartum Women

Keywords

Mindfulness-Based Sexual Counseling; MİDWİFERY; Episiotomy; Postpartum Women; Body Appreciation

Outcome Measures

Primary Outcomes (3)

• Female Sexual Distress Inventory-Revised (FSSI-R):

  Developed by Derogatis et al. (2008) and adapted to Turkish by Aydın et al. (2016), it is a 13-item, five-point Likert-type scale assessing personal distress associated with sexual dysfunction. Possible scores range from 0 to 52, with higher scores indicating greater sexual distress. The cut-off point is ≥ 11.5. The Cronbach's alpha coefficient is 0.98.

  4 WEEEK

• Sexual Self-Esteem Scale (SSS)

  Developed by Çelik (2012), it consists of 13 items. Items are scored from 1 ("never") to 4 ("always"). The total score ranges from 13 to 52, with higher scores indicating higher sexual self-confidence. The Cronbach's alpha coefficient is 0.88.

  4 WEEK

• Body Esteem Scale (BSS)

  Developed by Cragun (2013) and adapted to Turkish by Arslan et al. (2020). It is a 15-item, five-point Likert-type scale consisting of three subscales: body esteem-weight, body esteem-appearance, and body esteem-quality. The subscale Cronbach's alpha coefficients are 0.940, 0.920, and 0.810, respectively.

  4 WEEK

Study Arms (2)

MBSR-BA

EXPERIMENTAL

This study will aim to evaluate the effect of mindfulness-based sexual counseling on body appreciation, sexual distress, and sexual self-confidence in postpartum women with episiotomy.This randomized controlled experimental study will include participants assigned to intervention and control groups. The intervention group will receive a four-week mindfulness-based sexual counseling program consisting of eight sessions, while the control group will receive routine care. Body Appreciation, Sexual Distress, and Sexual Self-Confidence scales will be administered as pre- and post-tests.

Behavioral: Mindfulness-Based Sexual Counseling (MBSR-BA)

control:

NO INTERVENTION

Routine Postpartum Care

Interventions

Mindfulness-Based Sexual Counseling (MBSR-BA) BEHAVIORAL

A MBSR-based sexual counseling program applied to women after episiotomy, 2 sessions per week for 4 weeks, 8 sessions in total.

MBSR-BA

Eligibility Criteria

• Age: 18 Years - 49 Years
• Gender Eligibility Details: POSTPORTUM WOMEN
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Having had a vaginal birth and an episiotomy,
• Having a follow-up appointment with the Family Health and Medical Center at 8 weeks postpartum,
• Being able to read and write in Turkish,
• Having a 3rd or 4th degree perineal tear

You may not qualify if:

• History of pelvic surgery,
• Significant psychiatric illness,
• Presence of chronic illness that may affect sexual function

Sponsors & Collaborators

• Kahramanmaras Sutcu Imam University: lead

Study Sites (1)

Kahramanmaraş Sütçü İmama Universty

Kahramanmaraş, Kahramanmaraş, (542) 826-7629, Turkey (Türkiye)

Location

Central Study Contacts

HATİCE GÜL ÖZTAŞ, DİRECTOR

CONTACT

05428267629; h.gul_akbaba@hotmail.com.tr

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: INVESTIGATOR
• Masking Details: Single (Care Provider)
• Purpose: SUPPORTIVE CARE
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: August 17, 2025
• First Posted: August 24, 2025
• Study Start: September 20, 2025
• Primary Completion: October 28, 2025
• Study Completion: December 30, 2025
• Last Updated: August 24, 2025

Record last verified: 2025-08

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)