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

IF 2.1 3区医学

Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2025-12-01 Epub Date: 2025-02-24 DOI: 10.1080/0167482X.2025.2469290

Meike K Blecker, Daria Daehn, Sinha Engel, Susann Steudte-Schmiedgen, Susan Garthus-Niegel, Christine Knaevelsrud, Sarah Schumacher

{"title":"Childbirth-related posttraumatic stress symptoms: exploring the predictive potential of intrapartum hotspots.","authors":"Meike K Blecker, Daria Daehn, Sinha Engel, Susann Steudte-Schmiedgen, Susan Garthus-Niegel, Christine Knaevelsrud, Sarah Schumacher","doi":"10.1080/0167482X.2025.2469290","DOIUrl":"10.1080/0167482X.2025.2469290","url":null,"abstract":"Childbirth-related posttraumatic stress symptoms (CB-PTSS) affect around 12% of postpartum individuals. While the subjective experience of childbirth is a key predictor of CB-PTSS, the specific defining characteristics of negative birth experiences remain poorly understood. This study aims to refine our understanding of negative birth experiences by investigating intrapartum hotspots, i.e. moments of extreme distress, and their association with CB-PTSS. In a cross-sectional study of N = 1,140 individuals who had given birth eight to ten weeks before, we examined the following: the types of hotspots, differences in hotspot-related distress, interpersonal difficulties during the hotspot, and CB-PTSS between the various types of hotspots and whether hotspot-related distress and interpersonal difficulties independently predicted CB-PTSS. Participants completed several items based on previous qualitative work [1] to assess the worst hotspot, hotspot-related distress, and interpersonal difficulties during the hotspot and the City Birth Trauma Scale to measure CB-PTSS, alongside relevant pregnancy- and birth-related questions. Medical interventions were the most frequently experienced worst hotspot and separation from the child was associated with the highest levels of hotspot-related distress, interpersonal difficulties, and CB-PTSS. Hotspot-related distress and interpersonal difficulties independently predicted CB-PTSS. Examining intrapartum hotspots poses a promising approach to define highly negative birth experiences.","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"46 1","pages":"2469290"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparison of the W-DEQ and CAQ in assessing FOC among pregnant women in China. W-DEQ与CAQ在中国孕妇FOC评估中的比较

IF 2.1 3区医学

Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2025-12-01 Epub Date: 2025-02-27 DOI: 10.1080/0167482X.2025.2469178

Xiao-Lan Zhou, Yu-Rou Wei, Guo-Fen Cao, Su-Mei Zhang, Lei Yang, Xiao-Mei Li

{"title":"Comparison of the W-DEQ and CAQ in assessing FOC among pregnant women in China.","authors":"Xiao-Lan Zhou, Yu-Rou Wei, Guo-Fen Cao, Su-Mei Zhang, Lei Yang, Xiao-Mei Li","doi":"10.1080/0167482X.2025.2469178","DOIUrl":"10.1080/0167482X.2025.2469178","url":null,"abstract":"This study compared the efficacy of the Wijma Delivery Expectancy/Experience Questionnaire (W-DEQ) and the Childbirth Attitudes Questionnaire (CAQ) in assessing fear of childbirth (FOC) among hospitalized pregnant women, aiming to identify a practical screening tool. A total of 184 pregnant women were recruited from the Northwest Women's and Children's Hospital using convenience sampling. Data were collected through the General Demographic Questionnaire, Fear of Birth Scale (FOBS), W-DEQ, and CAQ. Using the FOBS as a reference, the diagnostic performance of the W-DEQ and CAQ was evaluated via receiver operating characteristic curves and Bayesian discriminant analysis. The area under the curve (AUC) for the W-DEQ (0.888) was significantly higher than that of the CAQ (0.789; Z = -2.189, p < 0.05). Optimal cutoff values were 80.5 for the W-DEQ and 31.5 for the CAQ. Cross-validation revealed accuracy rates of 75.6% and 70.7%, respectively. The incidence of FOC, as assessed by the W-DEQ, CAQ, and FOBS, was 29.9%, 43.9%, and 37.2%. Both tools demonstrated good reliability and validity, but the W-DEQ showed superior performance. It is recommended as the preferred tool for assessing FOC among pregnant women in China due to its comprehensive evaluation capacity.","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"46 1","pages":"2469178"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Long working hours related to elevated psychological distress among United States pregnant workers: findings from the National Health Interview Survey. 工作时间过长与美国怀孕女工心理压力升高有关：来自全国健康访谈调查的结果。

IF 2.1 3区医学

Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2025-12-01 Epub Date: 2025-06-24 DOI: 10.1080/0167482X.2025.2521780

Megan Guardiano, Tong Xia, Liwei Chen, Jian Li

{"title":"Long working hours related to elevated psychological distress among United States pregnant workers: findings from the National Health Interview Survey.","authors":"Megan Guardiano, Tong Xia, Liwei Chen, Jian Li","doi":"10.1080/0167482X.2025.2521780","DOIUrl":"10.1080/0167482X.2025.2521780","url":null,"abstract":"Long working hours and psychological distress have each been related to adverse maternal health and birth outcomes. Understanding the potential psychological health impacts of long working hours among pregnant workers may support the implementation of maternity work protections in the United States (U.S.). This cross-sectional study among a weighted sample of 3637 pregnant workers from the U.S. population-based National Health Interview Survey (NHIS) 1997-2018 aimed to examine the association of working hours with psychological distress. Multivariable linear regression models analyzed associations between categories of weekly working hours and continuous scores of psychological distress measured by the Kessler 6 (K6) scale, while accounting for demographic, socioeconomic, behavior and health characteristics. In the fully adjusted model, compared to the standard workweek of 35-40 h/week, working ≥49 h/week was associated with higher psychological distress [β (SE): 0.59 (0.21); p = .0058]. This initial evidence connecting excessive working hours with increased psychological distress among a U.S. sample of pregnant women supports clinical practices in prenatal assessments of occupational risk factors, and the provision of work-related resources and work accommodations. Future research is warranted to investigate potential occupational effects on maternal mental health throughout the course of pregnancy and postpartum using cohort studies.","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"46 1","pages":"2521780"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477647","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

Shared decision making in pelvic organ prolapse: a thematic analysis of healthcare professional perspectives. 盆腔器官脱垂的共同决策：卫生保健专业观点的专题分析。

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":"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

Expecting the worst: pain catastrophizing and intolerance of uncertainty in women with fear of childbirth. 做最坏的打算：害怕分娩的女性的痛苦灾难化和对不确定性的不容忍。

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.2025.2507400

Ida Flink, Maryam Al-Khafadji, Sofia Ring, Hanna Grundström, Katri Nieminen, Elin Ternström, Elisabet Rondung

{"title":"Expecting the worst: pain catastrophizing and intolerance of uncertainty in women with fear of childbirth.","authors":"Ida Flink, Maryam Al-Khafadji, Sofia Ring, Hanna Grundström, Katri Nieminen, Elin Ternström, Elisabet Rondung","doi":"10.1080/0167482X.2025.2507400","DOIUrl":"https://doi.org/10.1080/0167482X.2025.2507400","url":null,"abstract":"Fear of childbirth (FOC) is associated with adverse outcomes, for the expecting woman as well as for her baby. In order to prevent and treat FOC, it is important to understand the psychological processes involved. Two potential key processes are intolerance of uncertainty and pain catastrophizing. The aim of this cross-sectional study was to explore intolerance of uncertainty and pain catastrophizing in pregnant individuals with severe vs. low/moderate FOC, and potential differences between nulliparas and multiparas. The sample of 332 individuals filled out a range of questionnaires, and were categorized as severe (n = 66) and low/moderate (n = 266) FOC. The results showed that participants with severe FOC (Wijma Delivery Expectancy Questionnaire, W-DEQ ≥85) reported higher levels of intolerance of uncertainty and pain catastrophizing than participants with low/moderate FOC. We did not find any significant differences between nulliparas and multiparas. Noteworthy, levels of pain catastrophizing in the severe FOC group were similar to those reported in chronic pain samples. Although we cannot draw any conclusions about causality or direction of proposed links, these findings warrant a need for identifying and developing treatment strategies to target intolerance of uncertainty and pain catastrophizing, in both nulliparas and multiparas with high levels of FOC.","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"46 1","pages":"2507400"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Retraction statement. 撤销声明。

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.2025.2506854

引用次数: 0

Association of antidepressant use with obesity risk in pregnant women: a retrospective cohort study. 孕妇使用抗抑郁药与肥胖风险的关联：一项回顾性队列研究

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.2025.2460636

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":"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

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