Archives of Women's Mental Health最新文献

{"title":"Impacts of disasters on women: the case of Kahramanmaras Earthquake sequence : Post-traumatic stress disorder and other problems among women after the Kahramanmaras Earthquake sequence.","authors":"Cigdem Samanci Tekin, Gamze Aydin","doi":"10.1007/s00737-024-01543-0","DOIUrl":"10.1007/s00737-024-01543-0","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to uncover difficulties, living conditions, and post-traumatic stress disorder (PTSD) symptoms among women victims of the Kahramanmaras earthquake sequence on February 6, 2023.</p><p><strong>Methods: </strong>The data was collected from 388 participants using an online survey between November 1-30, 2023. We collected the data using a survey form with a 48-question sociodemographic information form and the 9-item Post-Traumatic Stress Disorder (PTSD)-Short Scale.We analyzed the data using independent samples t-test, Chi-square test, and binary logistic regression analysis.</p><p><strong>Results: </strong>While 59.5% of participants reported post-earthquake headaches, 77.8% had difficulty sleeping. Apart from the primary impacts of the disaster, 53.6% of participants reported post-earthquake financial difficulties, and 53.4% had to be employed to generate income. Besides, 22.2% of participants experienced violence, and 38.1% had PTSD symptoms. Furthermore, having to work in a paid job increased their probability of developing PTSD symptoms by 3.4 times. Our analysis showed that singles, smokers, those with a disaster-damaged home and financial difficulties, those who had to work, those receiving psychological support, and those with anxiety had significantly higher PTSD scores (p < 0.05). Despite all such difficulties, 43.3% of them participated in aid activities.</p><p><strong>Conclusion: </strong>It seems imperative to devise and implement efficient strategies to address women's physical and mental health challenges in the wake of the disaster. Moreover, it is of the utmost importance to integrate gender-sensitive approaches into disaster preparedness plans by fostering collaborations among all relevant bodies.</p>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":" ","pages":"795-804"},"PeriodicalIF":2.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142765796","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":"A new perspective on the causal pathway between maternal mental health and neonatal adversity.","authors":"Emma Lin, Elah Wilson, Arad Kodesh, Stephen Z Levine, Abraham Reichenberg, Nathan Fox, Nina Zaks, Magdalena Janecka","doi":"10.1007/s00737-024-01541-2","DOIUrl":"10.1007/s00737-024-01541-2","url":null,"abstract":"<p><strong>Purpose: </strong>Substantial evidence suggests a downstream impact of maternal mental health on birth outcomes. The roles of comorbid maternal physical health and familial confounding underlying this association remain unclear.</p><p><strong>Methods: </strong>This cohort study included a random sample of children born 1997-2008 within a health maintenance organization (HMO) in Israel, their parents, and siblings. Outcomes were ICD-9 diagnoses of neonatal adversities (birth complications and congenital anomalies) and exposures were maternal diagnoses of mental health disorders. Odds ratios (ORs) and their 95% confidence intervals for the associations between maternal mental health diagnoses and measures of neonatal adversity were calculated using logistic regression, adjusting for maternal age, child's year of birth, socioeconomic status, and maternal physical morbidity burden. We examined potential familial confounding using a negative control approach based on paternal exposure.</p><p><strong>Results: </strong>In our sample of 74,533 children, 6,674 (9.1%) were born after birth complications and 14,569 (19.9%) with a congenital anomaly. Maternal mental health diagnosis around pregnancy was significantly associated with these measures of neonatal adversity after adjustment for potential confounders (birth complications: OR = 1.3 (1.2-1.4), p < 0.001; congenital anomalies: OR = 1.2 (1.1-1.3), p < 0.001). These associations became attenuated and non-significant after further adjustment for maternal physical morbidity burden. In a joint model, maternal and paternal diagnosis of a mental health disorder were independently associated with neonatal adversity (birth complications: OR_mat=1.3 (1.1-1.4), p < 0.001; OR_pat=1.2 (1.1-1.3), p = 0.004; congenital anomalies: OR_mat=1.2 (1.1-1.3), p < 0.001; OR_pat=1.1 (1.0-1.2), p = 0.01).</p><p><strong>Conclusion: </strong>Physical health and familial factors play a role in the associations between maternal mental health and neonatal adversity.</p>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":" ","pages":"903-910"},"PeriodicalIF":2.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142765848","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":"Psychometric properties of the OCI-4: a brief screening tool for perinatal obsessive-compulsive disorder.","authors":"Jonathan S Abramowitz, Nicholas S Myers, Joseph B Friedman, Emily K Juel, Gerald Nestadt, Mary Kimmel, Lauren M Osborne, Eric A Storch, Jack Samuels, Paul S Nestadt, Rashelle Musci","doi":"10.1007/s00737-024-01539-w","DOIUrl":"10.1007/s00737-024-01539-w","url":null,"abstract":"<p><strong>Purpose: </strong>Obsessive-compulsive disorder (OCD) has an elevated prevalence among pregnant and postpartum women, with negative impacts on both mother and child. There is a need for brief, efficient screening tools for OCD in perinatal care because OCD is underrecognized. We evaluated the psychometric properties of the 4-item Obsessive Compulsive Inventory (OCI-4), and investigated it as a screening measure, in a perinatal sample.</p><p><strong>Methods: </strong>Pregnant women were assessed at 20- and 34-weeks' gestation, 6 weeks postpartum, and 6 months postpartum. Reliability was assessed via test-retest analyses, and validity was examined through correlations with established measures. Criterion-related validity and diagnostic sensitivity were also examined.</p><p><strong>Results: </strong>The OCI-4 demonstrated good test-retest reliability, convergent and discriminant validity, and criterion-related validity. The measure also showed moderate to high diagnostic sensitivity. A score of 3 provided the best balance of sensitivity and specificity for screening.</p><p><strong>Conclusion: </strong>The OCI-4 is an effective screener that should be used for identifying OCD symptoms in perinatal settings. Despite the need for further study, its ease of use and quick administration make it a valuable tool for early detection and referral for assessment intervention.</p>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":" ","pages":"895-902"},"PeriodicalIF":2.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12303159/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142754454","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":"Integrated care for multi-domain vulnerability during pregnancy: a retrospective cohort study.","authors":"Sushma C Munshi, Eline C I Hoex, Anne Marie Weggelaar-Jansen, Esther M Knijff, Eline C van der Wilk, Eric A P Steegers, Hilmar H Bijma","doi":"10.1007/s00737-024-01554-x","DOIUrl":"10.1007/s00737-024-01554-x","url":null,"abstract":"<p><strong>Purpose: </strong>Psychosocial risk factors are frequently present in pregnant women and are associated with adverse maternal and neonatal outcomes. Professional guidelines recommend early detection of vulnerability and provision of multidisciplinary care, including an integrated care plan for pregnant women with social factors, such as residing in deprived areas, teenage pregnancy, and psychiatric illness. However, to date, such approach is impeded by lack of data on co-occurrence of vulnerability. Therefore, we aim to describe co-occurrence of psychiatric illness, social factors or substance use during pregnancy.</p><p><strong>Methods: </strong>A retrospective cohort study of 1002 pregnant women referred for evaluation by a multidisciplinary team because of psychiatric illness, social factors or substance use in a university hospital in a large city in the Netherlands. Data from medical charts between January 2017 and May 2022 were extracted and analyzed by univariate and bivariate analysis.</p><p><strong>Results: </strong>Multi-domain vulnerability was present in 83% of women and most frequently involved the following patterns: psychiatric illness with social factors and chronic physical illness (24%), psychiatric illness with social factors (14%), social factors with chronic physical illness (13%) and psychiatric illness with chronic physical illness (12%). Single-domain vulnerability was present in 17% of women, involving most frequently social factors (9%) and psychiatric illness (8%).</p><p><strong>Conclusion: </strong>The majority of women with psychiatric illness, social factors or substance use have multi-domain vulnerability. There is a need for a novel approach to care to address vulnerability in pregnant women.</p>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":" ","pages":"699-709"},"PeriodicalIF":2.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12283844/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142999185","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 economic evaluation of universal and targeted case-finding strategies for identifying antenatal depression: a model-based analysis comparing common case-finding instruments.","authors":"Elizabeth M Camacho, Gemma E Shields, Emily Eisner, Elizabeth Littlewood, Kylie Watson, Carolyn A Chew-Graham, Dean McMillan, Shehzad Ali, Simon Gilbody","doi":"10.1007/s00737-023-01377-2","DOIUrl":"10.1007/s00737-023-01377-2","url":null,"abstract":"<p><p>Half of women with depression in the perinatal period are not identified in routine care, and missed cases reflect inequalities in other areas of maternity care. Case finding (screening) for depression in pregnant women may be a cost-effective strategy to improve identification, and targeted case finding directs finite resources towards the greatest need. We compared the cost-effectiveness of three case-finding strategies: no case finding, universal (all pregnant women), and targeted (only pregnant women with risk factors for antenatal depression, i.e. history of anxiety/depression, age < 20 years, and adverse life events). A decision tree model was developed to represent case finding (at around 20 weeks gestation) and subsequent treatment for antenatal depression (up to 40 weeks gestation). Costs include case finding and treatment. Health benefits are measured as quality-adjusted life years (QALYs). The sensitivity and specificity of case-finding instruments and prevalence and severity of antenatal depression were estimated from a cohort study of pregnant women. Other model parameters were derived from published literature and expert consultation. The most cost-effective case-finding strategy was a two-stage strategy comprising the Whooley questions followed by the PHQ-9. The mean costs were £52 (universal), £61 (no case finding), and £62 (targeted case finding). Both case-finding strategies improve health compared with no case finding. Universal case finding is cost-saving. Costs associated with targeted case finding are similar to no case finding, with greater health gains, although targeted case finding is not cost-effective compared with universal case finding. Universal case finding for antenatal depression is cost-saving compared to no case finding and more cost-effective than targeted case finding.</p>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":" ","pages":"853-867"},"PeriodicalIF":2.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12283817/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41231932","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":"Application of time series analysis in predicting postpartum depression: integrating data from the hospitalization period and early postpartum weeks.","authors":"Fu-Mei Hsu, Hsiu-Chin Chen, Kuei-Ching Wang, Wan-Ling Ling, Nai-Ching Chen","doi":"10.1007/s00737-024-01521-6","DOIUrl":"10.1007/s00737-024-01521-6","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to explore the dynamic changes in postpartum depressive symptoms from the hospitalization period to 4-8 weeks postpartum using time series analysis techniques. By integrating depressive scores from the hospital stay and the early postpartum weeks, we sought to develop a predictive model to enhance early identification and intervention strategies for Postpartum Depression (PPD).</p><p><strong>Methods: </strong>A longitudinal design was employed, analyzing Edinburgh Postnatal Depression Scale (EPDS) scores from 1,287 postpartum women during hospitalization and at 4, 6, and 8 weeks postpartum. Descriptive statistics summarized demographic characteristics. Time Series Analysis using the Auto-Regressive Integrated Moving Average (ARIMA) model explored temporal trends and seasonal variations in EPDS scores. Correlation analysis examined the relationships between EPDS scores and demographic characteristics. Model validation was conducted using a separate dataset.</p><p><strong>Results: </strong>EPDS scores significantly increased from the hospitalization period to 4-8 weeks postpartum (p < .001). The ARIMA model revealed seasonal and trend variations, with higher depressive scores in the winter months. The model's fit indices (AIC = 765.47; BIC = 774.58) indicated a good fit. The Moving Average (MA) coefficient was - 0.69 (p < .001), suggesting significant negative impacts from previous periods' errors.</p><p><strong>Conclusions: </strong>Monitoring postpartum depressive symptoms dynamically was crucial, particularly during the 4-8 weeks postpartum. The seasonal trend of higher depressive scores in winter underscored the need for tailored interventions. Further research using longitudinal and multi-center designs was warranted to validate and extend these findings. Our predictive model aimed to enhance early identification and intervention strategies, contributing to better maternal and infant health outcomes.</p>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":" ","pages":"869-879"},"PeriodicalIF":2.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142379052","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":"Risk of congenital anomalies associated with psychotropic medications: a review of neonatal reports in the FDA adverse event reporting System (FAERS).","authors":"Jingping Zheng, Zhenpo Zhang, Yankun Liang, Qimin Wu, Chufeng Din, Yuting Wang, Lin Ma, Ling Su","doi":"10.1007/s00737-024-01540-3","DOIUrl":"10.1007/s00737-024-01540-3","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Purpose: &lt;/strong&gt;This study investigates the potential association between commonly prescribed psychotropic medications, such as Atypical Antipsychotics (AAs), Selective Serotonin Reuptake Inhibitors (SSRIs), and Serotonin Norepinephrine Reuptake Inhibitors (SNRIs), and congenital anomalies in newborns. The analysis uses data from the Food and Drug Administration Adverse Event Reporting System (FAERS).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Spontaneously reported cases of congenital anomalies in newborns (under 28 days old) were extracted from the FAERS database, covering January 2004 to June 2023. Four signal detection methods-Reporting Odds Ratio (ROR), Medicines and Healthcare products Regulatory Agency (MHRA), Bayesian Confidence Propagation Neural Network (BCPNN), and Multi-item Gamma Poisson Shrinker (MGPS)-were employed to identify signals associated with neonatal deformities caused by specific drugs, ensuring signal stability and reliability.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The FAERS database contains 21,605 reports involving neonates, with 6,208 cases reporting congenital anomalies. Of these, 6,164 cases (99.29%) attributed the adverse events to drugs. The top ten psychotropic drugs associated with neonatal congenital anomalies were venlafaxine, quetiapine, olanzapine, sertraline, citalopram, mirtazapine, duloxetine, paroxetine, aripiprazole, and fluoxetine. Different drug classes showed varying risks of congenital anomalies, with higher signal frequencies observed for cardiac, nervous system, respiratory-thoracic-mediastinal, and musculoskeletal-connective tissue disorders.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;Our study suggests that commonly used psychotropic drugs may increase the risk of congenital abnormalities in newborns, necessitating caution for pregnant women. Compared to other psychotropic drugs, the teratogenic effects of aripiprazole and fluoxetine are relatively minor.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Article highlights: &lt;/strong&gt;Overcoming the Limitations of Clinical Trials in Special Populations: Due to ethical considerations involving pregnant women and newborns, conducting clinical trials is often challenging. Real-world studies are currently one of the most important sources of evidence for evaluating the safety of medication use during pregnancy. Addressing Challenges in International Signal Detection: There is no established gold standard for signal detection, and different countries use varying methods. To minimize the impact of false-positive signals on the results, this study employs a combination of four different methods for signal mining. Advancing Beyond Small Retrospective Cohort Studies and Case Reports: Most current research on the safety of medication use during pregnancy relies on small retrospective cohort studies or case reports. Studies based on large pharmacovigilance databases overcome these limitations. This approach not only captures information on all drugs that may lead to congenital anomalies in newborns but a","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":" ","pages":"911-918"},"PeriodicalIF":2.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142875973","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":"Research on the self-efficacy and resilience of female graduate students in the era of artificial intelligence: analysis of the mechanism of mobile phone dependence, anxiety and mentoring relationship.","authors":"Xianjie Peng, Ruwei Nie, Sihan Tong","doi":"10.1007/s00737-024-01547-w","DOIUrl":"10.1007/s00737-024-01547-w","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study is to investigate the impact of the employment situation on the anxiety levels and research self-efficacy of graduate students, with a particular focus on female graduate students. The study aims to understand how the use of AIGC tools, which has become more frequent among those with lower research self-efficacy, affects anxiety and research resilience. Additionally, the research explores the role of the mentoring relationship in influencing the psychological and academic experiences of female graduate students.</p><p><strong>Method: </strong>The research involved 1164 female master's and doctoral students and employed a moderated chain mediation model. This model was constructed based on social cognitive theory and Habermas interaction theory to analyze the relationships between research self-efficacy, mobile phone dependence, anxiety, and research resilience. Data was collected and empirically analyzed using SPSS 26.0, a statistical software, to examine the proposed relationships and the moderating effect of the mentoring relationship.</p><p><strong>Result: </strong>The findings revealed that scientific research self-efficacy positively influences research resilience among female graduate students. Additionally, mobile phone dependence and anxiety were found to play a chain mediating role between self-efficacy and research resilience. The study also discovered that the mentoring relationship negatively moderated the effects of mobile phone dependence and anxiety on these students.</p><p><strong>Conclusion: </strong>Based on the results, the study concludes that mentors and academic administrators should consider the research capabilities and interests of students when assigning research tasks. It is recommended to establish a flight instructor mentorship system that maximizes the strengths of each mentor to support students, especially those with suboptimal mentor-mentee relationships. This approach could help in providing positive guidance and improving the research resilience of female graduate students who are more susceptible to anxiety and mobile phone dependence.</p>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":" ","pages":"805-817"},"PeriodicalIF":2.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143021647","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":"Perinatal depression at the intersection of race/ethnicity and disability.","authors":"Brandie Bentley, Willi Horner-Johnson, Nichole Nidey, Tuyet-Mai Hoang, Chi-Fang Wu, Skky Martin, Ashley Brevil, Reshawna Chapple, Karen M Tabb","doi":"10.1007/s00737-025-01593-y","DOIUrl":"10.1007/s00737-025-01593-y","url":null,"abstract":"<p><strong>Purpose: </strong>Perinatal depression disparately impacts diverse groups, with marginalized populations often facing greater vulnerability. While previous research has highlighted disparities in perinatal depression by race/ethnicity and by disability status independently, there is a lack of research examining the intersectionality of these social identities and their combined association with perinatal depression. Therefore, this study adopts an intersectional lens to explore variations in perinatal depressive symptoms associated with the combination of race/ethnicity and disability status in a nationally representative sample of women who had recently given birth.</p><p><strong>Methods: </strong>We conducted a cross-sectional secondary data analysis using 2019-2020 data from the Pregnancy Risk Assessment Monitoring System (PRAMS), including a sample of disabled and non-disabled individuals across 22 sites. We used logistic regression analyses to estimate associations of race/ethnicity and disability status with perinatal depressive symptoms, performing separate analyses for the antenatal and postpartum periods. In adjusted regression models, we controlled for other sociodemographic characteristics.</p><p><strong>Results: </strong>Our analysis included 33,854 individuals, including 31,480 (93%) without a disability and 2,374 (7%) with at least one disability. Women with disabilities reported higher prevalence of antenatal (42.7%) and postpartum (33.1%) depressive symptoms compared to non-disabled women (14.1% and 12.1%, respectively). Antenatal depression was most common among disabled Non-Hispanic (NH) White women, while prevalence and odds of postpartum depression were highest among disabled NH American/Indian Alaska Native and disabled NH Black women.</p><p><strong>Conclusion: </strong>Our findings emphasize the need for perinatal depression screening for disabled women, as well as culturally appropriate interventions to support the mental health of diverse women with disabilities throughout the perinatal period.</p>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":" ","pages":"679-689"},"PeriodicalIF":2.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12283910/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144336285","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":"One size doesn't fit all: Attitudes towards work modify the relation between parental leave length and postpartum depression.","authors":"Christine Y Chang, Sabrina R Liu, Laura M Glynn","doi":"10.1007/s00737-023-01374-5","DOIUrl":"10.1007/s00737-023-01374-5","url":null,"abstract":"<p><p>The present study aimed to investigate the relationship between parental leave length and maternal depressive symptoms at six- and twelve-months postpartum and whether this relation was influenced by women's attitudes towards leave, whether leave was paid or unpaid, and the reason they returned to work. The sample included 115 working women recruited during pregnancy as part of a larger longitudinal study. Analyses revealed that maternal attitudes toward leave influenced the association between leave length and depressive symptoms. Specifically, longer leaves were associated with increased depressive symptoms for women who missed their previous activities at work. Furthermore, women who missed work and had leave for 16 weeks or more, exhibited higher depressive symptoms at six- and twelve-months. Last, results also indicated that women who returned to work solely for monetary reasons exhibited more depressive symptoms at six-months postpartum than those who returned to work for other reasons. This study is among the first to show that women's attitudes towards parental leave and their individual reasons for returning to work are important factors to consider that may have potential implications for parental leave policies.</p>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":" ","pages":"841-851"},"PeriodicalIF":2.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12283866/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41098408","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}