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

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

IF 2.1 3区医学

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

David C Reardon

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

引用次数: 0

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

IF 2.1 3区医学

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

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

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

引用次数: 0

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

IF 2.1 3区医学

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

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

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

引用次数: 0

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

IF 2.1 3区医学

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

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

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

引用次数: 0

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

IF 2.1 3区医学

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

Yanyan Lu, Xiaoxuan Qi, Qing Cheng, Jing Sun

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

引用次数: 0

Analysis of emotional fluctuations in infertile women during ART treatment: the impact of ovarian hyperstimulation. 不孕妇女ART治疗期间情绪波动分析：卵巢过度刺激的影响。

IF 2.1 3区医学

Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2025-12-01 Epub Date: 2025-05-19 DOI: 10.1080/0167482X.2025.2500929

Xinyu Zhou, Sen Liang, Dongmei Ji, Chunmei Liang, Yunxia Cao

{"title":"Analysis of emotional fluctuations in infertile women during ART treatment: the impact of ovarian hyperstimulation.","authors":"Xinyu Zhou, Sen Liang, Dongmei Ji, Chunmei Liang, Yunxia Cao","doi":"10.1080/0167482X.2025.2500929","DOIUrl":"https://doi.org/10.1080/0167482X.2025.2500929","url":null,"abstract":"Background: Infertility affects many reproductive-aged couples, with assisted reproductive technology (ART) offering hope but also significant emotional stress due to invasive procedures, hormonal fluctuations, uncertainty, and financial and emotional burden of repeated cycles. Ovarian hyperstimulation syndrome (OHSS), a common ART complication, may further aggravate psychological distress, yet its mental health impact remains understudied.Methods: This longitudinal study included 1,429 women undergoing their first ART cycle at a reproductive center in China. Psychological assessments were conducted at four critical time points: before ART, post-surgery (early pregnancy), mid-pregnancy and late pregnancy. Validated scales (SAS, CES-D, CPSS, PSQI) measured anxiety, depression, stress, and sleep quality. OHSS was diagnosed per clinical guidelines. Generalized estimating equations (GEEs) assessed changes over time and the moderating effects of OHSS, adjusting for age, education level and income.Results: OHSS occurred in 9.2% of participants, who tended to be younger and have higher socioeconomic status. Anxiety peaked after surgery and remained elevated; stress declined steadily; sleep quality improved; depression rebounded slightly in late pregnancy. OHSS significantly intensified anxiety and stress but had no clear impact on depression or sleep.Conclusions: Emotional responses during ART are dynamic. OHSS amplifies anxiety and stress, warranting integrated psychological support within ART programs, particularly for OHSS-affected women.","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"46 1","pages":"2500929"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095178","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

Depression, anxiety and associated factors among infertile women in Zanzibar. 桑给巴尔不孕妇女的抑郁、焦虑及相关因素

IF 2.1 3区医学

Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2025-12-01 Epub Date: 2025-06-23 DOI: 10.1080/0167482X.2025.2522387

Wenxuan Gao, Yuxin Ju, Lingling Gao, Hassanat Mohammed Abdalla, Sabra Salum Masoud

{"title":"Depression, anxiety and associated factors among infertile women in Zanzibar.","authors":"Wenxuan Gao, Yuxin Ju, Lingling Gao, Hassanat Mohammed Abdalla, Sabra Salum Masoud","doi":"10.1080/0167482X.2025.2522387","DOIUrl":"https://doi.org/10.1080/0167482X.2025.2522387","url":null,"abstract":"To determine the prevalence of depression and anxiety among infertile women in Zanzibar and explore their risk factors, infertile female patients were recruited from Mnazi Mmoja Hospital in Zanzibar. The questionnaire survey was adopted. Ordinal univariate and multivariate logistic regression analyses were separately conducted to identify the risk factors associated with depression and anxiety in this sample. Among 330 infertile women, the overall prevalence of depression among patients with infertility was 40.3% and the incidence of anxiety was 66.06%. Older age (odds ratios (ORs): 1.056, 95%CI: 1.004-1.112, p = .035) and low education level (OR: 0.685, 95%CI: 0.475-0.987, p = .042) were the independent risk factors for depression. Low educational level (OR: 0.678, 95%CI: 0.482-0.954, p = .026) and primary infertility (OR: 1.546; 95%CI: 1.028-2.324, p = .036) were the risk factors for anxiety. Low educational level is a risk factor for both depression and anxiety in infertile women. Older age is a risk factor for depression and primary infertility is a risk factor for anxiety.","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"46 1","pages":"2522387"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477646","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

Construction of psychosocial adaptation model for hysterectomy patient: hermeneutical phenomenological research. 子宫切除术患者心理社会适应模型的构建：解释学现象学研究。

IF 2.1 3区医学

Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2025-12-01 Epub Date: 2025-06-05 DOI: 10.1080/0167482X.2025.2515375

Huiyan Wang, Lihui Li, Haibin Zhang, Shujie Liu, Qianqian Zhao, Fuchen Zhao, Xuejing Jia

{"title":"Construction of psychosocial adaptation model for hysterectomy patient: hermeneutical phenomenological research.","authors":"Huiyan Wang, Lihui Li, Haibin Zhang, Shujie Liu, Qianqian Zhao, Fuchen Zhao, Xuejing Jia","doi":"10.1080/0167482X.2025.2515375","DOIUrl":"https://doi.org/10.1080/0167482X.2025.2515375","url":null,"abstract":"Objective: To deeply explore the psychosocial adaptation experience of hysterectomy patients at various stages, with the aim of constructing a conceptual model to describe the complex experience of psychosocial adaptation.Methods: Semi-structured in-depth interviews were conducted on twelve patients undergoing hysterectomy using hermeneutical phenomenological methods, and the data were analyzed using the Smith analysis method.Results: were refined into four stages and ten sub-themes: (1) Shock and Confusion Stage: shock and unwillingness, fear and anxiety; (2) Physical and Mental Dilemma Stage: surgical trauma, self-cognitive impact, and increasing dependence on social support; (3) Adjustment and Exploration Stage: correcting self-efficacy, self-cognitive reconstruction, and exploring social boundaries; (4) Integration and Adaptation Stage: returning to social roles and achieving closed-loop psychosocial adaptation.Conclusion: The conceptual model of psychosocial adaptation offers amore systematic and comprehensive consideration and reveals a comprehensive panorama of how women undergoing hysterectomy gradually adapt and integrate into society. Medical staff are reminded to pay close attention to the psychological change requirements of hysterectomy patients at different stages, provide healthcare-emotional-knowledge-economic support, strengthen physiological-psychological-behavioral linkage management, reduce or eliminate negative emotions, and promote their early integration into society.","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"46 1","pages":"2515375"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227425","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

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. 比较两种远程医疗咨询干预对独生子女妇女继发性恐惧症的效果：一项实用的三组随机对照试验的研究方案。

IF 2.1 3区医学

Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2025-12-01 Epub Date: 2025-05-15 DOI: 10.1080/0167482X.2025.2500928

Maryam Ramezani, Mohsen Dehghani, Somaye Minaei Moghadam, Sedigheh Abdollahpour

{"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":"Background: 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.Methods/design: 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.Discussion: 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.Trial registration: Current Controlled Trials IRCT20240207060923N1. Registered 18 May 2024.","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}

引用次数: 0

The effect of low-dose esketamine on maternal depression after cesarean delivery. 低剂量艾氯胺酮对剖宫产后产妇抑郁的影响。

IF 2.1 3区医学

Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2025-12-01 Epub Date: 2025-07-03 DOI: 10.1080/0167482X.2025.2527659

Yan Shang, Siyuan Li, Qin Zheng, Tingting Mi, Yuzhu Lv, Lichun Han, Binrong Wang

{"title":"The effect of low-dose esketamine on maternal depression after cesarean delivery.","authors":"Yan Shang, Siyuan Li, Qin Zheng, Tingting Mi, Yuzhu Lv, Lichun Han, Binrong Wang","doi":"10.1080/0167482X.2025.2527659","DOIUrl":"10.1080/0167482X.2025.2527659","url":null,"abstract":"Objective: To assess the impact of low-dose intravenous esketamine on postpartum depression scores in women undergoing cesarean section.Methods: In a randomized, double-blind, placebo-controlled trial, 186 women aged 20-50 years receiving epidural anesthesia for cesarean section were divided into three groups: Group A (0.25 mg/kg esketamine intraoperatively + esketamine in PCIA), Group B (0.25 mg/kg esketamine intraoperatively + PCIA without esketamine), and Group C (placebo intraoperatively + PCIA without esketamine). The primary outcome was the change in Edinburgh Postnatal Depression Scale (EPDS) scores. Secondary outcomes included Pittsburgh Sleep Quality Index (PSQI) scores, Visual Analogue Scale (VAS) scores, PCIA bolus frequency, and adverse events.Results: EPDS and PSQI scores decreased significantly post-surgery across all groups (p < 0.05). Groups A and B showed greater EPDS score reductions than Group C at 5, 7 and 14 days postoperatively (p < 0.01). No significant differences were observed in PSQI scores, VAS scores or PCIA bolus frequency between groups. Adverse events though mild and transient, were more frequent in Group A (p < 0.01).Conclusion: Low-dose intravenous esketamine, reduces postpartum depression scores post-cesarean section, with a safe profile despite increased mild adverse events when combined with PCIA.","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"46 1","pages":"2527659"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555575","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