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The Relationship of Mental Health and Cognitive-Emotional States with Family Planning Attitudes in Young Women with Chronic Diseases

Year 2024, Volume: 14 Issue: 1, 230 - 236, 28.03.2024
https://doi.org/10.33808/clinexphealthsci.1279416

Abstract

Objective: The aim of this study was to determine the relationship of mental health and cognitive emotional states with family planning attitudes in young women with chronic diseases.
Methods: This cross-sectional and descriptive study was conducted between 12 January 2022 and 01 April 2022. The study included a total of 410 young women with chronic diseases who were hospitalized in the internal medicine clinics of a university hospital or presented to the internal medicine clinics for examination. Data were collected using a Personal Information Form, the Mental Health Continuum–Short Form (MHC–SF), the Cognitive Emotion Regulation Questionnaire (CERQ), and the Family Planning Attitude Scale (FPAS).
Results: It was found that 20.2% (n=83) of the young women with chronic diseases had scores below the FPAS (135.5±22.1) cut-off point (<119). Women with a poor mental health, those using maladaptive cognitive coping strategies (self-blame, rumination, catastrophizing, other-blame), and those using compatible cognitive coping strategies less (acceptance, refocusing on planning, positive refocusing, positive reappraisal, and putting into perspective) had a negative family planning attitude (p< .05). In addition, the followings were found to be important associated risk factors for family planning attitude: poor mental health, self-blame (CERQ sub-dimension), use of maladaptive cognitive coping strategy, and decreased use of adaptive positive refocusing (CERQ sub-dimension) (p< .05).
Conclusion: It was determined that young women with chronic illness with a poor mental health, who use adaptive cognitive coping strategies less, and who use maladaptive cognitive coping strategies more have negative family planning attitudes.

Supporting Institution

No specific grant was received from funding agencies in the public, commercial or non-profit sectors.

Project Number

Non

Thanks

I would like to thank all the participants for being a part of this study.

References

  • McBrien KA, Ivers N, Barnieh L, Bailey JJ, Lorenzetti DL, Nicholas D, Tonelli M, Hemmelgarn B, Lewanczuk R, Edwards A, Braun T, Manns B. Patient navigators for people with chronic disease: a systematic review. Plos One. 2018;13(2):1-33. DOI: 10.1371/journal.pone.0191980
  • Mittal P, Dandekar A, Hessler D. Use of a modified reproductive life plan to improve awareness of preconception health in women with chronic disease. The Permanente Journal. 2014;18(2):28-32. DOI: 10.7812/TPP/13-146
  • Harris ML, Egan N, Forder PM, Bateson D, Sverdlov AL, Murphy VE, Loxton D. Patterns of contraceptive use among young Australian women with chronic disease: Findings from a prospective cohort study. Reproductive Health. 2022;19(1):1-14. DOI:10.1186/s12978-022-01413-x
  • Reddy S. M, Ramachandran A, Cabral H, Kazis L. Provision of family planning to women with cardiovascular risk factors. The Journal of the American Board of Family Medicine. 2015;28(1):105-114. DOI: 10.3122/jabfm.2015.01.140016
  • Duman M, Timur Taşhan S, Kaplan Serin E. Kronik hastalığı olan kadınların üreme sağlığı davranışlarının incelenmesi. HUHEMFAD. 2019;6(2): 83-91. (Turkish)
  • Okoth K, Chandan JS, Marshall T, Thangaratinam S, Thomas GN, Nirantharakumar K, Adderley NJ. Association between the reproductive health of young women and cardiovascular disease in later life: Umbrella review. BMJ. 2020;371:1-21. DOI: 10.1136/bmj.m3502
  • Dobson AJ, Hockey R, Brown WJ, Byles JE, Loxton DJ, McLaughlin D, Tooth LR, Mishra GD. Cohort profile update: Australian longitudinal study on women’s health. International journal of epidemiology. 2015;44(5):1547-1547. DOI: 10.1093/ije/dyv110
  • Woodward M. Cardiovascular disease and the female disadvantage. International journal of environmental research and public health. 2019;16(7):1165. DOI: 10.3390/ijerph16071165
  • Pirkle CM, de AlbuquerqueSousa ACP, Alvarado B, Zunzunegui MV. Early maternal age at first birth is associated with chronic diseases and poor physical performance in older age: Cross-sectional analysis from the international mobility in aging study. BMC Public Health. 2014;14(293):1–13.DOI: biomedcentral.com/1471-2458/14/293
  • Tozoglu EO, Aydin N, Yalcin SU, Kasali K. Unintended and unwanted pregnancies in women with major psychiatric disorders: A cross-sectional comparative study. Psychiatry and Clinical Psychopharmacology. 2020;30(3):29-39. DOI: 10.5455/PCP:20200517084650
  • Stidham Hall K, Harris LH, Dalton VK. Mental health women’s preferred sources for primary and mental health care: Implications for reproductive health providers. Women's Health Issues. 2016;27(2):196-205. DOI: 10.1016/j.whi.2016.09.014
  • Myerson R, Crawford S, Wherry LR. Medicaid Expansion Increased Preconception Health Counseling, Folic Acid Intake, And Postpartum Contraception: Study examines the impact of ACA Medicaid expansion on health behaviors including birth control use and pregnancy intention, and receipt of preconception health services. Health Affairs. 2020;39(11):1883-1890. DOI: 10.1377/hlthaff.2020.00106
  • Kendig S, Keats JP, Hoffman MC, Kay LB, Miller ES, Simas TAM, Frieder A, Hackley B, Indman P, Raines C, Semenuk K, Wisner KL, Lemieux LA. Consensus bundle on maternal mental health: Perinatal depression and anxiety. Journal of Obstetric, Gynecologic & Neonatal Nursing. 2017;46(2):272-281. DOI: 10.1016/j.jogn.2017.01.001
  • Viertiö S, Kiviruusu O, Piirtola M, Kaprio J, Korhonen T, Marttunen M, Suvisaari J. Factors contributing to psychological distress in the working population, with a special reference to gender difference. BMC public health. 2021;21(2):1-17. DOI: 10.1186/s12889-021-10560-y
  • Vafai Y, Steinberg JR. The effects of preabortion depressive symptoms on postabortion contraceptive effectiveness level chosen among women seeking abortions. Contraception. 2018;97(4):335-340. DOI: 10.1016/j.contraception.2017.12.013
  • Hall KS, Kusunoki Y, Gatny H, Barber J. The risk of unintended pregnancy among young women with mental health symptoms. Social Science & Medicine. 2014;100(6):62–71. DOI: 10.1016/j.socscimed.2013.10.037
  • Webb TL, Miles E, & Sheeran P. Dealing with feeling: a meta-analysis of the effectiveness of strategies derived from the process model of emotion regulation. Psychological bulletin. 2012;138(4):775. DOI: 10.1037/a0027600
  • Demirci OO, Yöyen EG. The effects of cognitive flexibility on cognitive emotional regulation. University Faculty of Arts and Sciences Journal of Social Sciences. 2020; 21(39):651–684. DOI: 10.21550/sosbilder.624377
  • Erenoglu R, Sekerci YG. The effect of training program given to the students upon family planning attitudes; a semi-experimental study. Cukurova Medical Journal. 2020;45(3):840–850. DOI: 10.17826/cumj.715555
  • Prata N, Fraser,A, Huchko MJ, Gipson JD, Withers M, Lewis S, Ciraldi EJ, Upadhyay, UD. Women’s empowerment and family planning: a review of the literature. Journal of biosocial science. 2017;49(6):713-743. DOI: 10.1017/S0021932016000663
  • Keyes CLM, Wissing M, Potgieter JP, Temane M, Kruger A, van Rooy S. Evaluation of the Mental Health Continuum-Short Form (MHC-SF) in Setswana-Speaking South Africans. Clinical Psychology and Psychotherapy. 2008;15:181–192. DOI: 10.1002/cpp.572
  • Demi̇rci̇ İ, Akin A. Ruh Sağlığı Sürekliliği Kısa Formu’nun Geçerliği ve Güvenirliği. Ankara Üniversitesi Eğitim Bilimleri Fakültesi Dergisi. 2015;48(1):49–64. (Turkish)
  • Garnefski N, Kraaij V, Spinhoven P. Manual for the use of the Cognitive Emotion Regulation Questionnaire. Leiderdorp, The Netherlands: DATEC. 2002;23(3):141-149.
  • Garnefski N, Kraaij V. Cognitive emotion regulation questionnaire - development of a short 18-item version (CERQ-Short). Personality and Individual Differences. 2006;41(6):1045–1053. DOI: 10.1016/j.paid.2006.04.010
  • Cakmak AF, Cevik EI. Cognitive emotion regulation questionnaire: development of Turkish version of 18-item short form. African Journal of Business Management. 2010;4(10):2097–2102.
  • Örsal Ö, Kubilay G. Developing family planning attitude scale. İ.Ü.F.N. Hem. Derg. 2007;15(60):155–164. ISSN 1304-4869.
  • Tabachnick BG, Fidell LS. Using Multivariate Statistics 6th ed. Boston, Scientific ResearchPublishing 2013.
  • Bi̇lgi̇n NÇ, Kesgi̇n MT. Determining the knowledge and attitudes of women working in the poultry sector regarding family planning and emergency contracepcion. Journal of Health Sciences 2020;29(2):123-132. DOI: 10.34108/eujhs.754337
  • Gözükara F, Kabacıoğlu F, Ersin F. Şanlıurfa ilinde kadınların aile planlamasına ilişkin tutumlarının belirlenmesi. Harran Üniversitesi Tıp Fakültesi Dergisi. 2015;12(1):9-16. (Turkish)
  • Wulifan JK, Brenner S, Jahn A, De Allegri M. A scoping review on determinants of unmet need for family planning among women of reproductive age in low and middle income countries. BMC women's health. 2015;16:(2)1-15. DOI:10.1186/s12905-015-0281-3
  • Nazik F, Mumcu Ş, Sönmez M, Nur Yılmaz A. Doğan Yüksekol Ö. 15-49 Yaş evli kadınların aile planlamasına ilişkin tutumlarının belirlenmesi. Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi. 2021;4(3):326–336. DOI: 10.38108/ouhcd.881578 (Turkish)
  • Barton K, Redshaw M, Quigley MA, Carson C. Unplanned pregnancy and subsequent psychological distress in partnered women: A cross-sectional study of the role of relationship quality and wider social support. BMC pregnancy and childbirth. 2017;(44)17:3-9. DOI: 10.1186/s12884-017-1223-x
  • Yaari M, Treyvaud K, Lee KJ, Doyle LW, Anderson PJ. Preterm birth and maternal mental health: Longitudinal trajectories and predictors. Journal of pediatric psychology. 2019;44(6):736-747. DOI: 10.1093/jpepsy/jsz019
  • Batra K, Pharr J, Olawepo JO, Cruz P. Understanding the multidimensional trajectory of psychosocial maternal risk factors causing preterm birth: A systematic review. Asian journal of psychiatry. 2020;54(205):102436. DOI: 10.1016/j.ajp.2020.102436
  • Dunkel Schetter C, Tanner. Anxiety, depression and stress in pregnancy: implications for mothers, children, research, and practice. Current Opinion in Psychiatry. 2012;25(2):141-148. DOI: 10.1097/YCO.0b013e3283503680
  • Staneva A, Bogossian F, Pritchard M, Wittkowski A. The effects of maternal depression, anxiety, and perceived stress during pregnancy on preterm birth: A systematic review. Women and birth. 2015;28(3):179-193. DOI: 10.1016/j.wombi.2015.02.003
  • Stevenson JC, Millings A, Emerson LM. Psychological well-being and coping: The predictive value of adult attachment, dispositional mindfulness, and emotion regulation. Mindfulness. 2019;10(2):256-271. DOI: 10.1007/s12671-018-0970-8
  • Everaert J, Joormann J. Emotion regulation difficulties related to depression and anxiety: A network approach to model relations among symptoms, positive reappraisal, and repetitive negative thinking. Clinical Psychological Science. 2019;7(6):1304-1318. DOI: 10.1177/216770261985934
  • Hassan S, Kandeel H, Hassan SI, Mohammed A, Gouda I, El-Monshed A, Abderahman H, Kandeel M. Effect of cognitive behavioral therapy on anxiety, stress, depression, and coping pattern among pregnant women with preeclampsia. American Journal of Nursing Research. 2020;8(2):269–277. DOI:10.12691/ajnr-8-2-16
Year 2024, Volume: 14 Issue: 1, 230 - 236, 28.03.2024
https://doi.org/10.33808/clinexphealthsci.1279416

Abstract

Project Number

Non

References

  • McBrien KA, Ivers N, Barnieh L, Bailey JJ, Lorenzetti DL, Nicholas D, Tonelli M, Hemmelgarn B, Lewanczuk R, Edwards A, Braun T, Manns B. Patient navigators for people with chronic disease: a systematic review. Plos One. 2018;13(2):1-33. DOI: 10.1371/journal.pone.0191980
  • Mittal P, Dandekar A, Hessler D. Use of a modified reproductive life plan to improve awareness of preconception health in women with chronic disease. The Permanente Journal. 2014;18(2):28-32. DOI: 10.7812/TPP/13-146
  • Harris ML, Egan N, Forder PM, Bateson D, Sverdlov AL, Murphy VE, Loxton D. Patterns of contraceptive use among young Australian women with chronic disease: Findings from a prospective cohort study. Reproductive Health. 2022;19(1):1-14. DOI:10.1186/s12978-022-01413-x
  • Reddy S. M, Ramachandran A, Cabral H, Kazis L. Provision of family planning to women with cardiovascular risk factors. The Journal of the American Board of Family Medicine. 2015;28(1):105-114. DOI: 10.3122/jabfm.2015.01.140016
  • Duman M, Timur Taşhan S, Kaplan Serin E. Kronik hastalığı olan kadınların üreme sağlığı davranışlarının incelenmesi. HUHEMFAD. 2019;6(2): 83-91. (Turkish)
  • Okoth K, Chandan JS, Marshall T, Thangaratinam S, Thomas GN, Nirantharakumar K, Adderley NJ. Association between the reproductive health of young women and cardiovascular disease in later life: Umbrella review. BMJ. 2020;371:1-21. DOI: 10.1136/bmj.m3502
  • Dobson AJ, Hockey R, Brown WJ, Byles JE, Loxton DJ, McLaughlin D, Tooth LR, Mishra GD. Cohort profile update: Australian longitudinal study on women’s health. International journal of epidemiology. 2015;44(5):1547-1547. DOI: 10.1093/ije/dyv110
  • Woodward M. Cardiovascular disease and the female disadvantage. International journal of environmental research and public health. 2019;16(7):1165. DOI: 10.3390/ijerph16071165
  • Pirkle CM, de AlbuquerqueSousa ACP, Alvarado B, Zunzunegui MV. Early maternal age at first birth is associated with chronic diseases and poor physical performance in older age: Cross-sectional analysis from the international mobility in aging study. BMC Public Health. 2014;14(293):1–13.DOI: biomedcentral.com/1471-2458/14/293
  • Tozoglu EO, Aydin N, Yalcin SU, Kasali K. Unintended and unwanted pregnancies in women with major psychiatric disorders: A cross-sectional comparative study. Psychiatry and Clinical Psychopharmacology. 2020;30(3):29-39. DOI: 10.5455/PCP:20200517084650
  • Stidham Hall K, Harris LH, Dalton VK. Mental health women’s preferred sources for primary and mental health care: Implications for reproductive health providers. Women's Health Issues. 2016;27(2):196-205. DOI: 10.1016/j.whi.2016.09.014
  • Myerson R, Crawford S, Wherry LR. Medicaid Expansion Increased Preconception Health Counseling, Folic Acid Intake, And Postpartum Contraception: Study examines the impact of ACA Medicaid expansion on health behaviors including birth control use and pregnancy intention, and receipt of preconception health services. Health Affairs. 2020;39(11):1883-1890. DOI: 10.1377/hlthaff.2020.00106
  • Kendig S, Keats JP, Hoffman MC, Kay LB, Miller ES, Simas TAM, Frieder A, Hackley B, Indman P, Raines C, Semenuk K, Wisner KL, Lemieux LA. Consensus bundle on maternal mental health: Perinatal depression and anxiety. Journal of Obstetric, Gynecologic & Neonatal Nursing. 2017;46(2):272-281. DOI: 10.1016/j.jogn.2017.01.001
  • Viertiö S, Kiviruusu O, Piirtola M, Kaprio J, Korhonen T, Marttunen M, Suvisaari J. Factors contributing to psychological distress in the working population, with a special reference to gender difference. BMC public health. 2021;21(2):1-17. DOI: 10.1186/s12889-021-10560-y
  • Vafai Y, Steinberg JR. The effects of preabortion depressive symptoms on postabortion contraceptive effectiveness level chosen among women seeking abortions. Contraception. 2018;97(4):335-340. DOI: 10.1016/j.contraception.2017.12.013
  • Hall KS, Kusunoki Y, Gatny H, Barber J. The risk of unintended pregnancy among young women with mental health symptoms. Social Science & Medicine. 2014;100(6):62–71. DOI: 10.1016/j.socscimed.2013.10.037
  • Webb TL, Miles E, & Sheeran P. Dealing with feeling: a meta-analysis of the effectiveness of strategies derived from the process model of emotion regulation. Psychological bulletin. 2012;138(4):775. DOI: 10.1037/a0027600
  • Demirci OO, Yöyen EG. The effects of cognitive flexibility on cognitive emotional regulation. University Faculty of Arts and Sciences Journal of Social Sciences. 2020; 21(39):651–684. DOI: 10.21550/sosbilder.624377
  • Erenoglu R, Sekerci YG. The effect of training program given to the students upon family planning attitudes; a semi-experimental study. Cukurova Medical Journal. 2020;45(3):840–850. DOI: 10.17826/cumj.715555
  • Prata N, Fraser,A, Huchko MJ, Gipson JD, Withers M, Lewis S, Ciraldi EJ, Upadhyay, UD. Women’s empowerment and family planning: a review of the literature. Journal of biosocial science. 2017;49(6):713-743. DOI: 10.1017/S0021932016000663
  • Keyes CLM, Wissing M, Potgieter JP, Temane M, Kruger A, van Rooy S. Evaluation of the Mental Health Continuum-Short Form (MHC-SF) in Setswana-Speaking South Africans. Clinical Psychology and Psychotherapy. 2008;15:181–192. DOI: 10.1002/cpp.572
  • Demi̇rci̇ İ, Akin A. Ruh Sağlığı Sürekliliği Kısa Formu’nun Geçerliği ve Güvenirliği. Ankara Üniversitesi Eğitim Bilimleri Fakültesi Dergisi. 2015;48(1):49–64. (Turkish)
  • Garnefski N, Kraaij V, Spinhoven P. Manual for the use of the Cognitive Emotion Regulation Questionnaire. Leiderdorp, The Netherlands: DATEC. 2002;23(3):141-149.
  • Garnefski N, Kraaij V. Cognitive emotion regulation questionnaire - development of a short 18-item version (CERQ-Short). Personality and Individual Differences. 2006;41(6):1045–1053. DOI: 10.1016/j.paid.2006.04.010
  • Cakmak AF, Cevik EI. Cognitive emotion regulation questionnaire: development of Turkish version of 18-item short form. African Journal of Business Management. 2010;4(10):2097–2102.
  • Örsal Ö, Kubilay G. Developing family planning attitude scale. İ.Ü.F.N. Hem. Derg. 2007;15(60):155–164. ISSN 1304-4869.
  • Tabachnick BG, Fidell LS. Using Multivariate Statistics 6th ed. Boston, Scientific ResearchPublishing 2013.
  • Bi̇lgi̇n NÇ, Kesgi̇n MT. Determining the knowledge and attitudes of women working in the poultry sector regarding family planning and emergency contracepcion. Journal of Health Sciences 2020;29(2):123-132. DOI: 10.34108/eujhs.754337
  • Gözükara F, Kabacıoğlu F, Ersin F. Şanlıurfa ilinde kadınların aile planlamasına ilişkin tutumlarının belirlenmesi. Harran Üniversitesi Tıp Fakültesi Dergisi. 2015;12(1):9-16. (Turkish)
  • Wulifan JK, Brenner S, Jahn A, De Allegri M. A scoping review on determinants of unmet need for family planning among women of reproductive age in low and middle income countries. BMC women's health. 2015;16:(2)1-15. DOI:10.1186/s12905-015-0281-3
  • Nazik F, Mumcu Ş, Sönmez M, Nur Yılmaz A. Doğan Yüksekol Ö. 15-49 Yaş evli kadınların aile planlamasına ilişkin tutumlarının belirlenmesi. Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi. 2021;4(3):326–336. DOI: 10.38108/ouhcd.881578 (Turkish)
  • Barton K, Redshaw M, Quigley MA, Carson C. Unplanned pregnancy and subsequent psychological distress in partnered women: A cross-sectional study of the role of relationship quality and wider social support. BMC pregnancy and childbirth. 2017;(44)17:3-9. DOI: 10.1186/s12884-017-1223-x
  • Yaari M, Treyvaud K, Lee KJ, Doyle LW, Anderson PJ. Preterm birth and maternal mental health: Longitudinal trajectories and predictors. Journal of pediatric psychology. 2019;44(6):736-747. DOI: 10.1093/jpepsy/jsz019
  • Batra K, Pharr J, Olawepo JO, Cruz P. Understanding the multidimensional trajectory of psychosocial maternal risk factors causing preterm birth: A systematic review. Asian journal of psychiatry. 2020;54(205):102436. DOI: 10.1016/j.ajp.2020.102436
  • Dunkel Schetter C, Tanner. Anxiety, depression and stress in pregnancy: implications for mothers, children, research, and practice. Current Opinion in Psychiatry. 2012;25(2):141-148. DOI: 10.1097/YCO.0b013e3283503680
  • Staneva A, Bogossian F, Pritchard M, Wittkowski A. The effects of maternal depression, anxiety, and perceived stress during pregnancy on preterm birth: A systematic review. Women and birth. 2015;28(3):179-193. DOI: 10.1016/j.wombi.2015.02.003
  • Stevenson JC, Millings A, Emerson LM. Psychological well-being and coping: The predictive value of adult attachment, dispositional mindfulness, and emotion regulation. Mindfulness. 2019;10(2):256-271. DOI: 10.1007/s12671-018-0970-8
  • Everaert J, Joormann J. Emotion regulation difficulties related to depression and anxiety: A network approach to model relations among symptoms, positive reappraisal, and repetitive negative thinking. Clinical Psychological Science. 2019;7(6):1304-1318. DOI: 10.1177/216770261985934
  • Hassan S, Kandeel H, Hassan SI, Mohammed A, Gouda I, El-Monshed A, Abderahman H, Kandeel M. Effect of cognitive behavioral therapy on anxiety, stress, depression, and coping pattern among pregnant women with preeclampsia. American Journal of Nursing Research. 2020;8(2):269–277. DOI:10.12691/ajnr-8-2-16
There are 39 citations in total.

Details

Primary Language English
Subjects Midwifery (Other), Obstetrics and Gynocology Nursing
Journal Section Articles
Authors

Seyhan Çankaya 0000-0003-0433-2515

Gonca Buran 0000-0001-9082-553X

Lütfiye Güler 0000-0002-6156-1616

Project Number Non
Early Pub Date March 23, 2024
Publication Date March 28, 2024
Submission Date April 8, 2023
Published in Issue Year 2024 Volume: 14 Issue: 1

Cite

APA Çankaya, S., Buran, G., & Güler, L. (2024). The Relationship of Mental Health and Cognitive-Emotional States with Family Planning Attitudes in Young Women with Chronic Diseases. Clinical and Experimental Health Sciences, 14(1), 230-236. https://doi.org/10.33808/clinexphealthsci.1279416
AMA Çankaya S, Buran G, Güler L. The Relationship of Mental Health and Cognitive-Emotional States with Family Planning Attitudes in Young Women with Chronic Diseases. Clinical and Experimental Health Sciences. March 2024;14(1):230-236. doi:10.33808/clinexphealthsci.1279416
Chicago Çankaya, Seyhan, Gonca Buran, and Lütfiye Güler. “The Relationship of Mental Health and Cognitive-Emotional States With Family Planning Attitudes in Young Women With Chronic Diseases”. Clinical and Experimental Health Sciences 14, no. 1 (March 2024): 230-36. https://doi.org/10.33808/clinexphealthsci.1279416.
EndNote Çankaya S, Buran G, Güler L (March 1, 2024) The Relationship of Mental Health and Cognitive-Emotional States with Family Planning Attitudes in Young Women with Chronic Diseases. Clinical and Experimental Health Sciences 14 1 230–236.
IEEE S. Çankaya, G. Buran, and L. Güler, “The Relationship of Mental Health and Cognitive-Emotional States with Family Planning Attitudes in Young Women with Chronic Diseases”, Clinical and Experimental Health Sciences, vol. 14, no. 1, pp. 230–236, 2024, doi: 10.33808/clinexphealthsci.1279416.
ISNAD Çankaya, Seyhan et al. “The Relationship of Mental Health and Cognitive-Emotional States With Family Planning Attitudes in Young Women With Chronic Diseases”. Clinical and Experimental Health Sciences 14/1 (March 2024), 230-236. https://doi.org/10.33808/clinexphealthsci.1279416.
JAMA Çankaya S, Buran G, Güler L. The Relationship of Mental Health and Cognitive-Emotional States with Family Planning Attitudes in Young Women with Chronic Diseases. Clinical and Experimental Health Sciences. 2024;14:230–236.
MLA Çankaya, Seyhan et al. “The Relationship of Mental Health and Cognitive-Emotional States With Family Planning Attitudes in Young Women With Chronic Diseases”. Clinical and Experimental Health Sciences, vol. 14, no. 1, 2024, pp. 230-6, doi:10.33808/clinexphealthsci.1279416.
Vancouver Çankaya S, Buran G, Güler L. The Relationship of Mental Health and Cognitive-Emotional States with Family Planning Attitudes in Young Women with Chronic Diseases. Clinical and Experimental Health Sciences. 2024;14(1):230-6.

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