Journal of Reproductive and Infant Psychology最新文献

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How do women cope with couples' infertility? Using language to explore elaborative processes. 女性如何应对夫妻不孕?用语言探索复杂的过程。
IF 2.1 4区 心理学
Journal of Reproductive and Infant Psychology Pub Date : 2025-01-02 DOI: 10.1080/02646838.2024.2448964
Alessia Renzi, Rachele Mariani, Marta Anna Stella Vizzini, Fabiola Fedele, Giuliana Mazzoni, Michela Di Trani
{"title":"How do women cope with couples' infertility? Using language to explore elaborative processes.","authors":"Alessia Renzi, Rachele Mariani, Marta Anna Stella Vizzini, Fabiola Fedele, Giuliana Mazzoni, Michela Di Trani","doi":"10.1080/02646838.2024.2448964","DOIUrl":"https://doi.org/10.1080/02646838.2024.2448964","url":null,"abstract":"<p><strong>Aims/background: </strong>Infertility diagnosis and related treatment can cause profound psychological discomfort and a variety of psychopathological symptoms. This study aims at investigating Referential Process linguistic measures applied to autobiographical memories of women facing fertility issues, hypothesising to find different elaboration and symbolisation capabilities according to the specific memories expressed.</p><p><strong>Design/methods: </strong>Forty-four women (mean age 36.05; SD = 4.66) undergoing Assisted Reproduction Treatment (ART) enrolled at a Hospital fertility medical department in Rome completed a brief socio-demographic questionnaire and a semi-structured interview. The interviews aimed to collect memories of a neutral event, a positive event, a negative event, and the moment they realised that the couple had a fertility problem. The transcriptions of the interviews were analysed using Referential Process (RP) linguistic measures with IDAAP software.</p><p><strong>Results: </strong>Data analysis revealed several significant differences in RP linguistic measures when comparing the different autobiographical episodes. Specifically, the narrative regarding the process of gaining awareness about fertility issues exhibited a high use of abstract words and a strong reflection and reorganisation process, but a low symbolisation process compared to other episodes. Women engaged in this narrative seem to provide explanations for the infertility issues rather than discussing an awareness process. This is consistent with the use of abstract and reflective language, which is related to defensive strategies as the use of rationalisation with emotional distancing in infertility episodes emerged.</p><p><strong>Conclusion: </strong>This highlights the importance of addressing women's internal emotional processing at the onset of ART to promote both mental and physical wellbeing.</p>","PeriodicalId":47721,"journal":{"name":"Journal of Reproductive and Infant Psychology","volume":" ","pages":"1-13"},"PeriodicalIF":2.1,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142915978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Psychometric properties of the difficulties in emotion regulation Scale in a perinatal sample. 围生儿情绪调节困难量表的心理测量特征。
IF 2.1 4区 心理学
Journal of Reproductive and Infant Psychology Pub Date : 2025-01-01 Epub Date: 2023-06-21 DOI: 10.1080/02646838.2023.2227648
Emily N Barrett, Benicio N Frey, David L Streiner, Arela Agako, Briar E Inness, Melissa Furtado, Luisa Caropreso, Sheryl M Green
{"title":"Psychometric properties of the difficulties in emotion regulation Scale in a perinatal sample.","authors":"Emily N Barrett, Benicio N Frey, David L Streiner, Arela Agako, Briar E Inness, Melissa Furtado, Luisa Caropreso, Sheryl M Green","doi":"10.1080/02646838.2023.2227648","DOIUrl":"10.1080/02646838.2023.2227648","url":null,"abstract":"<p><strong>Background: </strong>One in five pregnant and postpartum individuals experience an anxiety, depressive, and/or trauma-related disorder. Emotion dysregulation (ED) underlies the development and maintenance of various mental health disorders. The Difficulties in Emotion Regulation Scale (DERS) is the most comprehensive and commonly used measure of emotion dysregulation, yet limited evidence supports its use in the perinatal population. The present study aims to evaluate the validity of the DERS and its six subscales in a perinatal sample and to assess its predictive utility in identifying perinatal individuals with a disorder characterised by emotion dysregulation.</p><p><strong>Methods: </strong>Pregnant and postpartum individuals (<i>N</i> = 237) completed a diagnostic clinical interview and self-report measures of anxiety, depression, and perceived social support.</p><p><strong>Results: </strong>The DERS subscales demonstrated good internal consistency and construct validity, as it strongly correlated with measures of anxiety and depression and failed to correlate with a measure of perceived social support. Results from an exploratory factor analysis supported a 6-factor solution, suggesting structural validity. An ROC analysis revealed good to excellent discriminative ability for the DERS full scale and four of the subscales. Finally, an optimal clinical cut-off score of 87 or greater was established with a sensitivity of 81% for detecting a current anxiety, depressive, and/or trauma-related disorder.</p><p><strong>Conclusions: </strong>This study provides evidence for the validity and clinical utility of the DERS in a treatment-seeking and community sample of pregnant and postpartum individuals.</p>","PeriodicalId":47721,"journal":{"name":"Journal of Reproductive and Infant Psychology","volume":" ","pages":"195-214"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9727206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Can labor support based on Kolcaba's Theory reduce the negative consequences of fear of childbirth? A pilot study. 基于科尔卡巴理论的分娩支持能否减少害怕分娩的负面影响?一项初步研究。
IF 2.1 4区 心理学
Journal of Reproductive and Infant Psychology Pub Date : 2025-01-01 Epub Date: 2023-06-02 DOI: 10.1080/02646838.2023.2218431
Aysegul Unutkan, Hatice Balcı Yangın
{"title":"Can labor support based on Kolcaba's Theory reduce the negative consequences of fear of childbirth? A pilot study.","authors":"Aysegul Unutkan, Hatice Balcı Yangın","doi":"10.1080/02646838.2023.2218431","DOIUrl":"10.1080/02646838.2023.2218431","url":null,"abstract":"<p><strong>Background: </strong>The fear of childbirth (FOC) causes negativities such as increased an need for analgesia and interventions related to labour, prolonged labor, and childbirth dissatisfaction. It has been shown that birth support can be an effective strategy for reducing these negative outcomes. Also, labour support based on a nursing theory can help improve care outcomes.</p><p><strong>Aim: </strong>This study aimed to examine the effects of nursing care structured according to Kolcaba's theory on duration, pain, and comfort of childbirth.</p><p><strong>Methods: </strong>This pilot study was a randomised controlled study. Before the participants were randomized, their FOC levels were determined using the Wijma Delivery Expectancy/Experience Scale A (WDEQ-A). Ninety women who had a FOC (WDEQ-A >66) were randomised into groups. The study was completed with 46 women (21 intervention, 25 control). The intervention group received the labour support based on Kolcaba's Theory of Comfort. The control group received standard care at birth.The data were collected using the Wijma Delivery Expectancy/Experience Scale A and the Comfort Behavior Checklist during pregnancy and labour. They were analysed using non-parametric tests.</p><p><strong>Results: </strong>The women in the intervention group had shorter latent and active phases (<i>p</i> = 0.002), lower pain scores (<i>p</i> = 0.000), and higher levels of birth comfort (<i>p</i> = 0.002).</p><p><strong>Relevance for the clinical practice: </strong>Labor support structured according to Kolcaba's Theory of Comfort contributes to increased comfort and decreases childbirth pain. This study can guide healthcare professionals who provide labour support on how to plan, provide, and assess care for woman who are giving birth.</p>","PeriodicalId":47721,"journal":{"name":"Journal of Reproductive and Infant Psychology","volume":" ","pages":"93-106"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9917462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Father-to-infant attachment and its associated factors during COVID-19 pandemic: a cross-sectional study. COVID-19大流行期间父亲对婴儿的依恋及其相关因素:一项横断面研究。
IF 2.1 4区 心理学
Journal of Reproductive and Infant Psychology Pub Date : 2025-01-01 Epub Date: 2024-07-23 DOI: 10.1080/02646838.2024.2382214
Pelin Dikmen-Yildiz
{"title":"Father-to-infant attachment and its associated factors during COVID-19 pandemic: a cross-sectional study.","authors":"Pelin Dikmen-Yildiz","doi":"10.1080/02646838.2024.2382214","DOIUrl":"10.1080/02646838.2024.2382214","url":null,"abstract":"<p><strong>Background: </strong>The attachment between father and infant is essential to a child's later development and well-being; yet, hardly any research has examined father-to-infant attachment during the outbreak of COVID-19. This study, therefore, aims to examine psychological, interpersonal, and health-related factors associated with father-to-infant attachment at 3-12 months postpartum during the pandemic.</p><p><strong>Method: </strong>An online cross-sectional study was conducted between June and December 2021. A total of 775 fathers with at least one child aged 3-12 months were recruited. Participants completed measures of depression, COVID-19-related distress, relationship satisfaction, social support and other health-related factors including COVID-19 diagnosis and hospitalisation. Data on psycho-socio-demographic, obstetric, and COVID-19-related characteristics were also collected.</p><p><strong>Results: </strong>Findings demonstrated that paternal depression (<i>β</i> = -.33, <i>p</i> < .001); relationship satisfaction (<i>β</i> = .19, <i>p</i> < .001); COVID-19-related psychological distress (<i>β</i> = -.14, <i>p</i> < .001) and social support (<i>β</i> = .13, <i>p</i> < .001) had a significant effect on father-to-infant attachment. Fathers who were multiparous, had COVID-19 diagnosis, and hospitalised due to COVID-19 were more likely to report poorer father-to-infant attachment. Paternal depression was the most influential factor on father-to-infant attachment, which attenuated the strength of the relationships between marital status, prematurity, history of trauma, sleep quality, and father-to-infant attachment once included into the analyses. No significant associations between educational level, employment, socioeconomic status, delivery mode, and father-to-infant attachment were observed.</p><p><strong>Conclusion: </strong>These findings highlight the critical role of paternal psychological well-being in establishing healthy father-to-infant attachment and the relevance of having satisfied interpersonal relationships in promoting this early relationship particularly during crises such as COVID-19 pandemic.</p>","PeriodicalId":47721,"journal":{"name":"Journal of Reproductive and Infant Psychology","volume":" ","pages":"151-166"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141749276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Paternal bonding is influenced by prenatal paternal depression and trait-anxiety. 父系关系受产前父亲抑郁和特质焦虑的影响。
IF 2.1 4区 心理学
Journal of Reproductive and Infant Psychology Pub Date : 2025-01-01 Epub Date: 2023-06-23 DOI: 10.1080/02646838.2023.2223608
Patricia Trautmann-Villalba, Petra Davidova, Miriam Kalok, Corina Essel, Fadia Ben Ahmed, Yasmina Kingeter, Anna Linda Leutritz, Andreas Reif, Franz Bahlmann, Sarah Kittel-Schneider
{"title":"Paternal bonding is influenced by prenatal paternal depression and trait-anxiety.","authors":"Patricia Trautmann-Villalba, Petra Davidova, Miriam Kalok, Corina Essel, Fadia Ben Ahmed, Yasmina Kingeter, Anna Linda Leutritz, Andreas Reif, Franz Bahlmann, Sarah Kittel-Schneider","doi":"10.1080/02646838.2023.2223608","DOIUrl":"10.1080/02646838.2023.2223608","url":null,"abstract":"<p><strong>Background: </strong>Even though the development of an emotional bond to the child involves both parents, studies on the development of paternal bonding and the influencing factors are scarce. This pilot study examines the quality of paternal postnatal bonding in association with paternal depressive and anxiety symptoms before and after birth. Methods: Expecting parents (<i>n</i> = 81) were recruited from maternity services in Frankfurt, Germany. At recruitment and 3 months postpartum (pp) mothers and fathers completed an interview including sociodemographic and pregnancy data. Depressive and anxiety symptoms were screened using the Edinburgh Postnatal Depression Scale and the State-Trait Anxiety Inventory. At 3-month pp, fathers also completed the Postpartum Bonding Questionnaire for the assessment of bonding difficulties. A total of 63 couples, from whom data were available for both time points, were included in the final study group.</p><p><strong>Results: </strong>Depressive and anxiety symptoms before birth are the best predictors for the quality of paternal bonding pp (Total score R<sup>2</sup> .402 <i>p</i> = .001; Impaired bonding R<sup>2</sup> .299 <i>p</i> = .019; Rejection and Anger R<sup>2</sup> .353 <i>p</i> = .005; Anxiety about care R<sup>2</sup> .457 <i>p</i> = .000). Maternal depression and sociodemographic variables were not significantly associated.</p><p><strong>Limitations: </strong>High selected small study group.</p><p><strong>Conclusions: </strong>Paternal depressive and anxiety symptoms during pregnancy are highly predictive for the quality of bonding as well as for the presence of depressive and anxiety symptoms 3 month pp. It is necessary to identify these symptoms as soon as possible in order to prevent later negative impacts on parental mental health and on child developmental outcomes.</p>","PeriodicalId":47721,"journal":{"name":"Journal of Reproductive and Infant Psychology","volume":" ","pages":"136-150"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10119680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Moving beyond recommendations: considerations for effective change in relation to birth trauma. 超越建议:考虑与出生创伤有关的有效改变。
IF 2.1 4区 心理学
Journal of Reproductive and Infant Psychology Pub Date : 2025-01-01 Epub Date: 2024-12-19 DOI: 10.1080/02646838.2024.2432156
Kyla Vaillancourt, Susan Ayers, Julie Jomeen
{"title":"Moving beyond recommendations: considerations for effective change in relation to birth trauma.","authors":"Kyla Vaillancourt, Susan Ayers, Julie Jomeen","doi":"10.1080/02646838.2024.2432156","DOIUrl":"https://doi.org/10.1080/02646838.2024.2432156","url":null,"abstract":"","PeriodicalId":47721,"journal":{"name":"Journal of Reproductive and Infant Psychology","volume":"43 1","pages":"1-3"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142865697","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
"Living in a vacuum": Lived experiences of maternal near-miss among women with placenta accreta spectrum. “生活在真空中”:有胎盘增生谱的妇女的产妇未遂的生活经历。
IF 2.1 4区 心理学
Journal of Reproductive and Infant Psychology Pub Date : 2025-01-01 Epub Date: 2023-05-09 DOI: 10.1080/02646838.2023.2211595
Nahid Javadifar, Mitra Tadayon, Maryam Dastoorpoor, Nahid Shahbazian
{"title":"\"Living in a vacuum\": Lived experiences of maternal near-miss among women with placenta accreta spectrum.","authors":"Nahid Javadifar, Mitra Tadayon, Maryam Dastoorpoor, Nahid Shahbazian","doi":"10.1080/02646838.2023.2211595","DOIUrl":"10.1080/02646838.2023.2211595","url":null,"abstract":"<p><strong>Background: </strong>Placenta accreta spectrum (PAS) is one of the life-threatening complications of pregnancy, the prevalence of which has increased in parallel with the caesarean section rate.</p><p><strong>Objective: </strong>The purpose of this study was to investigate the experiences of mothers with PAS who have also experienced maternal near miss.</p><p><strong>Methods: </strong>The participants of this study included 8 mothers who had experienced near miss due to placenta accreta during the past year, as well as two husbands and two health care professionals. Data collection was done using face-to-face, in-depth virtual and in-person interviews. In this qualitative study, the interpretive phenomenological analysis approach was used to analyse the data.</p><p><strong>Results: </strong>The superordinate theme that emerged from the lived experiences of the studied mothers is 'Living in a vacuum', which was derived from 3 main themes. The theme of 'distorted identity' is related to the mothers' experience of losing the uterus as a symbol of femininity and nostalgia for the former self. The theme of 'exacerbated exhaustion' indicates the burnout and fatigue perceived by these mothers and has dimensions far beyond the exhaustion caused by performing parenting duties. The third theme, 'a threatened future', reflects these mothers' vague image of the future in terms of health, preservation of life, and the continuation of living together with the husband.</p><p><strong>Conclusions: </strong>It seems that mothers with PAS need to be covered by integrated and well-organised psycho-social support from the time they are diagnosed with the complication until long after delivery due to the high potentiality of maternal near miss.</p>","PeriodicalId":47721,"journal":{"name":"Journal of Reproductive and Infant Psychology","volume":" ","pages":"107-120"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9487780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
From parentification to parenthood: caregiving responsibilities in childhood and childbearing desire in young adulthood. 从为人父母到为人父母:童年时期的照顾责任和青年时期的生育欲望。
IF 2.1 4区 心理学
Journal of Reproductive and Infant Psychology Pub Date : 2025-01-01 Epub Date: 2023-06-02 DOI: 10.1080/02646838.2023.2220356
Izabela Huczewska, Monika Mynarska
{"title":"From parentification to parenthood: caregiving responsibilities in childhood and childbearing desire in young adulthood.","authors":"Izabela Huczewska, Monika Mynarska","doi":"10.1080/02646838.2023.2220356","DOIUrl":"10.1080/02646838.2023.2220356","url":null,"abstract":"<p><strong>Introduction: </strong>Childbearing and childrearing challenge parents' physical, social and emotional capacities. Childbearing motivations and desires are indicators of person's psychological readiness to meet these challenges and to establish a healthy bond with the child. Yet, much uncertainty still exists on how childbearing motivations and desires develop in the life course and to what extent early experiences in the family of origin contribute to their development.</p><p><strong>Objective: </strong>The overall goal of the present study was to understand the relationship between early caregiving responsibilities (i.e. childhood parentification) in the family of origin and childbearing motivations and the desire to have a first child.</p><p><strong>Methods: </strong>In the cross-sectional design study, childless Polish adults (<i>N</i> = 384; 20-35 years old) completed a set of self-report measures. Different dimensions of parentification experienced in childhood were measured retrospectively using the Parentification Inventory, and childbearing-related variables were assessed using the Childbearing Questionnaire. Data were analysed using mediation analyses.</p><p><strong>Results: </strong>We found that past experiences of parent- and sibling-oriented parentification were positively associated with the desire to have a child, and these relationships were fully mediated by positive childbearing motivation. Further, our results showed that satisfaction with childhood caregiving responsibilities positively predicted childbearing desire, and this effect was partially mediated by positive and negative childbearing motivation.</p><p><strong>Conclusion: </strong>Individuals' early caring activities, especially when they evoke feelings of satisfaction and appreciation in the child, may play an important role in shaping childbearing motivations and desires that underlie their future reproductive behaviours.</p>","PeriodicalId":47721,"journal":{"name":"Journal of Reproductive and Infant Psychology","volume":" ","pages":"4-18"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9553926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mental health impact of the COVID-19 pandemic in perinatal women living in Puerto Rico. COVID-19 大流行对波多黎各围产期妇女心理健康的影响。
IF 2.1 4区 心理学
Journal of Reproductive and Infant Psychology Pub Date : 2025-01-01 Epub Date: 2023-07-10 DOI: 10.1080/02646838.2023.2232388
Marianela Rodríguez-Reynaldo, Zilkia Rivera-Orraca, Gian Ramos Monserrate, Karen Martínez-González
{"title":"Mental health impact of the COVID-19 pandemic in perinatal women living in Puerto Rico.","authors":"Marianela Rodríguez-Reynaldo, Zilkia Rivera-Orraca, Gian Ramos Monserrate, Karen Martínez-González","doi":"10.1080/02646838.2023.2232388","DOIUrl":"10.1080/02646838.2023.2232388","url":null,"abstract":"<p><strong>Background: </strong>Studies have reported an increase in mental health disorders during the perinatal period as a result of the COVID-19 pandemic and the quarantine restrictions imposed. The effects of untreated maternal mental health have an adverse impact on the mother, the development of the baby, and the family system. Determinants of health, recent natural disasters, and disparities in perinatal care that impact perinatal women in Puerto Rico place them at a higher risk of mental health difficulties.</p><p><strong>Aim: </strong>It is therefore, of extreme importance, to evaluate the effect that the COVID-19 pandemic has had on this vulnerable population.</p><p><strong>Design: </strong>This is a cross-sectional observational study that interviewed 100 women in the perinatal period during the COVID-19 lockdown measures in Puerto Rico. Participants completed the Spanish version of the COVID-19 Perinatal Experiences (COPE-IS) questionnaire and assessments of clinical depression (PHQ-9) and anxiety (GAD-7).</p><p><strong>Results: </strong>The prevalence of moderate to severe risk of depression in this sample is 14%, while 17% showed clinical signs of anxiety. Concerns about social impact and the quarantine mandate were the most common stressors reported. Additionally, our sample reported concerns about the impact the pandemic would have on future employment and finances.</p><p><strong>Conclusion: </strong>Perinatal women showed significantly higher prevalence of depression and anxiety during the COVID -19 pandemic when compared to the mental health prevalence of the general population pre-pandemic in Puerto Rico. The concerns identified during the pandemic provide information on the importance of a biopsychosocial approach to perinatal mental health care.</p>","PeriodicalId":47721,"journal":{"name":"Journal of Reproductive and Infant Psychology","volume":" ","pages":"181-194"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10776800/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10219869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Defining infertility: a qualitative interview study of patients and physicians. 不孕症的定义:对患者和医生的定性访谈研究。
IF 2.1 4区 心理学
Journal of Reproductive and Infant Psychology Pub Date : 2025-01-01 Epub Date: 2023-06-08 DOI: 10.1080/02646838.2023.2221277
K M Summers, A Scherer, E E Chasco, G L Ryan
{"title":"Defining infertility: a qualitative interview study of patients and physicians.","authors":"K M Summers, A Scherer, E E Chasco, G L Ryan","doi":"10.1080/02646838.2023.2221277","DOIUrl":"10.1080/02646838.2023.2221277","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate if infertility patients and physicians apply a traditional biomedical model of disease in their conceptualisation of infertility, examine any contradictions and conflicts in conceptualisations, and examine areas of concordance and discordance between physicians and patients.</p><p><strong>Methods: </strong>Semi-structured interviews were conducted with 20 infertility patients and 18 infertility physicians between September 2010 and April 2012. Interviews were analysed qualitatively to determine physician and patient conceptualisations of infertility, reactions to the definition of infertility as a disease, and potential benefits and concerns related to application of a disease label to the condition.</p><p><strong>Results: </strong>Most physicians (<i>n</i> = 14/18) and a minority of patients (<i>n</i> = 6/20) were supportive of defining infertility as a disease. Many of the patients who agreed with classifying infertility as a disease expressed that they had not personally defined it as such previously. Physicians (<i>n</i> = 14) and patients (<i>n</i> = 13) described potential benefits of a disease label, including increases in research funding, insurance coverage, and social acceptability. Some patients (<i>n</i> = 10) described potential stigma as a negative consequence. When describing appraisals of infertility, both physicians (<i>n</i> = 7) and patients (<i>n</i> = 8) invoked religious/spiritual concepts. The potential for religious/spiritual appraisal to contribute to stigmatising or de-stigmatising infertility was discussed.</p><p><strong>Conclusion: </strong>Our findings contradict the assumption that infertility physicians and patients are fully supportive of defining infertility as a disease. While potential benefits of the disease label were recognised by both groups, caution against potential for stigmatisation and unsolicited invocation of religion/spirituality suggest a more holistic model may be appropriate.</p>","PeriodicalId":47721,"journal":{"name":"Journal of Reproductive and Infant Psychology","volume":" ","pages":"19-33"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9964579","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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