Journal of Psychosomatic Obstetrics & Gynecology最新文献

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Physiological and psychological stress responses to labor and delivery during COVID-19 pandemic: a cohort study. COVID-19大流行期间对分娩和分娩的生理和心理应激反应:一项队列研究
IF 3.1 3区 医学
Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2022-12-01 DOI: 10.1080/0167482X.2022.2030308
Aula Asali, Sivan Farladansky-Gershnabel, Noa Hasky, Michal Elbaz, Ami Fishman, Dorit Ravid, Amir Wiser, Tal Biron-Shental, Arie Berkovitz, Netanella Miller
{"title":"Physiological and psychological stress responses to labor and delivery during COVID-19 pandemic: a cohort study.","authors":"Aula Asali,&nbsp;Sivan Farladansky-Gershnabel,&nbsp;Noa Hasky,&nbsp;Michal Elbaz,&nbsp;Ami Fishman,&nbsp;Dorit Ravid,&nbsp;Amir Wiser,&nbsp;Tal Biron-Shental,&nbsp;Arie Berkovitz,&nbsp;Netanella Miller","doi":"10.1080/0167482X.2022.2030308","DOIUrl":"https://doi.org/10.1080/0167482X.2022.2030308","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate objective (saliva cortisol) and subjective (questionnaire) stress levels during the Coronavirus disease (COVID-19) pandemic compared to before the pandemic and their effects on obstetric and neonatal outcomes.</p><p><strong>Methods: </strong>This cohort study included 36 women with low-risk, singleton, term deliveries at a tertiary academic center during the COVID-19 pandemic and 49 who delivered before. Physiological stress was evaluated with salivary cortisol measurements, and emotional stress with stress scale questionnaires (0-10) during active and full dilation stages of labor, and 2-min postpartum. Cord blood cortisol and pH were obtained. Delivery mode, complications, and neonatal outcomes were evaluated.</p><p><strong>Results: </strong>Psychological stress was higher for the COVID-19 group compared to controls during full dilation (6.2<b> </b>±<b> </b>3.4 <i>vs.</i> 4.2<b> </b>±<b> </b>3, <i>p</i> = .009). The COVID-19 group had significantly lower cord cortisol levels (7.3<b> </b><i>vs.</i> 13.6<b> </b>mcg/dl, <i>p</i><b> </b>=<b> </b>.001). No differences were found regarding salivary cortisol level assessments at active, full dilation and 2-min post-delivery (<i>p</i><b> </b>=<b> </b>.584, <i>p</i><b> </b>=<b> </b>.254, <i>p</i><b> </b>=<b> </b>.829, respectively). No differences were found regarding pH<b> </b><<b> </b>7.1 (<i>p</i><b> </b>=<b> </b>.487), 1- and 5-min Apgar scores<b> </b><<b> </b>7 (<i>p</i><b> </b>=<b> </b>.179) and neonatal weight (<i>p</i><b> </b>=<b> </b>.958).</p><p><strong>Conclusions: </strong>Women who delivered during COVID-19 pandemic had higher stress levels at full dilation and lower cord cortisol levels, as may be expected after exposure to a chronic stressor.</p>","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"43 4","pages":"441-446"},"PeriodicalIF":3.1,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10432390","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: 1
Identifying women with fear of childbirth with the Dutch Fear of Birth Scale and its added value for consultations. 利用荷兰分娩恐惧量表识别分娩恐惧的妇女及其对咨询的附加价值。
IF 2.1 3区 医学
Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2022-12-01 Epub Date: 2021-12-15 DOI: 10.1080/0167482X.2021.2013797
I den Boer, Y M G A Hendrix, H Knoop, M G van Pampus
{"title":"Identifying women with fear of childbirth with the Dutch Fear of Birth Scale and its added value for consultations.","authors":"I den Boer, Y M G A Hendrix, H Knoop, M G van Pampus","doi":"10.1080/0167482X.2021.2013797","DOIUrl":"10.1080/0167482X.2021.2013797","url":null,"abstract":"<p><strong>Objectives: </strong>Determine whether the Fear of Birth Scale (FOBS) is a useful screening instrument for Fear of Childbirth (FoC) and examine the potential added value of screening by analyzing how often pregnant women discuss their FoC during consultation.</p><p><strong>Methods: </strong>This cross-sectional survey study included nulliparous pregnant women of all gestational ages, recruited <i>via</i> the internet, hospital and midwifery practices. The online questionnaires included the FOBS and Wijma Delivery Expectations Questionnaire version A (W-DEQ A). The latter was used as golden standard for assessing FoC (cutoff: ≥85).</p><p><strong>Results: </strong>Of the 364 included women, 67 (18.4%) had FoC according to the W-DEQ A. Using the FOBS with a cutoff score of ≥49, the sensitivity was 82.1% and the specificity 81.1%, with 111 (30.5%) women identified as having FoC. Positive predictive value was 49.5% and negative predictive value 95.3%. Of the women with FoC (FOBS ≥49), 68 (61.3%) did not discuss FoC with their caregiver.</p><p><strong>Conclusion: </strong>The FOBS is a useful screening instrument for FoC. A positive score must be followed by further assessment, either by discussing it during consultation or additional evaluation with the W-DEQ A. The majority of pregnant women with FoC do not discuss their fears, underscoring the need for screening.</p>","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"43 4","pages":"419-425"},"PeriodicalIF":2.1,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10432660","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
Psychological impact on healthcare workers in obstetrics and gynecology in France in 18 French University Hospitals during the first Covid-19 lockdown: a prospective observational study. 在第一次Covid-19封锁期间,18所法国大学医院对法国妇产科医护人员的心理影响:一项前瞻性观察研究
IF 3.1 3区 医学
Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2022-12-01 DOI: 10.1080/0167482X.2021.2014812
Gautier Chene, Erdogan Nohuz, Emanuele Cerruto, Stéphanie Moret, Anthony Atallah, Mohamed Saoud
{"title":"Psychological impact on healthcare workers in obstetrics and gynecology in France in 18 French University Hospitals during the first Covid-19 lockdown: a prospective observational study.","authors":"Gautier Chene,&nbsp;Erdogan Nohuz,&nbsp;Emanuele Cerruto,&nbsp;Stéphanie Moret,&nbsp;Anthony Atallah,&nbsp;Mohamed Saoud","doi":"10.1080/0167482X.2021.2014812","DOIUrl":"https://doi.org/10.1080/0167482X.2021.2014812","url":null,"abstract":"<p><strong>Purpose: </strong>To assess the level of stress and anxiety in healthcare workers in the departments of obstetrics and gynecology in France during and after the first Covid-19 lockdown.</p><p><strong>Methods: </strong>Two web-based cross-sectional surveys using several validated questionnaires (the HAD scale, the PSS-10 questionnaire and the Short Form 12 Questionnaire [SF-12]) were proposed to all staff of obstetrics and gynecologic departments in 18 French university hospitals.</p><p><strong>Results: </strong>A total of 1565 respondents answered the first questionnaire and 1109 completed the second survey. Respondents reported greater levels of stress and impaired mental quality of life during the lockdown, followed by a significant improvement after the end of lockdown (respectively <i>p</i> < .0001 and <i>p</i> = .01). Anxiety was significantly higher among the older participants during the lockdown (<i>p</i> = .008). The potential putative factors related to impaired mental health status were personal protective equipment (PPE) deficit (<.0001), the fear of contracting the virus from the workplace and transmitting to their families (<.0001) and concerns about information given by media and hospitals (<.0001).</p><p><strong>Conclusions: </strong>Understanding the heavy mental repercussions of the Covid-19 pandemic on healthcare workers could lead to the identification of high-risk in medical and non-medical staff and the implementation of targeted psychological monitoring program.</p>","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"43 4","pages":"433-440"},"PeriodicalIF":3.1,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10432666","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: 2
Experiences of young girls and women undergoing ovarian tissue cryopreservation: a systematic review and thematic synthesis. 年轻女孩和妇女经历卵巢组织冷冻保存的经验:系统回顾和专题综合。
IF 3.1 3区 医学
Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2022-12-01 DOI: 10.1080/0167482X.2022.2084376
Hajra Khattak, Hannah Woodman, Yousri Afifi, Christiani A Amorim, Simon Fishel, Ioannis Gallos, Arri Coomarasamy, Annie Topping
{"title":"Experiences of young girls and women undergoing ovarian tissue cryopreservation: a systematic review and thematic synthesis.","authors":"Hajra Khattak,&nbsp;Hannah Woodman,&nbsp;Yousri Afifi,&nbsp;Christiani A Amorim,&nbsp;Simon Fishel,&nbsp;Ioannis Gallos,&nbsp;Arri Coomarasamy,&nbsp;Annie Topping","doi":"10.1080/0167482X.2022.2084376","DOIUrl":"https://doi.org/10.1080/0167482X.2022.2084376","url":null,"abstract":"<p><p>The aim of this study was to explore the experiences of young girls and women who underwent or considered ovarian tissue cryopreservation (OTC) using a systematic review of qualitative studies with thematic synthesis framework. Major electronic databases: MEDLINE, EMBASE, the Cochrane Library, CINAHL and PsycINFO were searched from 1946 to May 2020 and reference lists of relevant articles were hand searched. Any studies that described a qualitative inquiry and highlighted the experiences of women with regards to OTC were included. Two independent reviewers screened the title and abstracts and made a selection against inclusion criteria. Main outcomes measures were experiences of women who have considered and/or undergone OTC, decision making in women who underwent or considered OTC and patient education. Nineteen studies were assessed for full text eligibility and four were included in analysis. 144 verbatim quotations from 85 participants in high income countries (UK, USA and Denmark) were included. Two studies adopted grounded theory approach, one phenomenology and one inductive content analysis. Four themes were generated; participants described their experiences as emotional, involving complex decision-making, helping them prepare for the long-term consequences of potentially losing their fertility and hormonal function, as well as their experience being educational. Additionally, the more practical aspects of the procedure such as OTC being invasive as well as costs implications were highlighted. Women and young girls are often involved in making time-sensitive decisions whether or not to undergo OTC. Healthcare professionals involved in the care of young girls and women undergoing this method need to also take into consideration the emotional wellbeing of the patients as well as the time and expertise it requires to help them make an informed decision.</p>","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"43 4","pages":"502-516"},"PeriodicalIF":3.1,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10432951","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: 2
Prenatal subjective social status and birth weight. 产前主观社会地位与出生体重。
IF 3.1 3区 医学
Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2022-09-01 DOI: 10.1080/0167482X.2020.1864728
Dana K Goplerud, Raquel G Hernandez, Sara B Johnson
{"title":"Prenatal subjective social status and birth weight.","authors":"Dana K Goplerud,&nbsp;Raquel G Hernandez,&nbsp;Sara B Johnson","doi":"10.1080/0167482X.2020.1864728","DOIUrl":"https://doi.org/10.1080/0167482X.2020.1864728","url":null,"abstract":"<p><strong>Purpose: </strong>Subjective social status (SSS), perceived social standing relative to others, has been associated with health status, independent of objective socioeconomic status (SES). Few studies have examined the relationship of prenatal maternal SSS with birth outcomes. We evaluated the association of SSS in pregnancy with low birth weight (LBW) and high birth weight (HBW).</p><p><strong>Methods: </strong>A total of 378 pregnant women rated their SSS from 1 (low) to 10 (high) compared to others in the United States (SSS-US) and compared to their community (SSS-Comm). Multivariable logistic regression was used to examine the relationship between SSS and odds of LBW or HBW.</p><p><strong>Results: </strong>Higher SSS-US was associated with lower odds of HBW in unadjusted models (OR 0.76, 95% CI 0.60-0.96; <i>p</i> < 0.05); this relationship persisted after controlling for objective SES, health, and demographic factors (OR 0.73, 95% CI 0.53-0.99; <i>p</i> < 0.05). Neither SSS measure was associated with LBW.</p><p><strong>Conclusions: </strong>Pregnant women who view themselves as having lower status than others in the US have greater odds of HBW, over and above the influence of factors known to be associated with birth weight. SSS, a brief and non-stigmatizing measure, might help identify women at elevated social risk for adverse birth outcomes.</p>","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"43 3","pages":"279-284"},"PeriodicalIF":3.1,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/0167482X.2020.1864728","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10130190","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Progression of depression and anxiety symptoms in pregnancies conceived by assisted reproductive technology in the United States. 美国辅助生殖技术妊娠中抑郁和焦虑症状的进展
IF 3.1 3区 医学
Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2022-06-01 DOI: 10.1080/0167482X.2021.1971193
Michael K Simoni, Kathryn Gilstad-Hayden, Syed H Naqvi, Lubna Pal, Kimberly Ann Yonkers
{"title":"Progression of depression and anxiety symptoms in pregnancies conceived by assisted reproductive technology in the United States.","authors":"Michael K Simoni,&nbsp;Kathryn Gilstad-Hayden,&nbsp;Syed H Naqvi,&nbsp;Lubna Pal,&nbsp;Kimberly Ann Yonkers","doi":"10.1080/0167482X.2021.1971193","DOIUrl":"https://doi.org/10.1080/0167482X.2021.1971193","url":null,"abstract":"<p><strong>Purpose: </strong>Women who utilize assisted-reproductive technology (ART) to achieve pregnancy experience unique circumstances before and during their pregnancy. This study aims to examine the progression of mental health in pregnant women who conceived <i>via</i> various methods of ART to understand gestational time periods of emotional stability or risk specific to these populations.</p><p><strong>Methods: </strong>Secondary analysis of the Yale Pink and Blue Study - a prospective cohort involving women from 137 obstetrical practices in the northeastern United States between 2005-2009. Depressive and anxiety symptoms among spontaneous, planned pregnancies were compared to ART pregnancies using the Edinburgh Postnatal Depression Scale (EPDS) and its anxiety subscale (EPDS-3A), respectively. Generalized Estimating Equations were used to compare group changes (EPDS and EPDS-3A score threshold ≥10) at timepoints of <17 weeks (T1), 28(±2) weeks (T2), and 8(±4) weeks postpartum (T3).</p><p><strong>Results: </strong>1,466 spontaneous, planned pregnancies were compared to 191 pregnancies conceived <i>via</i> ART. Prevalence of depressive symptoms were similar between conception groups. Change in prevalence over time differed significantly between those groups (from T1 to T3 (β 0.59), as well as between spontaneous pregnancies compared to autologous gamete ART pregnancies (from T1 to T2 (β 0.48) and T1 to T3 (β 0.65). Course of anxiety did not differ between conception groups.</p><p><strong>Conclusions: </strong>Women who conceive <i>via</i> ART have different rates of change in depressive symptoms throughout gestation compared to women with spontaneous pregnancies.</p>","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"43 2","pages":"214-223"},"PeriodicalIF":3.1,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10116357/pdf/nihms-1834950.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9925924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Patient-specific affect-abdominal pain interactions in endometriosis: an experience sampling method (ESM) study 子宫内膜异位症患者特异性影响-腹痛相互作用:经验抽样方法(ESM)研究
IF 3.1 3区 医学
Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2022-03-28 DOI: 10.1080/0167482X.2022.2053844
E. van Barneveld, M. de Hertogh, L. Vork, N. van Hanegem, F. V. van Osch, J. Kruimel, M. Bongers, C. Leue, A. Lim
{"title":"Patient-specific affect-abdominal pain interactions in endometriosis: an experience sampling method (ESM) study","authors":"E. van Barneveld, M. de Hertogh, L. Vork, N. van Hanegem, F. V. van Osch, J. Kruimel, M. Bongers, C. Leue, A. Lim","doi":"10.1080/0167482X.2022.2053844","DOIUrl":"https://doi.org/10.1080/0167482X.2022.2053844","url":null,"abstract":"Abstract Objectives Cross-sectional studies show that endometriosis-related pain is associated with affect. Measuring these symptoms in real-time in a longitudinal perspective yields the ability to analyze the temporal relationship between variables. The aim was to evaluate the association between affect and abdominal pain, using the Experience Sampling Method (ESM) as a real-time, randomly repeated assessment. Methods Thirty-four endometriosis patients and 31 healthy subjects completed up to 10 real-time self-assessments concerning abdominal pain and affective symptoms during seven consecutive days. Results Endometriosis patients experienced more abdominal pain and negative affective symptoms, and scored lower on positive affect compared to healthy controls. A significant association was found between abdominal pain and both positive and negative affect in endometriosis patients. For healthy controls, less strong or non-significant associations were found. When looking at abdominal pain as a predictor for affect and vice versa, we found that only in endometriosis patients, pain was subsequently accompanied by negative affect, and positive affect may alleviate pain in these patients. Conclusions This study confirms a concurrent and temporal relationship between affect and abdominal pain in endometriosis patients and supports the use of real-time symptom assessment to interpret potential influencers of abdominal complaints in patients with endometriosis.","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"310 1","pages":"237 - 243"},"PeriodicalIF":3.1,"publicationDate":"2022-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77424073","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: 4
Sexual activity based fears during pregnancy, sexual function and dyadic adjustment in couples who are expecting their first child 怀孕期间基于性行为的恐惧,期待第一个孩子的夫妇的性功能和二元调整
IF 3.1 3区 医学
Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2022-03-27 DOI: 10.1080/0167482X.2022.2052844
C. de Pierrepont, A. Brassard, Katherine Bécotte, I. Lessard, V. Polomeno, K. Péloquin
{"title":"Sexual activity based fears during pregnancy, sexual function and dyadic adjustment in couples who are expecting their first child","authors":"C. de Pierrepont, A. Brassard, Katherine Bécotte, I. Lessard, V. Polomeno, K. Péloquin","doi":"10.1080/0167482X.2022.2052844","DOIUrl":"https://doi.org/10.1080/0167482X.2022.2052844","url":null,"abstract":"Abstract Purpose: Sexual activity based fears during pregnancy are common, but very few studies have examined their association with relationship variables. Secondary analysis of associations between these fears during pregnancy and both partners’ sexual function and dyadic adjustment were conducted. Materials and Methods: A sample of 67 French-Canadian first-time parenting couples living in Ontario completed online questionnaires on sexual activity based fears, sexual function, and dyadic adjustment as experienced during pregnancy. Results: While one-third of participants reported no fears, other couples experienced one to six fears, the two most common fears among partners being inducing labor and causing a miscarriage. Dyadic path analyses supported indirect associations between sexual activity based fears and lower dyadic adjustment via poorer sexual function. During pregnancy, these fears in women and men are associated with poorer dyadic adjustment in both partners through the women’s poorer sexual function. Conclusion: These findings suggest including prenatal sexual activity based fears in perinatal sexuality counseling, education, and interventions.","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"8 1","pages":"107 - 113"},"PeriodicalIF":3.1,"publicationDate":"2022-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84492088","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: 2
The complex effects of maternal expectations on postpartum depressive symptoms: when does a protective factor become a risk factor? 母亲期望对产后抑郁症状的复杂影响:保护因素何时成为危险因素?
IF 3.1 3区 医学
Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2022-03-01 Epub Date: 2020-07-23 DOI: 10.1080/0167482X.2020.1795826
Rotem Kahalon, Gil Yanushevsky Cnaani, Heidi Preis, Yael Benyamini
{"title":"The complex effects of maternal expectations on postpartum depressive symptoms: when does a protective factor become a risk factor?","authors":"Rotem Kahalon,&nbsp;Gil Yanushevsky Cnaani,&nbsp;Heidi Preis,&nbsp;Yael Benyamini","doi":"10.1080/0167482X.2020.1795826","DOIUrl":"https://doi.org/10.1080/0167482X.2020.1795826","url":null,"abstract":"<p><strong>Purpose: </strong>The present study assessed the effects of several prenatal maternal expectations on postpartum depression (PPD), while considering two relevant factors - incongruence between planned and actual birth and the rigidity of the birth plan - that can affect whether maternal expectations act as protective factors or risk factors for PPD.</p><p><strong>Methods: </strong>Primiparous women (<i>N</i> = 527) were recruited to a longitudinal study about women's birth choices and experiences. At time 1, during pregnancy, women completed a questionnaire assessing prenatal depression, preferred birth plan, birth plan flexibility-rigidity and maternal expectations (i.e. Natural-Fulfillment, Infant-Reflects-Mothering, Sacrifice). At time 2, two-months post-partum, they reported their actual birth mode and answered a questionnaire assessing their PPD symptoms.</p><p><strong>Results: </strong>Natural-fulfillment maternal expectations were negatively related to PPD symptoms. Yet, the interaction of high natural-fulfillment expectations with an unfulfilled birth plan and the rigidity of the birth plan, served as a risk factor for PPD symptomatology.</p><p><strong>Conclusions: </strong>Understanding the conditions under which specific prenatal maternal expectations serve as a risk factor for PPD, can help healthcare providers identify women who are at high risk for developing PPD symptoms and plan preemptive interventions.</p>","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"43 1","pages":"74-82"},"PeriodicalIF":3.1,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/0167482X.2020.1795826","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38185481","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: 3
Psychological domain of quality of life, depression and anxiety levels in in vitro fertilization/intracytoplasmic sperm injection cycles of women with endometriosis: a prospective study. 子宫内膜异位症患者体外受精/胞浆内单精子注射周期中生活质量、抑郁和焦虑水平的心理域:一项前瞻性研究
IF 3.1 3区 医学
Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2022-03-01 Epub Date: 2020-07-08 DOI: 10.1080/0167482X.2020.1787978
M U Ceran, N Yilmaz, E N Ugurlu, N Erkal, A S Ozgu-Erdinc, Y Tasci, H C Gulerman, Y Engin-Ustun
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引用次数: 8
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