Archives of Women's Mental Health最新文献

{"title":"Impact of work hours on sleep quality: a non-linear and gendered disparity.","authors":"Tinh Doan, Liana Leach, Lyndall Strazdins","doi":"10.1007/s00737-024-01535-0","DOIUrl":"https://doi.org/10.1007/s00737-024-01535-0","url":null,"abstract":"<p><strong>Purpose: </strong>Quality sleep is vital for good health. Although it is known that workhours affect sleep quality, it is not known at what point workhours begin to compromise sleep. Few studies consider workhours in the 'other job' (domestic and care work) or address reverse causality between sleep quality and how long people work. This study aimed to estimate the point at which weekly workhours harm sleep, among employed Australians aged 25-64.</p><p><strong>Methods: </strong>Using Australian data (19,453 observations from 9,826 adults assessed 2013, 2017, and 2021), a maximum likelihood instrumental variable approach modelled the influence of domestic and care hours on workhours and then the effect of workhours on sleep. We tested for a non-linear pattern and a potential tipping point or limit at which sleep quality declines. Sleep quality scores were constructed from sleep duration (hours), quality rating, medications, and problems with onset.</p><p><strong>Results: </strong>We estimated a population tipping point of 42 workhours per week, beyond which sleep quality deteriorated. Notably, women demonstrated a lower tipping point (36 h) beyond which their sleep quality deteriorated compared to men (47 h), likely linked to their greater care and domestic workhours in the home.</p><p><strong>Conclusions: </strong>Our methods allowed us to specify the point at which weekly workhours were optimal for sleep quality and the point beyond which they become harmful. By considering unequal hours worked in care and domestic work, we were able to identify distinct gender differences in this relationship.</p>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142646205","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":"The prevalence of traumatic exposure in women with premenstrual dysphoric disorder (PMDD): a systematic review.","authors":"Jasleen Kaur Grewal, Eveline Mu, Qi Li, Elizabeth H X Thomas, Jayashri Kulkarni, Leo Chen","doi":"10.1007/s00737-024-01536-z","DOIUrl":"https://doi.org/10.1007/s00737-024-01536-z","url":null,"abstract":"<p><strong>Background and purpose: </strong>Premenstrual dysphoric disorder (PMDD) is a debilitating illness that affects 3-8% of women worldwide. There are multiple factors underlying the aetiology of PMDD, ranging from neuroendocrine changes to psychosocial factors such as exposure to trauma. This systematic review aims to assess the prevalence of traumatic exposure in women with PMDD.</p><p><strong>Methods: </strong>A literature search of MEDLINE, EMBASE and PsycInfo was conducted following PRISMA guidelines. Of the 369 studies identified for abstract and full-text screening, 27 were included for review and 16 studies for the quantitative calculation of average prevalence and 95% confidence intervals. Data extracted included study details, sampling details, demographic details, type of traumatic exposure reported, diagnostic tools used, the prevalence of PMDD (total) and the prevalence of self-reported traumatic exposure in PMDD patients.</p><p><strong>Results: </strong>The reported prevalence of traumatic exposure in PMDD ranged from 18.03 to 90.5%. Using a random effects model, the pooled prevalence was 61% (95%CI, 46-74%). The level of heterogeneity (I²) was 95%, showing considerable variability in the data. Amongst only those studies with a control group, it was shown that those with PMDD are 1.99 times more likely to have a history of traumatic exposure than those without PMDD.</p><p><strong>Conclusion: </strong>Our findings suggest that a history of traumatic exposure is highly represented in women living with PMDD. Trauma exposure may be a risk factor for PMDD and could inform this condition's aetiology. A trauma-informed approach should be considered when assessing and managing women presenting with PMDD.</p>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142638308","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":"Associations between lifetime reproductive events among postmenopausal women with bipolar disorder.","authors":"Katherine Gordon-Smith, Amy Perry, Arianna Di Florio, Nicholas Craddock, Ian Jones, Lisa Jones","doi":"10.1007/s00737-024-01533-2","DOIUrl":"https://doi.org/10.1007/s00737-024-01533-2","url":null,"abstract":"<p><strong>Purpose: </strong>The premenstrual phase of the menstrual cycle, childbirth and perimenopause often coincide with a worsening of mood symptoms in women with bipolar disorder (BD). To date, findings from the limited number of studies investigating associations between these events among women with BD have been inconsistent. This study aimed to investigate associations between episodes in relation to the perimenopause and (i) premenstrual symptoms and (ii) postpartum mood episodes in a large sample of postmenopausal women with BD.</p><p><strong>Methods: </strong>Among 567 postmenopausal women with BD, recruited as part of the UK Bipolar Disorder Research Network, relationships between reproductive event-associated mood symptoms/episodes were examined. Multivariate binary analyses were carried out to identify if history of premenstrual symptoms and/or postpartum episodes predicted the occurrence of mood episodes in relation to the perimenopause, controlling for potential confounders including number of mood episodes per illness year.</p><p><strong>Results: </strong>History of premenstrual symptoms was associated with experiencing any type of mood episode, and depression specifically, during the perimenopause (OR 6.189, p < 0.001 and OR 2.709, p = 0.019 respectively). History of postpartum depression within 6 weeks of delivery was associated with depressive episodes during the perimenopause (OR 2.635, p = 0.027). Postpartum mania was not a significant predictor.</p><p><strong>Conclusions: </strong>Our findings suggest that women with BD with a history of premenstrual symptoms and postpartum depression are potentially at increased risk of experiencing episodes of depression in relation to the perimenopause. There are clinical and self-management implications in identifying a subgroup of women with BD who may be particularly vulnerable to episodes of mood disturbance during reproductive events.</p>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142613747","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":"Attention control in the peripartum period: a longitudinal study.","authors":"Tamar Bakun Emesh, Nachshon Meiran, Dar Ran-Peled, Hamutal Ben-Zion, Avel Horwitz, Omer Finkelstein, Liat Tikotzky","doi":"10.1007/s00737-024-01530-5","DOIUrl":"https://doi.org/10.1007/s00737-024-01530-5","url":null,"abstract":"<p><strong>Purpose: </strong>Given research inconsistency, this study aimed to assess whether attention control changes from pregnancy to postpartum, focusing on the moderating role of maternal objective and subjective sleep. Our second objective was to evaluate attention control's role in predicting psychological outcomes in peripartum women.</p><p><strong>Method: </strong>A cohort of 224 pregnant women completed the Antisaccade task, a measure of attention control, during the third trimester and again four months post-delivery. Objective and subjective sleep were measured using actigraphy and sleep diaries. Participants also completed questionnaires assessing depression, anxiety, emotion regulation, and maternal perceptions of the mother-infant relationship.</p><p><strong>Results: </strong>Attention control improved significantly from late pregnancy to postpartum (β = 0.91, p < .001). While objective sleep was not linked to attention control, poorer between-person subjective sleep was associated with better postpartum attention control (β = - 0.84, p < .001). Better within-person subjective sleep was associated with higher attention control during pregnancy (β = 0.87, p < .001), but a negative interaction with time (β = -1.5, p = .001) suggests a reverse trend postpartum. Attention control did not predict postpartum psychological outcomes.</p><p><strong>Conclusion: </strong>Cognitive recovery may occur by four months postpartum, although the observed improvement could reflect practice effect. The novel finding of a negative association between subjective sleep and postpartum attention control may indicate better adaptation to perceived poor sleep or heightened attunement to sleep fluctuations in women with higher attention control. Attention control did not predict psychological outcomes, suggesting other factors may be more critical for maternal coping postpartum.</p>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142613749","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":"Severe alcohol withdrawal during pregnancy or early postpartum: maternal and fetal outcomes.","authors":"Shaun Daidone, Hayrunnisa Unlu, Asmaa Yehia, Nan Zhang, Osama A Abulseoud","doi":"10.1007/s00737-024-01531-4","DOIUrl":"https://doi.org/10.1007/s00737-024-01531-4","url":null,"abstract":"<p><strong>Objective: </strong>Alcohol withdrawal syndrome (AWS) during pregnancy is under-researched despite growing concerns about increased alcohol use among pregnant women. This study aims to explore the severity of AWS and its impact on maternal and fetal outcomes.</p><p><strong>Methods: </strong>This retrospective study reviewed the medical records of patients admitted to the Mayo Clinic who underwent the CIWA-Ar protocol for AWS from June 2019 through June 2022. Pregnant women identified in this cohort had their pregnancy, labor, and neonatal data analyzed for alcohol-related complications and outcomes.</p><p><strong>Results: </strong>Out of the medical records reviewed, 8 cases involved pregnant women experiencing AWS. These cases showed a high severity of withdrawal symptoms, with a median peak CIWA-Ar score of 17 (IQR = 14). Maternal complications included a high rate of ICU admissions (37.5%; n = 3) and significant rates of miscarriage and stillbirth (37.5%; n = 3). Fetal outcomes were concerning, with 1 out of 5 (20%) neonates requiring NICU admission and experiencing conditions such as respiratory failure and neonatal abstinence syndrome. Developmental problems were noted in 2 out of 5 (40%) newborns.</p><p><strong>Conclusions: </strong>The findings highlight the severe implications of AWS during pregnancy, impacting both maternal and fetal health. The severity of AWS requires attentive clinical management and preventative interventions. Future research should focus on larger, prospective studies to better understand and address the risks associated with AWS in pregnant women and to improve health outcomes for mothers and their children.</p><p><strong>Article highlights: </strong>• Severe AWS during pregnancy leads to high ICU admissions and adverse neonatal outcomes. • 37.5% of pregnant women with AWS experienced miscarriage or stillbirth. • 20% of newborns from mothers with AWS required NICU admission for serious conditions; 40% of newborns had developmental problems. • Findings underscore the need for specialized treatment protocols to improve outcomes for pregnant women and their newborns.</p>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142613752","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":"Young mothers and eHealth: a scoping review.","authors":"Kyla F Wiens, Kayla M Joyce, Rachel G Cluett, Morgan Hanson-Oliveira, Kristin Reynolds, Lianne M Tomfohr-Madsen, Leslie E Roos","doi":"10.1007/s00737-024-01527-0","DOIUrl":"https://doi.org/10.1007/s00737-024-01527-0","url":null,"abstract":"<p><strong>Purpose: </strong>Young mothers, defined as those age 25 and under, are at an increased risk of experiencing mental health problems. Despite this increased risk, very few mental health and parenting interventions that target the unique needs of this group are available. This scoping review summarized extant research on mental health and parenting eHealth interventions aimed at young mothers.</p><p><strong>Methods: </strong>CINAHL, MEDLINE, PsycINFO, PsycARTICLES, and PubMed databases were used for searches, and articles were screened using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and Arksey and O'Malley's five-stage method for scoping reviews. The eligibility criteria included being peer-reviewed, written in English, published between January 1, 2000, and May 9, 2024, and being an eHealth program targeting mental health and/or parenting skills for women-identifying mothers under the age of 26.</p><p><strong>Results: </strong>After duplicate removal, 3,431 titles and abstracts were screened, and 112 articles moved to full-text review. Four studies were included, each assessing intervention components, targeting mental health and parenting, and outlining participant feedback on the treatment. Each study evaluated a different type of intervention, with depression being the most studied mental health outcome and coping skills being the most studied parenting outcome.</p><p><strong>Conclusion: </strong>Preliminary findings suggest that eHealth features such as flexibility, text messaging, and peer support are appreciated among young mothers. Further research on mental health and parenting eHealth interventions aimed at addressing the needs of young mothers is needed.</p>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2024-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142613754","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}