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":"<p><p>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 (<i>n</i> = 66) and low/moderate (<i>n</i> = 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.</p>","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}
{"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":"<p><p>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.</p>","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}
{"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":"<p><strong>Objective: </strong>This study evaluated the relationship between treatment for depression and anxiety in pregnancy and the risk of obesity.</p><p><strong>Design: </strong>Multivariate logistic regression analysis, nested case control study design.</p><p><strong>Setting: </strong>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).</p><p><strong>Results: </strong>In this analysis, we found an adjusted OR of 1.56 of BMI ≥ 30, <i>p</i> < .000 with CI (1.35-1.80) in women taking antidepressants in pregnancy, OR 1.56 of BMI ≥ 35, <i>p</i> < .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, <i>p</i> < .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, <i>p</i> < .000; CI 1.18-1.62).</p><p><strong>Conclusions: </strong>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.</p>","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}
Yiqing He, Noor Eshah Tom Abdul Wahab, Haslina Muhamad
{"title":"Development and validation of the Fertility Anxiety Scale for Chinese Women: a tool for clinical and policy applications.","authors":"Yiqing He, Noor Eshah Tom Abdul Wahab, Haslina Muhamad","doi":"10.1080/0167482X.2025.2544707","DOIUrl":"https://doi.org/10.1080/0167482X.2025.2544707","url":null,"abstract":"<p><strong>Background: </strong>With rapid social changes and evolving fertility policies in China, women experience significant fertility anxiety. However, existing tools focus on a single dimension, lacking a comprehensive measure tailored to Chinese women.</p><p><strong>Methods: </strong>Based on cost-utility theory, policy cycle theory, social support theory, gender role theory, and conservation of resources theory, this study developed and validated the Fertility Anxiety Scale for Chinese Women (FAS-CW) through qualitative interviews and surveys.</p><p><strong>Results: </strong>The scale, comprising cognitive and emotional anxiety, demonstrates strong reliability and validity.</p><p><strong>Conclusion: </strong>The FAS-CW provides a reliable tool for assessing fertility anxiety among Chinese women and contributes to the understanding of its multidimensional structure.</p><p><strong>Implications: </strong>The scale can support clinical practice by helping identify high-anxiety individuals and guide policy evaluation related to fertility and childcare. It also provides a basis for comparative research in other low-fertility contexts.</p>","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"46 1","pages":"2544707"},"PeriodicalIF":2.0,"publicationDate":"2025-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976777","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}
Brianna M Magnusson, Mireya C Long, Ruth J Larson, Lexi Maycock, Emma Huefner Wood, Gray Stratford, Evan L Thacker
{"title":"Knowledge about polycystic ovary syndrome (PCOS), body image, and depression by PCOS status among a sample of US females.","authors":"Brianna M Magnusson, Mireya C Long, Ruth J Larson, Lexi Maycock, Emma Huefner Wood, Gray Stratford, Evan L Thacker","doi":"10.1080/0167482X.2025.2541951","DOIUrl":"10.1080/0167482X.2025.2541951","url":null,"abstract":"<p><strong>Background: </strong>Polycystic Ovary Syndrome (PCOS) affects 8-13% of females. US population-based research on PCOS limited. We compare PCOS knowledge and describe common PCOS symptoms in those with and without PCOS.</p><p><strong>Methods: </strong>An internet panel survey of 382 (200 with PCOS) US females 18-30 years was administered. PCOS knowledge was assessed using 20 items classified as correct or incorrect summed to create a knowledge score. Respondents reported experience of each of 8 common PCOS symptoms. Body image and depression were assessed using the Body Image Measurement Scale and PHQ-9.</p><p><strong>Results: </strong>The sample had a mean age of 26.2 years and was majority White, non-Hispanic (76.0%). Those with PCOS demonstrated better PCOS knowledge (mean score 10.7 vs. 9.8; <i>p</i> = 0.029) and were more likely to identify the cardiometabolic sequelae than those without PCOS. More than 50% of respondents with PCOS reported each of the common symptoms. Those with PCOS reported significantly poorer body image (mean 3.71 vs. 3.31; <i>p</i> < .0001) and higher depression symptoms (mean 14.88 vs. 10.69; <i>p </i>< .0001).</p><p><strong>Conclusion: </strong>This study adds to the relatively small body of research on PCOS conducted among US females and highlights that knowledge about PCOS in US young adult females is low, regardless of PCOS status.</p>","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"46 1","pages":"2541951"},"PeriodicalIF":2.0,"publicationDate":"2025-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976769","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}
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":"<p><p>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.</p>","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}
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":"<p><strong>Background: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>The EPDS-9 and full EPDS demonstrated a near-perfect correlation in both the antepartum (<i>r</i> = 0.996) and postpartum (<i>r</i> = 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.</p><p><strong>Conclusion: </strong>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.</p>","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}
{"title":"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.","authors":"","doi":"10.1080/0167482X.2024.2369455","DOIUrl":"10.1080/0167482X.2024.2369455","url":null,"abstract":"","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"45 1","pages":"2369455"},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141762190","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":"Women deserve high-quality antenatal care. The quality and safety of telehealth must be evaluated in all obstetric settings.","authors":"Julie A Quinlivan, Mijke Lambregtse-van den Berg","doi":"10.1080/0167482X.2024.2441607","DOIUrl":"https://doi.org/10.1080/0167482X.2024.2441607","url":null,"abstract":"","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"45 1","pages":"2441607"},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142878461","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}