Journal of Psychosomatic Obstetrics & Gynecology最新文献

{"title":"Factors associated with long-term posttraumatic stress following later termination of pregnancy for fetal anomaly: results from a longitudinal study.","authors":"Lisa Irmscher, Romy Marx, Maike Linke, Anja Zimmermann, Stephanie Drössler, Maria Stephanie Miebach, Julia Martini, Hendrik Berth","doi":"10.1080/0167482X.2026.2613419","DOIUrl":"10.1080/0167482X.2026.2613419","url":null,"abstract":"<p><strong>Background/objective: </strong>This study investigates factors associated with long-term posttraumatic stress following later termination of pregnancy due to fetal anomaly.</p><p><strong>Methods: </strong><i>N</i> = 159 women undergoing later termination of pregnancy were assessed at four time points: pre-termination (T0), at four months (T1, <i>N</i> = 115), one year (T2, <i>N</i> = 99), and four years post-termination (T3, <i>N</i> = 90). Participants answered a questionnaire containing questions about posttraumatic stress (IES), optimism (LOT-R), social support (F-SozU) and several sociodemographic as well as pregnancy related variables. To assess changes in posttraumatic stress over time and possible predictors, generalized estimating equations were calculated.</p><p><strong>Results: </strong>Average posttraumatic stress declined significantly from T1 (52.3% above average) to T2 (20.0%) and T3 (17.8%). Optimism at T0 was a significant predictor for lower overall posttraumatic stress, avoidance and intrusion. Having previous children and higher gestational age were significant predictors for higher intrusion scores.</p><p><strong>Conclusions: </strong>Findings align with research indicating that most women recover from the initial distress, though some experience prolonged symptoms and should thus receive adequate psychological support. Lower optimism, having previous children and higher gestational age may be risk factors for higher posttraumatic stress levels. Further research should examine the sources of posttraumatic stress among people seeking abortion later in pregnancy due to fetal anomaly.</p>","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"47 1","pages":"2613419"},"PeriodicalIF":2.6,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145953565","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":"Recalibrating Anti-Müllerian Hormone (AMH) reference ranges: a clinical and psychosocial imperative.","authors":"Shun Au, Stephen C Hiew","doi":"10.1080/0167482X.2025.2606348","DOIUrl":"https://doi.org/10.1080/0167482X.2025.2606348","url":null,"abstract":"","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"47 1","pages":"2606348"},"PeriodicalIF":2.0,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145844138","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":"Mind the gap: a systematic review of depression, barriers, and facilitators to mental health care after miscarriage.","authors":"Ruben Fernandez Ibanez, Moises Fernandez, Luis Miguelez","doi":"10.1080/0167482X.2025.2610384","DOIUrl":"10.1080/0167482X.2025.2610384","url":null,"abstract":"<p><strong>Purpose: </strong>This systematic review synthesizes evidence on depressive symptoms and access to mental health care following miscarriage. It examines differences between women in general care settings and those with recurrent pregnancy loss to explore differential psychological vulnerability and care gaps.</p><p><strong>Methods: </strong>A search of four databases (inception-June 2025) followed PRISMA guidelines. Studies reporting depressive symptoms or barriers and facilitators to care were included. Given methodological heterogeneity, findings were synthesized narratively using a SWiM framework, stratifying populations by miscarriage history and assessing quality with risk-of-bias tools.</p><p><strong>Results: </strong>Of 1,140 records, 46 were included. Depressive symptoms were common, though prevalence varied by timing, tools, and characteristics. Evidence suggests a possible graded association between recurrent loss and symptoms, although this was inconsistent and often attenuated in acute assessments. Key correlates included childlessness, prior psychiatric history, repeated loss, and low social support. Barriers included insensitive communication, lack of follow-up, and financial constraints. Facilitators included empathetic interactions, clear information, and supportive networks.</p><p><strong>Conclusions: </strong>Miscarriage is frequently associated with significant distress, yet evidence certainty varies regarding recurrence and intervention effectiveness. Findings highlight a persistent gap between women's mental health needs and healthcare responses.</p>","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"47 1","pages":"2610384"},"PeriodicalIF":2.0,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145866287","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":"Recent advances in the relationship between mental symptoms in postmenopausal women and estrogen fluctuations.","authors":"Jiayi Zhu, Yuchang Huang, Jinghua Yuan, Lailing Du, Lin Huang, Xiaoping Li, Weicui Qi","doi":"10.1080/0167482X.2026.2666107","DOIUrl":"10.1080/0167482X.2026.2666107","url":null,"abstract":"<p><strong>Background: </strong>Estrogen fluctuations during menopause are linked to increased psychiatric symptoms like depression and anxiety. Depression rates in menopausal women are 2-3 times higher than in premenopausal women, primarily due to rapid estrogen changes. Estrogen affects emotional stability by regulating neurotransmitters, adjusting HPA axis sensitivity, and influencing neuroinflammatory and epigenetic pathways. Menopausal hormone therapy (MHT) is a key treatment, stabilizing neurotransmitter systems and HPA axis activity, but requires personalized and evidence-based approaches.</p><p><strong>Objective: </strong>This paper aims to systematically summarize the association between estrogen fluctuations and menopausal psychiatric symptoms, elucidate the underlying physiological and molecular mechanisms driving these symptoms, and evaluate the therapeutic potential of MHT, so as to provide a robust theoretical basis for clinical decision-making in menopausal mental health management.</p><p><strong>Methods: </strong>We performed a thorough review of peer-reviewed studies from medical and psychiatric databases, examining the connections between menopausal estrogen changes, neurotransmitter regulation, HPA axis function, neuroinflammation, epigenetic changes, and the effectiveness and safety of MHT for managing psychiatric symptoms. We prioritized high-quality clinical trials, epidemiological studies, and mechanistic research to ensure reliable evidence.</p><p><strong>Results: </strong>The review highlights that sudden estrogen changes during menopause disrupt serotonin and norepinephrine signaling, alter HPA axis activity, and trigger neuroinflammation and epigenetic changes, increasing the risk of depression and anxiety. Menopausal hormone therapy (MHT) can alleviate these symptoms by restoring neurotransmitter balance and normalizing HPA axis function. However, its effectiveness depends on factors like treatment timing, hormone type, and individual patient characteristics, including medical history and symptom severity.</p><p><strong>Conclusion: </strong>Estrogen fluctuation is a significant modifiable risk factor for psychiatric symptoms during menopause, affecting neurotransmitter, endocrine, inflammatory, and epigenetic pathways. Menopausal hormone therapy (MHT) is effective for symptom management when personalized and administered within recommended timeframes. This underscores the importance of assessing estrogen levels and psychiatric symptoms in menopausal women to optimize MHT and enhance mental health outcomes.</p>","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"47 1","pages":"2666107"},"PeriodicalIF":2.6,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845342","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":"Exploring the role of social media and online communities in the infertility journey: a scoping review.","authors":"Swati Dhar, Vidyashree Ganesh Poojari, Anjali Mundkur, Prashanth Adiga, Akash Tomar, Vijay Shree Dhyani","doi":"10.1080/0167482X.2026.2660687","DOIUrl":"10.1080/0167482X.2026.2660687","url":null,"abstract":"<p><strong>Objective: </strong>Infertility is a global health challenge with profound psychosocial consequences. Couples navigate this journey within social media and online communities. These digital spaces offer opportunities for support, coping and information exchange, but also expose users to comparison culture, misinformation, and inequities. This scoping review aims to synthesize the available evidence on how social-media and online communities shape the psychosocial experience of infertility, identifying both supportive and harmful dimensions.</p><p><strong>Methods: </strong>Following Joanna-Briggs Institute methodology PRISMA-ScR guidelines, a comprehensive search was conducted. Eligible studies included qualitative, quantitative and mixed-methods designs. Data were charted using a standardized extraction tool and synthesized thematically. Of 6,935 records screened, 19 studies were included.</p><p><strong>Results: </strong>A qualitative content analysis was undertaken to identify four domains: (1) Psychosocial impact of infertility in online spaces, (2) Coping strategies and peer support, (3) Information sharing and misinformation, and (4) Gender, equity and global perspectives. Through studies, supportive functions coexisted with significant risks particularly misinformation, commercial exploitation and exacerbation of stigma.</p><p><strong>Conclusions: </strong>Social media functions both as a lifeline and a liability in the infertility journey. Harnessing its supportive potential while mitigating risks requires clinician engagement, digital literacy initiatives, culturally sensitive research and ethical oversight.</p>","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"47 1","pages":"2660687"},"PeriodicalIF":2.6,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147724488","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":"Sexual function, psychological distress, and health-related quality of life in HPV-positive women with and without LEEP: a cross-sectional comparative study.","authors":"Şahin Yüksek, Hasan Turan, Numan Bilgiç, Mürşide Çevikoğlu Kıllı, Osman Doğan, Mehmet Sait Bakır","doi":"10.1080/0167482X.2026.2753611","DOIUrl":"https://doi.org/10.1080/0167482X.2026.2753611","url":null,"abstract":"<p><strong>Objective: </strong>To compare sexual function, psychological distress, and health-related quality of life (HRQoL) between HPV-positive women with and without prior loop electrosurgical excision procedure (LEEP).</p><p><strong>Methods: </strong>In this cross-sectional study, 226 HPV-positive women (LEEP, <i>n</i> = 112; no LEEP, <i>n</i> = 114) attending a tertiary clinic in Mersin, Türkiye, between January and June 2026 completed the FSFI (primary outcome), HADS, and SF-36. Analyzes used Mann-Whitney U and χ² tests and multivariable regression, with Holm correction within prespecified families.</p><p><strong>Results: </strong>FSFI scores were lower in the LEEP group (median 14.6 vs 22.3; median difference -3.3, 95% CI -6.4 to -1.0; rank-biserial r = -0.23). The difference persisted after adjustment (-4.0, 95% CI -6.8 to -1.2) and among sexually active women. Desire, arousal, lubrication, and satisfaction were lower after Holm correction. Anxiety, depression, and SF-36 domains showed no significant differences. Most LEEP participants had CIN2-3, unlike controls. Time since LEEP was unrelated to outcomes.</p><p><strong>Conclusion: </strong>Prior LEEP was associated with modestly lower sexual function, without significant differences in psychological distress or HRQoL. Differences in lesion grade and absence of pretreatment assessments preclude attributing this association to LEEP itself. Sexual-health assessment may be useful during follow-up.</p>","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"47 1","pages":"2753611"},"PeriodicalIF":2.6,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149247205","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":"Fathers in the shadow of pregnancy: a qualitative study on couvade syndrome in expectant fathers.","authors":"Sinem Ceylan, Ilknur Munevver Gonenc, Havva Ozdemir, Suheda Cifci","doi":"10.1080/0167482X.2026.2689383","DOIUrl":"https://doi.org/10.1080/0167482X.2026.2689383","url":null,"abstract":"<p><strong>Objective: </strong>To examine the physical, emotional, and relational responses of expectant fathers and to elucidate how Couvade-related phenomena influence couple dynamics.</p><p><strong>Methods: </strong>This qualitative study was conducted between July 2025 and October 2025 with nine married couples (<i>n</i> = 18). A total of 27 interviews were carried out, including 18 individual interviews and 9 joint couple interviews. Data were collected using a semi-structured interview guide developed by academic midwives, transcribed verbatim, and analyzed using Braun and Clarke's reflexive thematic analysis.</p><p><strong>Results: </strong>Five main themes were identified: sharing of bodily reflections, emotional sensitivity and anxieties, questioning of masculinity norms, changes in relationship closeness and dynamics, and construction of fatherhood identity with supportive partnership. Findings revealed that Couvade syndrome extends beyond physiological symptoms, transforming men's emotional experiences, strengthening partner communication, and contributing significantly to the preparation for fatherhood.</p><p><strong>Conclusion: </strong>This study highlights that Couvade syndrome is not limited to physical manifestations but also represents a multidimensional process involving emotional sensitivity, relationship changes, questioning of masculinity norms, and construction of a fatherhood identity. Expectant fathers are not passive observers of pregnancy but active partners in this journey.</p>","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"47 1","pages":"2689383"},"PeriodicalIF":2.6,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148279545","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":"Investigating the association between climate change anxiety and premenstrual syndrome severity among young women: a cross-sectional study.","authors":"Neşe Karakaya, Nazlı Baltacı","doi":"10.1080/0167482X.2026.2704359","DOIUrl":"10.1080/0167482X.2026.2704359","url":null,"abstract":"<p><strong>Background: </strong>Climate change is a significant threat to global health. While its psychological impacts are documented, research exploring the link between climate change anxiety and premenstrual disorders is scarce.</p><p><strong>Objective: </strong>This study investigated the relationship between climate change anxiety and premenstrual syndrome (PMS) severity among young women.</p><p><strong>Methods: </strong>A cross-sectional study was conducted with 1035 young women (mean age: 20.83 ± 1.76) in Türkiye. Data were collected using the Climate Change Anxiety Scale (CCAS) and the Premenstrual Syndrome Scale (PMSS). Data were analyzed using Pearson's correlation and linear regression.</p><p><strong>Results: </strong>PMS prevalence was 60.8%. A significant positive correlation was found between total CCAS and PMSS scores (<i>r</i> = 0.188, <i>p</i> < 0.001). Higher levels of overall climate change anxiety were significantly correlated with increased PMS severity (<i>r</i> = 0.188, <i>p</i> < 0.001). Regression analysis revealed that climate change anxiety is significantly associated with PMS symptoms, explaining 3.5% of the variance (R² = 0.035, <i>p</i> < 0.001). Age and menstruation-related daily life interference were also associated with higher climate anxiety.</p><p><strong>Conclusion: </strong>Climate change anxiety acts as a modern psychosomatic stressor contributing to premenstrual symptoms. Healthcare professionals should adopt holistic approaches, considering environmental distress a potential factor in menstrual health management for young populations.</p>","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"47 1","pages":"2704359"},"PeriodicalIF":2.6,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148724395","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":"Psychological birth trauma and breastfeeding self-efficacy: a parallel mediation model of resilience and bonding.","authors":"Liting Yan, Lingling Huang, Shaofang Wang, Ting Chen, Lili Zhao, Yinying Huang","doi":"10.1080/0167482X.2026.2746741","DOIUrl":"https://doi.org/10.1080/0167482X.2026.2746741","url":null,"abstract":"<p><strong>Background: </strong>Psychological birth trauma (PBT) is associated with early breastfeeding difficulties, but pathways linking PBT to reduced breastfeeding self-efficacy (BSE) remain underexplored.</p><p><strong>Objectives: </strong>To examine statistical associations among PBT, BSE, mother-infant bonding, and psychological resilience, evaluating bonding and resilience as parallel mediators.</p><p><strong>Methods: </strong>In this cross-sectional study, 528 postpartum women recruited from a tertiary maternity hospital completed validated scales assessing PBT, BSE, bonding, and resilience. Data were analyzed using bivariate correlations and PROCESS Macro.</p><p><strong>Results: </strong>PBT was negatively correlated with BSE (r = -0.558), resilience (r = -0.559), and bonding (r = -0.459; all <i>p</i> < 0.001). Parallel mediation revealed significant indirect pathways via bonding (B = -0.070, 95% CI [-0.112, -0.026]) and resilience (B = -0.107, 95% CI [-0.166, -0.057]), with a total indirect effect of B = -0.177 (95% CI [-0.233, -0.121]). The direct association between PBT and BSE remained significant (B = -0.350, 95% CI [-0.435, -0.265]).</p><p><strong>Conclusions: </strong>PBT, dyadic bonding, and resilience demonstrate robust concurrent associations with initial maternal breastfeeding self-efficacy. While these cross-sectional findings delineate patterns of statistical covariance rather than temporal or causal pathways, they highlight the relevance of integrating relational and intrapersonal screening into early postpartum maternal care.</p>","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"47 1","pages":"2746741"},"PeriodicalIF":2.6,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149225340","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":"Analysis of the differences in mental health and influencing factors between urban and rural patients with Pelvic organ prolapse in China.","authors":"Xian Chen, Sichen Xia, Anne Arber, Shujun Wang, Xue Han, Chengping Qiao, Xiaoxiang Tao","doi":"10.1080/0167482X.2025.2609453","DOIUrl":"https://doi.org/10.1080/0167482X.2025.2609453","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to investigate mental health disparities and their underlying determinants among women with pelvic organ prolapse (POP) in urban and rural China.</p><p><strong>Methods: </strong>From August 2022 to August 2023, a convenience sampling method was employed to select 322 POP patients at a tertiary specialized hospital in Nanjing, China. The study used a general information questionnaire, General Health Questionnaire-28, and Perceived Social Support Scale. Influencing factors on mental health were analyzed using univariate and multivariate logistic regression.</p><p><strong>Results: </strong>Among the 322 POP patients, 68.01% (219 cases) were from urban areas, and 31.99% (103 cases) were from rural areas. Significant baseline differences were observed, with urban patients having higher education levels and rural patients having a greater number of childbirths and longer disease duration. Based on the General Health Questionnaire-28, urban POP patients scored higher on somatic symptoms, anxiety and insomnia, severe depression, and overall score, compared to rural POP patients (<i>P</i> < 0.05).</p><p><strong>Conclusions: </strong>Mental health issues are prevalent among POP patients, with urban POP female patients facing a greater mental health burden than rural patients. Our findings highlight the need for targeted nursing and psychological interventions for this group, especially for urban patients, to improve health conditions.</p>","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"47 1","pages":"2609453"},"PeriodicalIF":2.0,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145850657","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}