Archives of Women's Mental Health最新文献

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#Zuranolone: How TikTokers Perceive the First Available Oral Medication for Postpartum Depression #Zuranolone: tiktok用户如何看待产后抑郁症的第一种口服药物。
IF 2.7 3区 医学
Archives of Women's Mental Health Pub Date : 2025-03-10 DOI: 10.1007/s00737-025-01567-0
Tamar Jacobsohn, Joseph Idoko, Lilly Drohan, Wendy L. Kinzler, Martin R. Chavez, Patricia Rekawek
{"title":"#Zuranolone: How TikTokers Perceive the First Available Oral Medication for Postpartum Depression","authors":"Tamar Jacobsohn, Joseph Idoko, Lilly Drohan, Wendy L. Kinzler, Martin R. Chavez, Patricia Rekawek","doi":"10.1007/s00737-025-01567-0","DOIUrl":"10.1007/s00737-025-01567-0","url":null,"abstract":"","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"28 5","pages":"1329 - 1330"},"PeriodicalIF":2.7,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143596191","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}
引用次数: 0
Screening instruments for antenatal and postpartum mental health disorders in migrant women: a systematic review 移民妇女产前和产后精神健康障碍筛查工具:系统综述
IF 3.2 3区 医学
Archives of Women's Mental Health Pub Date : 2025-03-05 DOI: 10.1007/s00737-024-01552-z
A. E. H. Verschuuren, E. Soldati, J. Stekelenburg, E. I. Feijen-de Jong, I. R. Postma
{"title":"Screening instruments for antenatal and postpartum mental health disorders in migrant women: a systematic review","authors":"A. E. H. Verschuuren,&nbsp;E. Soldati,&nbsp;J. Stekelenburg,&nbsp;E. I. Feijen-de Jong,&nbsp;I. R. Postma","doi":"10.1007/s00737-024-01552-z","DOIUrl":"10.1007/s00737-024-01552-z","url":null,"abstract":"<div><h3>Purpose</h3><p>Maternal mental health disorders are prevalent among migrant women. Due to the association of these disorders with adverse pregnancy outcomes, early recognition, and referral are important. This review aims to provide an overview of the literature on mental health screening for migrant women during pregnancy and the postpartum period.</p><h3>Methods</h3><p>We systematically searched PubMed, EMBASE, and PsycINFO, covering publications before July 15th, 2024. Database searches were supplemented by a grey literature search, which included a systematic Google and Google Scholar search, hand searching of reference lists, and citation searches. Quantitative, qualitative, and mixed-method studies published in any language were included if they evaluated or validated screening methods for maternal mental health disorders in first-generation migrants. Screening for eligibility, data extraction, and quality appraisal were conducted by two independent researchers. Results were summarized narratively.</p><h3>Results</h3><p>Among the 3035 records screened, 30 articles met the inclusion criteria. Our findings indicate that health care providers and migrant women recognize a substantial need for maternal mental health screening, especially for depression, and in a lesser quantity for anxiety and PTSD. We describe a range of barriers and facilitators that impact the quality and feasibility of mental health screening. Research on available screening instruments in migrant populations reports reasonable accuracy, reliability, and validity. However, qualitative evaluations question the screening instruments' cultural appropriateness and translatability.</p><h3>Conclusions</h3><p><b>T</b>here is an urgent need for the development and implementation of maternal mental health screening programs tailored to pregnant or postpartum migrants. Further research is essential to enhance the effectiveness and cultural sensitivity of these screening programs.</p></div>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"28 2","pages":"253 - 278"},"PeriodicalIF":3.2,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s00737-024-01552-z.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143555733","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}
引用次数: 0
The effect of bright light therapy on sleep in pregnant women with major depressive disorder– a randomized controlled trial 强光疗法对重度抑郁症孕妇睡眠的影响——一项随机对照试验。
IF 2.7 3区 医学
Archives of Women's Mental Health Pub Date : 2025-03-04 DOI: 10.1007/s00737-025-01573-2
Milan Zarchev, Babette Bais, Julia S. Meijer, Hilmar H. Bijma, Bianca van der Zande, Annemarie I. Luik, Mijke P. Lambregtse-van den Berg, Astrid M. Kamperman
{"title":"The effect of bright light therapy on sleep in pregnant women with major depressive disorder– a randomized controlled trial","authors":"Milan Zarchev,&nbsp;Babette Bais,&nbsp;Julia S. Meijer,&nbsp;Hilmar H. Bijma,&nbsp;Bianca van der Zande,&nbsp;Annemarie I. Luik,&nbsp;Mijke P. Lambregtse-van den Berg,&nbsp;Astrid M. Kamperman","doi":"10.1007/s00737-025-01573-2","DOIUrl":"10.1007/s00737-025-01573-2","url":null,"abstract":"<div><h3>Purpose</h3><p>Bright light therapy (BLT) is a potential treatment for depression during pregnancy, which may also improve sleep. We investigated whether BLT has an effect on self-reported and actigraphy-estimated sleep in pregnant women diagnosed with depressive disorder.</p><h3>Method</h3><p>Sixty-seven pregnant women with a DSM-5 diagnosis of depressive disorder during pregnancy were randomly allocated to treatment with BLT (9,000 lx, 5,000 K) or dim red light therapy (DRLT, 100 lx, 2,700 K), which is considered placebo. For six weeks, both groups were treated daily at home for 30 min upon awakening. Follow-up took place at various time points. We collected data on sleep with the Pittsburgh Sleep Quality Index and with actigraphy wearables.</p><h3>Results</h3><p>We found no statistically significant differences in treatment groups across any of the sleep parameters measured, namely sleep efficiency, duration, onset latency, fragmentation, and total sleep health as measured by self-report and actigraphy. Moreover, we observed no overall improvements in sleep during the treatment period.</p><h3>Conclusions</h3><p>The results suggest that any potential therapeutic effects of BLT might have on sleep are too small for the current study to detect.</p><h3>Clinical trial number</h3><p>NTR5476; November 5th, 2015</p></div>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"28 5","pages":"1261 - 1269"},"PeriodicalIF":2.7,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s00737-025-01573-2.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143539938","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}
引用次数: 0
Correction to: Predicting first time depression onset in pregnancy: applying machine learning methods to patient-reported data 更正:预测妊娠期抑郁症首次发病:将机器学习方法应用于患者报告数据。
IF 2.7 3区 医学
Archives of Women's Mental Health Pub Date : 2025-03-01 DOI: 10.1007/s00737-025-01572-3
Tamar Krishnamurti, Samantha Rodriguez, Bryan Wilder, Priya Gopalan, Hyagriv N. Simhan
{"title":"Correction to: Predicting first time depression onset in pregnancy: applying machine learning methods to patient-reported data","authors":"Tamar Krishnamurti,&nbsp;Samantha Rodriguez,&nbsp;Bryan Wilder,&nbsp;Priya Gopalan,&nbsp;Hyagriv N. Simhan","doi":"10.1007/s00737-025-01572-3","DOIUrl":"10.1007/s00737-025-01572-3","url":null,"abstract":"","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"28 5","pages":"1353 - 1353"},"PeriodicalIF":2.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s00737-025-01572-3.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143530962","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}
引用次数: 0
Dysphoric milk ejection reflex: prevalence and associations with self-reported mental health history 烦躁不安的牛奶反射:患病率及其与自我报告的精神健康史的关系。
IF 2.7 3区 医学
Archives of Women's Mental Health Pub Date : 2025-02-20 DOI: 10.1007/s00737-025-01571-4
Megan Howard, Alison N. Goulding, Anitha Muddana, Terri L. Fletcher, Nicole Cirino, Alison M. Stuebe
{"title":"Dysphoric milk ejection reflex: prevalence and associations with self-reported mental health history","authors":"Megan Howard,&nbsp;Alison N. Goulding,&nbsp;Anitha Muddana,&nbsp;Terri L. Fletcher,&nbsp;Nicole Cirino,&nbsp;Alison M. Stuebe","doi":"10.1007/s00737-025-01571-4","DOIUrl":"10.1007/s00737-025-01571-4","url":null,"abstract":"<p>This study sought to determine prevalence of Dysphoric Milk Ejection Reflex (D-MER) and mental health correlates in a cohort of patients from a breastfeeding medicine clinic. We determined prevalence of D-MER symptoms and performed bivariate analyses to explore associations between D-MER symptoms, demographics, and self-reported mental health history. Among 271 patients, 42 (15.5%) reported D-MER. Women with D-MER symptoms were more likely to report a history of panic attacks (28.6 vs. 12.2%, OR 2.87, 95% CI 1.23–6.25).</p>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"28 5","pages":"1319 - 1323"},"PeriodicalIF":2.7,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143456631","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}
引用次数: 0
Sex comparisons on the beneficial effects of an early intervention program in a patients’ cohort with first episode psychosis: what effectiveness in women? 早期干预项目对首发精神病患者群体有益效果的性别比较:对女性有什么效果?
IF 2.7 3区 医学
Archives of Women's Mental Health Pub Date : 2025-02-19 DOI: 10.1007/s00737-025-01566-1
Lorenzo Pelizza, Camilla Ricci, Emanuela Leuci, Emanuela Quattrone, Derna Palmisano, Simona Pupo, Giuseppina Paulillo, Clara Pellegrini, Pietro Pellegrini, Marco Menchetti
{"title":"Sex comparisons on the beneficial effects of an early intervention program in a patients’ cohort with first episode psychosis: what effectiveness in women?","authors":"Lorenzo Pelizza,&nbsp;Camilla Ricci,&nbsp;Emanuela Leuci,&nbsp;Emanuela Quattrone,&nbsp;Derna Palmisano,&nbsp;Simona Pupo,&nbsp;Giuseppina Paulillo,&nbsp;Clara Pellegrini,&nbsp;Pietro Pellegrini,&nbsp;Marco Menchetti","doi":"10.1007/s00737-025-01566-1","DOIUrl":"10.1007/s00737-025-01566-1","url":null,"abstract":"<div><h3>Purpose</h3><p>Males and females with First Episode Psychosis (FEP) usually tend to differ in psychopathology, clinical presentation and their longitudinal trajectory. This study aimed to examine the difference of effectiveness of specialized psychosocial and pharmacological treatments for FEP, focusing on various clinical and functioning outcomes across a 2-years follow-up period.</p><h3>Methods</h3><p>The assessment included the CAARMS, the HoNOS, the PANSS and the GAF scale and was conducted at baseline and every 12 months.</p><h3>Results</h3><p>490 FEP patients (age: 12–35 years) were recruited. Of them, 363 completed the follow-up (132 females and 231 males). At baseline, males showed a higher prevalence rate of schizophrenia diagnosis (56.1% VS 43.8%; <i>p</i> = .008), whereas females a higher prevalence rate of affective psychosis (36.2% VS 23.3%; <i>p</i> = .005). Male participants also showed a more consistent substance abuse (46.9% VS 24.3%; <i>p</i> = .0001), lower years of education (11.26 ± 2.94 VS 11.88 ± 2.68; <i>p</i> = .013), and more striking behavioral manifestations (4.06 ± 2.36 VS 3.39 ± 2.58; <i>p</i> = .003) compared to women. Our 2-year outcome parameter results showed a higher incidence of functional remission over time in females compared to males (49.2% VS 39.0%; <i>p</i> = .028), together with a decreasing trend in new hospitalization rates (17.8% VS 26.9%; <i>p</i> = .089). Independently from sex, our results also showed a statistically significant reduction in the prescription of psychotropic medications and through the increase of all psychosocial interventions, although more evident in males.</p><h3>Conclusion</h3><p>These results suggested that specialized interventions for FEP are overall effective in both treated subgroups. Additionally, FEP women specifically showed higher rates of improvement in functional outcome variables over time when compared to males.</p></div>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"28 5","pages":"1151 - 1166"},"PeriodicalIF":2.7,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s00737-025-01566-1.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143456641","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}
引用次数: 0
Gender difference in rumination subtypes connecting to depression 与抑郁症相关的反刍亚型的性别差异。
IF 2.7 3区 医学
Archives of Women's Mental Health Pub Date : 2025-02-18 DOI: 10.1007/s00737-025-01569-y
Mingxuan Zou, Bin Liu, Jing Ji, Lei Ren, Yuqing He, Huaihuai Wei, Mengxin Yin, Hui Hu, Xufeng Liu, Shengjun Wu, Hui Wang, Xiuchao Wang
{"title":"Gender difference in rumination subtypes connecting to depression","authors":"Mingxuan Zou,&nbsp;Bin Liu,&nbsp;Jing Ji,&nbsp;Lei Ren,&nbsp;Yuqing He,&nbsp;Huaihuai Wei,&nbsp;Mengxin Yin,&nbsp;Hui Hu,&nbsp;Xufeng Liu,&nbsp;Shengjun Wu,&nbsp;Hui Wang,&nbsp;Xiuchao Wang","doi":"10.1007/s00737-025-01569-y","DOIUrl":"10.1007/s00737-025-01569-y","url":null,"abstract":"<div><h3>Purpose</h3><p>The prevalence of depression is higher in women than in men. This may be because women are more prone to rumination. However, there is a lack of evidence about which rumination symptoms are most strongly associated with depression in women. According to the network theory of mental disorders, the complex interaction between different subtypes of rumination and depressive symptoms is confusing. We utilized the network analysis method to examine the connection between different subtypes of rumination and depressive symptoms across different gender groups and to investigate gender differences in rumination-depression networks.</p><h3>Methods</h3><p>798 Chinese university students (50.5% males and 49.5% females) completed The Rumination Response Scale (RRS) and The Beck Depression Inventory-Second Edition (BDI-II) scales via an online survey platform for this study. The networks were analyzed and built with scale dimensions as nodes.</p><h3>Results</h3><p>The line graph indicates that the B (Brooding) and N (Negative attitude) nodes had the highest BEI values in the female group, whereas the R (Reflection) and N nodes had the highest BEI values in the male group.</p><h3>Conclusion</h3><p>The findings revealed that males and females in the rumination-depression network had distinct rumination bridge nodes (male: Reflection; female: Brooding) but had a common depression bridge node (Negative attitude). The connection between different types of rumination and depressive symptoms was more pronounced in the female network. The findings enhance comprehension of gender disparities in the co-occurrence of rumination and depression, offering specific subtypes for targeted intervention in rumination.</p></div>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"28 5","pages":"1143 - 1150"},"PeriodicalIF":2.7,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s00737-025-01569-y.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143439673","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}
引用次数: 0
Anxiety and depression among reproductive-aged women in Bangladesh: burden, determinants, and care-seeking practices based on a nationally representative demographic and health survey 孟加拉国育龄妇女的焦虑和抑郁:负担、决定因素和求医做法——基于一项具有全国代表性的人口和健康调查。
IF 2.7 3区 医学
Archives of Women's Mental Health Pub Date : 2025-02-18 DOI: 10.1007/s00737-025-01564-3
Sahar Raza, Rajon Banik, Syed Toukir Ahmed Noor, Abu Sayeed, Anindita Saha, Esrat Jahan,  Ashiquzzaman, Md. Abu Bakkar Siddique, Anisuddin Ahmed, Ahmed Ehsanur Rahman
{"title":"Anxiety and depression among reproductive-aged women in Bangladesh: burden, determinants, and care-seeking practices based on a nationally representative demographic and health survey","authors":"Sahar Raza,&nbsp;Rajon Banik,&nbsp;Syed Toukir Ahmed Noor,&nbsp;Abu Sayeed,&nbsp;Anindita Saha,&nbsp;Esrat Jahan,&nbsp; Ashiquzzaman,&nbsp;Md. Abu Bakkar Siddique,&nbsp;Anisuddin Ahmed,&nbsp;Ahmed Ehsanur Rahman","doi":"10.1007/s00737-025-01564-3","DOIUrl":"10.1007/s00737-025-01564-3","url":null,"abstract":"<div><h3>Purpose</h3><p>This study aimed to investigate the prevalence, determinants, and care-seeking practices for anxiety and depression among reproductive-aged women in Bangladesh.</p><h3>Methods</h3><p>We utilized data from the 2022 Bangladesh Demographic and Health Survey, with a total weighted sample of 20,029 women aged 15–49. Anxiety and depression symptoms were assessed using the Generalized Anxiety Disorder-7 (GAD-7) scale and the Patient Health Questionnaire (PHQ-9) scale, respectively. Prevalence was reported with 95% confidence intervals (CI). Multiple logistic regression was conducted to identify associated factors, and the results were presented as adjusted odds ratios (AOR) with 95% CI.</p><h3>Results</h3><p>Among women, 4% (95% CI: 3.9%, 4.9%) had symptoms of moderate to severe anxiety, and 5% had moderate to severe depression. The prevalence of both symptoms was significantly higher (<i>p</i> &lt; 0.05) in Khulna, Rangpur, and Sylhet. Older women (45–49 years) (anxiety: AOR: 2.33, 95% CI: 1.55, 3.50; depression: AOR: 1.63, 95% CI: 1.15, 2.31) and women who made all major household decisions (anxiety: AOR: 1.30, 95% CI: 1.00, 1.69; depression: AOR: 1.41, 95% CI: 1.07, 1.80) were more likely to experience moderate to severe anxiety and depression. Among women with symptoms of moderate to severe anxiety or depression, 22% (95% CI: 19.9%, 25.0%) sought care, and 8% (95% CI: 6.6%, 10.1%) used medication.</p><h3>Conclusion</h3><p>The findings highlight a significant burden of anxiety and depression among women in Bangladesh, with notable regional disparities. These insights underscore the need for targeted interventions to address regional disparities, support vulnerable groups such as older women and those involved in household decision-making, and integrate mental health services into primary healthcare for better mental well-being among women in Bangladesh.</p><h3>Article highlights</h3>\u0000<ul>\u0000 <li>\u0000 <p>In Bangladesh, 4% and 5% of reproductive-aged women experienced moderate to severe symptoms of anxiety and depression respectively.</p>\u0000 </li>\u0000 <li>\u0000 <p>Highest prevalence of anxiety and depression was in Khulna, Rangpur, and Sylhet.</p>\u0000 </li>\u0000 <li>\u0000 <p>Women with older age and higher decision-making autonomy are associated with anxiety and depression.</p>\u0000 </li>\u0000 <li>\u0000 <p>22% of women with symptoms of anxiety and depression sought care from a healthcare provider and 8% took medication.</p>\u0000 </li>\u0000 </ul></div>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"28 5","pages":"1125 - 1141"},"PeriodicalIF":2.7,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s00737-025-01564-3.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143439761","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}
引用次数: 0
Computer adaptive testing strategies for the Edinburgh Postnatal Depression Scale (EPDS) 爱丁堡产后抑郁量表(EPDS)的计算机自适应测试策略。
IF 2.7 3区 医学
Archives of Women's Mental Health Pub Date : 2025-02-14 DOI: 10.1007/s00737-025-01562-5
Emily F. Wong, Eynav E. Accortt, Seung W. Choi, Tiffani J. Bright
{"title":"Computer adaptive testing strategies for the Edinburgh Postnatal Depression Scale (EPDS)","authors":"Emily F. Wong,&nbsp;Eynav E. Accortt,&nbsp;Seung W. Choi,&nbsp;Tiffani J. Bright","doi":"10.1007/s00737-025-01562-5","DOIUrl":"10.1007/s00737-025-01562-5","url":null,"abstract":"<div><h3>Purpose</h3><p>Perinatal mood and anxiety disorders (PMADs) include depressive and anxiety disorders during pregnancy or postpartum and can have significant consequences for the parent, child, and family. When severe, these conditions can lead to suicide. Despite numerous policy efforts to improve screening, education, and referral structures, disparities in PMAD diagnosis and treatment still exists, particularly among racial and ethnic minorities. Computer Adaptive Testing (CAT) has been shown to improve the efficiency of screening by significantly reducing test length. This study evaluates whether applying CAT to the Edinburgh Postnatal Depression Scale (EPDS) maintains diagnostic accuracy while ensuring these methods do not exacerbate racial disparities in PMAD screening outcomes.</p><h3>Methods</h3><p>Using real data simulation, we assessed three CAT-based short-form versions of the EPDS, derived from one-, two-, and three-factor item response theory models. We evaluated their diagnostic precision and examined potential racial disparities in false negative rates compared to the full-length EPDS.</p><h3>Results</h3><p>We demonstrate that estimated scores from three short versions of the EPDS administered through CAT—assuming one, two, and three-factor item response theory models—are more highly correlated with the full-length EPDS measure traditionally used to make clinical decisions (<i>r’s</i> between 0.96 and 0.97) than the major depressive disorder subtest (CAT-MDD) from CAT-Mental Health (CAT-MH<sup>®</sup>) (<i>r</i> =.82), as previously reported. Importantly, the false negative rates of the CAT-implied diagnoses did not significantly vary between racial groups, indicating no evidence of racial bias in diagnostic accuracy.</p><h3>Conclusion</h3><p>The CAT-based versions of the EPDS offers a promising solution for improving the efficiency of PMAD screening without sacrificing diagnostic precision or exacerbating racial groups. By reducing evaluation time, these tools could facilitate more widespread and equitable screening, enabling earlier diagnosis and treatment of PMADs across diverse populations.</p></div>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"28 5","pages":"1251 - 1260"},"PeriodicalIF":2.7,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s00737-025-01562-5.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143413292","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}
引用次数: 0
Maternity under fire: the dual vulnerability of Ukrainian women 炮火下的母性:乌克兰妇女的双重脆弱性。
IF 3.2 3区 医学
Archives of Women's Mental Health Pub Date : 2025-02-13 DOI: 10.1007/s00737-025-01568-z
Liudmyla Krupelnytska, Olha Morozova-Larina, Nazar Yatsenko, Alona Vavilova
{"title":"Maternity under fire: the dual vulnerability of Ukrainian women","authors":"Liudmyla Krupelnytska,&nbsp;Olha Morozova-Larina,&nbsp;Nazar Yatsenko,&nbsp;Alona Vavilova","doi":"10.1007/s00737-025-01568-z","DOIUrl":"10.1007/s00737-025-01568-z","url":null,"abstract":"","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"28 2","pages":"283 - 285"},"PeriodicalIF":3.2,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143405547","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}
引用次数: 0
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