THE EFFECT OF PREGNANT WOMEN'S DEPRESSION, STRESS, AND ANXIETY LEVELS ON THEIR ATTITUDES TOWARDS SEXUALITY DURING PREGNANCY
Year 2026,
Volume: 7 Issue: 1, 1 - 11, 12.03.2026
Hacer Alan Dikmen
,
İlknur Gönenç
,
Tuba Özaydın
Abstract
Objective: This study aimed to determine the effects of depression, anxiety, and stress levels of pregnant women on their attitudes towards sexuality during pregnancy.
Methods: This descriptive-correlational study was conducted with 312 pregnant women. An Introductory Information Form, the Depression, Anxiety, and Stress Scale (DASS), and the Attitude towards Sexuality During Pregnancy Scale (ATSDPS) were used for collecting the data.
Results: It was determined that 52.9% of them had a “negative attitude” towards sexuality. 19.9% of the pregnant women had moderate, 10.3% severe, and 5.1% very severe depression symptoms; 17.9% had moderate, 16.7% had severe, and 20.8% had very severe anxiety symptoms; and 18.3% had moderate, 6.7% severe, and 3.8% had very severe stress symptoms. As the depression level of pregnant women increased, their negative attitudes towards sexuality increased (OR= 1.059, 95% CI= 1.029-1.090).
Conclusion: About half of the ten pregnant women had unfavorable attitudes regarding sexuality, and risk factors for sexuality during pregnancy included the pregnant women's higher depression levels and low educational status.
Ethical Statement
Ethics Considerations
Local ethics committee approval (IRB=2020/251) and written institutional permission from the hospital (Decision number=E-14567952-900-11633) were obtained to conduct this study. Written informed consent was obtained from the pregnant women participating in the study.
Supporting Institution
Funding No specific grant was received from funding agencies in the public, commercial, or nonprofit sectors.
Thanks
Acknowledgements
We would like to thank all the pregnant women for being a part of this study.
References
-
[1] Effati-Daryani F, Zarei S, Mohammadi A, Hemmati E, Ghasemi Yngyknd S, Mirghafourvand M. Depression, stress, anxiety and their predictors in Iranian pregnant women during the outbreak of COVID-19. BMC Psychology. 2020;8(99):1-10. https://doi.org/10.1186/s40359-020-00464-8
[2] Keramat, A., Malary, M., Moosazadeh, M., Bagherian, N., & Rajabi-Shakib, M. R. (2021). Factors influencing stress, anxiety, and depression among Iranian pregnant women: the role of sexual distress and genital self-image. BMC Pregnancy and Childbirth. 2021; 21(1): 1-12. https://doi.org/10.1186/s12884-021-03575-1
-
[3] Yüksel A, Dabanlı Z, Bahadır Yılmaz E. (2020). Determining of the relationship between mindful attention awareness, depression, anxiety and stress in pregnancy. J Aca Res Nurs. 20202;6(2): 195-202. http://doi:10.5222/jaren.2020.55707
-
[4] Galbally M, Watson SJ, Permezel M, Lewis AJ. Depression across pregnancy and the postpartum, antidepressant use and the association with female sexual function. Psychological Med. 2019;49(9):1490-1499. https://doi.org/10.1017/S0033291718002040
-
[5] Pampaka D, Papatheodorou SI, AlSeaidan M, Al Wotayan R, Wright RJ, Buring JE, Dockery DW, Christophi CA. Depressive symptoms and comorbid problems in pregnancy - results from a population based study. J Psyc Res. 2018;112:53–58. https://doi.org/10.1016/j.jpsychores.2018.06.011.
-
[6] Xian T, Zhuo L, Dihui H, Xiaoni Z. Influencing factors for prenatal stress, anxiety and depression in early pregnancy among women in Chongqing, China. J Affect Disord. 2019;15(253):292-302. https://doi.org/10.1016/j.jad.2019.05.003.
-
[7] Lima SAM, El Dib RP, Rodrigues MRK, Ferraz GAR, Molina AC, Neto CAP, ... & Rudge MVC. Is the risk of low birth weight or preterm labor greater when maternal stress is experienced during pregnancy? A systematic review and meta-analysis of cohort studies. PloS One. 2018;13(7):e0200594. https://doi.org/10.1371/journal.pone.0200594
-
[8] Hasanjanzadeh P, Faramarzi M. Relationship between maternal general and specific-pregnancy stress, anxiety, and depression symptoms and pregnancy outcome. JCDR. 2017;11(4): VC04. https://doi.org/10.7860/JCDR/2017/24352.9616
-
[9] Madigan S, Oatley H, Racine N, Fearon RP, Schumacher L, Akbari E, ... Tarabulsy, GM. A meta-analysis of maternal prenatal depression and anxiety on child socioemotional development. J Am Acad Child Adolesc Psyc. 2018;57(9):645-657. https://doi.org/10.1016/j.jaac.2018.06.012
-
[10] Van den Bergh BR, van den Heuvel MI, Lahti M, Braeken M, de Rooij SR, Entringer S, ... Schwab M. Prenatal developmental origins of behavior and mental health: The influence of maternal stress in pregnancy. Neurosci Biobehav Rev. 2020;117:26-64. https://doi.org/10.1016/j.neubiorev.2017.07.003.
-
[11] Walder DJ, Laplante DP, Sousa-Pires A, Veru F, Brunet A, King S. (2014). Prenatal maternal stress predicts autism traits in 6½ year-old children: project Ice Storm. Psychiatry Res. 2014; 219(2):353-60. https://doi.org/10.1016/j.psychres.2014.04.034.
-
[12] Eastwood J, Ogbo FA, Hendry A, Noble J, Page A, Early Years Research Group (EYRG). The impact of antenatal depression on perinatal outcomes in Australian women. PloS One 2017;12(1):e0169907. https://doi.org/10.1371/journal.pone.0169907
-
[13] Ogbo FA, Eastwood J, Hendry A, Jalaludin B, Agho KE, Barnett B, Page A. (2018). Determinants of antenatal depression and postnatal depression in Australia. BMC Psychiatry. 2018; 18(1): 1-11. http://doi.org/10.1186/s12888-018-1598-x
-
[14] Falah-Hassani K. Shiri R, Dennis CL. The prevalence of antenatal and postnatal co-morbid anxiety and depression: a meta-analysis. Psychological Med. 2017; 47(12):2041-2053. https://doi.org/10.1017/S0033291717000617
-
[15] Zaman FK, Özkan N, Toprak D. Gebelikte Depresyon ve Anksiyete Artar mı?. Konuralp Medical Journal 2018;10(1):20-25. https://doi.org/10.18521/ktd.311793
-
[16] Seven M, Akyüz A, Güngör S. Predictors of sexual function during pregnancy. J Obs and Gyn. 2015;35(7):691-695. https://doi.org/10.3109/01443615.2015.1006596
-
[17] Aksoy A, Yilmaz DV, Yilmaz, M. What affects sexual life in pregnancy? J Adnan Menderes Uni Health Sci Fac. 2019;3(1):45-53.
-
[18] Yılmaz Sezer N, Şentürk Erenel A. (2021). Development of an Attitude Scale toward Sexuality during Pregnancy. J Sex Marital Ther. 2021;47 (5): 492-507. https://doi.org/10.1080/0092623X.2021.1911892.
-
[19] Ribeiro MC, de Tubino Scanavino M, do Amaral MLSA, de Moraes Horta AL, Torloni MR. Beliefs about sexual activity during pregnancy: A systematic review of the literature. J Sex Marital Ther. 2017;43(8):822-832. https://doi.org/10.1080/0092623X.2017.1305031
-
[20] Topatan S, Koç E. Female sexual distress and associated factors during pregnancy. Fırat University Med J Heal Sci. 2020;34(1):13-19. http://tip.fusabil.org/pdf/pdf_FUSABIL_1401.pdf
-
[21] Leite CC, Masochini RG, Cunha AN, Paese MC, Barros CR, Jezus SV, Cavalcante PP. Sexuality in pregnancy: perception of pregnant women in an educational group. Scientific Electronic Archives. 2020;13(4):76-85. https://doi.org/10.36560/1342020904
-
[22] Pamuk T. The Effect of Attitude Towards Sexuality of Pregnant Women on Sexual Function, Ordu University, Institute of Health Sciences, Master Thesis, 2021.
-
[23] Cengizhan SÖ. The effect of mindfulness–based sexual consultancy on sexual distress, sexual distress, attitude to sexuality and body images concern in pregnant women. Inonu University, Institute of Health Sciences, Doktoral Thesis, 2021.
-
[24] Lovibond PF, Lovibond SH. The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behav. Res. Ther. 1995; 33(3): 335-343. https://doi.org/10.1016/0005-7967(94)00075-U
-
[25] Bilgel NG, Bayram N. Turkish version of the depression anxiety stress scale (DASS-42): Psychometric properties. Arch. Neuropsychiatry. 2010; 47(2): 118-126.
-
[26] Alan Dikmen H. An investigation COVID-19 related knowledge, attitude, depression, anxiety, and stress levels of pregnant women. Adiyaman Saglik. 2021;7(1):80-93. https://doi.org/10.30569/adiyamansaglik.816066
-
[27] Ali NS, Azam IS, Ali BS, Tabbusum G, Moin SS. Frequency and associated factors for anxiety and depression in pregnant women: a hospital-based cross-sectional study. Sci World J. 2012;1-9. https://doi.org/10.1100/2012/653098
-
[28] Effati-Daryani F, Mohammad-Alizadeh-Charandabi S, Mirghafourvand M, Taghizadeh M, Mohammadi A. Effect of lavender cream with or without foot-bath on anxiety, stress and depression in pregnancy: a randomized placebo-controlled trial. J Caring Sci. 2015;4:63-73. http://doi:10.5681/jcs.2015.007
-
[29] Rallis S, Skouteris H, McCabe M, Milgrom J. A prospective examination of depression, anxiety and stress throughout pregnancy. Women and Birth. 2014;27(4): e36-e42. https://doi.org/10.1016/j.wombi.2014.08.002
-
[30] Teixeira C, Figueiredo B, Conde A, Pacheco A, Costa R. Anxiety and depression during pregnancy in women and men. J Affect Disord. 2009;119(1-3):142-148. https://doi.org/10.1016/j.jad.2009.03.005
-
[31] Jahan N, Went TR, Sultan W, Sapkota A, Khurshid H, Qureshi IA, Alfonso M. Untreated depression during pregnancy and its effect on pregnancy outcomes: a systematic review. Cureus. 2021;13(8): e17251. doi:10.7759/cureus.17251.
-
[32] Shayan A, Khodabandeloo R, Solatani F, Esfandeh K, Masoumi SZ., Mohammadi Y, ... & Esmaili M. The relationship between attitudes and sexual function in pregnant women referred to health centers-medical city of Hamadan. Pajouhan Sci J 2020, 18(2): 20-29. 1 https://doi.org/0.52547/psj.18.2.20
-
[33] Bilgiç FŞ, Karaahmet AY. Attitudes and beliefs regarding sexuality in pregnancy affect sexuality Turkey example: A cross-sectional study. Eur. J. Obstet. Gynecol. 2022; 27614-20. https://doi.org/10.1016/j.ejogrb.2022.06.015
-
[34] Tavares IM, Barros T, Rosen NO, Heiman JR, Nobre PJ. Is expectant couples’ similarity in attitudes to sex during pregnancy linked to their sexual well-being? A dyadic study with response surface analysis. J Sex Res. 2022;59(2):160-172. https://doi.org/10.1080/00224499.2021.1946672
-
[35] Sadat Z, Ghofranipour F, Goshtasebi A, Azin SA. Sexual knowledge and attitudes among premarital couples: a need for future educational programs. Nurs Midwifery Stud. 2016;5(4):e34469. https://doi.org/10.17795/nmsjournal34469
-
[36] Lu C, Xu L, Wu J, Wang Z, Decat P, Zhang WH, et al. Sexual and reproductive health status and related knowledge among female migrant workers in Guangzhou, China: a cross-sectional survey. Eur J Obstet Gynecol Reprod Biol. 2012;160(1):60-65. https://doi.org/10.1016/j.ejogrb.2011.10.001
-
[37] Zhang D, Bi Y, Maddock JE, Li S. Sexual and reproductive health knowledge among female college students in Wuhan, China. Asia Pac J Public Health. 2010;22(1):118–26. https://doi.org/10.1177/1010539509350614
-
[38] Kısa S, Zeyneloğlu S, Yılmaz D, Verim E. Knowledge and Beliefs Related to Sexuality of couples doing Marriage Preparation, TAF Preventive Medicine Bulletin. 2013;12(2):297-306. https://doi.org/10.5455/pmb.1-1341926050
-
[39] Reynaert C, Zdanowicz N, Janne P, Jacques D. Depression and sexuality. Psychiatria Danubina 2010; 22(suppl 1.): 111-113.
-
[40] Nik-Azin A, Nainian MR, Zamani M, Bavojdan MR, Bavojdan MR, Motlagh MJ. Evaluation of sexual function, quality of life, and mental and physical health in pregnant women. J Family Reprod Health. 2013;7(4):171-6.
-
[41] Chang S-R, Ho H-N, Chen K-H, Shyu M-K, Huang L-H, Lin W-A. Depressive symptoms as a predictor of sexual function during pregnancy. J Sex Med. 2012;9 (10):2582–2589. https://doi.org/10.1111/j.1743-6109.2012.02874.x
GEBELERİN DEPRESYON, STRES VE ANKSİYETE DÜZEYLERİNİN GEBELİKTE CİNSELLİĞE KARŞI TUTUMLARI ÜZERİNE ETKİSİ
Year 2026,
Volume: 7 Issue: 1, 1 - 11, 12.03.2026
Hacer Alan Dikmen
,
İlknur Gönenç
,
Tuba Özaydın
Abstract
Amaç: Bu çalışmada gebelerin depresyon, anksiyete ve stres düzeylerinin gebelik dönemindeki cinselliğe yönelik tutumları üzerinde etkilerinin belirlenmesi amaçlanmıştır.
Yöntem: Bu tanımlayıcı-ilişkisel çalışma 312 gebe kadınla yürütülmüştür. Veriler Tanıtıcı Bilgi Formu, Depresyon, Anksiyete ve Stres Ölçeği (DASS) ve Gebelikte Cinselliğe Yönelik Tutum Ölçeği (ATSDPS) ile toplanmıştır.
Bulgular: Gebelerin %52,9’unun cinselliğe yönelik “olumsuz tutum” içinde olduğu belirlenmiştir. Gebelerin %19,9’unda orta, %10,3’ünde şiddetli ve %5,1’inde çok şiddetli depresyon belirtileri; %17,9’unda orta, %16,7’sinde şiddetli ve %20,8’inde çok şiddetli anksiyete belirtileri; %18,3’ünde orta, %6,7’sinde şiddetli ve %3,8’inde çok şiddetli stres belirtileri görülmüştür. Gebe kadınların depresyon seviyesi arttıkça, cinselliğe yönelik olumsuz tutumları da arttı (OR= 1.059, %95 CI= 1.029-1.090).
Sonuç: On gebe kadının yaklaşık yarısı cinselliğe yönelik olumsuz tutumlara sahipti ve gebelik sırasında cinsellik için risk faktörleri arasında yüksek depresyon düzeyi ve düşük eğitim durumları yer alıyordu.
Ethical Statement
Lokal etik izin (IRB=2020/251) ve kurum izni (Karar no=E-14567952-900-11633alınmıştır. Çalışmaya katılan gebelerden yazılı izin alındı.
Supporting Institution
Çalışma sürecinde herhangi bir kurumdan fon, hibe, destek alınmadı.
Thanks
Çalışmaya katılan tüm gebelere teşekkür ederiz.
References
-
[1] Effati-Daryani F, Zarei S, Mohammadi A, Hemmati E, Ghasemi Yngyknd S, Mirghafourvand M. Depression, stress, anxiety and their predictors in Iranian pregnant women during the outbreak of COVID-19. BMC Psychology. 2020;8(99):1-10. https://doi.org/10.1186/s40359-020-00464-8
[2] Keramat, A., Malary, M., Moosazadeh, M., Bagherian, N., & Rajabi-Shakib, M. R. (2021). Factors influencing stress, anxiety, and depression among Iranian pregnant women: the role of sexual distress and genital self-image. BMC Pregnancy and Childbirth. 2021; 21(1): 1-12. https://doi.org/10.1186/s12884-021-03575-1
-
[3] Yüksel A, Dabanlı Z, Bahadır Yılmaz E. (2020). Determining of the relationship between mindful attention awareness, depression, anxiety and stress in pregnancy. J Aca Res Nurs. 20202;6(2): 195-202. http://doi:10.5222/jaren.2020.55707
-
[4] Galbally M, Watson SJ, Permezel M, Lewis AJ. Depression across pregnancy and the postpartum, antidepressant use and the association with female sexual function. Psychological Med. 2019;49(9):1490-1499. https://doi.org/10.1017/S0033291718002040
-
[5] Pampaka D, Papatheodorou SI, AlSeaidan M, Al Wotayan R, Wright RJ, Buring JE, Dockery DW, Christophi CA. Depressive symptoms and comorbid problems in pregnancy - results from a population based study. J Psyc Res. 2018;112:53–58. https://doi.org/10.1016/j.jpsychores.2018.06.011.
-
[6] Xian T, Zhuo L, Dihui H, Xiaoni Z. Influencing factors for prenatal stress, anxiety and depression in early pregnancy among women in Chongqing, China. J Affect Disord. 2019;15(253):292-302. https://doi.org/10.1016/j.jad.2019.05.003.
-
[7] Lima SAM, El Dib RP, Rodrigues MRK, Ferraz GAR, Molina AC, Neto CAP, ... & Rudge MVC. Is the risk of low birth weight or preterm labor greater when maternal stress is experienced during pregnancy? A systematic review and meta-analysis of cohort studies. PloS One. 2018;13(7):e0200594. https://doi.org/10.1371/journal.pone.0200594
-
[8] Hasanjanzadeh P, Faramarzi M. Relationship between maternal general and specific-pregnancy stress, anxiety, and depression symptoms and pregnancy outcome. JCDR. 2017;11(4): VC04. https://doi.org/10.7860/JCDR/2017/24352.9616
-
[9] Madigan S, Oatley H, Racine N, Fearon RP, Schumacher L, Akbari E, ... Tarabulsy, GM. A meta-analysis of maternal prenatal depression and anxiety on child socioemotional development. J Am Acad Child Adolesc Psyc. 2018;57(9):645-657. https://doi.org/10.1016/j.jaac.2018.06.012
-
[10] Van den Bergh BR, van den Heuvel MI, Lahti M, Braeken M, de Rooij SR, Entringer S, ... Schwab M. Prenatal developmental origins of behavior and mental health: The influence of maternal stress in pregnancy. Neurosci Biobehav Rev. 2020;117:26-64. https://doi.org/10.1016/j.neubiorev.2017.07.003.
-
[11] Walder DJ, Laplante DP, Sousa-Pires A, Veru F, Brunet A, King S. (2014). Prenatal maternal stress predicts autism traits in 6½ year-old children: project Ice Storm. Psychiatry Res. 2014; 219(2):353-60. https://doi.org/10.1016/j.psychres.2014.04.034.
-
[12] Eastwood J, Ogbo FA, Hendry A, Noble J, Page A, Early Years Research Group (EYRG). The impact of antenatal depression on perinatal outcomes in Australian women. PloS One 2017;12(1):e0169907. https://doi.org/10.1371/journal.pone.0169907
-
[13] Ogbo FA, Eastwood J, Hendry A, Jalaludin B, Agho KE, Barnett B, Page A. (2018). Determinants of antenatal depression and postnatal depression in Australia. BMC Psychiatry. 2018; 18(1): 1-11. http://doi.org/10.1186/s12888-018-1598-x
-
[14] Falah-Hassani K. Shiri R, Dennis CL. The prevalence of antenatal and postnatal co-morbid anxiety and depression: a meta-analysis. Psychological Med. 2017; 47(12):2041-2053. https://doi.org/10.1017/S0033291717000617
-
[15] Zaman FK, Özkan N, Toprak D. Gebelikte Depresyon ve Anksiyete Artar mı?. Konuralp Medical Journal 2018;10(1):20-25. https://doi.org/10.18521/ktd.311793
-
[16] Seven M, Akyüz A, Güngör S. Predictors of sexual function during pregnancy. J Obs and Gyn. 2015;35(7):691-695. https://doi.org/10.3109/01443615.2015.1006596
-
[17] Aksoy A, Yilmaz DV, Yilmaz, M. What affects sexual life in pregnancy? J Adnan Menderes Uni Health Sci Fac. 2019;3(1):45-53.
-
[18] Yılmaz Sezer N, Şentürk Erenel A. (2021). Development of an Attitude Scale toward Sexuality during Pregnancy. J Sex Marital Ther. 2021;47 (5): 492-507. https://doi.org/10.1080/0092623X.2021.1911892.
-
[19] Ribeiro MC, de Tubino Scanavino M, do Amaral MLSA, de Moraes Horta AL, Torloni MR. Beliefs about sexual activity during pregnancy: A systematic review of the literature. J Sex Marital Ther. 2017;43(8):822-832. https://doi.org/10.1080/0092623X.2017.1305031
-
[20] Topatan S, Koç E. Female sexual distress and associated factors during pregnancy. Fırat University Med J Heal Sci. 2020;34(1):13-19. http://tip.fusabil.org/pdf/pdf_FUSABIL_1401.pdf
-
[21] Leite CC, Masochini RG, Cunha AN, Paese MC, Barros CR, Jezus SV, Cavalcante PP. Sexuality in pregnancy: perception of pregnant women in an educational group. Scientific Electronic Archives. 2020;13(4):76-85. https://doi.org/10.36560/1342020904
-
[22] Pamuk T. The Effect of Attitude Towards Sexuality of Pregnant Women on Sexual Function, Ordu University, Institute of Health Sciences, Master Thesis, 2021.
-
[23] Cengizhan SÖ. The effect of mindfulness–based sexual consultancy on sexual distress, sexual distress, attitude to sexuality and body images concern in pregnant women. Inonu University, Institute of Health Sciences, Doktoral Thesis, 2021.
-
[24] Lovibond PF, Lovibond SH. The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behav. Res. Ther. 1995; 33(3): 335-343. https://doi.org/10.1016/0005-7967(94)00075-U
-
[25] Bilgel NG, Bayram N. Turkish version of the depression anxiety stress scale (DASS-42): Psychometric properties. Arch. Neuropsychiatry. 2010; 47(2): 118-126.
-
[26] Alan Dikmen H. An investigation COVID-19 related knowledge, attitude, depression, anxiety, and stress levels of pregnant women. Adiyaman Saglik. 2021;7(1):80-93. https://doi.org/10.30569/adiyamansaglik.816066
-
[27] Ali NS, Azam IS, Ali BS, Tabbusum G, Moin SS. Frequency and associated factors for anxiety and depression in pregnant women: a hospital-based cross-sectional study. Sci World J. 2012;1-9. https://doi.org/10.1100/2012/653098
-
[28] Effati-Daryani F, Mohammad-Alizadeh-Charandabi S, Mirghafourvand M, Taghizadeh M, Mohammadi A. Effect of lavender cream with or without foot-bath on anxiety, stress and depression in pregnancy: a randomized placebo-controlled trial. J Caring Sci. 2015;4:63-73. http://doi:10.5681/jcs.2015.007
-
[29] Rallis S, Skouteris H, McCabe M, Milgrom J. A prospective examination of depression, anxiety and stress throughout pregnancy. Women and Birth. 2014;27(4): e36-e42. https://doi.org/10.1016/j.wombi.2014.08.002
-
[30] Teixeira C, Figueiredo B, Conde A, Pacheco A, Costa R. Anxiety and depression during pregnancy in women and men. J Affect Disord. 2009;119(1-3):142-148. https://doi.org/10.1016/j.jad.2009.03.005
-
[31] Jahan N, Went TR, Sultan W, Sapkota A, Khurshid H, Qureshi IA, Alfonso M. Untreated depression during pregnancy and its effect on pregnancy outcomes: a systematic review. Cureus. 2021;13(8): e17251. doi:10.7759/cureus.17251.
-
[32] Shayan A, Khodabandeloo R, Solatani F, Esfandeh K, Masoumi SZ., Mohammadi Y, ... & Esmaili M. The relationship between attitudes and sexual function in pregnant women referred to health centers-medical city of Hamadan. Pajouhan Sci J 2020, 18(2): 20-29. 1 https://doi.org/0.52547/psj.18.2.20
-
[33] Bilgiç FŞ, Karaahmet AY. Attitudes and beliefs regarding sexuality in pregnancy affect sexuality Turkey example: A cross-sectional study. Eur. J. Obstet. Gynecol. 2022; 27614-20. https://doi.org/10.1016/j.ejogrb.2022.06.015
-
[34] Tavares IM, Barros T, Rosen NO, Heiman JR, Nobre PJ. Is expectant couples’ similarity in attitudes to sex during pregnancy linked to their sexual well-being? A dyadic study with response surface analysis. J Sex Res. 2022;59(2):160-172. https://doi.org/10.1080/00224499.2021.1946672
-
[35] Sadat Z, Ghofranipour F, Goshtasebi A, Azin SA. Sexual knowledge and attitudes among premarital couples: a need for future educational programs. Nurs Midwifery Stud. 2016;5(4):e34469. https://doi.org/10.17795/nmsjournal34469
-
[36] Lu C, Xu L, Wu J, Wang Z, Decat P, Zhang WH, et al. Sexual and reproductive health status and related knowledge among female migrant workers in Guangzhou, China: a cross-sectional survey. Eur J Obstet Gynecol Reprod Biol. 2012;160(1):60-65. https://doi.org/10.1016/j.ejogrb.2011.10.001
-
[37] Zhang D, Bi Y, Maddock JE, Li S. Sexual and reproductive health knowledge among female college students in Wuhan, China. Asia Pac J Public Health. 2010;22(1):118–26. https://doi.org/10.1177/1010539509350614
-
[38] Kısa S, Zeyneloğlu S, Yılmaz D, Verim E. Knowledge and Beliefs Related to Sexuality of couples doing Marriage Preparation, TAF Preventive Medicine Bulletin. 2013;12(2):297-306. https://doi.org/10.5455/pmb.1-1341926050
-
[39] Reynaert C, Zdanowicz N, Janne P, Jacques D. Depression and sexuality. Psychiatria Danubina 2010; 22(suppl 1.): 111-113.
-
[40] Nik-Azin A, Nainian MR, Zamani M, Bavojdan MR, Bavojdan MR, Motlagh MJ. Evaluation of sexual function, quality of life, and mental and physical health in pregnant women. J Family Reprod Health. 2013;7(4):171-6.
-
[41] Chang S-R, Ho H-N, Chen K-H, Shyu M-K, Huang L-H, Lin W-A. Depressive symptoms as a predictor of sexual function during pregnancy. J Sex Med. 2012;9 (10):2582–2589. https://doi.org/10.1111/j.1743-6109.2012.02874.x