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    Anxiety, Mental Well-Being, and Life Satisfaction Among Postpartum Women After the Kahramanmaras¸ Earthquake: Interrelations and Predictors
    (Elsevier Sci Ltd, 2026) Ozsahin, Zeliha; Santur, Sinem Guven; Sonmez, Cicek; Kutluol, Melike; Arin, Mehmet Veysel
    Objective This study aimed to determine the levels of anxiety, mental well-being, and life satisfaction among postpartum women who directly experienced the Kahramanmara & scedil; earthquake and to examine the interrelationships among these variables as well as their predictors. Method This cross-sectional study includes 369 postpartum women from the T & uuml;rkiye provinces of Ad & imath;yaman and Malatya, two of the four provinces most severely affected by the Kahramanmara & scedil; earthquakes. Data were collected between November 2023 and December 2024 using the Participant Information Form, the State-Trait Anxiety Inventory, the Warwick-Edinburgh Mental Health Scale, and the Life Satisfaction Scale. Data analysis was performed using IBM SPSS Statistics 25.0 and the Python 3.11 programming language. As part of the analysis, in addition to descriptive statistics and correlation analyses, hierarchical regression analyses were conducted to identify earthquake-related factors influencing anxiety, mental well-being, and life satisfaction. Results Postpartum women who experienced the earthquake had high anxiety levels and relatively low mental well-being and life satisfaction scores. Correlation analysis showed that state anxiety was negatively correlated with life satisfaction (r = -0.217, p < .001) and mental well-being (r = -0.228, p < .001). Trait anxiety was positively correlated with life satisfaction (r = 0.324, p < .001) and mental well-being (r = 0.326, p < .001). In addition, mental well-being was positively correlated with life satisfaction (r = 0.632, p < .001). Hierarchical regression analyses revealed that the final models explained 8.5% of the variance in state anxiety, 11.3% in trait anxiety, 7.8% in mental well-being, and 16.2% in life satisfaction. Conclusion and Recommendations It has been observed that directly experiencing an earthquake increases anxiety levels in postpartum women, which negatively affects mental well-being and life satisfaction, thereby damaging mental health. Moreover, the repercussions of seismic events on mental well-being have been demonstrated to encompass persistent anxiety, poor mental health, and diminished life satisfaction, particularly in the context of alterations to living conditions, including property damage and relocation. The findings emphasise the critical importance of trauma-focused and comprehensive health services for postpartum women in disaster-affected areas. It is recommended that psychosocial support programs be expanded, social support networks be strengthened, and mental health screenings be systematically integrated into postpartum care processes
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    Effect of emotional freedom techniques on anxiety, surgical fear and birth perception in planned caesareans: A randomised controlled trial
    (Elsevier Science Inc, 2026) Okyay, Esra Karatas; Santur, Sinem Guven; Ozsahin, Zeliha; Derya, Yesim Aksoy
    Introduction: The aim of this study was to determine the effect of emotional freedom techniques (EFT) applied before cesarean section on anxiety, surgical fear and perception of traumatic birth. Method: This randomized controlled trial was conducted with 106 pregnant women (53 EFT, 53 control) at the pregnancy outpatient clinic of a public hospital in eastern T & uuml;rkiye who were going to give birth by planned cesarean section. Personal Information Form, State Anxiety Inventory (STAI-I), Surgical Fear Scale (SFQ), Traumatic Birth Perception Scale (TBPS) and Subjective Experiences Scale (SUE) were used to obtain the data. Pregnant women in the experimental group received two EFT sessions one week apart, from the researchers. The control group did not receive any intervention. Descriptive statistics, Pearson chi-square test, t-test for dependent and independent groups, ANCOVA and repeated measures analysis of variance were used to analyze the data. Results: It was determined that the mean scores of the pregnant women in the experimental and control groups who would give birth by planned cesarean section were similar in the pretest phase (p > 0.05). After the EFT sessions applied to the pregnant women in the experimental group, it was found that the mean total scores of STAI-I, SFQ, and TBPS were statistically significantly lower and the mean SUE score was higher than the control group (p < 0.05). Conclusion: It was determined that EFT applied to pregnant women who will give birth by planned cesarean section decreased state anxiety, surgical fear and traumatic birth perception.
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    The effect of emotional freedom techniques on menopausal symptoms, quality of life, and depression level: a randomized sham-controlled trial
    (Lippincott Williams & Wilkins, 2026) Okyay, Esra Karatas; Santur, Sinem Guven; Ozsahin, Zeliha; Ay, Cigdem Karakayali
    Objective: This study examined the effect of a symptom management program developed based on story theory on vasomotor symptoms and sleep quality in postmenopausal women. Methods: The research was conducted as a mixed methods study using an interventional design, one of the advanced mixed methods designs. The study population consisted of postmenopausal women who presented to 5 family health centers. A total of 76 women were enrolled, with 38 in the experimental group and 38 in the control group. The symptom management program developed based on story theory was applied individually to women in the experimental group. A personal information form, the Menopause Symptoms Assessment Scale, the Pittsburgh Sleep Quality Index, and a story theory-based semistructured interview form were employed as data collection tools. The independent 2-sample t test, Mann-Whitney U test, generalized linear model, Tukey test, and Robust ANOVA test were used for the analysis of quantitative data, while content analysis was applied to qualitative data. Results: The Menopause Symptoms Assessment Scale total and subdimension scores and the total Pittsburgh Sleep Quality Index score were lower in the experimental group than in the control group at the end of the program. Six themes were identified in the study: thoughts about menopause, symptoms experienced during menopause, perception of femininity in menopause, the effect of menopause on daily life, coping with menopause, and expectations in menopause. Conclusions: The program reduced vasomotor symptoms and improved sleep quality among the postmenopausal women in the experimental group.
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    The relationship of birth memory with anxiety and fatigue in postpartum women experiencing earthquake: The case of the Kahramanmaras earthquake
    (Wiley, 2025) Ozsahin, Zeliha; Nacar, Gulcin; Santur, Sinem Guven; Derya, Yesim Aksoy; Firat, Hatice
    Objective The study was conducted to investigate the relationship between birth memory and anxiety and fatigue in postnatal women who had experienced an earthquake. Methods The study, which used a descriptive and relational screening model, was conducted on women who gave birth in a public hospital after the Kahramanmara & scedil; earthquake. A total of 365 postpartum women participated in the study. The Personal Information Form, the Birth Memory and Recall Scale, the State Anxiety Scale, and the Fatigue Rating Scale were used to obtain the data. Results It was found that there was a significant positive correlation between the mean total score of the birth memory and recall scale and the mean score of the fatigue scale, and there was a significant correlation between the mean scores of the emotional memory, memory centrality, and involuntary recall subscales and the mean score of anxiety level (beta = 0.275, P = 0.001; beta = 0.176, P = 0.001; beta = -0.169 P = 0.004; beta = -0.208, P = 0.001, respectively). Conclusion It was found that birth memory and recall were significantly associated with the level of fatigue; and emotional memory, centrality of memory, and involuntary recall sub-dimensions were significantly associated with the level of anxiety in postnatal mothers who had experienced an earthquake.
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    Turkish Validityand ReliabilityStudyofthe Negative Menstrual Attitudes Assessment Scale: A methodological study
    (Marmara Univ, Inst Health Sciences, 2025) Ozsahin, Zeliha; Santur, Sinem Guven; Derya, Yesim Aksoy
    Objective: The objective of this study is to determine the validity and reliability of the Negative Menstrual Attitudes Assessment Scale (NMAS) in T & uuml;rkiye. The NMAS is a scale that evaluates women's negative attitudes towards menstruation.. Methods: This study employed a methodological approach and concentrated on female students registered in the Faculty of Health Sciences at a public institution from June to August 2023. The scale underwent a three-phase Turkish adaption procedure, comprising linguistic validity, content validity, and a pilot implementation. The pilot research had a cohort of 30 individuals. Following this, construct validity was assessed using Kaiser-Meyer-Olkin, Exploratory Factor Analysis (EFA), and Confirmatory Factor Analysis (CFA). Furthermore, assessments were performed to evaluate reliability, encompassing Cronbach's alpha internal consistency coefficient, item-total correlation, test-retest analysis, and ROC analysis for determining cut-off scores. Results: According to the EFA analysis, which confirmed the validity of the 15-item scale, it was determined that no items had factor loadings below 0.30. The subsequent CFA analysis validated the three-factor structure of the NMAS, exhibiting good fit indices. The resultant 15-item scale consists of three sub-dimensions: Debilitating Event, Bothersome Event, and Natural Event. The internal consistency coefficient of NMAS, as determined by Cronbach's alpha, was 0.861, 0.855, 0.784, and 0.772 forthe overall measure and its sub-dimensions, respectively. Moreover, the item-total correlation and test-retest analysis of the scale demonstrate a robust association. Conclusion: A rigorous and accurate instrument has been created to evaluate unfavorable menstruation attitudes among women in Turkish culture. The scale demonstrated robust psychometric properties, confirming its validity and reliability for assessing negative menstrual attitudes in Turkish culture.