Archives of Women's Mental Health最新文献

{"title":"Improving inpatient postpartum depression screening: results from a quality improvement initiative","authors":"Rebecca Woofter,&nbsp;Gwendolyn Hill,&nbsp;Emily Wong,&nbsp;Tiffani J. Bright,&nbsp;Catherine Bresee,&nbsp;Sarah J. Kilpatrick,&nbsp;Eynav E. Accortt","doi":"10.1007/s00737-025-01591-0","DOIUrl":"10.1007/s00737-025-01591-0","url":null,"abstract":"<div><h3>Purpose</h3><p>Screening is necessary to identify patients with postpartum depression or anxiety and facilitate access to mental healthcare. This study evaluated a quality improvement initiative for inpatient postpartum depression screening, which was implemented to better identify patients in need of mental healthcare. This initiative replaced the Patient Health Questionnaire (PHQ-9) administered verbally by nurses with the Edinburgh Postnatal Depression Scale (EPDS-10) self-administered by patients via iPads.</p><h3>Methods</h3><p>Electronic medical records for patients who delivered June 2020-October 2023 at Cedars-Sinai were analyzed (<i>N</i> = 17,403). Differences in completed screenings, positive depression screenings, suicidal ideation, and social work referrals before and after the initiative were examined with chi-square tests and multiple logistic regression models. Factors associated with positive anxiety screenings on the EPDS-10 were also identified.</p><h3>Results</h3><p>Overall, 98.6% of patients completed depression screenings. Among those who completed screenings, positive depression screenings increased from 4.0 to 11.4%, identified suicidal ideation increased from 0.2 to 1.1%, and social work referrals increased from 64.1 to 84.0%, before and after the initiative. Post-initiative, patients had higher odds of positive depression screenings, indicating suicidal ideation, and receiving social work referrals compared to pre-initiative. Among those who completed EPDS-10 screenings, 31% were positive for anxiety.</p><h3>Conclusions</h3><p>Compared to the PHQ-9 administered verbally by nurses, the EPDS-10 self-administered by patients via iPads resulted in higher rates of positive depression screenings, identified suicidal ideation, and social work referrals. It is imperative to accurately screen patients for postpartum depression and anxiety to facilitate access to mental healthcare and address morbidity and mortality.</p><h3>Clinical trial number</h3><p>Not applicable.</p></div>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"28 5","pages":"1295 - 1307"},"PeriodicalIF":2.7,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s00737-025-01591-0.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144075587","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":"Peripartum substance use and punitive laws: an update","authors":"Wesley R. White,&nbsp;Evanna M. Ojeda,&nbsp;Jenna R. Ronquest,&nbsp;Victoria P. Scott,&nbsp;Samuel J. House,&nbsp;Clare C. Brown,&nbsp;Zachary N. Stowe,&nbsp;Jessica L. Coker","doi":"10.1007/s00737-025-01590-1","DOIUrl":"10.1007/s00737-025-01590-1","url":null,"abstract":"<div><p>This is a follow up on a 2016 article discussing the rise in punitive perinatal substance use laws. From 2016–2023, there has been a 39% increase in laws equating perinatal substance use with child abuse, and a 73% increase in mandated reporting laws, despite limited evidence that these laws are helpful. We write this update to raise awareness for providers, so they may better counsel patients on this topic and help advocate for treatment focused policies in their state.</p></div>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"28 5","pages":"1331 - 1334"},"PeriodicalIF":2.7,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143957979","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":"Psychiatric disorders, impulsivity and borderline personality in patients with polycystic ovary syndrome","authors":"Mariwan Husni,&nbsp;Diaa E. E. Rizk,&nbsp;Nawal Saad Alabdulla,&nbsp;Aldana Zayed,&nbsp;Hosni Malas,&nbsp;Nourah Adbulaziz Modahka,&nbsp;Sabeeka Jamal Alqujan,&nbsp;Basma Khalid Alansari,&nbsp;Shaika Ebrahim Alhajri,&nbsp;Nada Mahmood,&nbsp;Haitham Jahrami","doi":"10.1007/s00737-025-01589-8","DOIUrl":"10.1007/s00737-025-01589-8","url":null,"abstract":"<div><h3>Introduction</h3><p>Polycystic ovarian syndrome (PCOS) is a common endocrine condition in women. Studies have shown that PCOS is associated with poor quality of life, anxiety, sadness, dissatisfaction with one's appearance, and sexual dysfunction.</p><h3>Objective</h3><p>This study was conducted to determine whether a strong psycho-pathological personality is related to PCOS and whether this personality is related to the hyperandrogenic state.</p><h3>Methods</h3><p>Anthropometric, metabolic, hormonal, clinical, and psychological characteristics were examined in 90 Bahraini women with PCOS. After confirming the diagnosis of PCOS via Rotterdam criteria, including ovarian ultrasound, each patient was evaluated via the following questionnaires: 1) the GAD-7 (General Anxiety Disorder-7) to measure the severity of anxiety; 2) the Patient Health Questionnaire-9 (PHQ-9) to confirm and measure the severity of depression; 3) the Barratt Impulsiveness Scale (BIS‐11) to measure aggression; and 4) the McLean Screening Instrument to identify borderline personality disorders (MSI-BPDs). The study was approved by the Institutional Review Board.</p><h3>Results</h3><p>Compared to controls, PCOS patients exhibited significantly higher rates of severe depression (8% vs. 0%, <i>p</i> &lt; 0.001), severe anxiety (7% vs. 0%, <i>p</i> &lt; 0.001), impulsivity (BIS-11: 39.43 ± 9.69 vs. 26.64 ± 2.92, <i>p</i> &lt; 0.001), and borderline personality traits (McLean: 2.41 ± 2.44 vs. 1.2 ± 0.94, <i>p</i> &lt; 0.001). Metabolic comorbidities, including obesity (BMI 28.88 vs. 20.27, <i>p</i> &lt; 0.001) and hypothyroidism (48% vs. 0%, <i>p</i> &lt; 0.001), were prevalent in PCOS. Hyperandrogenism correlated weakly with psychiatric outcomes (all <i>p</i> &gt; 0.05).</p><h3>Conclusion</h3><p>Women with PCOS demonstrate markedly elevated psychiatric and medical burdens compared to healthy controls. While hyperandrogenism showed limited direct associations, metabolic dysfunction (e.g., obesity) may mediate psychiatric risk. These findings underscore the need for multidisciplinary care integrating psychological and endocrine management, particularly in populations where cultural norms exacerbate PCOS-related distress.</p></div>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"28 5","pages":"1203 - 1210"},"PeriodicalIF":2.7,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143963585","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 retrospective chart review study of patients treated in a hospital-based brexanolone program","authors":"Zobeida M. Diaz,&nbsp;Margaret M. Howard,&nbsp;Keyline V. Moreno,&nbsp;Madilyn G. Halwes,&nbsp;Cynthia L. Battle","doi":"10.1007/s00737-025-01588-9","DOIUrl":"10.1007/s00737-025-01588-9","url":null,"abstract":"<div><h3>Purpose</h3><p>Postpartum depression (PPD), the most common childbirth complication in the United States, can be treated using brexanolone, an intravenous form of allopregnanolone.</p><h3>Methods</h3><p>This retrospective chart review study evaluated clinical outcomes of 64 postpartum women who received brexanolone infusion for PPD in a real-world setting.</p><h3>Results</h3><p>Treatment was associated with improved depression and anxiety symptoms, and 71% of patients reported significant improvement in their PPD.</p><h3>Conclusions</h3><p>While further research is needed, this study supports brexanolone as an efficacious treatment for PPD.</p></div>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"28 5","pages":"1325 - 1328"},"PeriodicalIF":2.7,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143960480","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":"Forensic aspects of reproductive mental health: editorial","authors":"Diana Barnes,&nbsp;Jane Fisher","doi":"10.1007/s00737-025-01587-w","DOIUrl":"10.1007/s00737-025-01587-w","url":null,"abstract":"","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"28 3","pages":"399 - 400"},"PeriodicalIF":3.2,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143952830","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":"Protecting mothers: the overlooked urgency of perinatal suicide risk","authors":"Sean E. Oldak","doi":"10.1007/s00737-025-01586-x","DOIUrl":"10.1007/s00737-025-01586-x","url":null,"abstract":"","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"28 5","pages":"1347 - 1348"},"PeriodicalIF":2.7,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143955178","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":"Postpartum maternal depression, mother-to-infant bonding, and their association with child difficulties in sixth grade","authors":"Daimei Sasayama,&nbsp;Tomonori Owa,&nbsp;Tetsuya Kudo,&nbsp;Wakako Kaneko,&nbsp;Mizuho Makita,&nbsp;Rie Kuge,&nbsp;Ken Shiraishi,&nbsp;Tetsuo Nomiyama,&nbsp;Shinsuke Washizuka,&nbsp;Hideo Honda","doi":"10.1007/s00737-025-01585-y","DOIUrl":"10.1007/s00737-025-01585-y","url":null,"abstract":"<div><h3>Purpose</h3><p>Postpartum maternal mental health plays a crucial role in the development of children’s social and emotional competencies. This study aimed to investigate the influence of postpartum maternal depression and mother-to-infant bonding on children’s emotional and behavioral difficulties in sixth grade.</p><h3>Methods</h3><p>Data from the maternal Edinburgh Postnatal Depression Scale (EPDS) and the Mother-to-Infant Bonding Scale-Japanese version (MIBS-J), administered to mothers approximately 2 weeks to 1 month postpartum during postnatal health checkups in Okaya, Japan, were analyzed alongside Strengths and Difficulties Questionnaire (SDQ) data collected from their sixth-grade children and their caregivers. The study included 245 mother–child pairs of children born between April 2, 2009, and April 1, 2012.</p><h3>Results</h3><p>Postpartum maternal depressive symptoms, as assessed by the EPDS, were significantly associated with mother-to-infant bonding difficulties, as assessed by the MIBS-J. Structural equation modeling revealed that EPDS, MIBS-J, and sex significantly predicted psychosocial difficulties of children. Bonding difficulties mediated 34.6% of the total effect of EPDS on child difficulties. The models explained 26.1% of the variance in psychosocial difficulties, with 43.0% of the variance explained for parent-rated SDQ scores and 36.4% for self-rated SDQ scores.</p><h3>Conclusions</h3><p>The negative impact of maternal depressive symptoms on mother-to-infant bonding may have contributed to increased difficulties for the child, highlighting the critical role of bonding in moderating the effects of maternal mental health on child development. These findings underscore the importance of early postpartum interventions targeting both maternal depression and bonding difficulties to mitigate long-term effects on child development.</p></div>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"28 5","pages":"1283 - 1294"},"PeriodicalIF":2.7,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s00737-025-01585-y.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143975171","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":"The epidemiology of maternal mental health in Africa: a systematic review","authors":"Amanuel Abajobir,&nbsp;Estelle Monique Sidze,&nbsp;Caroline Wainaina,&nbsp;Mulusew J. Gerbaba,&nbsp;Frederick Murunga Wekesah","doi":"10.1007/s00737-025-01563-4","DOIUrl":"10.1007/s00737-025-01563-4","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;p&gt;Despite a growing body of evidence on maternal mental health in Africa, significant gaps remain in understanding its overall landscape, risk factors/determinants, immediate and long-term effects, accessibility to healthcare and services, and availability of practicable/effective interventions. This paper provides a thorough review of both peer-reviewed and grey literature and makes key recommendations and directions for future research and development.&lt;/p&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;p&gt;We systematically reviewed extant evidence using the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) 2020 guidelines. Peer-reviewed studies published in English between 2010, and June 2024 were included based on a priori criteria. The National Institutes of Health (NIH) and Critical Appraisal Skill Program (CASP) quality assessment tools were used to critically appraise the reliability, validity and overall quality of included articles. A qualitative narrative synthesis was perfomed to summarize the findings effectively.&lt;/p&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;p&gt;A total of 206 full-text articles evaluated for eligibility and inclusion in the systematic review, predominantly observational studies with a minority employing randomized controlled trial (RCT) designs, were included, with 70%, 22%, and 8% of the articles rated as good, fair, and poor quality, respectively. Women in Africa experience a wide range of common perinatal mental disorders, including major depressive disorders and psychosis, either discretely or comorbid. Socioeconomic disadvantages and other intertwined poverty-related factors at the individual, family, social, and environmental levels are implicated in maternal mental health disorders. Currently, there is insufficient evidence regarding the short- and long-term health, development, and social impacts of maternal mental health. Addtionally, there is limited knowledge about the availability and accessibility of mental healthcare, evidence-based context-specific interventions, and healthcare-seeking behaviors of women in Africa, as well as their access to and utilization of mental health services.&lt;/p&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;p&gt;The evidence base on maternal mental health in Africa suffers from considerable variability, inconsistency, and equivocal findings resulting from heterogeneity across the studies. This restricts generalizability and the ability to draw valid conclusions. Published studies also likely underestimate the scale and health impacts of perinatal mental disorders. Evidence from these studies are rarely used to inform policies and programs. The maternal mental health ecosystem in Africa needs to be better understood. More rigorous study designs should be implemented to focus on evidence generation and the evaluation of interventions, alongside robust integration of mental health services within health systems. Policy initiatives aimed at reducing socioeconomic disparities in maternal, newborn, and child health, par","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"28 5","pages":"997 - 1089"},"PeriodicalIF":2.7,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s00737-025-01563-4.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143972772","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":"Stronger methodological studies are still necessary to elucidate the relationship between polycystic ovary syndrome and bipolar disorder","authors":"Thalles Rodrigues Alves Leite,&nbsp;Guilherme Nobre Nogueira,&nbsp;Arthur Henrique de Alencar Quirino,&nbsp;Antônia Gleiciane Marques Andrade,&nbsp;Sérgio André de Souza Júnior,&nbsp;Fabio Gomes de Matos Souza,&nbsp;Luisa Weber Bisol","doi":"10.1007/s00737-025-01584-z","DOIUrl":"10.1007/s00737-025-01584-z","url":null,"abstract":"<div><p>The letter about the article \"The Prevalence and Odds of Bipolar Disorder in Women with Polycystic Ovary Syndrome (PCOS) Disease: A Systematic Review and Meta-Analysis,\" authored by Shahraki et al. and published on January 2, 2024 discuss the main items about methodology and results.</p></div>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"28 5","pages":"1341 - 1342"},"PeriodicalIF":2.7,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143953373","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 of intimate partner violence with probable depression and symptoms of anxiety among women in Mozambique","authors":"Roger Antabe,&nbsp;Yujiro Sano,&nbsp;Gregory Antabe,&nbsp;Sulemana Ansumah Saaka","doi":"10.1007/s00737-025-01578-x","DOIUrl":"10.1007/s00737-025-01578-x","url":null,"abstract":"<div><h3>Purpose</h3><p>Women in Mozambique are noted to be at heightened risk of poor mental health. Yet, studies have not examined how their experiences of Intimate Partner Violence (IPV) may be associated with mental health outcomes. Our study, therefore, aimed to examine the association between probable depression and symptoms of anxiety with women’s experiences of IPV in Mozambique.</p><h3>Methods</h3><p>We used nationally representative data from the 2022-23 Mozambique Demographic and Health Survey. Using STATA 17, we applied logistic regression analysis to our analytical sample of 4,454 ever-married women aged 15 to 49 who answered questions related to their experience of emotional, sexual, and physical IPV.</p><h3>Results</h3><p>The prevalence of probable depression and symptoms of anxiety were 12% and 13%, respectively. Compared to women who have never experienced any form of IPV, those who had been victims of physical IPV (OR = 2.27, 95% CI = 1.59, 3.23; OR = 2.60, 95% CI = 1.88, 3.58), sexual IPV (OR = 2.38, 95% CI = 1.48, 3.80; OR = 2.16, 95% CI = 1.37, 3.43) and emotional IPV (OR = 3.27, 95% CI = 2.41, 4.44; OR = 3.90, 95% CI = 2.87, 5.29) were all more likely to report depression and symptoms of anxiety, respectively. In addition, we also found the protective effect of higher household wealth and employment against the risk of depression and anxiety among women. Finally, we observed that religious affiliation is associated with depression and anxiety.</p><h3>Conclusions</h3><p>We suggest the urgent need to strategize and design a holistic mental health policy in Mozambique which prioritizes eradicating IPV among women. Increasing public awareness about the devastating impact of IPV on women while strengthening the laws that criminalize it will be helpful in this regard.</p></div>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"28 5","pages":"1191 - 1202"},"PeriodicalIF":2.7,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143810404","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}