Diana Paleacu Kertesz, Liat Mor, Ann Dekalo, Eran Weiner, Yossi Mizrachi, Anna Milstein, Giulia Barda
{"title":"Anxiety, depression and cognitive characteristics of women with twin versus singleton pregnancy.","authors":"Diana Paleacu Kertesz, Liat Mor, Ann Dekalo, Eran Weiner, Yossi Mizrachi, Anna Milstein, Giulia Barda","doi":"10.1007/s00737-025-01611-z","DOIUrl":"https://doi.org/10.1007/s00737-025-01611-z","url":null,"abstract":"<p><strong>Purpose: </strong>Maternal anxiety, depression, and cognitive changes during pregnancy are recognized as significant public health issues. While previous research has primarily focused on singleton pregnancies, little is known about how twin pregnancies impact maternal mental health and cognitive function. This prospective study aimed to compare anxiety, depression, and cognitive function between women with twin and singleton pregnancies.</p><p><strong>Methods: </strong>A total of 160 pregnant women were recruited, including 104 with singleton and 56 with twin pregnancies. Anxiety was assessed using the State-Trait Anxiety Inventory Scale (STAI-S), depression using the Edinburgh Postnatal Depression Scale (EPDS), and cognitive function using the Montreal Cognitive Assessment (MOCA) test.</p><p><strong>Results: </strong>Women with twin pregnancies had significantly higher anxiety levels and a higher rate of severe anxiety, with over 50% scoring in the severe anxiety range. Their mean cognitive function scores were significantly lower compared to women with singleton pregnancies. However, depression scores were similar between the two groups. These differences in anxiety and cognitive function remained significant after adjusting for maternal age, BMI, use of psychiatric medications, education level, nulliparity, pregnancy complications, and multifetal gestation.</p><p><strong>Conclusions: </strong>Women with twin pregnancies experience greater psychological burden and cognitive decline compared to those with singleton pregnancies. Further research is necessary to explore the long-term effects of these outcomes and to develop interventions aimed at improving mental health and cognitive function in this population.</p>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144582935","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}
Riley Huddleston, Maya Julian-Kwong, Marcelle I. Cedars, Eleni G. Jaswa, Maren Shapiro Eger, Anna Sindalovsky, Katherine Geisler, Heather G. Huddleston, Jamie Corley, Elena Hoskin, Karla J. Lindquist
{"title":"The association between social media for medical information during pregnancy on maternal mental health at the end of the third trimester","authors":"Riley Huddleston, Maya Julian-Kwong, Marcelle I. Cedars, Eleni G. Jaswa, Maren Shapiro Eger, Anna Sindalovsky, Katherine Geisler, Heather G. Huddleston, Jamie Corley, Elena Hoskin, Karla J. Lindquist","doi":"10.1007/s00737-025-01608-8","DOIUrl":"10.1007/s00737-025-01608-8","url":null,"abstract":"<p>This study assessed the correlation between social media use for medical information during pregnancy and maternal mental health. We found that prenatal social media use for medical information was associated with higher anxiety and distress symptoms at the end of pregnancy. Healthcare professionals should be prepared to counsel women on using social media for medical information during pregnancy.</p>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"28 5","pages":"1335 - 1340"},"PeriodicalIF":2.7,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s00737-025-01608-8.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144564315","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":"Disability and women’s mental health: the case for inclusion and accessibility","authors":"Hilary K. Brown, Lesley A. Tarasoff","doi":"10.1007/s00737-025-01603-z","DOIUrl":"10.1007/s00737-025-01603-z","url":null,"abstract":"","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"28 4","pages":"645 - 646"},"PeriodicalIF":2.7,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144564314","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}
Emily McCauley, Alyssa Thompson, Samantha Gawrys, Jason Benedict, Jonathan Schaffir
{"title":"Maternal antidepressant effects on the fetal nonstress test","authors":"Emily McCauley, Alyssa Thompson, Samantha Gawrys, Jason Benedict, Jonathan Schaffir","doi":"10.1007/s00737-025-01607-9","DOIUrl":"10.1007/s00737-025-01607-9","url":null,"abstract":"<div><h3>Purpose</h3><p>Selective serotonin reuptake inhibitors (SSRIs) are commonly prescribed for mood disorders in pregnancy, though studies regarding effects on fetal behavior are conflicting. Previous studies have suggested that fetuses exposed to these medications in the third trimester may have decreased fetal heart rate variability. Since changes in variability may affect the interpretation of antenatal testing, clinicians should be aware of those medications that may impair effective testing.</p><h3>Methods</h3><p>A retrospective observational cohort study was performed to compare nonstress test (NST) parameters of fetuses exposed to SSRIs with unexposed fetuses at 36 weeks gestation. Subjects were excluded if they had multiple gestations, fetal anomalies including growth restriction, illicit substance use or use of other psychotropic medications. NSTs were compared for fetal baseline heart rate, variability, time to reactivity, number of accelerations over time, and number of fetal movements over time.</p><h3>Results</h3><p>Of 219 participants, 12 were taking an SSRI/SNRI at the time of their 36-week NST. There were no significant differences in demographics or indications for NST between groups. NSTs were reactive in 92% of those taking an SSRI/SNRI and in 97% of those not taking an SSRI/SNRI. Time to reactivity [8.6 min vs. 12.5 min], baseline heart rate [142 bpm vs. 139 bpm], and heart rate variability [12.1 bpm vs. 11.7 bpm] were all similar between the two groups.</p><h3>Conclusion</h3><p>Though limited by sample size, lack of pharmacologic data and potential confounding by indication, the study suggests SSRI use is not associated with any significant changes in NST. Clinicians should be reassured that NST assessment remains a useful means of determining fetal wellbeing in patients using these medications.</p></div>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"28 5","pages":"1309 - 1317"},"PeriodicalIF":2.7,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s00737-025-01607-9.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144551794","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":"A cautionary note regarding the use of the FDA adverse event reporting system","authors":"Katherine L. Wisner, Krista F. Huybrechts","doi":"10.1007/s00737-025-01605-x","DOIUrl":"10.1007/s00737-025-01605-x","url":null,"abstract":"","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"28 5","pages":"1343 - 1344"},"PeriodicalIF":2.7,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144526274","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 mental disorders, mental health services, and human rights treaties: recognizing the state’s obligations","authors":"Ritika Behl","doi":"10.1007/s00737-025-01604-y","DOIUrl":"10.1007/s00737-025-01604-y","url":null,"abstract":"","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"28 5","pages":"1349 - 1352"},"PeriodicalIF":2.7,"publicationDate":"2025-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144526275","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":"<div><h3>Purpose</h3><p>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><h3>Methods</h3><p>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><h3>Results</h3><p>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><h3>Conclusion</h3><p>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></div>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"28 4","pages":"679 - 689"},"PeriodicalIF":2.7,"publicationDate":"2025-06-20","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":"Emotional distress and assisted reproductive technology outcomes among women with unexplained infertility: a nested case–control study","authors":"Jiwei Sun, Bing Sun, Xiaofei Sun, Yuzhi Duan, Jingmei Hu, Kuona Hu, Xiulei Zhang, Linlin Cui, Zi-Jiang Chen","doi":"10.1007/s00737-025-01597-8","DOIUrl":"10.1007/s00737-025-01597-8","url":null,"abstract":"<div><h3>Objectives</h3><p>Identifying the specific etiology of unexplained infertility is a focus of reproductive research, particularly investigating overlooked topics such as addressing the emotional and psychological impact of infertility. The present study aimed to explore the association between emotional distress (anxiety and depression) and assisted reproductive technology outcomes among women with unexplained infertility in a nested case–control study.</p><h3>Methods</h3><p>Each woman with unexplained infertility and assisted reproductive technology failure (case group) was matched by age and body mass index (BMI) with one randomly selected woman with unexplained infertility and successful assisted reproductive technology (control group). Totally, 1512 patients in case group and 1512 matched controls were identified.</p><h3>Results</h3><p>Anxiety and depression in women with unexplained infertility were associated with a significant increased risk of failed assisted reproductive technology, respectively. The Johnson–Neyman plot for the conditional effect of anxiety symptoms indicated that the negative impact on assisted reproductive technology outcomes depended on the pre-pregnancy BMI (22.796–30.914 kg/m<sup>2</sup>), whereas the effect of depression symptoms on assisted reproductive technology outcomes depended on both age (27.749–39.048 years) and pre-pregnancy BMI (19.514–28.389 kg/m<sup>2</sup>).</p><h3>Conclusions</h3><p>Monitoring emotional distress among women of reproductive age or those who are not obese and have unexplained infertility is crucial.</p></div>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"28 5","pages":"1241 - 1250"},"PeriodicalIF":2.7,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144332401","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}