Journal of Psychosomatic Obstetrics & Gynecology最新文献_第3页

Analysis of the differences in mental health and influencing factors between urban and rural patients with Pelvic organ prolapse in China. 中国城乡盆腔器官脱垂患者心理健康差异及影响因素分析

IF 2 3区医学

Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2026-12-31 Epub Date: 2025-12-28 DOI: 10.1080/0167482X.2025.2609453

Xian Chen, Sichen Xia, Anne Arber, Shujun Wang, Xue Han, Chengping Qiao, Xiaoxiang Tao

{"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":"Objective: This study aimed to investigate mental health disparities and their underlying determinants among women with pelvic organ prolapse (POP) in urban and rural China.Methods: 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.Results: 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 (P < 0.05).Conclusions: 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.","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}

引用次数: 0

Translation, cultural adaptation and validation of an Assamese version of the female infertility stigma instrument (ISI-F) among medically assisted reproduction (MAR) treatment seeking women in Assam, India. 在印度阿萨姆邦寻求医学辅助生殖（MAR）治疗的妇女中，翻译、文化适应和验证阿萨姆邦版本的女性不孕症污名文书（ISI-F）。

IF 2.6 3区医学

Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2026-12-31 Epub Date: 2026-06-19 DOI: 10.1080/0167482X.2026.2691134

Pratyashee Ojah, Manas R Pradhan, Tanma Saikia Das, Diganta Deka

{"title":"Translation, cultural adaptation and validation of an Assamese version of the female infertility stigma instrument (ISI-F) among medically assisted reproduction (MAR) treatment seeking women in Assam, India.","authors":"Pratyashee Ojah, Manas R Pradhan, Tanma Saikia Das, Diganta Deka","doi":"10.1080/0167482X.2026.2691134","DOIUrl":"https://doi.org/10.1080/0167482X.2026.2691134","url":null,"abstract":"Objective: This study translates and validates an Assamese version of the Infertility Stigma Instrument-Female (ISI-F) among women seeking Medically Assisted Reproduction (MAR) in Assam, India.Methods: The translated ISI-F was administered among 188 Assamese-speaking women in two healthcare facilities. Exploratory factor analysis (EFA), reliability assessment, and confirmatory factor analysis (CFA) were carried out. Convergent validity was examined using Spearman correlations between ISI-F and the Fertility Quality of Life (FertiQOL) subscales.Results: EFA yielded a refined 15-item scale with four factors: Social Withdrawal, Perceived Social Pressure, Experienced Stigma, and Avoidant Coping, explaining 44.36% of the variance. The scale had acceptable reliability (Cronbach's α = 0.728; McDonald's ω = 0.911). CFA demonstrated a better fit to the four-factor Assamese model (RMSEA = 0.051; CFI = 0.92; TLI = 0.90) than the original ISI-F structure. ISI-F scores were significantly and negatively correlated with FertiQOL domains, supporting the convergent validity. Mean stigma score (44.6 ± 9.11) indicated moderate perceived infertility stigma.Conclusions: The Assamese version of the ISI-F is a reliable and culturally appropriate tool for measuring infertility stigma among MAR treatment seekers in Assam, India. The revised factor structure reflects context-specific distinctions between social pressure, experienced stigma, and coping responses.","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"47 1","pages":"2691134"},"PeriodicalIF":2.6,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148284676","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 Snyder's hope theory-based psychological intervention on post-traumatic growth in chinese women experiencing perinatal loss: a randomised controlled trial. 基于Snyder希望理论的心理干预对中国围产期丧失妇女创伤后成长的影响：一项随机对照试验。

IF 2.6 3区医学

Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2026-12-31 Epub Date: 2026-04-02 DOI: 10.1080/0167482X.2026.2650195

Lianci He, Jianhua Liu, Rong Sun, Ying Tan, Li Qiu, Shaochuan Chen

{"title":"The effect of Snyder's hope theory-based psychological intervention on post-traumatic growth in chinese women experiencing perinatal loss: a randomised controlled trial.","authors":"Lianci He, Jianhua Liu, Rong Sun, Ying Tan, Li Qiu, Shaochuan Chen","doi":"10.1080/0167482X.2026.2650195","DOIUrl":"10.1080/0167482X.2026.2650195","url":null,"abstract":"Objective: To evaluate a Snyder's hope theory-based psychological intervention for promoting post-traumatic growth (PTG) in women after perinatal loss.Methods: This single-blind randomised controlled trial enrolled 140 women (≥20 years) who had experienced perinatal loss. Participants were randomised to an intervention group (n = 70, four weekly hope-based sessions plus routine care) or a control group (n = 70, routine care only). The primary outcome was PTG, with secondary outcomes including grief, hope and post-traumatic stress symptoms. Assessments were conducted at baseline, post intervention and at 1-month follow-up.Results: The intervention group demonstrated significantly greater improvements in PTG than the control group (post intervention: 69.4 ± 10.2 vs 58.3 ± 11.9; follow-up: 71.9 ± 9.6 vs 59.5 ± 11.0; both p < 0.001), with a large effect size (Cohen's d = 1.21). Significant benefits were also observed in grief reduction, hope enhancement and reductions in trauma-related symptoms (all p < 0.001). Regression analysis identified post-intervention hope as a robust predictor of PTG (β = 0.44, p < 0.001).Conclusions: Snyder's hope theory-based intervention effectively promoted PTG and improved psychological outcomes in women experiencing perinatal loss. This approach represents a promising therapeutic framework for supporting women through the complex process of moving from trauma to growth following perinatal loss.","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"47 1","pages":"2650195"},"PeriodicalIF":2.6,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147610581","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 between self-efficacy and quality of life in infertile couples and mediation of marital adjustment: an actor-partner interdependence mediation model. 不孕症夫妇自我效能感与生活质量的关系及婚姻调整的中介作用：一个行动者-伴侣相互依赖的中介模型。

IF 2.6 3区医学

Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2026-12-31 Epub Date: 2026-04-11 DOI: 10.1080/0167482X.2026.2654144

Peitao Li, Junhui Wu, Mingxuan Wang, Rongmei Geng, Baohua Li, Shaomei Shang

{"title":"Association between self-efficacy and quality of life in infertile couples and mediation of marital adjustment: an actor-partner interdependence mediation model.","authors":"Peitao Li, Junhui Wu, Mingxuan Wang, Rongmei Geng, Baohua Li, Shaomei Shang","doi":"10.1080/0167482X.2026.2654144","DOIUrl":"10.1080/0167482X.2026.2654144","url":null,"abstract":"Objective: This study aimed to explore the mediating role of marital adjustment between self-efficacy and quality of life in couples undergoing IVF treatment.Methods: In this cross-sectional study, 293 infertile Chinese couples completed the General Self-Efficacy Scale, Marital Adjustment Test, and Fertility Quality of Life Scale. Data were analyzed using structural equation modeling based on the actor-partner interdependence mediation model.Results: Both wives and husbands showed positive actor effects - their self-efficacy improved quality of life through their own marital adjustment. For partner effects, husbands' self-efficacy enhanced wives' marital adjustment, while husbands' marital adjustment unexpectedly reduced wives' quality of life.Conclusions: Improving self-efficacy and marital adjustment can enhance quality of life for IVF couples. Healthcare providers should approach couples as an integrated unit and develop dyadic interventions to improve both partners' quality of life.","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"47 1","pages":"2654144"},"PeriodicalIF":2.6,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147655530","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

Comparison of HADS-D, PHQ-9 and PHQ-2 for detecting depression in women with polycystic ovary syndrome. HADS-D、PHQ-9、PHQ-2检测多囊卵巢综合征女性抑郁的比较

IF 2.6 3区医学

Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2026-12-31 Epub Date: 2026-04-17 DOI: 10.1080/0167482X.2026.2660700

Siriluk Tantanavipas, Ratana Saipanish, Areepan Sophonsritsuk, Pornsri Niransuk

{"title":"Comparison of HADS-D, PHQ-9 and PHQ-2 for detecting depression in women with polycystic ovary syndrome.","authors":"Siriluk Tantanavipas, Ratana Saipanish, Areepan Sophonsritsuk, Pornsri Niransuk","doi":"10.1080/0167482X.2026.2660700","DOIUrl":"10.1080/0167482X.2026.2660700","url":null,"abstract":"Objective: To compare depression prevalence using the Hospital Anxiety and Depression Scale focused on depression (HADS-D), the Patient Health Questionnaire-9 (PHQ-9) and the Patient Health Questionnaire-2 (PHQ-2). It also evaluated the psychometric properties of these instruments and their agreement at different cutoff scores.Methods: A cross-sectional study with 119 women with PCOS. Participants completed all three measurements to assess depression. The study compared depression prevalence and analysed psychometric properties using Cohen's Kappa (κ), coefficient (ρ), Spearman's correlation and Cronbach's alpha (α).Results: Depression rate among PCOS women varied significantly by screening tool: 2.52%-26.89%. However, there was poor agreement and correlation between HADS-D and PHQ-9. In contrast, using cutoff scores of HADS-D ≥ 7 and PHQ-9 ≥ 10 yielded strong agreement (κ = 0.731) and correlation (ρ = 0.731). The PHQ-2 ≥ 3 had reasonable correlations with HADS-D ≥ 7 (κ = 0.596, ρ = 0.599) and PHQ-9 ≥ 10 (κ = 0.596, ρ = 0.599).Conclusions: Depression rates in PCOS women vary by evaluation technique. This study recommends a cutoff score of ≥7 for the HADS-D and ≥10 for the PHQ-9 to enhance screening accuracy among Thai PCOS women. The PHQ-2 also represents a convenient alternative tool due to its brevity and user-friendliness. We propose that the PHQ-9, with a score of ≥10, constitutes the most suitable screening instrument for Thai women with PCOS.","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"47 1","pages":"2660700"},"PeriodicalIF":2.6,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147718755","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

When loss speaks louder than depression: previous early pregnancy loss as a stronger predictor of mother-infant dyadic disruption. 当失去比抑郁更能说明问题时：先前的早孕失败是母婴二元关系破裂的一个更强的预测因素。

IF 2.6 3区医学

Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2026-12-31 Epub Date: 2026-02-19 DOI: 10.1080/0167482X.2026.2630776

Graziella Bezzan, Vincent Seutin, Miri Keren

{"title":"When loss speaks louder than depression: previous early pregnancy loss as a stronger predictor of mother-infant dyadic disruption.","authors":"Graziella Bezzan, Vincent Seutin, Miri Keren","doi":"10.1080/0167482X.2026.2630776","DOIUrl":"10.1080/0167482X.2026.2630776","url":null,"abstract":"Background: Postpartum depression (PPD) disrupts early mother-infant synchrony, a key determinant of healthy socio-emotional development. The relational impact of prior early pregnancy loss (EPL) remains largely underexplored.Objective: This exploratory cross-sectional study examined the independent and combined effects of PPD severity and prior EPL on mother-infant synchrony.Method: Ninety-six mother-infant dyads, recruited from a population vulnerable to depressive symptoms, were assigned to a control group or to one of three PPD severity groups (mild, moderate, severe). Dyadic synchrony was assessed using the CARE-Index, and EPL history was recorded. Chi-square tests and binary logistic regressions evaluated the effects of PPD severity and EPL on low synchrony.Results: EPL significantly predicted low synchrony (OR = 7.50, 95% CI [1.16-48.36], p = 0.034), independently of PPD severity. Although depressive symptoms showed no overall significant effect (p = 0.123), a severity-response trend emerged: mild (OR = 3.06, p = 0.09), moderate (OR = 3.57, p = 0.06), severe (OR = 7.50, p = 0.01). No interaction between EPL and PPD was found.Conclusions: Prior EPL appears to have lasting effects on mother-infant synchrony, independent of current depressive severity. Larger studies are needed to confirm these findings.","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"47 1","pages":"2630776"},"PeriodicalIF":2.6,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146229712","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 influencing factors for social avoidance and distress among infertile patients based on LASSO and XGBoost algorithms. 基于LASSO和XGBoost算法的不孕症患者社交回避和焦虑影响因素分析

IF 2.6 3区医学

Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2026-12-31 Epub Date: 2026-07-21 DOI: 10.1080/0167482X.2026.2699110

Shengnan Zhao, Suping Zhang, Wei Han, Yaxin Bian, Rong Yue

{"title":"Analysis of influencing factors for social avoidance and distress among infertile patients based on LASSO and XGBoost algorithms.","authors":"Shengnan Zhao, Suping Zhang, Wei Han, Yaxin Bian, Rong Yue","doi":"10.1080/0167482X.2026.2699110","DOIUrl":"https://doi.org/10.1080/0167482X.2026.2699110","url":null,"abstract":"Objective: Infertility negatively impacts mental health and quality of life, with social avoidance and distress (SAD) being a key but underrecognized issue. This study aims to analyze SAD risk factors in infertility patients.Methods: A retrospective study of 205 infertility patients (October 2022-July 2025) was divided into SAD (n = 93) and non-SAD (n = 112) groups. LASSO regression and XGBoost identified key variables, followed by logistic regression and ROC analysis.Results: Significant differences (P < 0.05) were found in age, education, residence, income, infertility stigma scale (ISS), self-esteem scale (SES), cognitive dismantling scale (CD-RISC) and social relationship quality scale (SRQS) scores. Five common factors (age, ISS, SES, CD-RISC, SRQS) were identified. Logistic regression showed age (OR = 1.333) and ISS (OR = 1.101) as risk factors, while SES (OR = 0.726), CD-RISC (OR = 0.876) and SRQS (OR = 0.863) were protective (P < 0.05). AUC values ranged 0.694-0.723, showing only modest discriminative ability.Conclusion: SAD in infertility patients is independently associated with age, ISS, SES, CD-RISC and SRQS scores, each with moderate predictive value. These findings support the application of the above indicators for early identification and risk assessment of SAD among infertile populations.","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"47 1","pages":"2699110"},"PeriodicalIF":2.6,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148551358","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 effects of sexual counseling based on the EX-PLISSIT and BETTER models on female sexual function after assisted reproductive treatment failure: a randomized clinical trial. 基于EX-PLISSIT和BETTER模型的性咨询对辅助生殖治疗失败后女性性功能的影响：一项随机临床试验

IF 2.6 3区医学

Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2026-12-31 Epub Date: 2026-07-28 DOI: 10.1080/0167482X.2026.2705428

Akram Rahimi Shandiz, Fatemeh Zahra Karimi, Seyed Reza Mazloum, Raziyeh Masoumi

{"title":"The effects of sexual counseling based on the EX-PLISSIT and BETTER models on female sexual function after assisted reproductive treatment failure: a randomized clinical trial.","authors":"Akram Rahimi Shandiz, Fatemeh Zahra Karimi, Seyed Reza Mazloum, Raziyeh Masoumi","doi":"10.1080/0167482X.2026.2705428","DOIUrl":"10.1080/0167482X.2026.2705428","url":null,"abstract":"Backgroun and objective: Women who experience assisted reproductive treatment failure may be at risk of developing sexual dysfunction. This study compared the effects of two different sexual counselling models, EX-PLISSIT and BETTER, on the sexual function of women after an unsuccessful assisted reproductive treatment.Methods: This randomized clinical trial included 66 infertile women, out of the 72 initially recruited following assisted reproductive treatment failure, who referred to the Infertility Clinic, Mashhad, Iran. The EX-PLISSIT and BETTER groups received sexual counselling individually in two online and two in-person sessions. Data were collected using a Female Sexual Function Index (FSFI). Data analysis was performed using SPSS 25 with a significance level of P = 0.05.Results: There was no statistically significant difference in the total score of sexual function and the scores of subscales of desire, arousal, lubrication, orgasm, sexual satisfaction and pain between the two groups before the intervention (P > 0.05). Both groups showed significant improvement post-intervention. Their total mean scores for sexual function, desire, sexual satisfaction, arousal and lubrication were all higher than pre-intervention. Additionally, their scores for pain were significantly lower after the intervention (P < 0.001).Conclusion: Sexual counseling, using either the EX-PLISSIT or BETTER model, improved the sexual function of women who experienced a failed assisted reproductive treatment.","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"47 1","pages":"2705428"},"PeriodicalIF":2.6,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148609706","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

A network analysis of core symptoms in menopausal syndrome. 更年期综合征核心症状的网络分析。

IF 2.6 3区医学

Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2026-12-31 Epub Date: 2026-09-24 DOI: 10.1080/0167482X.2026.2733296

Huan Wu, Danfeng Gao, Liwen Song

引用次数: 0

The use of the shortened versions of the perceived stress scale in the obstetric population: assessing agreement and reliability. 使用缩短版本的感知压力量表在产科人口：评估协议和可靠性。

IF 2 3区医学

Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2026-12-31 Epub Date: 2025-12-26 DOI: 10.1080/0167482X.2025.2606355

Renato T Souza, Gabriela M Pereira, Melissa Y Takayama, Mateus T Morvillo, Julia M Fein, Aline Munezero, Marta P Nhauche, Anic C Alves, Jussara Mayrink, Rafael B Galvao, Karayna G Fernandes, Débora Leite, Renato Passini, Maria Jose Osis, Maria L Costa, Francisco E Feitosa, Edilberto A Rocha Filho, Ricardo P Tedesco, Maria Julia Miele, Joao Paulo Souza, Jose Guilherme Cecatti

{"title":"The use of the shortened versions of the perceived stress scale in the obstetric population: assessing agreement and reliability.","authors":"Renato T Souza, Gabriela M Pereira, Melissa Y Takayama, Mateus T Morvillo, Julia M Fein, Aline Munezero, Marta P Nhauche, Anic C Alves, Jussara Mayrink, Rafael B Galvao, Karayna G Fernandes, Débora Leite, Renato Passini, Maria Jose Osis, Maria L Costa, Francisco E Feitosa, Edilberto A Rocha Filho, Ricardo P Tedesco, Maria Julia Miele, Joao Paulo Souza, Jose Guilherme Cecatti","doi":"10.1080/0167482X.2025.2606355","DOIUrl":"10.1080/0167482X.2025.2606355","url":null,"abstract":"Objectives: To assess the reliability of the 10-item and 4-item Perceived Stress Scale (PSS-10 and PSS-4) in the obstetric population, compared with the original 14-item scale (PSS-14).Methods: Data were drawn from two Brazilian multicenter studies: a prospective cohort of pregnant women at 27-29 weeks and a cross-sectional study of postpartum women. Central tendency measures and centiles were compared across versions for overall, pregnant, and postpartum groups. Analyses included concordance, internal consistency, correlation, and reliability.Results: A total of 1,034 women completed the PSS-14. Median scores differed significantly across versions (PSS-10: 47.5; PSS-4: 43.7; PSS-14: 46.4; p < 0.001). Both shortened versions correlated strongly with PSS-14 (PSS-10: r = 0.958; PSS-4: r = 0.814), but agreement was poor (mean difference PSS-14 vs. PSS-10: -0.366 [-8.56 to 7.83], p < 0.001; vs. PSS-4: 5.700 [-14.43 to 25.83], p < 0.001). Reliability was acceptable for PSS-10 (Cronbach's α = 0.704) but low for PSS-4 (α = 0.516).Conclusion: In the obstetric population, PSS-10 may overestimate and PSS-4 underestimate stress levels compared to PSS-14. Further studies are needed to refine the psychometric properties of shorter versions and clarify the clinical implications of score differences.Synopsis: Our findings indicate that the current shortened versions of the Perceived Stress Scale (PSS-10 and PSS-4) might not be a suitable alternative to the original version (PSS-14) in the obstetric population.","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"47 1","pages":"2606355"},"PeriodicalIF":2.0,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145844141","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