EFEKTIVITAS TERAPI MINDFULNESS TERHADAP KESEHATAN SEKSUAL DAN REPRODUKSI PADA PASANGAN USIA SUBUR: TINJAUAN SISTEMATIS

Devi Hartati

doi:10.58794/jubida.v4i1.1489

Authors

Devi Hartati Universitas Abdurrab

DOI:

https://doi.org/10.58794/jubida.v4i1.1489

Keywords:

Pasangan Usia Subur, Mindfulness, Kesehatan Seksual dan Reproduksi

Abstract

Kesehatan seksual dan reproduksi merupakan komponen penting dalam kesejahteraan individu dan pasangan usia subur. Pasangan usia subur menghadapi berbagai tantangan, termasuk infertilitas, disfungsi seksual, dan tekanan psikologis yang dapat mempengaruhi kualitas hubungan dan kesejahteraan secara keseluruhan. Penelitian ini bertujuan untuk mengisi kesenjangan dalam literatur dengan mengeksplorasi efek terapi komplementer berbasis mindfulness pada kesehatan seksual dan reproduksi pasangan usia subur. Penelitian menggunakan desain systematic review dengan ceklist PRISMA-SR 2020. Penelitian ini mengacu pada beberapa langkah berupa (1) Strategi pencarian, (2) Kriteria seleksi, (3) Ekstraksi data dan penilaian kualitas. Pencarian artikel menggunakan 3 database yaitu ScienceDirect, Pubmed, dan Wiley Online Library. Hasil penelitian dari 989 artikel terdapat 8 artikel yang signifikan bahwa terapi komplementer berbasis mindfulness terbukti efektif dalam meningkatkan kesehatan seksual dan reproduksi pada pasangan usia subur. Efektivitas ini terlihat dari peningkatan kepuasan seksual, penurunan kecemasan dan stres, serta peningkatan kualitas hubungan emosional pasangan. Sementara itu, 1 artikel menyatakan mindfulness tidak memberikan efek signifikan terhadap indikator kesehatan seksual maupun reproduksi. Mindfulness berpotensi memberikan manfaat positif terhadap kesehatan seksual dan reproduksi, meskipun efektivitasnya tetap perlu dipertimbangkan secara kontekstual dan berdasarkan pendekatan yang tepat dan terstandarisasi.

References

WHO, “Sexual Health,” World Health Organization, 2024. https://www.who.int/health-topics/sexual-health.

C. Amanda, M. Nyovani, M. Monika, R. Anita, V. Agnese, and Z. Rebecca, The Real Fertility Crisis, 1st ed. New York: United Nations Population Fund (UNFPA), 2025.

Kemenkes RI, Profil Kesehatan Indonesia. Jakarta: Kementerian Kesehatan Republik Indonesia, 2023.

F. I. Kundarti, I. Titisari, D. E. Rahayu, Kiswati, and Jamhariyah, “Mindfulness improves the mental health of infertile women: A systematic review,” J. Public health Res., vol. 12, no. 3, 2023, doi: 10.1177/22799036231196693.

M. L. Chivers, B. Zdaniuk, M. Lalumière, and L. A. Brotto, “Effects of Group Mindfulness-Based Cognitive Therapy versus Supportive Sex Education on Sexual Concordance and Sexual Response Among Women with Sexual Interest/Arousal Disorder,” J. Sex Res., vol. 5, no. 6, pp. 1–15, 2024, doi: 10.1080/00224499.2024.2319695.

J. A. Bossio, R. Basson, M. Driscoll, S. Correia, and L. A. Brotto, “Mindfulness-Based Group Therapy for Men With Situational Erectile Dysfunction: A Mixed-Methods Feasibility Analysis and Pilot Study,” J. Sex. Med., vol. 15, no. 10, pp. 1478–1490, 2018, doi: 10.1016/j.jsxm.2018.08.013.

G. Eka and M. S. Tondok, “Evaluating the effectiveness of mindfulness-based sexual therapy for women with sexual dysfunction: A systematic literature review,” J. Ilm. Psikol. Terap., vol. 12, no. 2, pp. 140–149, 2024, doi: 10.22219/jipt.v12i2.29232.

D. Widiawati Retnoningtias and I. R. Hardika, “Menurunkan Infertility-Related Stres dengan Program Mindfulness Based Stress Reduction (MBSR),” J. Interv. Psikol., vol. 13, no. 1, pp. 63–82, 2021, doi: 10.20885/intervensipsikologi.vol13.iss1.art6.

T. Farajkhoda, F. Sohran, M. Molaeinezhad, and H. Fallahzadeh, “The effectiveness of mindfulness-based cognitive therapy consultation on improving sexual satisfaction of women in reproductive age: A clinical trial study in Iran,” J. Adv. Pharm. Educ. Res., vol. 9, pp. 151–160, 2019, doi: 10.1128/AEM.00342-20.

M. M. Peixoto, “Mindfulness, Self-Compassion, and Acceptance as Predictors of Sexual Satisfaction in Cisgender Heterosexual Men and Women,” Healthc., vol. 11, no. 13, 2023, doi: 10.3390/healthcare11131839.

K. R. Stephenson, “Mindfulness-Based Therapies for Sexual Dysfunction: a Review of Potential Theory-Based Mechanisms of Change,” Mindfulness (N. Y)., vol. 8, no. 3, pp. 527–543, 2017, doi: 10.1007/s12671-016-0652-3.

J. F. Krieger, E. Kristensen, M. Marquardsen, S. Ofer, E. L. Mortensen, and A. Giraldi, “Mindfulness in sex therapy and intimate relationships: a feasibility and randomized controlled pilot study in a cross-diagnostic group,” Sex. Med., vol. 11, no. 3, pp. 1–11, 2023, doi: 10.1093/sexmed/qfad033.

Y. Wen, X. Li, W. Shu, H. Zhang, Z. Shen, and Z. Huang, “The effects of mindfulness therapy on infertile female patients: A meta-analysis,” Technol. Heal. Care, vol. 32, pp. 1–15, 2024, doi: 10.3233/thc-240174.

E. Domínguez-Solís, M. Lima-Serrano, and J. S. Lima-Rodríguez, “Non-Pharmacological Interventions to Reduce anxiety in Pregnancy, Labour and Postpartum: A Systematic Review,” Midwifery, vol. 102, no. August, 2021, doi: 10.1016/j.midw.2021.103126.

M. Z. (Editors) Aromataris E, JBI Manual for Evidence Synthesis, no. April. 2021.

Ö. İnam and İ. G. Satılmış, “The effect of mindfulness-based nursing support on the psychosocial status of women receiving infertility treatment: a randomized controlled trial.,” BMC Womens. Health, vol. 25, no. 1, p. 127, 2025, doi: 10.1186/s12905-025-03659-6.

R. Feli, S. Heydarpour, K. Yazdanbakhsh, and F. Heydarpour, “The effect of mindfulness-based counselling on the anxiety levels and childbirth satisfaction among primiparous pregnant women: a randomized controlled trial,” BMC Psychiatry, vol. 24, no. 1, 2024, doi: 10.1186/s12888-024-06442-3.

F. Cholisoh and Moordiningsih, “Mindfulness-Based Islamic Spiritual Therapy on Enhancing Subjective Well- Being in Married Women with Infertility Terapi Mindfulness Berbasis Spiritual Islam untuk Meningkatkan Kesejahteraan Subjektif Wanita Menikah dengan Gangguan Infertilitas,” Psikologika J. Pemikir. dan Penelit. Psikol., vol. 29, pp. 59–74, 2024, doi: 10.20885/psikologika.vol29.iss1.art4.

S. Khazaeian, M. Rahimi-Nezhad, and A. Fathnezhad-Kazemi, “Effect of mindfulness on sexual self-efficacy and sexual satisfaction among Iranian postmenopausal women: a quasi-experimental study,” J. Sex. Med., vol. 11, no. 3, pp. 542–548, 2023, doi: 10.1093/jsxmed/qdad023.

S. Ö. Cengizhan and T. Uçar, “The Effect of Mindfulness-Based Sexual Counseling on Sexual Distress, Attitude Toward Sexuality, and Body Image Concerns in Pregnant Women: A Randomized Controlled Trial,” J. Midwifery Women’s Heal., vol. 68, no. 5, pp. 611–618, 2023, doi: 10.1111/jmwh.13518.

S. H. Nejad, M. Bokaie, and S. M. Y. Ardekani, “Effectiveness of sexual health counseling based on mindfulness approach on sexual satisfaction in women suffering from infertility: An RCT,” Int. J. Reprod. Biomed., vol. 21, no. 2, pp. 147–158, 2023, doi: 10.18502/ijrm.v21i2.12805.

S. Saniei, F. Fahami, R. Samouei, and H. G. Tehrani, “Investigation of the effect of mindfulness on sexual desire and sexual satisfaction in primigravida pregnant women,” J. Educ. Health Promot., vol. 11, no. January, pp. 1–6, 2022, doi: 10.4103/jehp.jehp.

M. N. Abhary, M. Tafazloi, N. Asgharipour, and J. Jamali, “The Effect of Mindfulness-based Stress Reduction Group Counseling on Sexual Satisfaction of Pregnant Women,” J. Midwifery Reprod. Heal., vol. 10, no. 3, pp. 3405–3416, 2022, doi: 10.22038/jmrh.2022.63817.1854.

S. A. Tavousi, Z. Zanjani, N. Mohammadi, and A. Omidi, “The effects of mindfulness-based stress reduction on psychological symptoms, quality of life, and marital satisfaction in infertile women undergoing IVF: A randomized clinical trial,” Nurs. Midwifery Stud., vol. 13, no. 1, pp. 33–39, 2024, doi: 10.48307/nms.2024.435062.1332.

T. R. Fard, M. Kalantarkousheh, and M. Faramarzi, “Effect of mindfulness-based cognitive infertility stress therapy on psychological well-being of women with infertility,” Middle East Fertil. Soc. J., vol. 23, no. 4, pp. 476–481, 2018, doi: https://doi.org/10.1016/j.mefs.2018.06.001.

I. Jaderek and M. Lew-Starowicz, “A Systematic Review on Mindfulness Meditation–Based Interventions for Sexual Dysfunctions,” J. Sex. Med., vol. 16, no. 10, pp. 1581–1596, 2019, doi: 10.1016/j.jsxm.2019.07.019.

V. Seekis, G. L. Bradley, and A. Duffy, “The effectiveness of self-compassion and self-esteem writing tasks in reducing body image concerns,” Body Image, vol. 23, pp. 206–213, 2017, doi: 10.1016/j.bodyim.2017.09.003.

R. M. Moein, S. Saedi, and M. Razani, “Evaluating the Effect of Mindfulness-Based Cognitive Therapy on Quality of Life and Emotional Self-Efficacy in Infertile Women,” Iran. J. Psychiatry Behav. Sci., vol. 4, no. 3, pp. 16–24, 2018, doi: 10.5812/ijpbs.86525.

Y. Aksoy Derya, H. Gök Uğur, and Z. Özşahin, “Effects of demographic and obstetric variables with body image on sexual dysfunction in pregnancy: A cross-sectional and comparative study,” Int. J. Nurs. Pract., vol. 26, no. 3, pp. 1–8, 2020, doi: 10.1111/ijn.12829.