Archives of Women's Mental Health最新文献

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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 人工智能时代女研究生自我效能感与心理弹性研究:手机依赖、焦虑与师徒关系的作用机制分析
IF 2.7 3区 医学
Archives of Women's Mental Health Pub Date : 2025-01-07 DOI: 10.1007/s00737-024-01547-w
Xianjie Peng, Ruwei Nie, Sihan Tong
{"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,&nbsp;Ruwei Nie,&nbsp;Sihan Tong","doi":"10.1007/s00737-024-01547-w","DOIUrl":"10.1007/s00737-024-01547-w","url":null,"abstract":"<div><h3>Purpose</h3><p>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><h3>Method</h3><p>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><h3>Result</h3><p>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><h3>Conclusion</h3><p>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></div>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"28 4","pages":"805 - 817"},"PeriodicalIF":2.7,"publicationDate":"2025-01-07","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}
引用次数: 0
Links among maternal antenatal attachment, postnatal depressive symptoms and infant crying: a prospective cohort study 母亲产前依恋、产后抑郁症状和婴儿哭闹之间的联系:一项前瞻性队列研究
IF 2.7 3区 医学
Archives of Women's Mental Health Pub Date : 2025-01-06 DOI: 10.1007/s00737-024-01550-1
Laura Lærkegård Støve, Ruth Kirk Ertmann, Volkert Dirk Siersma, Sarah Strøyer de Voss, Johanne Smith-Nielsen
{"title":"Links among maternal antenatal attachment, postnatal depressive symptoms and infant crying: a prospective cohort study","authors":"Laura Lærkegård Støve,&nbsp;Ruth Kirk Ertmann,&nbsp;Volkert Dirk Siersma,&nbsp;Sarah Strøyer de Voss,&nbsp;Johanne Smith-Nielsen","doi":"10.1007/s00737-024-01550-1","DOIUrl":"10.1007/s00737-024-01550-1","url":null,"abstract":"<div><h3>Purpose</h3><p>This study investigated whether maternal antenatal attachment (MAA) in the third trimester was associated with self-reported problematic infant crying at eight weeks postnatally and explored links with postnatal depressive symptoms.</p><h3>Methods</h3><p>A prospective cohort study was conducted with 1287 pregnant participants in Danish general practice. MAA was measured using the Maternal Antenatal Attachment Scale (MAAS) in the third trimester. Both postnatal depressive symptoms and infant crying problems were assessed eight weeks postnatally, using the Edinburgh Postnatal Depression Scale (EPDS) and maternal reports, respectively.</p><h3>Results</h3><p>Low MAAS quality scores in the third trimester were initially associated with a 51% increased risk of reporting problematic infant crying at eight weeks, but this effect disappeared after adjusting for physical and mental health variables (e.g., chronic disease, anxiety, and depression symptoms) during pregnancy. No significant effects were found for MAAS intensity or total score. Low MAAS quality and overall MAAS scores were associated with an increased risk of scoring above cutoff on the EPDS. High levels of postnatal depressive symptoms at eight weeks significantly increased the likelihood of reporting problematic infant crying. Low MAAS scores combined with high levels of postnatal depressive symptoms did not increase the risk of problematic infant crying compared to low levels of depressive symptoms with low MAAS scores.</p><h3>Conclusions</h3><p>Our findings highlight the importance of considering maternal mental health when parents report infant crying problems postnatally. Furthermore, our results demonstrate that poor MAA in pregnancy is not necessarily linked with parental report of problematic infant crying after birth.</p></div>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"28 4","pages":"927 - 937"},"PeriodicalIF":2.7,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142930487","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
Psychometric evaluation of the Yale-Brown Obsessive-Compulsive Scale in pregnant women 孕妇耶鲁-布朗强迫症量表的心理测量评估。
IF 2.7 3区 医学
Archives of Women's Mental Health Pub Date : 2025-01-02 DOI: 10.1007/s00737-024-01548-9
Catherine E. Rast, Rashelle Musci, Jonathan S. Abramowitz, Gerald Nestadt, Paul Nestadt, Mary C. Kimmel, Tracey Dibbs, Lauren M. Osborne, Jack Samuels, Janice Krasnow, Eric A. Storch
{"title":"Psychometric evaluation of the Yale-Brown Obsessive-Compulsive Scale in pregnant women","authors":"Catherine E. Rast,&nbsp;Rashelle Musci,&nbsp;Jonathan S. Abramowitz,&nbsp;Gerald Nestadt,&nbsp;Paul Nestadt,&nbsp;Mary C. Kimmel,&nbsp;Tracey Dibbs,&nbsp;Lauren M. Osborne,&nbsp;Jack Samuels,&nbsp;Janice Krasnow,&nbsp;Eric A. Storch","doi":"10.1007/s00737-024-01548-9","DOIUrl":"10.1007/s00737-024-01548-9","url":null,"abstract":"<div><h3>Purpose</h3><p>Although many women experience obsessive-compulsive symptoms during the perinatal period, the Yale-Brown Obsessive Compulsive Scale (YBOCS) has not yet been psychometrically evaluated in this population. This study examined the internal consistency, convergent and divergent validity, and factor structure of the YBOCS among pregnant women.</p><h3>Methods</h3><p>256 Women who were 20 to 24 weeks pregnant completed the clinician-administered YBOCS and Mini International Neuropsychiatric Interview (MINI) along with a series of self-report questionnaires including the Edinburgh Postnatal Depression Scale (EPDS), Perinatal Anxiety Screening Scale (PASS) and Obsessive-Compulsive Inventory-Revised (OCI-R).</p><h3>Results</h3><p>Internal consistency of the YBOCS was excellent, and there were strong inter-scale correlations between the YBOCS Total Score, YBOCS Obsessions and Compulsions Severity Scales. The YBOCS demonstrated good known-groups validity differentiating women with and without OCD. Convergent validity with the OCI-R was demonstrated while relations with divergent validity were more mixed.</p><h3>Conclusion</h3><p>The YBOCS possesses strong psychometric properties in pregnant women.</p></div>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"28 4","pages":"919 - 926"},"PeriodicalIF":2.7,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142913758","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
Risk of congenital anomalies associated with psychotropic medications: a review of neonatal reports in the FDA adverse event reporting System (FAERS) 与精神药物相关的先天性异常风险:FDA不良事件报告系统(FAERS)新生儿报告综述
IF 2.7 3区 医学
Archives of Women's Mental Health Pub Date : 2024-12-23 DOI: 10.1007/s00737-024-01540-3
Jingping Zheng, Zhenpo Zhang, Yankun Liang, Qimin Wu, Chufeng Din, Yuting Wang, Lin Ma, Ling Su
{"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,&nbsp;Zhenpo Zhang,&nbsp;Yankun Liang,&nbsp;Qimin Wu,&nbsp;Chufeng Din,&nbsp;Yuting Wang,&nbsp;Lin Ma,&nbsp;Ling Su","doi":"10.1007/s00737-024-01540-3","DOIUrl":"10.1007/s00737-024-01540-3","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Purpose&lt;/h3&gt;&lt;p&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;h3&gt;Methods&lt;/h3&gt;&lt;p&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;h3&gt;Results&lt;/h3&gt;&lt;p&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;h3&gt;Conclusions&lt;/h3&gt;&lt;p&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;h3&gt;Article highlights&lt;/h3&gt;&lt;ul&gt;\u0000 &lt;li&gt;\u0000 &lt;p&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.&lt;/p&gt;\u0000 &lt;/li&gt;\u0000 &lt;li&gt;\u0000 &lt;p&gt;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.&lt;/p&gt;\u0000 &lt;/li&gt;\u0000 &lt;li&gt;\u0000 &lt;p&gt;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","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"28 4","pages":"911 - 918"},"PeriodicalIF":2.7,"publicationDate":"2024-12-23","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}
引用次数: 0
Commentary on “Intimate partner violence among ever-married Afghan women: patterns, associations and attitudinal acceptance” 评论“阿富汗已婚妇女的亲密伴侣暴力:模式、联系和态度接受”。
IF 2.7 3区 医学
Archives of Women's Mental Health Pub Date : 2024-12-21 DOI: 10.1007/s00737-024-01546-x
Yingyu Zhong
{"title":"Commentary on “Intimate partner violence among ever-married Afghan women: patterns, associations and attitudinal acceptance”","authors":"Yingyu Zhong","doi":"10.1007/s00737-024-01546-x","DOIUrl":"10.1007/s00737-024-01546-x","url":null,"abstract":"","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"28 4","pages":"961 - 962"},"PeriodicalIF":2.7,"publicationDate":"2024-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142871187","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
A narrative review on emerging issues about war-related trauma in perinatal women: good practice for assessment, prevention, and treatment 关于围产期妇女战争相关创伤新问题的叙述性回顾:评估、预防和治疗的良好做法。
IF 3.2 3区 医学
Archives of Women's Mental Health Pub Date : 2024-12-06 DOI: 10.1007/s00737-024-01537-y
M. F. Rodriguez-Muñoz, M. Chrzan-Dętkoś, A. Uka, H. S Garcia-López, R. Bina, H. N. Le
{"title":"A narrative review on emerging issues about war-related trauma in perinatal women: good practice for assessment, prevention, and treatment","authors":"M. F. Rodriguez-Muñoz,&nbsp;M. Chrzan-Dętkoś,&nbsp;A. Uka,&nbsp;H. S Garcia-López,&nbsp;R. Bina,&nbsp;H. N. Le","doi":"10.1007/s00737-024-01537-y","DOIUrl":"10.1007/s00737-024-01537-y","url":null,"abstract":"<div><h3>Background</h3><p>Wars, in addition to causing death and destruction, have a negative impact on mental health, especially on perinatal women. The literature has identified psychological trauma as one of the most prevalent mental health issues associated with wars, but few studies have summarized how to assess, prevent, or treat this problem in perinatal women. To address this gap, the purpose of this study is to provide a narrative review of the current state of assessment, prevention, and treatment interventions of trauma among perinatal women living in war conditions or displaced as a result of a war.</p><h3>Method</h3><p>A literature search was performed in different research databases (e.g., Medline, PsycInfo). The search terms include a combination of trauma and stressor-related disorders and focused on diagnosis, prevention, and treatment.</p><h3>Results</h3><p>Most of the results were related to post traumatic stress disorder (PTSD) more than acute stress disorder, although there are not many assessments, and interventions (prevention or treatment) dedicated specifically to perinatal women affected by war conditions.</p><h3>Conclusion</h3><p>Research in this area is still scarce. Recommendations for evidence-based practices in assessment and prevention and treatment interventions and future directions in research and clinical practice are provided.</p><h3>Highlights</h3><p>• The literature on trauma in perinatal women is sparse, and especially among perinatal women living in conditions of war.</p><p>• This paper presents a narrative review of evidence-based assessment and treatment for perinatal women victims of war who experience trauma.</p></div>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"28 2","pages":"201 - 217"},"PeriodicalIF":3.2,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142784044","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
Good practice in lactation counseling for Ukrainian refugee mothers to ensure the health and mental benefits of breastfeeding – an observational study 为乌克兰难民母亲提供哺乳咨询的良好做法,以确保母乳喂养的健康和精神益处——一项观察性研究。
IF 3.2 3区 医学
Archives of Women's Mental Health Pub Date : 2024-12-06 DOI: 10.1007/s00737-024-01538-x
Magdalena Babiszewska-Aksamit, Agnieszka Bzikowska-Jura, Anna Kotlińska, Agata Aduła, Agnieszka Chrobak, Justyna Domosud, Izabela Drążkowska, Paulina Gaweł, Artur Jakimiuk, Józefa Kołodziej, Barbara Królak-Olejnik, Katarzyna Lisak-Gurba, Katarzyna Mozdyniewicz, Aleksandra Mołas, Agnieszka Piątkowska, Elena Sinkiewicz-Darol, Aleksandra Wesołowska
{"title":"Good practice in lactation counseling for Ukrainian refugee mothers to ensure the health and mental benefits of breastfeeding – an observational study","authors":"Magdalena Babiszewska-Aksamit,&nbsp;Agnieszka Bzikowska-Jura,&nbsp;Anna Kotlińska,&nbsp;Agata Aduła,&nbsp;Agnieszka Chrobak,&nbsp;Justyna Domosud,&nbsp;Izabela Drążkowska,&nbsp;Paulina Gaweł,&nbsp;Artur Jakimiuk,&nbsp;Józefa Kołodziej,&nbsp;Barbara Królak-Olejnik,&nbsp;Katarzyna Lisak-Gurba,&nbsp;Katarzyna Mozdyniewicz,&nbsp;Aleksandra Mołas,&nbsp;Agnieszka Piątkowska,&nbsp;Elena Sinkiewicz-Darol,&nbsp;Aleksandra Wesołowska","doi":"10.1007/s00737-024-01538-x","DOIUrl":"10.1007/s00737-024-01538-x","url":null,"abstract":"<div><h3>Purpose</h3><p>The study presents a cross-sectional analysis of the population of Ukrainian women who received maternity care in 11 Polish hospitals.</p><h3>Methods</h3><p>Multidirectional lactation counseling was implemented from March to November 2023 by the Human Milk Bank Foundation in cooperation with UNICEF Refugee Response Office in Poland. Medical data were collected using questionnaires prepared for the study. When the mother indicated that she had mental problems or the health care personnel spotted problems, she was she referred to a psychologist for diagnostics, who used questionnaires appropriate to the patient’s situation such as: Patient Health Questionnaire-9 for depression assessment and Generalized Anxiety Disorder Questionnaire-7 for anxiety assessment.</p><h3>Results</h3><p>In total, 1203 consultations were carried out, of which 542 were lactation counseling, 305 - were physiotherapy, 227 - were psychological, and 129 - were with speech-language pathologists. Two hours of skin-to-skin contact (SSC) and latching on the breast within the 1st hour postpartum occurred in more than half of the participants. In the rest of the population, shortened or lack of SSC was associated with breastfeeding delayed by at least one day. 53% of the population required lactation counseling, of which 242 were one-time visits. Continued support was 98% effective in achieving breastfeeding goals. 167 mothers required psychological support, of which only 53 women continued treatment beyond one-time counseling. Only about 1% of women experienced mental disorders based on a psychological interview.</p><h3>Conclusion</h3><p>The use of lactation counseling more often than psychological counseling by refugee mothers could be related to the beneficial effects of breastfeeding on maternal well-being through hormonal self-regulation and empowerment as a mother. However, focused research is needed on the impact of breastfeeding on the mental health of refugee women.</p></div>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"28 2","pages":"257 - 269"},"PeriodicalIF":3.2,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s00737-024-01538-x.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142784051","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
Cognition and motherhood: a key to understanding perinatal mental health? 认知与母性:了解围产期心理健康的关键?
IF 3.2 3区 医学
Archives of Women's Mental Health Pub Date : 2024-12-05 DOI: 10.1007/s00737-024-01545-y
Bridget L. Callaghan, Jodi L. Pawluski
{"title":"Cognition and motherhood: a key to understanding perinatal mental health?","authors":"Bridget L. Callaghan,&nbsp;Jodi L. Pawluski","doi":"10.1007/s00737-024-01545-y","DOIUrl":"10.1007/s00737-024-01545-y","url":null,"abstract":"","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"28 1","pages":"1 - 3"},"PeriodicalIF":3.2,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142784047","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
A new perspective on the causal pathway between maternal mental health and neonatal adversity 产妇心理健康与新生儿逆境因果关系的新视角
IF 2.7 3区 医学
Archives of Women's Mental Health Pub Date : 2024-12-04 DOI: 10.1007/s00737-024-01541-2
Emma Lin, Elah Wilson, Arad Kodesh, Stephen Z. Levine, Abraham Reichenberg, Nathan Fox, Nina Zaks, Magdalena Janecka
{"title":"A new perspective on the causal pathway between maternal mental health and neonatal adversity","authors":"Emma Lin,&nbsp;Elah Wilson,&nbsp;Arad Kodesh,&nbsp;Stephen Z. Levine,&nbsp;Abraham Reichenberg,&nbsp;Nathan Fox,&nbsp;Nina Zaks,&nbsp;Magdalena Janecka","doi":"10.1007/s00737-024-01541-2","DOIUrl":"10.1007/s00737-024-01541-2","url":null,"abstract":"<div><h3>Purpose</h3><p>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><h3>Methods</h3><p>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><h3>Results</h3><p>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 (<i>birth complications</i>: OR = 1.3 (1.2–1.4), <i>p</i> &lt; 0.001; <i>congenital anomalies</i>: OR = 1.2 (1.1–1.3), <i>p</i> &lt; 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 (<i>birth complications</i>: OR<sub>mat</sub>=1.3 (1.1–1.4), <i>p</i> &lt; 0.001; OR<sub>pat</sub>=1.2 (1.1–1.3), <i>p</i> = 0.004; <i>congenital anomalies</i>: OR<sub>mat</sub>=1.2 (1.1–1.3), <i>p</i> &lt; 0.001; OR<sub>pat</sub>=1.1 (1.0-1.2), <i>p</i> = 0.01).</p><h3>Conclusion</h3><p>Physical health and familial factors play a role in the associations between maternal mental health and neonatal adversity.</p></div>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"28 4","pages":"903 - 910"},"PeriodicalIF":2.7,"publicationDate":"2024-12-04","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}
引用次数: 0
Understanding risk factors for perinatal distress in Syrian refugee mothers: insights from Lebanon 了解叙利亚难民母亲围产期窘迫的危险因素:来自黎巴嫩的见解。
IF 3.2 3区 医学
Archives of Women's Mental Health Pub Date : 2024-12-04 DOI: 10.1007/s00737-024-01544-z
Nada Alnaji, Bayan Louis, Danstan Bagenda
{"title":"Understanding risk factors for perinatal distress in Syrian refugee mothers: insights from Lebanon","authors":"Nada Alnaji,&nbsp;Bayan Louis,&nbsp;Danstan Bagenda","doi":"10.1007/s00737-024-01544-z","DOIUrl":"10.1007/s00737-024-01544-z","url":null,"abstract":"<div><h3>Purpose</h3><p>The perinatal period is a critical phase in a woman's life, marked by unique mental health challenges. This study focuses on Syrian mothers in Lebanon, a vulnerable population often exposed to displacement and conflict-related stressors. The aim is to identify risk factors for perinatal distress, including symptoms of depression, anxiety, and post-traumatic stress disorder (PTSD), among Syrian mothers within one year of giving birth.</p><h3>Methods</h3><p>Data collection included quantitative assessments using the Refugee Health Screener-13 (RHS-13), and qualitative insights from in-depth interviews. The assessment period was extended to cover the year following childbirth to provide a broader perspective on perinatal distress.</p><h3>Results</h3><p>The study revealed significant risk factors, specifically a history of mental illness and chronic disease. While maternal age and number of children were considered potential risk factors, they were not statistically significant in the quantitativeanalysis but were highlighted in the qualitative interviews.</p><h3>Conclusions</h3><p>This research offers valuable insights for healthcare providers, policymakers, and organizations working with Syrian refugee women in Lebanon. Addressing these risk factors can improve mental health outcomes for perinatal women affected by war and displacement, underscoring the need for proactive mental health screening during pregnancy and postpartum.</p></div>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"28 2","pages":"271 - 278"},"PeriodicalIF":3.2,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142765801","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}
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