Blok L J, Eysbouts Y K, Bastiaans S, Sweep F C G J, Ottevanger P B
{"title":"Evaluation of the psychosocial impact and received care in patients with gestational trophoblastic disease - a qualitative interview based study.","authors":"Blok L J, Eysbouts Y K, Bastiaans S, Sweep F C G J, Ottevanger P B","doi":"10.1080/0167482X.2025.2451992","DOIUrl":"10.1080/0167482X.2025.2451992","url":null,"abstract":"<p><p>The diagnosis gestational trophoblastic disease (GTD) is known to have a significant psychological impact on women. Our objective was to provide insight in the psychological and physical consequences of women with GTD, while also reflecting on their coping strategies and their experiences of received care. A qualitative study was carried out using semi-structured interviews among women recently diagnosed with GTD. Interviews were audio-recorded, transcribed verbatim and analyzed using a thematic network approach. Eight interviews were analyzed. The abruptness of the diagnosis resulted in women feeling sad, uncertain and powerless. Coping strategies included seeking emotional support, accurate information, peer connections and distraction. Women were generally satisfied with care, emphasizing personalization, empathy, medical expertise and feeling heard as important aspects. They appreciated offered psychological support from specialized nurses. Nevertheless, aspects such as provided information, communication and logistical issues need improvement. The results of this study emphasize the importance of comprehensive patient information, the need for personalized psychological support and more frequent consultations at reference centers, while treatment is conducted locally.</p>","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"46 1","pages":"2451992"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061171","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}
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":"<p><p>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 <i>N</i> = 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. <i>Medical interventions</i> were the most frequently experienced worst hotspot and <i>separation from the child</i> 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.</p>","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}
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":"<p><p>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 <i>via</i> 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, <i>p</i> < 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.</p>","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}
Xu Yu, Jingya Nie, Lifang Zhou, Yubin Mao, Yanping Jiang
{"title":"Association between mental health and HPV in American women: an analysis based on the 2005-2016 NHANES database.","authors":"Xu Yu, Jingya Nie, Lifang Zhou, Yubin Mao, Yanping Jiang","doi":"10.1080/0167482X.2025.2541955","DOIUrl":"10.1080/0167482X.2025.2541955","url":null,"abstract":"<p><strong>Background: </strong>Human papillomavirus (HPV) is one of the most prevalent sexually transmitted infections (STIs). Individuals with depression face higher risks of other STIs; however, the relationship between depression and HPV remains unclear.</p><p><strong>Objective: </strong>To investigate the association between depression and HPV among American women.</p><p><strong>Methods: </strong>Data were sourced from the National Health and Nutrition Examination Survey (NHANES) conducted from 2005 to 2016. We employed weighted logistic regression models to explore the relationship between depression scores, depressive states, depression severity and HPV infection risk. The stability of intergroup relationships was assessed by subgroup analyses.</p><p><strong>Results: </strong>Seven thousand and twenty-four American women were included, including 3138 HPV-positive individuals. Logistic regression analyses revealed a significant positive correlation between increased depression scores (OR = 1.02, 95% CI: 1.00-1.03, <i>p</i> = .009) and the presence of depression (OR = 1.33, 95% CI: 1.07-1.65, <i>p</i> = .010) with HPV infection risk. The HPV infection risk was elevated in the moderate depression group (OR = 1.32, 95% CI = 1.02-1.70, <i>p</i> = .036). Subgroup analyses indicated that marital status, body mass index and sexual activity frequency interacted with the relationship between depression and HPV (<i>p-</i>interaction < .05).</p><p><strong>Conclusions: </strong>Our findings highlight an association between depression and increased HPV infection risk among American women, underscoring the importance of enhancing HPV protection awareness among women with depression.</p>","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"46 1","pages":"2541955"},"PeriodicalIF":2.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144849521","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}
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":2.6,"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}