Women's health (London, England)最新文献

{"title":"Burden of intimate partner violence, mental health issues, and help-seeking behaviors among women in Nepal.","authors":"Monna Kurvinen, Anna Mia Ekström, Keshab Deuba","doi":"10.1177/17455057251326416","DOIUrl":"10.1177/17455057251326416","url":null,"abstract":"<p><strong>Background: </strong>Intimate partner violence (IPV) is the most common form of violence, presenting a significant public health concern, especially for women and girls. Help-seeking can reduce future IPV and mitigate adverse health outcomes, including mental health issues.</p><p><strong>Objectives: </strong>This study is the first national assessment on IPV, mental health consequences, and associated help-seeking behaviors in Nepal.</p><p><strong>Design: </strong>A cross-sectional descriptive study.</p><p><strong>Methods: </strong>Using secondary data from the 2022 Nepal Demographic and Health Survey, this study includes 5178 women aged 15-49 and employs multivariate regression analysis to explore the association between IPV and mental health problems, as well as factors influencing help-seeking behavior for both issues.</p><p><strong>Results: </strong>Among participants, 31.4% reported ever experiencing IPV, and most (29.4% of all women) in the past 12 months. Of those ever experiencing IPV, 72.0% had not sought help for IPV, and 92.2% of those who did, opted for informal support. A total of 27.6% (<i>n</i> = 1427) of female interviewees reported anxiety symptoms, 21.5% (<i>n</i> = 1110) depressive symptoms, and 7.1% (<i>n</i> = 368) suicidal ideation within the past 2 weeks. These rates were higher among women who had experienced IPV in the past 12 months, with 41.1% reporting anxiety, 33.2% depression symptoms, and 14.1% suicidal ideation. Of the 4194 respondents with symptoms of anxiety, depression, or suicidal ideation who were asked about help-seeking for mental health issues, 19.4% (<i>n</i> = 812) had sought help, primarily from informal sources (93.4%, <i>n</i> = 759). Emotional IPV in the past 12 months increased the odds of anxiety (adjusted odds ratio (aOR) 3.00, 95% confidence interval (CI) 2.08-4.31), depression (aOR 3.09, 95% CI 2.19-4.37), and suicidal ideation (aOR 1.91, 95% CI 1.20-3.04). Sexual IPV increased the odds of anxiety (aOR 2.88, 95% CI 1.67-4.95) and depression (aOR 2.12, 95% CI 1.32-3.41), while controlling behavior heightened the odds of depression (aOR 2.42, 95% CI 2.02-2.89) and suicidal ideation (aOR 2.24, 95% CI 1.25-4.02).</p><p><strong>Conclusion: </strong>This nationwide study reveals a high prevalence of IPV and related mental health problems among women in Nepal and a low rate of help-seeking behavior, in particular to formal support structures. Stronger health system responses and empowering informal support are essential to improve referrals and raise awareness for violence survivors.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057251326416"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11921001/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659994","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Attention to the body! Comparing the connection between interoceptive abilities and somatic complaints of women with and without history of intimate partner violence.","authors":"Joana Machorrinho, José Marmeleira, Graça Duarte Santos, Guida Veiga","doi":"10.1177/17455057251326013","DOIUrl":"10.1177/17455057251326013","url":null,"abstract":"<p><strong>Background: </strong>Somatic complaints are a critical burden to women, particularly to those women who survived intimate partner violence (IPV). The way women feel, perceive, and relate to their own body, that is, interoception, seems to have a significant role in the pathway to somatic complaints. However, to the best of our knowledge, no study has yet explored the relationship between interoception and somatic complaints of women survivors of IPV.</p><p><strong>Objectives: </strong>To deepen the understanding of the underlying interoceptive mechanisms of somatic complaints experienced by women survivors of IPV.</p><p><strong>Design: </strong>Cross-sectional study.</p><p><strong>Method: </strong>Women with (<i>N</i> = 44) and without (<i>N</i> = 52) history of IPV were assessed regarding interoceptive accuracy, interoceptive sensibility, and somatic complaints. Associations between both variables in each group were examined, and a hierarchical regression analysis assessed to what extent somatic complaints were explained by the interoceptive abilities, with the mediating role of IPV group membership.</p><p><strong>Results: </strong>Women survivors of IPV reported more somatic complaints (<i>p</i> < 0.001), which were negatively associated with interoceptive attention regulation. The opposite association was found in women who have never experienced IPV. For the IPV group, the interoceptive attention regulation, added to age and the index of the violence suffered, explains 43% of the variance in somatic complaints.</p><p><strong>Conclusion: </strong>The findings suggest that for women with history of IPV, but not for those without, the ability to regulate the attention given to bodily sensations is a mediator of women' somatic complaint. Thereby we suggest that interoceptive attention regulation can be a promising therapeutic aim, for women recovering from IPV.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057251326013"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12038206/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144002181","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Expectations versus reality: Two cross-sectional studies on expected and experienced discontinuation symptoms in current and former contraceptive pill users.","authors":"Philine Elise Wienand, Marcel Wilhelm","doi":"10.1177/17455057251338401","DOIUrl":"10.1177/17455057251338401","url":null,"abstract":"<p><strong>Background: </strong>Discontinuation of the contraceptive pill is common, but little research has explored women's personal experiences with discontinuation symptoms and associated psychological factors.</p><p><strong>Objectives: </strong>These studies provide initial cross-sectional data on symptoms associated with discontinuation of the contraceptive pill, focusing on both expected symptoms in current users and experienced symptoms in former users. We examined how psychological factors (e.g., beliefs about medicine, trait anxiety) relate to these symptoms.</p><p><strong>Design: </strong>Two parallel online questionnaires were administered: One with current and another with former contraceptive pill users (<i>n</i> = 642).</p><p><strong>Methods: </strong>We analyzed expected discontinuation symptoms in current users and experienced symptoms in former users. Multiple linear regressions assessed the relationships between psychological factors (beliefs about and sensitivity to medicine, trait anxiety, reason for usage, time since discontinuation) and discontinuation symptoms.</p><p><strong>Results: </strong>In current users, expected symptoms were associated with concerns about (<i>b</i> = 0.32, <i>p</i> < 0.001, 95% CI [0.35, 0.97], <i>f</i>² = 0.10) and perceived necessity of (<i>b</i> = 0.24, <i>p</i> < 0.001, 95% CI [0.22, 0.86], <i>f</i>² = 0.06) the contraceptive pill, perceived overuse of medication (<i>b</i> = 0.17, <i>p</i> = 0.013, 95% CI [0.13, 1.11], <i>f</i>² = 0.03), and trait anxiety (<i>b</i> = 0.21, <i>p</i> = 0.003, 95% CI [0.06, 0.29], <i>f</i>² = 0.05). Former users who indicated non-contraceptive reasons for using the contraceptive pill experienced more discontinuation symptoms (<i>b</i> = 1.68, <i>p</i> < 0.001, 95% CI [0.78, 2.59], <i>f</i>² = 0.03).</p><p><strong>Conclusions: </strong>These studies provide the first data on contraceptive pill discontinuation symptoms, showing that current users expect them, and former users experienced them. Psychological factors (e.g., trait anxiety) were linked to expected symptoms, suggesting nocebo-like mechanisms. Future research integrating nocebo theory (e.g., addressing negative expectations directly) could help empower women to make informed choices when discontinuing the contraceptive pill.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057251338401"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12099172/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Virtually delivered lifestyle interventions for overweight and obese pregnant people: A systematic review.","authors":"Tahlie Park, Scarlett Brickwood, Kelsey Buss, Vivian Tran, David Parsons, Kerrie Wisely, Katharine Gillett, Heidi Lavis, Susan Heaney","doi":"10.1177/17455057251336292","DOIUrl":"10.1177/17455057251336292","url":null,"abstract":"<p><strong>Background: </strong>Gestational weight gain (GWG) impacts both foetal and maternal health outcomes, with excessive GWG in overweight and obese people further increasing the risk of complications for this population. Lifestyle changes including consuming a healthy diet and physical activity are core strategies for management. Since 2020 and the emergence of the COVID-19 pandemic, use of telehealth has increased; however, little is known about the effectiveness of virtually delivered strategies for maintaining healthy gestational weight during pregnancy.</p><p><strong>Objectives: </strong>To describe the effect of virtually delivered lifestyle interventions on promoting healthy GWG and reducing maternal and foetal complications associated with excessive GWG, with the view to inform future clinical practice.</p><p><strong>Design: </strong>This systematic review followed preferred reporting items for systematic reviews and meta-analysis (PRISMA) guidelines and targeted quantitative studies assessing virtually delivered lifestyle interventions for maintaining healthy gestational weight for overweight and obese pregnant individuals aged 18 and older.</p><p><strong>Data sources and methods: </strong>Six databases (MEDLINE, CINHAL, EMBASE, EMCARE, MIDIRS and APA PsycINFO) were searched using a rigorous search strategy. Data extraction investigated mode of telehealth delivery, intervention type and GWG outcomes. Quality appraisal was conducted using the Critical Appraisal Skills Programme tool and risk of bias was assessed using the Risk of Bias assessment (RoB-2).</p><p><strong>Results: </strong>Nine studies met inclusion criteria and within those studies, six different telehealth modalities were identified. Interventions varied and included GWG tracking, step counts, diet and exercise goal setting. Effectiveness of studies was inconsistent, with five studies demonstrating lower GWG.</p><p><strong>Conclusion: </strong>Results suggest that lifestyle interventions delivered via telehealth may be effective at reducing excessive GWG. The development of targeted interventions integrated into obstetric guidelines aimed at reducing excessive GWG via telehealth platforms should be considered as a strategy not only for pandemic situations, but to increase antenatal care and service access.</p><p><strong>Registration: </strong>PROSPERO International Prospective Register on 26 January 2023 (CRD42023392095).</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057251336292"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12089722/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144103178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dietary intakes, diet quality and physical activity levels from preconception to late pregnancy: Prospective assessment of changes and adherence to recommendations.","authors":"Audrey St-Laurent, Anne-Sophie Plante, Stéphanie Harrison, Simone Lemieux, Julie Robitaille, Stephanie-May Ruchat, Anne-Sophie Morisset","doi":"10.1177/17455057251341999","DOIUrl":"10.1177/17455057251341999","url":null,"abstract":"<p><strong>Background: </strong>Prospective nutritional and physical activity data are lacking throughout preconception and pregnancy.</p><p><strong>Objectives: </strong>To evaluate (1) intakes of energy, macronutrients and micronutrients, diet quality and physical activity levels in preconception and in each trimester of pregnancy and (2) adherence to recommendations.</p><p><strong>Design: </strong>Prospective study.</p><p><strong>Methods: </strong>Ninety individuals planning a pregnancy in the next year (Quebec, Canada) took part in four online assessments that occurred before conception and during each trimester of pregnancy (T1, T2 and T3). At each assessment, dietary intakes were derived from at least two web-based 24-h recalls, and supplements use was obtained from a web questionnaire. Diet quality was measured via the Healthy Eating Food Index 2019. Physical activity levels were evaluated with the International Physical Activity Questionnaire and the Pregnancy Physical Activity Questionnaire.</p><p><strong>Results: </strong>Preconceptionally, participants (30.5 ± 3.6 years) had a mean body mass index of 23.5 ± 3.4 kg/m². Energy intakes (kcal/day) increased over time (preconception: 2172 ± 457; T1: 2284 ± 557; T2: 2382 ± 501; T3: 2434 ± 549; p < 0.0001), while Healthy Eating Food Index 2019 total score remained stable (p = 0.10). Although dietary fiber intake (g/day) increased from preconception to T3 (preconception: 23 ± 9; T1: 25 ± 9; T2: 26 ± 10; T3: 27 ± 9; p < 0.0001), more than 80% of individuals had daily dietary fiber intakes below 14 g/1000 kcal at each assessment. From preconception to T3, total intakes (foods + supplements) increased for iron, folate and vitamin D (p < 0.01), especially from preconception to T1. These intakes came mainly from dietary supplements and met recommendations for most individuals (>52%) at each assessment. Physical activity levels (METs - min/week) decreased from preconception to T3 (preconception: 1754 ± 1431; T1: 1518 ± 1124; T2: 1562 ± 1214; T3: 1258 ± 1218; p < 0.0001), whereas most individuals (64%-82%) complied with the physical activity recommendations at each assessment.</p><p><strong>Conclusion: </strong>Changes in dietary intakes and physical activity levels are observed from preconception to the end of pregnancy. The recommendations are met for most individuals, except for dietary fiber intakes. These results need to be confirmed in a larger, more heterogeneous sample.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057251341999"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12188061/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144487410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of a women's health information website established by the Japanese Ministry of Health, Labour, and Welfare.","authors":"Yuki Enomoto, Osamu Wada-Hiraike, Saki Tsuchimochi, Maika Nariai, Maho Furukawa, Hiromi Ga, Risa Takai, Keiichi Kumasawa, Tetsushi Tsuruga, Tomoyuki Fujii, Yasushi Hirota, Yutaka Osuga","doi":"10.1177/17455057251347088","DOIUrl":"10.1177/17455057251347088","url":null,"abstract":"<p><strong>Background: </strong>Women's health is significantly influenced by the appropriate and timely secretion of female sex steroid hormones. Consequently, awareness of hormonal fluctuations at various life stages is crucial. In 2016, the Japanese Ministry of Health, Labour, and Welfare launched the HealthCareLabo (https://w-health.jp/) interactive women's health information website.</p><p><strong>Objectives: </strong>This study aimed to investigate user behavior on the website from its inception in March 2016 to December 2022 to enhance its quality and effectiveness.</p><p><strong>Design: </strong>Retrospective web research.</p><p><strong>Methods: </strong>Data analysis used Google Analytics to examine website engagement metrics, the number of pages visited per session, feature utilization rates, use access methods, and geographic locations.</p><p><strong>Results: </strong>Over the 6-year study period, HealthCareLabo attracted 21,575,636 unique users, 26,200,559 sessions, and 53,595,955 page views. Returning users accounted for 10.7%, with an average of 2.05 pages viewed per session and an average session duration of 48 s. \"Bounce rate\" refers to the proportion of visitors who leave a website after viewing a single page without engaging further. The bounce rate of 67.75% suggests users did not find the content relevant, comprehensible, and actionable. The most frequently accessed page was \"Self-check for All Women's Diseases,\" accounting for 10.95% of total page views. Notably, 64.19% of users were aged 25-44. The bounce rate increased with age, while the average session duration and pages viewed per session decreased. Traffic via social media had the highest average time on pages, most page views, and the lowest bounce rate. Among the top 10 Google Search queries leading to the website, four were related to BMI, with \"BMI female\" ranking highest and achieving a click-through rate of 48.53%. The Self-check feature was widely utilized, particularly for premenstrual syndrome, with 66% of respondents aged 25-44.</p><p><strong>Conclusions: </strong>The findings suggest that women of reproductive age are particularly attentive to health-related concerns, including body image and premenstrual syndrome. HealthCareLabo serves as an effective platform for promoting health literacy, with its Self-check feature playing a pivotal role in user engagement.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057251347088"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12206987/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144531533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychological care and mental health outcomes in women receiving termination of pregnancy in Rwanda: A cross-sectional study.","authors":"Marie Grace Sandra Musabwasoni, Gerard Nyiringango, Peace Uwambaye, Madeleine Mukeshimana, Eugene Ngoga, Thierry Claudien Uhawenimana, Priscile Musabirema, Gerard Kaberuka, Vincent Sezibera, Marie Klingberg-Allvin, Stephen Rulisa, Donatilla Mukamana, Oliva Bazirete","doi":"10.1177/17455057251348990","DOIUrl":"10.1177/17455057251348990","url":null,"abstract":"<p><strong>Background: </strong>In Rwanda, legally induced termination of pregnancy (ToP) is permitted under specific conditions such as cases of rape, incest, being a minor, forced marriage or health-related issues.</p><p><strong>Objectives: </strong>To explore post-ToP mental health outcomes, the circumstances under which women seek ToP services and investigates their relationship with the presence or absence of psychological support.</p><p><strong>Design: </strong>A quantitative approach using a cross-sectional design was used for this study.</p><p><strong>Methods: </strong>Data collection recruited 305 women and girls who sought ToP services at eleven selected health facilities in Rwanda from June to August 2022. Life satisfaction, self-esteem, anxiety, and depression/grief were the outcome measures and were measured using the standardized tools. Binary logistic regression (adjusted odds ratios) was used to assess how the circumstances of seeking ToP and the presence or the absence of psychological support predicted mental health outcomes.</p><p><strong>Results: </strong>The findings indicate that the primary reasons for seeking ToP services include rape, pressure from a partner and fear of missing educational opportunities. There was a strong association between circumstances such as rape and partner pressure with negative mental health outcomes. The study also revealed that only a small proportion of women who received post-ToP psychological support from family, community or healthcare providers, while the majority did not. The absence of psychological support was significantly linked to an increased likelihood of low self-esteem, anxiety, depression, and dissatisfaction with life.</p><p><strong>Conclusion: </strong>The circumstances under which women seek ToP services significantly impact their mental health post service provision. The findings underscore the critical role of post-ToP support in mitigating negative psychological outcomes. Hospitals should screen depression/grief and offer psychological care support for women undergoing ToP.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057251348990"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12206989/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144531534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Activity tracking devices in pregnancy: Understanding the participant experience in a longitudinal birth cohort.","authors":"Ashley Redding, Dionne Coates, Andrea E Cassidy-Bushrow, Jennifer K Straughen, Sara Santarossa","doi":"10.1177/17455057251344388","DOIUrl":"10.1177/17455057251344388","url":null,"abstract":"<p><strong>Background: </strong>Improving understanding of physical activity (PA) during pregnancy can inform future interventions and support the delivery of high-quality prenatal care.</p><p><strong>Objectives: </strong>Within the longitudinal birth cohort Research Enterprise to Advance Children's Health (REACH), the sub-study REACH-Fitbit sought to understand the prenatal experiences of utilizing an activity monitoring device and best practices for receiving PA information.</p><p><strong>Design: </strong>REACH recruits gravid patients ⩾18 years old receiving prenatal care and planning to deliver at predefined hospitals. REACH-Fitbit participants had to be <20 weeks gestation with access to a Bluetooth-enabled device. Recruitment (self-selection) for focus groups occurred from completed REACH-Fitbit participants (e.g., delivered their baby).</p><p><strong>Methods: </strong>A semi-structured moderator guide was utilized to capture feedback on experiences, adherence to protocols, resources, and best practices for measuring PA during pregnancy. Two groups of six participants participated virtually, which included conversations about the overall participant experience, compliance with protocols, and opportunities for knowledge dissemination about PA.</p><p><strong>Results: </strong>The majority of focus group participants identified as Black, were between 20 and 29 years of age, and had positive feelings about the Fitbit, finding it usable and functional. Participants felt protocol compliance was facilitated by text message reminders and research team support, while barriers included Fitbit application problems, busy schedules, and forgetting. Participants preferred to receive PA information from a trusted healthcare source (e.g., doctor, nurse, or other healthcare provider), though most participants (57%) did not receive PA information during prenatal care. Participants were interested in learning about the safety, type, and amount of prenatal PA in which to engage.</p><p><strong>Conclusion: </strong>Findings presented here can support compliance in future studies or PA interventions utilizing similar technology. Incentives for compliance with study protocols and enhanced communication with the research team can improve participant engagement. Future work will address the need to communicate the interests of pregnant persons to clinical care teams, specifically, improvements to how providers share information on PA.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057251344388"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12228926/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144568202","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Women's mental health in the doctoral context: Protective function of the psychological capital and academic motivation.","authors":"Angel Deroncele-Acosta, Roger Pedro Norabuena-Figueroa, Emerson Damian Norabuena-Figueroa","doi":"10.1177/17455057251315318","DOIUrl":"10.1177/17455057251315318","url":null,"abstract":"<p><strong>Background: </strong>Science recognizes the anxieties, depression, stress, and \"turbulences\" that women face in doctoral studies, but women's mental health in this context is still little addressed, even though it is a critical aspect for the well-being, persistence, and success of women doctoral candidates, who continue to be underrepresented in many professional fields.</p><p><strong>Objectives: </strong>The study aims to evaluate the relationship between academic motivation, psychological capital, and university academic performance (UAP) and to identify factors of female mental health success.</p><p><strong>Design: </strong>A cross-sectional, mixed-methods study was conducted with a sample of 108 female doctoral students from a university in Lima, during the first quarter of 2024.</p><p><strong>Methods: </strong>In the quantitative phase, three standardized scales were administered to assess academic motivation, psychological capital, and university academic performance (UAP). In the qualitative phase, interviews were conducted to gather relevant information on mental health.</p><p><strong>Results: </strong>The findings emphasize five important points: (1) levels and the relationship between psychological capital, academic motivation, and performance, (2) motivational behavior according to study cycles, (3) risk and protection profiles, (4) protective functions, and (5) mental health success factors. The results indicate that 36% of the women have a low level of psychological capital, 34% have a medium level of academic motivation, and 37% have a high level of UAP, likewise \"Intrinsic Motivation toward Accomplishment\" is the positive core where most of these women converge. Significant differences were found between the study cycles with academic motivation and \"University Academic Performance,\" and a significant gap between these variables. The risk profile (which limits performance) and the protective profile which allows high performance are determined; this positive profile is identified by women who present a high level of \"Self-efficacy.\" The study demonstrates that \"Psychological Capital\" and \"Academic Motivation\" along with the dimensions of \"Self-efficacy\" and \"Intrinsic Motivation to Experience Stimulation\" serve protective functions. Fourteen success factors for women's mental health were identified and organized into four main approaches: Optimism, Hope, Resilience, and Self-efficacy.</p><p><strong>Conclusion: </strong>Limitations and future projections are discussed. The practical implications include implementing psychological support programs, fostering intrinsic motivation, integrating psychological assessments, establishing support networks, and making tailored curricular adjustments.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057251315318"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11783562/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Update on the therapeutic role of metformin in the management of polycystic ovary syndrome: Effects on pathophysiologic process and fertility outcomes.","authors":"Kerstin Mg Brand, Ulrike Gottwald-Hostalek, Aimee Andag-Silva","doi":"10.1177/17455057241311759","DOIUrl":"10.1177/17455057241311759","url":null,"abstract":"<p><p>Influential guidelines have supported the role of metformin in the management of polycystic ovary syndrome (PCOS) for a number of years. However, regulatory approvals for this therapeutic indication are still exceptional and exist only in a few countries, including for the originator, Glucophage®. PCOS is an insulin-resistant state, which drives hyperandrogenism and anovulatory infertility. The metabolic action of metformin involves amelioration of insulin resistance, which helps to resolve hormonal and metabolic disturbances and increases ovulation, pregnancy, and live birth rates relative to placebo. A combination of metformin with clomifene citrate (another widely used treatment for PCOS) is more effective than either alone and is a useful option in women with clomifene-resistant PCOS. Combining metformin with letrozole (1st-line agent for ovulation induction in women with PCOS and no other infertility risk factors) is not more effective than letrozole alone. Continuing metformin to the end of the 1st trimester at an effective dose (e.g. 1000-2000 mg/day) may help to reduce the rate of miscarriages. Metformin also has an adjunctive role in women with PCOS receiving assisted reproduction technology (ART) using the long gonadotrophin-releasing hormone agonist protocol, where it appears to increase the pregnancy rate and to reduce the risk of ovarian hyperstimulation syndrome. There is no role for metformin in women receiving short ART protocols. Where a successful pregnancy is achieved, metformin is generally safe for the mother and neonate. Further research is needed to define with greater precision the optimal dosage and times to initiate and discontinue metformin in women with PCOS who achieve pregnancy.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057241311759"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11792029/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143082497","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}