{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T14:45:15Z","timestamp":1781880315184,"version":"3.54.5"},"reference-count":36,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,6,17]],"date-time":"2025-06-17T00:00:00Z","timestamp":1750118400000},"content-version":"vor","delay-in-days":16,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Brain and Behavior"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This study aims to determine the effects of Emotional Freedom Techniques (EFT) on sexual dysfunction and self\u2010care in women diagnosed with multiple sclerosis (MS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      This study was conducted using a pretest\u2013posttest experimental design, including follow\u2010up assessments to evaluate the sustainability of the intervention effects. The sample consisted of 16 women aged between 19 and 49\u00a0years who were diagnosed with MS and presented to the neurology clinic of a university hospital in T\u00fcrkiye between October 2023 and September 2024. Data collection instruments included the Personal Information Form (PIF), Multiple Sclerosis Intimacy and Sexuality Questionnaire\u201019 (MSISQ\u201019), and Self\u2010Care Management Process in Chronic Illness (SCMP\u2010G). Repeated measures analysis of variance (ANOVA) was employed to analyze changes in sexuality and self\u2010care over time. Statistical significance was set at\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.05.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Participants received two EFT sessions per month, each lasting 60\u00a0min, together with affirmation sessions conducted at least twice a week for 10\u201315\u00a0min. The mean scores of all subdimensions of the MSISQ\u201019 reached the lowest levels by the seventh week following EFT intervention, with significant differences between time points (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.05). Even though an improvement was observed in the social protection dimension of self\u2010care, the mean scores for the self\u2010protection subdimension decreased.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The application of EFT demonstrated positive effects on sexual functioning and self\u2010care levels in women with MS. Therefore, EFT can be integrated into the holistic care processes of patients with MS.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/brb3.70635","type":"journal-article","created":{"date-parts":[[2025,6,17]],"date-time":"2025-06-17T04:58:52Z","timestamp":1750136332000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Determining the Effects of Emotional Freedom Techniques on Sexual Dysfunction and Self\u2010Care Management in Women Diagnosed With Multiple Sclerosis"],"prefix":"10.1002","volume":"15","author":[{"given":"Ay\u015fe","family":"\u00c7uvadar","sequence":"first","affiliation":[{"name":"Faculty of Health Sciences, Department of Midwifery Karab\u00fck University  Karab\u00fck T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayfer","family":"G\u00fcne\u015f","sequence":"additional","affiliation":[{"name":"Department of Neurology Trakya University Medical Research and Application Centre  Edirne T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9020-1655","authenticated-orcid":false,"given":"Yeter \u00c7uvadar","family":"Ba\u015f","sequence":"additional","affiliation":[{"name":"Vocational School Gedik University  \u0130stanbul T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sezgin","family":"Kehaya","sequence":"additional","affiliation":[{"name":"Department of Neurology Trakya University Medical Research and Application Centre  Edirne T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,6,17]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"Al Abbad B. K. N.2020. \u201cSelf\u2010Management Support for People With Multiple Sclerosis.\u201d PhD diss. Keele University."},{"issue":"2","key":"e_1_2_10_3_1","first-page":"453","article-title":"A Qualitative Research on Individual, Social and Spiritual Change in Women Receiving Support With Emotional Freedom Technique (EFT)","volume":"61","author":"Altunta\u015f S.","year":"2020","journal-title":"Journal of Ankara University Faculty of Theology"},{"key":"e_1_2_10_4_1","volume-title":"Five Minute Phobia Cure: Dr. Callahan's Treatment for Fears, Phobias and Self\u2010Sabotage","author":"Callahan R. 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University of Alberta."},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.61838\/kman.jayps.5.1.15"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.3758\/bf03193146"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.9769\/EPJ.2009.1.1.DF"},{"key":"e_1_2_10_19_1","first-page":"17","article-title":"Six Empirically\u2010Supported Premises About Energy Psychology: Mounting Evidence for a Controversial Therapy","volume":"35","author":"Feinstein D.","year":"2021","journal-title":"Advances in Mind\u2010Body Medicine"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1023\/A:1005421627154"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/capr.12615"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049731512448468"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.32598\/RJ.25.1.3721.1"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.4103\/ijnmr.IJNMR_188_19"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.55697\/tnd.2024.9"},{"issue":"1","key":"e_1_2_10_26_1","first-page":"175","article-title":"Validity and Reliability of Turkish Version of the Self Care Management Process in Choronic Illness","volume":"7","author":"Han\u00e7erlio\u011flu S.","year":"2018","journal-title":"G\u00fcm\u00fc\u015fhane University Journal of Health Sciences"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1002\/hsr2.1536"},{"key":"e_1_2_10_28_1","unstructured":"Howard J.2021. \u201cUnderstanding the Lived Experience of Health Through the Exploration of Well\u2010Being of Women With Multiple Sclerosis in Southwestern Ontario.\u201d PhD diss. 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M.1987. \u201cDevelopment of an Instrument to Measure Use of Self\u2010Care Management Processes\u2010Guarding (SCMP\u2010G).\u201d Unpublished Master's thesis Louisiana State University Medical Center."},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1515\/jcim-2020-0245"},{"key":"e_1_2_10_31_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12978\u2010020\u201000960\u20105"},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12894-020-0581-2"},{"key":"e_1_2_10_33_1","doi-asserted-by":"publisher","DOI":"10.5114\/fmpcr.2020.95328"},{"key":"e_1_2_10_34_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12883-023-03522-x"},{"key":"e_1_2_10_35_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12883-024-03777-y"},{"key":"e_1_2_10_36_1","unstructured":"Sezginer S.2007. \u201cIn\u2010Depth Examination of Feelings and Thoughts About Sexuality in Patients With Multiple Sclerosis.\u201d PhD diss. Atat\u00fcrk University."},{"key":"e_1_2_10_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.msard.2024.105767"}],"container-title":["Brain and Behavior"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/brb3.70635","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,13]],"date-time":"2025-08-13T07:43:55Z","timestamp":1755071035000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/brb3.70635"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6]]},"references-count":36,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2025,6]]}},"alternative-id":["10.1002\/brb3.70635"],"URL":"https:\/\/doi.org\/10.1002\/brb3.70635","archive":["Portico"],"relation":{"has-review":[{"id-type":"doi","id":"10.1002\/BRB3.70635\/v2\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1002\/BRB3.70635\/v1\/review2","asserted-by":"object"},{"id-type":"doi","id":"10.1002\/BRB3.70635\/v1\/review1","asserted-by":"object"},{"id-type":"doi","id":"10.1002\/BRB3.70635\/v2\/response1","asserted-by":"object"},{"id-type":"doi","id":"10.1002\/BRB3.70635\/v1\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1002\/BRB3.70635\/v2\/review1","asserted-by":"object"}]},"ISSN":["2162-3279","2162-3279"],"issn-type":[{"value":"2162-3279","type":"print"},{"value":"2162-3279","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6]]},"assertion":[{"value":"2025-02-12","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-05-27","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-06-17","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70635"}}