Archives of Women's Mental Health最新文献

{"title":"Effectiveness of a web-enabled psychoeducational resource for postpartum depression and anxiety among women in British Columbia","authors":"Claire G Lawrence,&nbsp;Genevieve Breau,&nbsp;Lily Yang,&nbsp;Orli S Hellerstein,&nbsp;Catriona Hippman,&nbsp;Andrea L Kennedy,&nbsp;Deirdre Ryan,&nbsp;Barbara Shulman,&nbsp;Lori A Brotto","doi":"10.1007/s00737-024-01468-8","DOIUrl":"10.1007/s00737-024-01468-8","url":null,"abstract":"<div><h3>Purpose</h3><p>Postpartum depression (PPD) and anxiety (PPA) affect nearly one-quarter (23%) of women in Canada. eHealth is a promising solution for increasing access to postpartum mental healthcare. However, a user-centered approach is not routinely taken in the development of web-enabled resources, leaving postpartum women out of critical decision-making processes. This study aimed to evaluate the effectiveness, usability, and user satisfaction of PostpartumCare.ca, a web-enabled psychoeducational resource for PPD and PPA, created in partnership with postpartum women in British Columbia.</p><h3>Methods</h3><p>Participants were randomized to either an intervention group (<i>n</i> = 52) receiving access to PostpartumCare.ca for four weeks, or to a waitlist control group (<i>n</i> = 51). Measures evaluating PPD (Edinburgh Postnatal Depression Scale) and PPA symptoms (Perinatal Anxiety Screening Scale) were completed at baseline, after four weeks, and after a two-week follow-up. User ratings of website usability and satisfaction and website metrics were also collected.</p><h3>Results</h3><p>PPD and PPA symptoms were significantly reduced for the intervention group only after four weeks, with improvements maintained after a two-week follow-up, corresponding with small-to-medium effect sizes (PPD: partial η² = 0.03; PPA: partial η² = 0.04). Intervention participants were also more likely than waitlist controls to recover from clinical levels of PPD symptoms (χ ^<i>2</i> (1, <i>n</i> = 63) = 4.58, <i>p</i> = .032) and PostpartumCare.ca’s usability and satisfaction were rated favourably overall.</p><h3>Conclusion</h3><p>Findings suggest that a web-enabled psychoeducational resource, created in collaboration with patient partners, can effectively reduce PPD and PPA symptoms, supporting its potential use as a low-barrier option for postpartum women.</p><h3>Trial Registration</h3><p>Protocol for this trial was preregistered on NIH U.S. National Library of Medicine, ClinicalTrials.gov as of May 2022 (ID No. NCT05382884).</p></div>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"27 6","pages":"995 - 1010"},"PeriodicalIF":3.2,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s00737-024-01468-8.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140848864","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Influence of the typology and timing of childhood trauma in psychoticism","authors":"M Seguí-Grivé,&nbsp;N Jurado,&nbsp;A Navarrete,&nbsp;C Morelló,&nbsp;E Ortega,&nbsp;M Boluda,&nbsp;G Muntané,&nbsp;M Llaurador-Coll,&nbsp;E Vilella,&nbsp;A Gutiérrez-Zotes","doi":"10.1007/s00737-024-01459-9","DOIUrl":"10.1007/s00737-024-01459-9","url":null,"abstract":"<div><h3>Purpose</h3><p>Child maltreatment (CM) is associated with psychosis; however little is known about the frequency, type, and timing of abuse in the personality pathology domain of psychoticism (PSY) in the DSM-5. The purpose of this study was to analyze childhood trauma typology and frequency according to gender and to identify sensitive periods of susceptibility to CM in women with high PSY.</p><h3>Methods</h3><p>The Maltreatment and Abuse Chronology Exposure (MACE) scale was used to evaluate the frequency, severity and timing of each type of maltreatment. The full sample consisted of 83 participants with different psychiatric diagnoses. Psychoticism was assessed with the DSM-5 Personality Inventory (PID-5). To identify the differences in CM exposure between the PSY+ (high psychoticism) and PSY- (low psychoticism) groups, the Mann-Whitney U test, the chi square test and random forest (RF) test were used.</p><h3>Results</h3><p>Comparing PSY + and PSY-, revealed gender differences in the impact of abuse, with highly frequent and severe types of abuse, in women. In women, PSY + and PSY-, were differentiated especially in non-verbal emotional abuse, peer physical bullying and parental verbal abuse. Several periods with a major peak at age seven followed by peaks at age 17 and 12 years old were identified.</p><h3>Conclusion</h3><p>Increased exposure to CM occurs in women with PSY+. A sensitivity to CM exposure during early childhood and late adolescence could be a risk factor for psychoticism in women.</p></div>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"27 5","pages":"705 - 719"},"PeriodicalIF":3.2,"publicationDate":"2024-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140659037","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":"Causal effects of neuroticism on postpartum depression: a bidirectional mendelian randomization study","authors":"Qianying Hu,&nbsp;Jianhua Chen,&nbsp;Jingjing Ma,&nbsp;Yuting Li,&nbsp;Yifeng Xu,&nbsp;Chaoyan Yue,&nbsp;Enzhao Cong","doi":"10.1007/s00737-024-01466-w","DOIUrl":"10.1007/s00737-024-01466-w","url":null,"abstract":"<div><h3>Purpose</h3><p>Postpartum depression (PPD) brings adverse and serious consequences to both new parents and newborns. Neuroticism affects PPD, which remains controversial for confounding factors and reverse causality in cross-sectional research. Therefore, mendelian randomization (MR) study has been adopted to investigate their causal relationship.</p><h3>Methods</h3><p>This study utilized large-scale genome-wide association study genetic pooled data from three major databases: the United Kingdom Biobank, the European Bioinformatics Institute, and the FinnGen databases. The causal analysis methods used inverse variance weighting (IVW). The weighted median, MR-Egger method, MR-PRESSO test, and the leave-one-out sensitivity test have been used to examine the results’ robustness, heterogeneity, and horizontal pleiotropy. The fixed effect model yielded the results of meta-analysis.</p><h3>Results</h3><p>In the IVW model, a meta-analysis of the MR study showed that neuroticism increased the risk of PPD (OR, 1.17; 95% CI, 1.11–1.25, <i>p</i> &lt; 0.01). Reverse analysis showed that PPD could not genetically predict neuroticism. There was no significant heterogeneity or horizontal pleiotropy bias in this result.</p><h3>Conclusion</h3><p>Our study suggests neuroticism is the risk factor for PPD from a gene perspective and PPD is not the risk factor for neuroticism. This finding may provide new insights into prevention and intervention strategies for PPD according to early detection of neuroticism.</p></div>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"27 5","pages":"837 - 844"},"PeriodicalIF":3.2,"publicationDate":"2024-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s00737-024-01466-w.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140630166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the feasibility, acceptability and preliminary effects of a nurse delivered mhealth intervention for women living with HIV in South India: a pilot randomized controlled trial","authors":"Veena A. Satyanarayana,&nbsp;Mona Duggal,&nbsp;Sangchoon Jeon,&nbsp;Pushpendra Singh,&nbsp;Anita Desai,&nbsp;Prabha S. Chandra,&nbsp;Nancy R. Reynolds","doi":"10.1007/s00737-024-01462-0","DOIUrl":"10.1007/s00737-024-01462-0","url":null,"abstract":"<div><h3>Purpose</h3><p>We evaluated the feasibility, acceptability and preliminary efficacy of a standardized nurse delivered mobile phone intervention to improve adherence to antiretroviral treatment and clinical outcomes.</p><h3>Methods</h3><p>Feasibility and acceptability of the phone intervention was assessed with rates of eligibility, completed visits, and attritions. Intervention fidelity was assessed by checking recorded calls and feedback. Efficacy was assessed using a randomized controlled trial in which 120 women living with HIV and psychosocial vulnerabilities, were randomized to Treatment as Usual (TAU = 60) or TAU plus the mobile phone intervention (<i>N</i> = 60). Trained basic nurses delivered the theory-guided, standardized mobile phone intervention for mental health issues and psychosocial risk factors to improve antiretroviral treatment (ART) adherence and retention in care and improve clinical outcomes. Blind raters performed the assessments at 6, 12 and 24 weeks post-randomization.</p><h3>Results</h3><p>Adherence diminished over time in the TAU only group, while it was sustained in the TAU Plus group, only dropping at 24 weeks after the intervention had been discontinued. Among participants with depressive symptoms (CESD ≥ 16), the intervention had significant improvement in adherence rates (<i>p</i> &lt; 0.01), psychological quality of life (<i>p</i> &lt; 0.05) and illness perception (<i>p</i> &lt; 0.05) compared to those in the TAU only group. Greater improvements of quality of life subscales were observed in the TAU Plus group among participants with less psychological vulnerability (PSV &lt; 2). HIV RNA was not significantly different between the groups at week 24.</p><h3>Conclusions</h3><p>The mobile-delivered counseling intervention was feasible and acceptable and shows promise among women living with HIV and psychosocial vulnerabilities in rural South India.</p><h3>Trial Registration</h3><p>ClinicalTrials.gov Identifier: NCT02319330 [Registered on: December 18, 2014].</p></div>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"27 5","pages":"751 - 763"},"PeriodicalIF":3.2,"publicationDate":"2024-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140693487","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":"Identifying distinct subtypes of mother-to-infant bonding using latent profile analysis in a nationwide Japanese study","authors":"Kosuke Hagiwara,&nbsp;Chong Chen,&nbsp;Ryo Okubo,&nbsp;Sumiyo Okawa,&nbsp;Shin Nakagawa,&nbsp;Takahiro Tabuchi","doi":"10.1007/s00737-024-01467-9","DOIUrl":"10.1007/s00737-024-01467-9","url":null,"abstract":"<div><h3>Background</h3><p>Mother-to-infant bonding (MIB) is foundational for nurturing behaviors and an infant’s development. Identifying risk factors for difficulties or problems in MIB is vital. However, traditional research often dichotomizes MIB using cutoff thresholds, overlooking its underlying complexities. This research utilizes latent profile analysis (LPA) to discern MIB subtypes in a nationwide Japanese dataset.</p><h3>Methods</h3><p>We conducted LPA on data from the Mother-to-Infant Bonding Scale (MIBS), collected from 3,877 postpartum women within one year of childbirth. To empirically validate the derived profiles, we examined their associated risk factors, focusing on sociodemographic, health, and perinatal variables.</p><h3>Results</h3><p>Four distinct MIB profiles emerged. Profile 1 indicated minimal difficulties, while Profile 4 exhibited severe multifaceted difficulties. Profiles 2 and 3 showed moderate difficulties distinguished by lack of positive affection and presence of negative affection (especially indifference), respectively. Compared to Profile 1, women in Profiles 2–4 had a higher likelihood of postpartum depression and low family support. Each profile also presented unique risk factors: medium family support in Profile 2, maternal working status in Profile 3, and pre-pregnancy underweight status in Profile 4. Notably, both Profiles 3 and 4 were also linked to increased feelings of loneliness since the onset of the COVID-19 pandemic.</p><h3>Conclusion</h3><p>This study represents the first application of LPA to MIB, revealing distinct subtypes and their respective risk profiles. These insights promise to enhance and personalize early interventions for difficulties in MIB, affirming the necessity of acknowledging MIB’s heterogeneity.</p></div>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"27 5","pages":"765 - 774"},"PeriodicalIF":3.2,"publicationDate":"2024-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140714584","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 between perinatal mood disorders of parents and child health outcomes”","authors":"Erika Obikane,&nbsp;Hayato Yamana,&nbsp;Sachiko Ono,&nbsp;Hideo Yasunaga,&nbsp;Norito Kawakami","doi":"10.1007/s00737-024-01463-z","DOIUrl":"10.1007/s00737-024-01463-z","url":null,"abstract":"<div><h3>Purpose</h3><p>Perinatal mood disorders affect both parents, impacting their children negatively. Little is known on the association between parental perinatal mood disorders and pediatric outcomes in Japan considering relevant covariates. Our objective was to investigate the association between paternal and maternal perinatal mood disorders and adverse physical and psychological child outcomes by the age of 36 months, adjusting for covariates such as the child’s sex, age of parent at child’s birth, perinatal mood disorders of the other parent, and perinatal antidepressant use.</p><h3>Methods</h3><p>We identified parents in the JMDC Claims Database in Japan from 2012 to 2020. Perinatal mood disorders were defined using International Classification of Diseases, 10th codes for mood disorders during the perinatal period combined with psychiatric treatment codes. We evaluated the association between parental perinatal mood disorders and pediatric adverse outcomes by the age of 36 months using Cox proportional hazard models adjusted for the covariates.</p><h3>Results</h3><p>Of the 116,423 father-mother-child triads, 2.8% of fathers and 2.3% of mothers had perinatal mood disorders. Paternal perinatal mood disorders were not significantly associated with adverse child outcomes. After adjusting for paternal perinatal mood disorders and antidepressant use, maternal perinatal mood disorders were associated with delayed motor development, language development disorders, autism spectrum disorders, and behavioral and emotional disorders (adjusted hazard ratio [95% confidence interval]: 1.65 [1.01–2.69], 2.26 [1.36–3.75], 4.16 [2.64–6.55], and 6.12 [1.35–27.81], respectively).</p><h3>Conclusions</h3><p>Paternal perinatal mood disorders were not associated with adverse child outcomes in this population. Maternal perinatal mood disorders were associated with multiple child outcomes.</p></div>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"27 5","pages":"827 - 836"},"PeriodicalIF":3.2,"publicationDate":"2024-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140720657","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 impact of menopause on antidepressant response: an explorative analysis from a real-world study","authors":"Matteo Carminati,&nbsp;Valentina Fazio,&nbsp;Melania Maccario,&nbsp;Raffaella Zanardi","doi":"10.1007/s00737-024-01465-x","DOIUrl":"10.1007/s00737-024-01465-x","url":null,"abstract":"<div><p>This study endeavors to deepen our understanding of the subject matter by exploring, within a real-world sample, the impact of menopausal status on the antidepressant treatments response. The whole sample included a total of 447 patients, 156 male and 291 female, 110 pre-menopause and 181 post-menopause. In our sample post-menopause women showed a worse response to antidepressants than pre-menopause women (<i>p</i> = 0.006), and this difference seems to be unrelated to age or brain aging.</p></div>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"27 5","pages":"851 - 854"},"PeriodicalIF":3.2,"publicationDate":"2024-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140728916","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":"Returning to work after maternity leave: a systematic literature review","authors":"Isabella Giulia Franzoi,&nbsp;Maria Domenica Sauta,&nbsp;Alessandra De Luca,&nbsp;Antonella Granieri","doi":"10.1007/s00737-024-01464-y","DOIUrl":"10.1007/s00737-024-01464-y","url":null,"abstract":"<div><h3>Purpose</h3><p>Working women often experience difficulties associated with balancing family and career, particularly if they choose to have children. This systematic literature review aimed at investigating women’s experience in returning to work after maternity leave.</p><h3>Methods</h3><p>The review was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. The literature search led to the identification of 52 articles, which underwent data extraction and qualitative analysis.</p><h3>Results</h3><p>Results were organized in 5 categories: (1) Work-life balance; (2) Women’s mental and physical health; (3) Job-related wellbeing and working experience; (4) Breastfeeding. Women’s both mental and physical health seem connected to a longer maternity leave and a greater coworkers’ and supervisors’ support. Returning to work seems to constitute one of the most important barriers for exclusive breastfeeding or breastfeeding continuation. A shorter duration of maternity leave, a higher workload and the lack of occupational policies supporting breastfeeding seem to be hindering factors. Partner and family support, and the opportunity for fathers to work under a flextime system after childbirth seem to increase both breastfeeding initiation and duration. Women who continue breastfeeding after returning to work seem to experience more family-to-work conflict and overload.</p><h3>Conclusions</h3><p>This paper show that there are still many understudied aspects in exploring women’s experience of returning to work after maternity leave. This represents an important gap in the literature, since returning to work represents a particularly critical time in women’s personal and occupational life, in which challenges and barriers may arise, potentially affecting their experience in the immediate future and years to come.</p></div>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"27 5","pages":"737 - 749"},"PeriodicalIF":3.2,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s00737-024-01464-y.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140740606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An epidemiological examination of neonatal opioid withdrawal syndrome and maternal and infant characteristics","authors":"Ashlyn N. Schwartz,&nbsp;Laurie L. Meschke","doi":"10.1007/s00737-024-01460-2","DOIUrl":"10.1007/s00737-024-01460-2","url":null,"abstract":"<div><h3>Purpose</h3><p>Analyze maternal and infant characteristics by Neonatal Opioid Withdrawal Syndrome (NOWS) status and examine the association between mothers with Hepatitis C Virus (HCV) and infants diagnosed with NOWS.</p><h3>Methods</h3><p>Hospital discharge diagnoses of low-income women in Tennessee were used to identify NOWS cases (<i>n</i> = 1,369) in 2013 and 2014 and randomly selected controls (<i>n</i> = 1,369) were matched on county of residence and birth year. Maternal and infant characteristics were obtained by linking these data to birth certificate data.</p><h3>Results</h3><p>Of Tennessee’s 683 cases of NOWS in 2013 and 686 in 2014, most (69%) occurred in Eastern Tennessee. Mothers of infants with NOWS were more likely to be older, unmarried, and white than mothers of infants without NOWS. Mothers of infants with NOWS also faced greater health risk: more smoking, HCV, herpes simplex diagnosis, and no or less frequent prenatal care (<i>p</i> &lt; .0001). Infants with NOWS were more likely to present with infection, be admitted into the NICU, have lower birth weight, be enrolled in TennCare, but less likely to be breastfed than infants without NOWS (<i>p</i> &lt; .0001). After adjusting for demographic factors and smoking, compared to mothers of infants without NOWS, mothers of infants with NOWS had an alarmingly increased odds of HCV [OR = 12.97 (95% CI 7.42, 22.66)].</p><h3>Conclusions</h3><p>This study emphasizes the complexity of challenges facing families impacted by NOWS, the importance of multifaceted prevention, and the need to conduct HCV testing in NOWS infants.</p></div>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"27 5","pages":"863 - 867"},"PeriodicalIF":3.2,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140743315","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":"Racism-related stress and mental health among black women living in Los Angeles County, California: A comparison of postpartum mood and anxiety disorder screening scales","authors":"Kortney Floyd James,&nbsp;Keren Chen,&nbsp;Sasha S. Hindra,&nbsp;Sydney Gray,&nbsp;Milllicent N. Robinson,&nbsp;Courtney S. Thomas Tobin,&nbsp;Kristen Choi,&nbsp;Denise Saint Arnault","doi":"10.1007/s00737-024-01458-w","DOIUrl":"10.1007/s00737-024-01458-w","url":null,"abstract":"<div><h3>Purpose</h3><p>To assess Black women’s exposure to and appraisal of racism-related stress during the postpartum period and to distinguish its impact on three indicators of postpartum mood and anxiety disorders (PMADs) symptoms.</p><h3>Methods</h3><p>Data from the Black Mothers’ Mental Wellness Study (N = 231) and linear regression models estimated the associations between racism-related stress and the PMAD indicators: 3-item Edinburgh Postnatal Depression Scale (EPDS-3), 8-item Patient Health Questionnaire (PHQ-8), and PHQ-15.</p><h3>Results</h3><p>The majority of participants (80.5%, N = 186) experienced racism a few times a year or more, of which 37.1% (N = 69) were bothered somewhat and 19.3% (N = 36) a lot. Racism-related stress, income, level of education, and history of mental health diagnosis explained greater variance in PMAD symptoms as measured by the PHQ-8 score (R² = 0.58, <i>p</i> =  &lt; 0.001) compared to the EPDS-3 (R² = 0.46, <i>p</i> =  &lt; 0.001) or the PHQ-15 (R² = 0.14, <i>p</i> = 0.035).</p><h3>Conclusions</h3><p>Racism is a stressor for Black women living in Los Angeles County, California. Racism-related stress and emotional expression of PMAD symptoms were salient to the postpartum mental health of the Black women in this study. Findings from this study suggest that the PHQ-8 should be used to assess how racism impacts Black women’s postpartum mental health.</p></div>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"27 5","pages":"817 - 826"},"PeriodicalIF":3.2,"publicationDate":"2024-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11405420/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140334458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}