Journal of Psychosomatic Obstetrics & Gynecology最新文献_第2页

Shared decision making in pelvic organ prolapse: a thematic analysis of healthcare professional perspectives.

IF 2.1 3区医学

Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2025-12-01 Epub Date: 2025-03-23 DOI: 10.1080/0167482X.2025.2481106

J L S Vossen, L E Drost, L Ter Beek, M C Vos

{"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":"https://doi.org/10.1080/0167482X.2025.2481106","url":null,"abstract":"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.","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}

引用次数: 0

Association of antidepressant use with obesity risk in pregnant women: a retrospective cohort study.

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.2025.2460636

Carolyn Breadon, Shalini Arunogiri, Alisa Turbic, Alex Lavale, Ricardo Maldonado, Jayashri Kulkarni

{"title":"Association of antidepressant use with obesity risk in pregnant women: a retrospective cohort study.","authors":"Carolyn Breadon, Shalini Arunogiri, Alisa Turbic, Alex Lavale, Ricardo Maldonado, Jayashri Kulkarni","doi":"10.1080/0167482X.2025.2460636","DOIUrl":"https://doi.org/10.1080/0167482X.2025.2460636","url":null,"abstract":"Objective: This study evaluated the relationship between treatment for depression and anxiety in pregnancy and the risk of obesity.Design: Multivariate logistic regression analysis, nested case control study design.Setting: Births occurring 2008-2022 at an outer-suburban, lower socioeconomic maternity hospital in Australia. Population: 75,308 eligible births. Main outcome measures: BMI ≥ 30 (obesity), BMI ≥ 35 (severe obesity/obesity class II and III).Results: In this analysis, we found an adjusted OR of 1.56 of BMI ≥ 30, p < .000 with CI (1.35-1.80) in women taking antidepressants in pregnancy, OR 1.56 of BMI ≥ 35, p < .000, CI (1.31-1.84). Within this dataset, a cohort of 7559 women with a history or current diagnosis of depression or anxiety were found; adjusted OR of 1.40 of BMI ≥ 30, p < .000, CI (1.22-1.60) in women within this group taking antidepressants. Rates of severe obesity were similar in this cohort, BMI ≥ 35; OR 1.39, p < .000; CI 1.18-1.62).Conclusions: These results suggest an increase in rates of obesity in women taking antidepressants in pregnancy not accounted for by other risks for obesity which might accrue from current mental ill-health or other cohort effects such as genetic vulnerability or lifestyle factors. This outcome is important in relation to the care of pregnant women with depression and anxiety. In view of current high rates of prescribing of antidepressants in pregnancy and the postpartum, this research may help inform clinician decision-making for women at risk of obesity in pregnancy.","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"46 1","pages":"2460636"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400492","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

Pathways to depressive symptoms in Chinese pregnant women and their influence on delivery approach: a qualitative comparative analysis. 中国孕妇出现抑郁症状的途径及其对分娩方式的影响：定性比较分析。

IF 2.1 3区医学

Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2024-12-01 Epub Date: 2024-10-01 DOI: 10.1080/0167482X.2024.2404011

Yueyang Hu, Yixi Kong, Junsong Fei, Han Zhang, Songli Mei

{"title":"Pathways to depressive symptoms in Chinese pregnant women and their influence on delivery approach: a qualitative comparative analysis.","authors":"Yueyang Hu, Yixi Kong, Junsong Fei, Han Zhang, Songli Mei","doi":"10.1080/0167482X.2024.2404011","DOIUrl":"10.1080/0167482X.2024.2404011","url":null,"abstract":"The aim of this study was to apply complexity theory to explain and understand how risk factors combined in complex ways, eventually leading to a high prevalence of depressive symptoms among pregnant women. We also aimed to evaluate whether depressive symptoms affected delivery approach. The study had a longitudinal design and was conducted between May and September 2017. A total of 481 pregnant women were recruited to participate and completed closed-end surveys at two distinct times: during prenatal care at the hospital after 26 weeks of pregnancy and 1 to 4 weeks after delivery. This study identified eleven different pathways that led to an increase in depressive symptoms. Each pathway differentiated the effects of different influencing factors. Among the 481 pregnant women, 128 (26.6%) had cesarean deliveries without medical indications. Although depressive symptoms could affect delivery approach, it was not the most important factor. Surprisingly, the first production emerged as the key factor determining delivery mode. This study was innovative in that it examined which factors and which combinations of factors were necessary for the development of depressive symptoms. Additionally, this study provided a better understanding of the mechanisms underlying the choice of cesarean section without medical indications.","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"45 1","pages":"2404011"},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142331387","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

The screening accuracy of the Edinburgh Postnatal Depression Scale (EPDS) to detect perinatal depression with and without the self-harm item in pregnant and postpartum women. 爱丁堡产后抑郁量表（EPDS）筛查孕妇和产后妇女围产期抑郁（包括和不包括自我伤害项目）的准确性。

IF 2.1 3区医学

Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2024-12-01 Epub Date: 2024-09-25 DOI: 10.1080/0167482X.2024.2404967

Alberto Stefana, Fiorino Mirabella, Antonella Gigantesco, Laura Camoni

{"title":"The screening accuracy of the Edinburgh Postnatal Depression Scale (EPDS) to detect perinatal depression with and without the self-harm item in pregnant and postpartum women.","authors":"Alberto Stefana, Fiorino Mirabella, Antonella Gigantesco, Laura Camoni","doi":"10.1080/0167482X.2024.2404967","DOIUrl":"10.1080/0167482X.2024.2404967","url":null,"abstract":"Background: This study aims to examine whether the Edinburgh Postnatal Depression Scale (EPDS), excluding the self-harm item (EPDS-9), performs as effectively as the full EPDS in identifying depression among perinatal women.Methods: A total of 3571 pregnant women and 3850 postpartum women participated in this observational study. Participants who scored ≥ 9 on the EPDS underwent further diagnostic evaluations by a clinical psychologist and/or psychiatrist.Results: The EPDS-9 and full EPDS demonstrated a near-perfect correlation in both the antepartum (r = 0.996) and postpartum (r = 0.998) cohorts. EPDS-9 showed exceptional precision in identifying depression as screened by the full EPDS at cutoff points ranging 9-14, with areas under the curve ≥0.998. The sensitivity of EPDS-9 and full EPDS to detect depression that requires psychotropic medications was poor. The highest accuracy for both versions was at a cutoff score of 9: sensitivity of 0.579 for the full EPDS and 0.526 for the EPDS-9. At the cutoff point of 9, EPDS-9 performed adequately in predicting the response of the participants to the self-harm item.Conclusion: The EPDS-9 represents a solid and effective replacement for the full EPDS in clinical settings. If the presence of suicidal thoughts needs to be assessed, specialized scales should be used.","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"45 1","pages":"2404967"},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142331388","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

Associations between patterns of social support and perinatal mental health among Chinese mother: the mediating role of social trust. 中国母亲的社会支持模式与围产期心理健康之间的关系：社会信任的中介作用。

IF 3.1 3区医学

Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2024-12-01 Epub Date: 2024-03-11 DOI: 10.1080/0167482X.2024.2325451

Sheng Sun, Shanshan An

引用次数: 0

Psychological needs fulfillment and perinatal well-being among low-SES individuals: a mixed methods investigation. 低社会经济地位人群的心理需求满足与围产期幸福感：一项混合方法调查。

IF 2.1 3区医学

Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2024-12-01 Epub Date: 2024-08-26 DOI: 10.1080/0167482X.2024.2395838

Alison F Gammons, Charlotte V Farewell, Chelsea Walker-Mao, Emma Ubriaco, Jenn A Leiferman

{"title":"Psychological needs fulfillment and perinatal well-being among low-SES individuals: a mixed methods investigation.","authors":"Alison F Gammons, Charlotte V Farewell, Chelsea Walker-Mao, Emma Ubriaco, Jenn A Leiferman","doi":"10.1080/0167482X.2024.2395838","DOIUrl":"10.1080/0167482X.2024.2395838","url":null,"abstract":"Poor perinatal mental health is associated with deleterious effects and individuals with low socioeconomic status (SES) are at elevated risk. Fortifying multi-level resources of low-SES pregnant individuals to boost their well-being is a crucial step toward achieving equity in perinatal health. The purpose of this project was to explore what patterns of resources supported well-being among low-SES pregnant individuals in Colorado. In a prospective mixed methods cohort study, 23 low-SES pregnant individuals completed surveys and interviews. Participants were separated into 3 subgroups based on their overall Warwick-Edinburgh Mental Well-being Scale (WEMWBS) score and interviewed to identify multi-level resources that supported their well-being. Our analysis was framed by Self-Determination Theory which contends that three universal basic psychological needs are required for individuals to function in a healthy manner: autonomy, competence, and relatedness. We extrapolated resources that promoted perinatal competence, autonomy, and relatedness from the high well-being group. Perinatal-related knowledge (construct related to competence); mindfulness and intended pregnancy (constructs related to autonomy); and emotional, informational, and friend support, social capital, and connection to nature (constructs related to relatedness) were identified as the resources more frequently endorsed in the high well-being group. Targeting interventions to fortify specific multi-level resources that support the autonomy, competence, and relatedness of pregnant individuals facing socioeconomic disadvantage is a crucial step toward achieving equity in perinatal health.","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"45 1","pages":"2395838"},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11386509/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142057058","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: 0

Exploring psychosocial vulnerability among Dutch pregnant women: a register study. 探索荷兰孕妇的社会心理脆弱性：一项登记研究。

IF 2.1 3区医学

Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2024-12-01 Epub Date: 2024-07-01 DOI: 10.1080/0167482X.2024.2362653

Darie O A Daemers, Marijke J C Hendrix, Linda Quadvlieg, Marianne van den Hof-Boering, Birgit Levelink, Esther I Feijen-de Jong, Marianne J Nieuwenhuijze

{"title":"Exploring psychosocial vulnerability among Dutch pregnant women: a register study.","authors":"Darie O A Daemers, Marijke J C Hendrix, Linda Quadvlieg, Marianne van den Hof-Boering, Birgit Levelink, Esther I Feijen-de Jong, Marianne J Nieuwenhuijze","doi":"10.1080/0167482X.2024.2362653","DOIUrl":"https://doi.org/10.1080/0167482X.2024.2362653","url":null,"abstract":"In the Netherlands adverse perinatal outcomes are also associated with non-medical factors which vary across geographical locations. This study analyses the presence of non-medical vulnerabilities in pregnant women in two regions with high numbers of psychosocial adversity using the same definition for vulnerability in both regions. A register study was performed in 2 regions. Files from women in midwife-led care were analyzed using a standardized case report form addressing non-medical vulnerability based on the Rotterdam definition for vulnerability: measurement A in Groningen (n = 500), measurement B in South-Limburg (n = 538). Only in South-Limburg a second measurement was done after implementing an identification tool for vulnerability (C (n = 375)). In both regions about 10% of pregnant women had one or more urgent vulnerabilities and almost all of these women had an accumulation of several urgent and non-urgent vulnerabilities. Another 10% of women had an accumulation of three or more non-urgent vulnerabilities. This study showed that by using the Rotterdam definition of vulnerability in both regions about 20% of pregnant women seem to live in such a vulnerable situation that they may need psychosocial support. The definition seems a good tool to determine vulnerability. However, without considering protective factors it is difficult to establish precisely women's vulnerability. Research should reveal whether relevant women receive support and whether this approach contributes to better perinatal and child outcomes.","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"45 1","pages":"2362653"},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141477855","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

Analysis of the effects of eating and emotions on reproductive axis function in patients with functional hypothalamic amenorrhea. 分析功能性下丘脑闭经患者的饮食和情绪对生殖轴功能的影响。

IF 2.1 3区医学

Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2024-12-01 Epub Date: 2024-07-08 DOI: 10.1080/0167482X.2024.2375718

Ye Lu, Yao Chen, Yuting Zhao, Yulu Wang, Hang Chen, Feifei Zhang, Xin Li

{"title":"Analysis of the effects of eating and emotions on reproductive axis function in patients with functional hypothalamic amenorrhea.","authors":"Ye Lu, Yao Chen, Yuting Zhao, Yulu Wang, Hang Chen, Feifei Zhang, Xin Li","doi":"10.1080/0167482X.2024.2375718","DOIUrl":"https://doi.org/10.1080/0167482X.2024.2375718","url":null,"abstract":"Objective: To investigate the effects of eating and emotions on reproductive axis function in patients with functional hypothalamic amenorrhea (FHA).Methods: A retrospective cohort study was conducted to summarize the clinical and endocrine characteristics of 58 patients with FHA at initial diagnosis and to follow up the recovery of ovulation and spontaneous menstruation in the patients to investigate these biochemical indicators and their effects on recovery outcomes.Results: Among patients with FHA, 13.8% (8/58) and 15.5% (9/58) had above moderately severe depressive and severe anxiety symptoms respectively, and 25.9% (15/58) were at high risk for eating disorders. 34.5% (20/58) were included assessed as having recovered. The non-recovered group had higher scores on the Patient Health Questionnaire (PHQ-9) (p = .022) and higher scores on the Eating Attitude Test-26 (EAT-26) (p = .03) as well as bulimia and food preoccupation (p = .041). Follicle diameter >5 mm at initial diagnosis was an independent factor influencing recovery of reproductive axis function (odds ratio = 7.532; 95% confidence interval, 1.321-42.930; p = .023).Conculsions: Mood disorders and a certain risk of eating disorders were present in FHA.These, together with weight loss, endocrine and follicle size, could influence the outcome.","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"45 1","pages":"2375718"},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141555821","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

Statement of Retraction: The effects of fish oil omega-3 fatty acid supplementation on mental health parameters and metabolic status of patients with polycystic ovary syndrome: a randomized, double-blind, placebo-controlled trial. 撤回声明：补充鱼油 omega-3 脂肪酸对多囊卵巢综合征患者心理健康参数和代谢状况的影响：随机、双盲、安慰剂对照试验。

IF 2.1 3区医学

Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2024-12-01 Epub Date: 2024-07-25 DOI: 10.1080/0167482X.2024.2369455

引用次数: 0

Women deserve high-quality antenatal care. The quality and safety of telehealth must be evaluated in all obstetric settings. 妇女应该得到高质量的产前保健。必须在所有产科环境中评估远程保健的质量和安全。

IF 2.1 3区医学

Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2024-12-01 Epub Date: 2024-12-23 DOI: 10.1080/0167482X.2024.2441607

Julie A Quinlivan, Mijke Lambregtse-van den Berg

引用次数: 0