Journal of Psychosomatic Obstetrics & Gynecology最新文献

Risk perception, health behavior and mental health of women living with polycystic ovary syndrome. 多囊卵巢综合征妇女的风险认知、健康行为与心理健康

IF 2.1 3区医学

Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2025-12-01 Epub Date: 2025-03-20 DOI: 10.1080/0167482X.2025.2478987

Erika Tóth, Cintia Bali, Beatrix Rafael, Annamária Töreki, Szidalisz Ágnes Teleki

{"title":"Risk perception, health behavior and mental health of women living with polycystic ovary syndrome.","authors":"Erika Tóth, Cintia Bali, Beatrix Rafael, Annamária Töreki, Szidalisz Ágnes Teleki","doi":"10.1080/0167482X.2025.2478987","DOIUrl":"10.1080/0167482X.2025.2478987","url":null,"abstract":"This study aimed to explore the psychological challenges faced by women living with polycystic ovary syndrome (PCOS) and their subjective experiences. Using a cross-sectional, questionnaire-based design, we first conducted a comparative analysis of responses from 54 PCOS patients and 54 age-matched healthy participants. The analysis revealed a significant difference in satisfaction with life (SWL) between the two groups (F = 9.426, p < .005), while no significant differences were found in levels of anxiety and depression. Additionally, depression was found to have a significant impact on SWL (F = 55.309, p < .001). To further investigate the subjective well-being of PCOS patients, a larger group of 389 PCOS patients (age: M = 32.18 years, SD = 8.34) completed the Polycystic Ovary Syndrome Questionnaire (PCOSQ) (QoL Scale). A ranking of their concerns revealed that obesity-related issues were the most significant, while concerns about developing cancer were ranked last. The PCOSQ scores showed a strong negative correlation with the BDI (r = -0.754, p < .001), highlighting the profound impact of PCOS symptoms on depression. These findings underscore the importance of prevention, screening and treatment for depression in PCOS patients, as well as the importance of educating patients to improve their risk perception and disease management strategies.","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"46 1","pages":"2478987"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143665223","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Burden of female infertility in 204 countries and territories, 1990-2021: results from the Global Burden of Disease Study 2021. 1990-2021年204个国家和地区的女性不孕症负担：《2021年全球疾病负担研究》的结果

IF 2.1 3区医学

Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2025-12-01 Epub Date: 2025-02-12 DOI: 10.1080/0167482X.2025.2459618

Yi Wei, Zongyun Lin, Qiuyan Huang, Hui Wu, Rong Wang, Junli Wang

{"title":"Burden of female infertility in 204 countries and territories, 1990-2021: results from the Global Burden of Disease Study 2021.","authors":"Yi Wei, Zongyun Lin, Qiuyan Huang, Hui Wu, Rong Wang, Junli Wang","doi":"10.1080/0167482X.2025.2459618","DOIUrl":"10.1080/0167482X.2025.2459618","url":null,"abstract":"Objective: To explore the global burden of female infertility from 1990 to 2021 by examining trends in prevalence and years lived with disability (YLD).Methods: Data from the Global Burden of Disease Study 2021 (GBD 2021) were analyzed with a focus on the prevalence and YLD of female infertility in women aged 15-49 years. Statistical models were used to estimate ASPRs and YLD across regions and countries.Results: The global prevalence of female infertility was 110.1 million in 2021, with an age-standardized rate of 2,764.6 per 100,000 population. The YLD for infertility in 2021 was 601,134, which represented a 33.1% increase since 1990. Regionally, East Asia and Eastern Europe had the highest rates of infertility, whereas Australasia had the lowest rate.Conclusions: The study highlights a significant rise in the burden of female infertility, particularly in high-income regions. Study findings emphasize the need for targeted public health strategies and healthcare interventions to address this growing issue.","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"46 1","pages":"2459618"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400495","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Women's experiences with continuous care during labor by maternity care assistants in The Netherlands: a qualitative study. 荷兰产妇护理助理在分娩期间持续护理妇女的经验：一项定性研究。

IF 2.1 3区医学

Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2025-12-01 Epub Date: 2025-03-25 DOI: 10.1080/0167482X.2025.2483292

Amber J C Scheenen, Laurance Timmers, Iris Hoogendijk, Hubertina C J Scheepers, Marianne J Nieuwenhuijze

{"title":"Women's experiences with continuous care during labor by maternity care assistants in The Netherlands: a qualitative study.","authors":"Amber J C Scheenen, Laurance Timmers, Iris Hoogendijk, Hubertina C J Scheepers, Marianne J Nieuwenhuijze","doi":"10.1080/0167482X.2025.2483292","DOIUrl":"10.1080/0167482X.2025.2483292","url":null,"abstract":"Despite evidence on effectivity and WHO recommendations, continuous care during labor is not yet available for all women. Options such as doula support are being considered, but face barriers in accessibility. To explore other implementation options, the Continuous Care Trial looked at the provision of continuous care by maternity care assistants. Maternity care assistants are well-established care providers within Dutch maternity care, routinely involved in the final stages of labor and postpartum. This qualitative study is an addition to the Continuous Care Trial and explores women's experiences with continuous care during labor by maternity care assistants in the Netherlands. Fourteen interviews were conducted, audio-recorded and transcribed verbatim for manifest content analysis, following the methodology of Graneheim and Lundman. The explored experiences were analyzed for evident similarities and differences. Findings were described in three themes: 'Women's experiences with continuous care,' 'Continuous care of maternity care assistants' and 'Perspectives on implementation.' Noted facilitators include positive effects of continuous care, a larger role of the partner, and recognition of the professional background of the maternity care assistant. Barriers include difficulty to decide when and what kind support to ask for and lack of knowledge on the effectivity of continuous support.","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"46 1","pages":"2483292"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Psychophysical correlates of labor pain intensity and unpleasantness. 分娩疼痛强度和不愉快的心理生理相关性。

IF 2.1 3区医学

Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2025-12-01 Epub Date: 2025-07-02 DOI: 10.1080/0167482X.2025.2527670

Lee-Kai Sun, Lia M Farrell, Kelsea R LaSorda, Robert T Krafty, Grace Lim

{"title":"Psychophysical correlates of labor pain intensity and unpleasantness.","authors":"Lee-Kai Sun, Lia M Farrell, Kelsea R LaSorda, Robert T Krafty, Grace Lim","doi":"10.1080/0167482X.2025.2527670","DOIUrl":"https://doi.org/10.1080/0167482X.2025.2527670","url":null,"abstract":"The neurobiological mechanisms linking perinatal pain and mood disorders remain unclear. Emotional dimensions of labor pain, particularly unpleasantness, may reflect engagement of limbic pathways shared with affective disorders. This study examined whether prenatal quantitative sensory testing (QST) parameters are associated with the sensory and emotional dimensions of labor pain. Healthy primiparous women were enrolled and followed from third trimester through delivery. Prenatal QST assessed mechanical and thermal thresholds, tolerances, and temporal summation. Labor pain was recorded hourly using a validated electronic diary. Univariable linear regression evaluated relationships between QST measures and labor pain outcomes. Of 164 participants completing QST, , 55 had complete labor pain diaries. Prenatal QST parameters were associated with emotional, but not sensory, aspects of labor pain. Pain unpleasantness was associated with average heat threshold (Coefficient = 40.3, SE = 17.2, p = 0.02), post wind-up pain (Coefficient = -48.9, SE = 25.3, p = 0.06) and post probe pain (Coefficient = -52.7, SE = 26.8, p = 0.06), using a p < 0.1 threshold to identify associations. Although exploratory, these findings suggest that prenatal QST, particularly thermal threshold and central sensitization measures, may help identify individuals at risk for maladaptive labor pain and postpartum mood disorders.","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"46 1","pages":"2527670"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Predicting fear of childbirth during pregnancy, the positive role of self-efficacy and mental well-being: a cross-sectional study. 预测怀孕期间对分娩的恐惧，自我效能感和心理健康的积极作用：一项横断面研究。

IF 2.1 3区医学

Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2025-12-01 Epub Date: 2025-07-04 DOI: 10.1080/0167482X.2025.2527658

Katrina E Forbes-McKay, Mo Tabib, Tracy Humphrey

{"title":"Predicting fear of childbirth during pregnancy, the positive role of self-efficacy and mental well-being: a cross-sectional study.","authors":"Katrina E Forbes-McKay, Mo Tabib, Tracy Humphrey","doi":"10.1080/0167482X.2025.2527658","DOIUrl":"https://doi.org/10.1080/0167482X.2025.2527658","url":null,"abstract":"Whilst the negative impact of fear of childbirth (FOC) is well established, there is limited understanding of the factors that reduce it. This study, aimed to explore the relationship between positive mental well-being, childbirth self-efficacy, and FOC during pregnancy through a Salutogenic lens. Using a cross-sectional design, 88 pregnant women recruited from a public hospital in North East Scotland completed an online survey including the Warwick Edinburgh Mental Well-Being Scale (WEMWBS), Childbirth Self-Efficacy Inventory (CBSEI), and Wijma Delivery Expectancy/Experience Questionnaire (W-DEQ). The sample scored a mean of 50.36 on WEMWBS, 84.63 for efficacy-expectancy, 127.00 for efficacy-outcome on CBSEI, and 62.19 on W-DEQ. Twelve per cent exhibited a severe FOC. FOC was negatively correlated with mental well-being, childbirth self-efficacy expectancy, and self-efficacy outcome. Multiple regression analysis indicated that higher mental well-being (β = -0.39, p < 0.001) was the strongest predictor of lower FOC. The findings highlights the important role of positive mental well-being and childbirth self-efficacy in reducing FOC, and suggest a need for antenatal education targeted at mastering childbirth techniques and enhancing positive emotions, sense of purpose, and meaning. These findings align with global health priorities by emphasizing the importance of antenatal care that supports and promotes both physical and mental well-being.","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"46 1","pages":"2527658"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144561786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Suicide risks associated with pregnancy outcomes: a national cross-sectional survey of American females 41-45 years of age. 自杀风险与怀孕结果相关：一项针对41-45岁美国女性的全国性横断面调查。

IF 2.1 3区医学

Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2025-12-01 Epub Date: 2025-01-21 DOI: 10.1080/0167482X.2025.2455086

David C Reardon

{"title":"Suicide risks associated with pregnancy outcomes: a national cross-sectional survey of American females 41-45 years of age.","authors":"David C Reardon","doi":"10.1080/0167482X.2025.2455086","DOIUrl":"10.1080/0167482X.2025.2455086","url":null,"abstract":"Objective: Numerous studies have linked abortion to an elevated risk of suicide. One hypothesis is that this association is entirely incidental and most likely fully explained by preexisting mental illness. This hypothesis can be tested by examining women's own self-assessments of the degree, if any, that abortion and other pregnancy outcomes contributed to suicidal thoughts and behaviors.Methods: A topic blind survey was distributed to 2829 American females 41-45 years of age. Respondents were asked about any history of attempted suicide(s) and reproductive histories. Grouped by reproductive history, respondents were then asked to rank on visual analog scales the degree, if any, to which their pregnancy outcome contributed to suicidal thoughts, self-destructive behaviors, and any attempted suicides.Results: Aborting women were twice as likely to have attempted suicide compared to other women. Aborting women, especially those who underwent coerced or unwanted abortions, were significantly more likely to say their pregnancy outcomes directly contributed to suicidal thoughts and behaviors compared to women in all other groups.Conclusions: The hypothesis that higher rates of suicide following abortion can be entirely explained by preexisting mental health problems is inconsistent with women's own self-assessments of the degree their abortions directly contributed to suicidal and self-destructive behaviors.","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"46 1","pages":"2455086"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Adverse childhood experiences and the impact on pregnancy intention, a cross-sectional study. 不良童年经历对怀孕意向的影响，一项横断面研究。

IF 2.1 3区医学

Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2025-12-01 Epub Date: 2025-02-11 DOI: 10.1080/0167482X.2025.2463981

Elena Soldati, Noralie N Schonewille, Marion C de Ruijter, Ineke R Postma, Maria G van Pampus, Birit F P Broekman

{"title":"Adverse childhood experiences and the impact on pregnancy intention, a cross-sectional study.","authors":"Elena Soldati, Noralie N Schonewille, Marion C de Ruijter, Ineke R Postma, Maria G van Pampus, Birit F P Broekman","doi":"10.1080/0167482X.2025.2463981","DOIUrl":"10.1080/0167482X.2025.2463981","url":null,"abstract":"Objectives: Adverse Childhood Experiences (ACE) may be associated with unintended pregnancies (UPs). Our aim was to investigate whether there is an association between a history of ACE, type of ACE or number of ACE and the risk for UPs and if this risk is mediated by psychiatric vulnerabilities.Study design: A cross-sectional study with participants recruited from the OLVG hospital was performed. Pregnant patients older than 18 years, literate in either Dutch or English were included. Patients with florid psychosis were excluded. ACEs were self-reported and assessed via the Childhood Trauma Questionnaire, pregnancy intention was extracted from the patient database and psychiatric vulnerability was self-reported. The association between ACE and UPs was analyzed by means of logistic regressions, followed by a mediation analysis with psychiatric vulnerability.Results: A total of 269 participants, mostly with a university degree (66.5%) and with a mean age of 34 (SD 4.306) were included; 20.1% had at least one ACE and 22.3% had an UP. There was no significant association between UPs and a history of ACE regardless of the type and number of ACE.Conclusions: Future studies should replicate our findings onf the associationimpact of ACEs and psychiatric vulnerabilities on pregnancy intention within a larger, and more representative sample.","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"46 1","pages":"2463981"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392360","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Women's desire to have a midwife they know during labor and birth has increased significantly over time. 随着时间的推移，女性希望在分娩和生产过程中有一个她们认识的助产士的愿望大大增加。

IF 2.1 3区医学

Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2025-12-01 Epub Date: 2025-03-11 DOI: 10.1080/0167482X.2025.2476980

Ingegerd Hildingsson, Hanna Fahlbeck, Maria Lindqvist, Birgitta Larsson, Sophia Holmlund, Margareta Johansson

{"title":"Women's desire to have a midwife they know during labor and birth has increased significantly over time.","authors":"Ingegerd Hildingsson, Hanna Fahlbeck, Maria Lindqvist, Birgitta Larsson, Sophia Holmlund, Margareta Johansson","doi":"10.1080/0167482X.2025.2476980","DOIUrl":"10.1080/0167482X.2025.2476980","url":null,"abstract":"Background: In Sweden, women often meet with different midwives during antenatal, intrapartum, and postpartum care, due to the structure of maternity care, with few alternatives which provide continuity. This study aims to explore women's interest in having a midwife they know present during labor and birth and to identify the characteristics of women who prefer this option.Methods: A comparative study was conducted involving two Swedish nationwide cohorts of Swedish-speaking pregnant women. The first cohort included 3,061 women, and the second 1,812 women. Descriptive statistics and odds ratios were calculated.Results: In total, 4,873 pregnant women completed the survey. Most participants were aged 25-35 years, living with a partner, and born in Sweden. Interest in having a midwife they know increased from 53% in 1999 to 76% in 2024. Key factors associated with this preference included primiparity (OR 3.80; 95% CI 3.27-4.40), being pregnant in 2024 (OR 3.21; 2.70-3.86), being born outside Sweden (OR 2.73; 2.11-3.54), and fear of birth (OR 2.03; 1.56-2.63).Conclusions: Interest in having a known midwife during childbirth has grown significantly in Sweden, highlighting the need for policy changes that promote awareness and expand this option for women.","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"46 1","pages":"2476980"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606880","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Psychosocial experiences of pregnant women during the COVID-19 pandemic: a UK-wide study of prevalence rates and risk factors for clinically relevant depression and anxiety. COVID-19大流行期间孕妇的社会心理经历：一项全英国临床相关抑郁和焦虑患病率和危险因素的研究

IF 2.1 3区医学

Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2025-12-01 Epub Date: 2025-02-11 DOI: 10.1080/0167482X.2025.2459619

Semra Worrall, Olivia Pike, Paul Christiansen, Leanne Jackson, Leonardo De Pascalis, Joanne A Harrold, Victoria Fallon, Sergio A Silverio

{"title":"Psychosocial experiences of pregnant women during the COVID-19 pandemic: a UK-wide study of prevalence rates and risk factors for clinically relevant depression and anxiety.","authors":"Semra Worrall, Olivia Pike, Paul Christiansen, Leanne Jackson, Leonardo De Pascalis, Joanne A Harrold, Victoria Fallon, Sergio A Silverio","doi":"10.1080/0167482X.2025.2459619","DOIUrl":"10.1080/0167482X.2025.2459619","url":null,"abstract":"Purpose: Whilst the antenatal period is well established as a period of increased vulnerability to mental health difficulties, restrictions resulting from COVID-19 lockdown in the UK are likely to have negatively affected psychosocial outcomes in these women.Materials and Methods: This study aimed to describe prevalence rates of clinically relevant antenatal anxiety and depression, and explore whether psychosocial changes as a result of the pandemic were predictive of clinically relevant anxiety and depression. Antenatal women (N = 684) completed an online survey of psychosocial measures during the UK government's initial lockdown restrictions.Results: Descriptive statistics indicate women experienced high levels of anxiety and depression and that changes resulting from restrictions were perceived negatively. Whilst 11.7% of women reported a current, clinical diagnosis of depression, 47.8% reported a score of ≥13 on the EPDS, indicating clinically relevant depression. Similarly, 18.7% of women reported a current, clinical diagnosis of anxiety, but 68.1% scored ≥40 on the STAI, indicating clinically relevant anxiety. After controlling for known demographic risk factors, only psychosocial change because of COVID-19 restrictions predicted clinically relevant anxiety (28%) and depression (27%).Conclusions: This study highlights the importance of considering antenatal women as a high-priority group, and ensuring antenatal care remains accessible and uninterrupted in any future crises.","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"46 1","pages":"2459619"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392361","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prediction of peripartum depression by oxytocin levels, Edinburgh Postnatal Depression Scale scores and lack of social support: a prospective study. 催产素水平、爱丁堡产后抑郁量表评分和缺乏社会支持对围生期抑郁的预测：一项前瞻性研究

IF 2.1 3区医学

Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2025-12-01 Epub Date: 2025-06-19 DOI: 10.1080/0167482X.2025.2519381

Yanyan Lu, Xiaoxuan Qi, Qing Cheng, Jing Sun

{"title":"Prediction of peripartum depression by oxytocin levels, Edinburgh Postnatal Depression Scale scores and lack of social support: a prospective study.","authors":"Yanyan Lu, Xiaoxuan Qi, Qing Cheng, Jing Sun","doi":"10.1080/0167482X.2025.2519381","DOIUrl":"https://doi.org/10.1080/0167482X.2025.2519381","url":null,"abstract":"Purpose: This study aimed to determine predictive factors for peripartum depression (PPD).Methods: We collected pre-natal sociodemographic data, blood markers and psychosocial questionnaires from 237 mothers. We detected the oxytocin (OXT) concentrations in saliva and administered the Edinburgh Postnatal Depression Scale (EPDS) within 1-2 days postpartum. The multivariable logistic regression analysis model was applied to analyze the factors related to PPD at 4 weeks postpartum. A nomogram model was constructed and evaluated.Results: Multivariable logistic regression showed that OXT levels (OR = 0.984, 95% CI 0.971-0.997), EPDS scores (OR = 1.284, 95% CI 1.154-1.428), and lack of social support (OR = 3.562, 95% CI 1.444-8.784) were predictive factors for PPD (all p < 0.05). A nomogram model was constructed based on these factors. The model's C-index was 0.846 (95% CI 0.777-0.908). The calibration curve indicated good agreement between the predicted probabilities of PPD and the actual probabilities (Hosmer-Lemeshow test p = 0.928). The area under the Receiver Operating Characteristic (ROC) curve was 0.820 (95% CI 0.749-0.891). The results of the decision curve analysis showed that the model had good clinical utility.Conclusions: The predictive model can be used to identify high-risk parturients of PPD early.","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"46 1","pages":"2519381"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327549","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0