Journal of Psychosomatic Obstetrics & Gynecology最新文献

{"title":"Comparing the effectiveness of two telemedicine counseling interventions on secondary tokophobia in single-child women: the study protocol of a pragmatic three-arm randomized controlled trial.","authors":"Maryam Ramezani, Mohsen Dehghani, Somaye Minaei Moghadam, Sedigheh Abdollahpour","doi":"10.1080/0167482X.2025.2500928","DOIUrl":"10.1080/0167482X.2025.2500928","url":null,"abstract":"<p><strong>Background: </strong>Identifying women with secondary tokophobia and offering effective counseling can reduce the psychological burden of their negative experience's childbirth. In light of Iran's population incentive policies, this research will compare the effects of two telemedicine-based counseling methods on secondary tokophobia in single-child women.</p><p><strong>Methods/design: </strong>This study will be conducted in two phases. Phase 1 will identify women with secondary tokophobia through a cross-sectional descriptive study using the Fear of Childbirth Prior to Pregnancy (FOCPP) tool. Phase 2 will be a three-arm randomized controlled trial (RCT), enrolling 102 single-child women with secondary tokophobia, block-randomized in blocks of six to receive either Acceptance and Commitment Therapy (ACT - arm 1), motivational counselling (MC - arm 2), or standard care (control). The study will follow CONSORT-EHEALTH guidelines. Outcomes, including tokophobia, anxiety, depression, and postnatal PTSD, will be assessed at weeks four and eight using standardized questionnaires. Data will be analyzed using statistical tests in SPSS-24.</p><p><strong>Discussion: </strong>Negative past experiences can lead to secondary tokophobia, where women fear future pregnancies, sometimes avoiding them altogether. Research shows that those with tokophobia may face anxiety, depression, and PTSD, necessitating counseling to encourage future pregnancies. This study will be aim to investigate two counseling interventions for single-child women with secondary tokophobia through a telemedicine approach in the context of Iranian population policies.</p><p><strong>Trial registration: </strong>Current Controlled Trials IRCT20240207060923N1. Registered 18 May 2024.</p>","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"46 1","pages":"2500928"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144080936","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}

{"title":"\"It's like having a second job\": qualitative insights into the emotional burden of infertility and the need for coordinated care.","authors":"Madeleine Bernet, Eva Soom Ammann, Alexander M Quaas, Michael von Wolff, Marianne Kläusler, Arndt Büssing","doi":"10.1080/0167482X.2025.2505589","DOIUrl":"https://doi.org/10.1080/0167482X.2025.2505589","url":null,"abstract":"<p><p>Infertility, affecting one in six individuals worldwide, poses substantial emotional and physical challenges. Its impact on quality of life (QoL), mental health and social relationships is well documented. However, qualitative insights into the lived experiences of those affected remain limited, as do the perspectives of health professionals involved in their care. This study presents qualitative findings from a mixed-method approach. Data were collected through 23 semi-structured interviews with 26 affected individuals and three focus group discussions with 20 healthcare professionals. The results underscore the multifaceted burden of infertility, including emotional distress, relationship strain and a pervasive sense of social exclusion. Participants expressed a clear need for more empathetic and individualized care, while healthcare professionals pointed to structural barriers. The study also identified a lack of societal recognition for infertility and the complex challenges. In some narratives, spirituality emerged as a personal coping resource - though one that is often overlooked or insufficiently addressed in clinical practice. Key recommendations include the expansion of peer support networks, public awareness raising, flexible treatment models and interprofessional collaboration. Future research should evaluate the effectiveness of peer support systems and interdisciplinary care models in addressing the complex and diverse needs of individuals affected by infertility.</p>","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"46 1","pages":"2505589"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144080702","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}

{"title":"Prenatal loss of control eating is associated with psychiatric symptoms and distress among individuals with elevated BMI.","authors":"Michele D Levine, Riley J Jouppi, Rachel P Kolko Conlon, Christine C Call, Jennifer L Grace, Gina M Sweeny, Zijing Zhang","doi":"10.1080/0167482X.2025.2483283","DOIUrl":"10.1080/0167482X.2025.2483283","url":null,"abstract":"<p><strong>Purpose: </strong>Loss of control while eating (LOC) or feeling unable to control the amount or type of food consumed during an eating episode, is the core psychopathology in binge eating disorders. Yet, the impact of LOC on other psychiatric symptoms during pregnancy is not known. This study evaluated the contribution of prenatal LOC to psychological distress and disordered eating attitudes.</p><p><strong>Methods: </strong>Pregnant individuals with BMI ≥ 25 (<i>N</i> = 312) recruited for a perinatal health promotion trial self-reported past-month LOC; eating, shape, and weight concerns; prenatal depressive symptoms, anxiety, and stress. Propensity scores were used to reduce bias associated with cross-sectional data.</p><p><strong>Results: </strong>Overall, 34.3% (<i>n</i> = 107) reported LOC. Individuals with prenatal LOC, relative to those without, endorsed more eating disorder symptoms (<i>p</i>s<.001) as well as more symptoms of depression (7.1<math><mrow><mo>±</mo></mrow></math>0.3 vs. 5.4<math><mrow><mo>±</mo></mrow></math>4.9) and anxiety (38.1 ± 11.7 vs. 33.4 ± 11.7) and greater perceived stress (25.0 ± 7.9 vs. 22.0<math><mrow><mo>±</mo></mrow></math>9.9, <i>p</i>s<.001). LOC frequency was associated with significantly more prenatal psychological distress, beyond the effect of other factors that increase the likelihood of LOC. <i>(ps</i><.005).</p><p><strong>Conclusions: </strong>Among individuals with elevated BMI, prenatal LOC is common and relates to eating disorder and other psychiatric symptoms. Prenatal LOC may represent a behavioral mechanism for improved psychological health.</p>","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"46 1","pages":"2483283"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12039789/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765589","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}

{"title":"The effects of music therapy on pain and anxiety in young nulliparous patients undergoing laparoscopic cystectomy for endometriosis: a randomized controlled trial.","authors":"Wenwei Li, Huiyan Feng, Xiaohui Yang, Yue Meng, Yuebo Yang, Qingjian Ye","doi":"10.1080/0167482X.2025.2519385","DOIUrl":"https://doi.org/10.1080/0167482X.2025.2519385","url":null,"abstract":"<p><strong>Background: </strong>Endometriosis (EMS) is associated with a markedly increased incidence of depression and anxiety, primarily due to cyclic pain, concerns about infertility from impaired ovarian function, and fear of disease recurrence. Surgery and its associated pain may trigger both emotional and physiological stress responses. Young, nulliparous patients with fertility intentions often experience additional psychological burdens related to surgical safety, postoperative recovery, and the potential impact on future fertility. Music has been shown to promote relaxation, reduce tension and anxiety, and alleviate pain. However, no studies have evaluated the postoperative effects of music therapy in this specific patient population.</p><p><strong>Objective: </strong>To investigate whether music therapy can effectively reduce postoperative pain and alleviate perioperative anxiety in young patients with fertility desires undergoing laparoscopic cystectomy for endometriotic ovarian cysts, and to explore its potential as a simple, non-pharmacological intervention.</p><p><strong>Methods/design: </strong>A single-center, two-arm, single-masked randomized controlled trial (RCT).</p><p><strong>Setting: </strong>The Third Affiliated Hospital of Sun Yat-sen University (a teaching hospital).</p><p><strong>Participants: </strong>A total of 149 patients were included for analysis, with 75 assigned to the music group and 74 to the control group.</p><p><strong>Intervention: </strong>Perioperative music therapy administered to young, nulliparous patients with fertility intentions undergoing laparoscopic cystectomy for EMS.</p><p><strong>Results: </strong>One participant withdrew during follow-up, and 149 patients were included in the final analysis. Baseline characteristics-including age, BMI, marital status, preoperative VAS scores, and GAD-7 scores and anxiety levels-showed no significant differences between groups. Postoperative VAS scores at 6 h (<i>p</i> = 0.20), Day 1 (<i>p</i> = 0.438), Day 3 (<i>p</i> = 0.714), and Day 7 (<i>p</i> = 0.899) revealed no significant differences. Similarly, GAD-7 scores and anxiety severity levels on postoperative Day 1 (<i>p</i> = 0.541; <i>p</i> = 0.984), Day 3 (<i>p</i> = 0.287; <i>p</i> = 0.436), and Day 7 (<i>p</i> = 0.468; <i>p</i> = 0.703) showed no statistical significance between groups.</p><p><strong>Conclusion: </strong>Music therapy may serve as an adjunctive intervention for young, nulliparous patients with fertility intentions undergoing laparoscopic cystectomy for endometriosis; however, no significant effects were observed in reducing perioperative anxiety or postoperative pain in this population.</p>","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"46 1","pages":"2519385"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327550","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}

{"title":"Evaluation of the psychosocial impact and received care in patients with gestational trophoblastic disease - a qualitative interview based study.","authors":"Blok L J, Eysbouts Y K, Bastiaans S, Sweep F C G J, Ottevanger P B","doi":"10.1080/0167482X.2025.2451992","DOIUrl":"10.1080/0167482X.2025.2451992","url":null,"abstract":"<p><p>The diagnosis gestational trophoblastic disease (GTD) is known to have a significant psychological impact on women. Our objective was to provide insight in the psychological and physical consequences of women with GTD, while also reflecting on their coping strategies and their experiences of received care. A qualitative study was carried out using semi-structured interviews among women recently diagnosed with GTD. Interviews were audio-recorded, transcribed verbatim and analyzed using a thematic network approach. Eight interviews were analyzed. The abruptness of the diagnosis resulted in women feeling sad, uncertain and powerless. Coping strategies included seeking emotional support, accurate information, peer connections and distraction. Women were generally satisfied with care, emphasizing personalization, empathy, medical expertise and feeling heard as important aspects. They appreciated offered psychological support from specialized nurses. Nevertheless, aspects such as provided information, communication and logistical issues need improvement. The results of this study emphasize the importance of comprehensive patient information, the need for personalized psychological support and more frequent consultations at reference centers, while treatment is conducted locally.</p>","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"46 1","pages":"2451992"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061171","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}

{"title":"Childbirth-related posttraumatic stress symptoms: exploring the predictive potential of intrapartum hotspots.","authors":"Meike K Blecker, Daria Daehn, Sinha Engel, Susann Steudte-Schmiedgen, Susan Garthus-Niegel, Christine Knaevelsrud, Sarah Schumacher","doi":"10.1080/0167482X.2025.2469290","DOIUrl":"10.1080/0167482X.2025.2469290","url":null,"abstract":"<p><p>Childbirth-related posttraumatic stress symptoms (CB-PTSS) affect around 12% of postpartum individuals. While the subjective experience of childbirth is a key predictor of CB-PTSS, the specific defining characteristics of negative birth experiences remain poorly understood. This study aims to refine our understanding of negative birth experiences by investigating intrapartum hotspots, i.e. moments of extreme distress, and their association with CB-PTSS. In a cross-sectional study of <i>N</i> = 1,140 individuals who had given birth eight to ten weeks before, we examined the following: the types of hotspots, differences in hotspot-related distress, interpersonal difficulties during the hotspot, and CB-PTSS between the various types of hotspots and whether hotspot-related distress and interpersonal difficulties independently predicted CB-PTSS. Participants completed several items based on previous qualitative work [1] to assess the worst hotspot, hotspot-related distress, and interpersonal difficulties during the hotspot and the City Birth Trauma Scale to measure CB-PTSS, alongside relevant pregnancy- and birth-related questions. <i>Medical interventions</i> were the most frequently experienced worst hotspot and <i>separation from the child</i> was associated with the highest levels of hotspot-related distress, interpersonal difficulties, and CB-PTSS. Hotspot-related distress and interpersonal difficulties independently predicted CB-PTSS. Examining intrapartum hotspots poses a promising approach to define highly negative birth experiences.</p>","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"46 1","pages":"2469290"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484508","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}

{"title":"Comparison of the W-DEQ and CAQ in assessing FOC among pregnant women in China.","authors":"Xiao-Lan Zhou, Yu-Rou Wei, Guo-Fen Cao, Su-Mei Zhang, Lei Yang, Xiao-Mei Li","doi":"10.1080/0167482X.2025.2469178","DOIUrl":"10.1080/0167482X.2025.2469178","url":null,"abstract":"<p><p>This study compared the efficacy of the Wijma Delivery Expectancy/Experience Questionnaire (W-DEQ) and the Childbirth Attitudes Questionnaire (CAQ) in assessing fear of childbirth (FOC) among hospitalized pregnant women, aiming to identify a practical screening tool. A total of 184 pregnant women were recruited from the Northwest Women's and Children's Hospital using convenience sampling. Data were collected through the General Demographic Questionnaire, Fear of Birth Scale (FOBS), W-DEQ, and CAQ. Using the FOBS as a reference, the diagnostic performance of the W-DEQ and CAQ was evaluated <i>via</i> receiver operating characteristic curves and Bayesian discriminant analysis. The area under the curve (AUC) for the W-DEQ (0.888) was significantly higher than that of the CAQ (0.789; Z = -2.189, <i>p</i> < 0.05). Optimal cutoff values were 80.5 for the W-DEQ and 31.5 for the CAQ. Cross-validation revealed accuracy rates of 75.6% and 70.7%, respectively. The incidence of FOC, as assessed by the W-DEQ, CAQ, and FOBS, was 29.9%, 43.9%, and 37.2%. Both tools demonstrated good reliability and validity, but the W-DEQ showed superior performance. It is recommended as the preferred tool for assessing FOC among pregnant women in China due to its comprehensive evaluation capacity.</p>","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"46 1","pages":"2469178"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517189","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}

{"title":"Shared decision making in pelvic organ prolapse: a thematic analysis of healthcare professional perspectives.","authors":"J L S Vossen, L E Drost, L Ter Beek, M C Vos","doi":"10.1080/0167482X.2025.2481106","DOIUrl":"10.1080/0167482X.2025.2481106","url":null,"abstract":"<p><p>Shared decision-making (SDM) is widely recognized for its benefits in patient-centered care, yet its application in the treatment of pelvic organ prolapse (POP) presents notable challenges. This study explores healthcare professionals (HCPs) experiences with SDM, identifying barriers and facilitators to its implementation. Twelve HCPs involved in POP management were interviewed. The data was analyzed using reflexive thematic analysis, revealing four key themes: (1) Experiences with SDM, (2) Differences in HCP perspectives, (3) Patient characteristics, and (4) Information provision. While HCPs value SDM, they face challenges including limited patient health literacy, time constraints, and differing patient expectations. Key facilitators included clear, tailored communication, structured patient education, and effective multidisciplinary collaboration. This study emphasizes the importance of preparing patients for active participation in SDM by enhancing health literacy and improving communication. Overcoming barriers and using facilitators can enhance SDM quality in clinical practice, improving patient outcomes and satisfaction in POP care.</p>","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"46 1","pages":"2481106"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694275","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}

{"title":"Expecting the worst: pain catastrophizing and intolerance of uncertainty in women with fear of childbirth.","authors":"Ida Flink, Maryam Al-Khafadji, Sofia Ring, Hanna Grundström, Katri Nieminen, Elin Ternström, Elisabet Rondung","doi":"10.1080/0167482X.2025.2507400","DOIUrl":"https://doi.org/10.1080/0167482X.2025.2507400","url":null,"abstract":"<p><p>Fear of childbirth (FOC) is associated with adverse outcomes, for the expecting woman as well as for her baby. In order to prevent and treat FOC, it is important to understand the psychological processes involved. Two potential key processes are intolerance of uncertainty and pain catastrophizing. The aim of this cross-sectional study was to explore intolerance of uncertainty and pain catastrophizing in pregnant individuals with severe vs. low/moderate FOC, and potential differences between nulliparas and multiparas. The sample of 332 individuals filled out a range of questionnaires, and were categorized as severe (<i>n</i> = 66) and low/moderate (<i>n</i> = 266) FOC. The results showed that participants with severe FOC (Wijma Delivery Expectancy Questionnaire, W-DEQ ≥85) reported higher levels of intolerance of uncertainty and pain catastrophizing than participants with low/moderate FOC. We did not find any significant differences between nulliparas and multiparas. Noteworthy, levels of pain catastrophizing in the severe FOC group were similar to those reported in chronic pain samples. Although we cannot draw any conclusions about causality or direction of proposed links, these findings warrant a need for identifying and developing treatment strategies to target intolerance of uncertainty and pain catastrophizing, in both nulliparas and multiparas with high levels of FOC.</p>","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"46 1","pages":"2507400"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095180","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}

{"title":"Retraction statement.","authors":"","doi":"10.1080/0167482X.2025.2506854","DOIUrl":"https://doi.org/10.1080/0167482X.2025.2506854","url":null,"abstract":"","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"46 1","pages":"2506854"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095184","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}