Archives of Women's Mental Health最新文献

{"title":"Psychological stress and functional ovarian suppression in women with PCOM: an observational study of FHA-like neuroendocrine phenotypes","authors":"Vanessa Silva,&nbsp;Sérgio Soares,&nbsp;Rui Miguelote","doi":"10.1007/s00737-025-01657-z","DOIUrl":"10.1007/s00737-025-01657-z","url":null,"abstract":"<div><h3>Propose</h3><p> To examine how chronic psychological stress alters gonadotropin dynamics and disrupts ovarian endocrine function in women with polycystic ovarian morphology (PCOM), and to discuss the modulatory role of leptin in this process.</p><h3>Methods</h3><p> In this cross-sectional study of 134 women, participants were classified into four groups: three subgroups of women with oligomenorrhea—PCOM with stress, PCOM without stress, and NON-PCOM/NON-STRESS—and a comparison group of eumenorrheic controls. Psychological stress was assessed with validated psychometric instruments (STAI, HADS, PSS-10), and a composite Stress Index was derived. PCOM was defined according to the 2023 International Evidence-based Guideline for PCOS. Stress status was classified using established cut-offs for each instrument, with non-stress cohorts defined by scores consistently below clinical thresholds. Hormonal profiling included LH, FSH, estradiol, AMH, leptin, cortisol, and ACTH. Mediation and moderation models were employed to examine the relationships among stress, leptin, the LH/FSH ratio, and ovarian endocrine markers, as AMH and estradiol.</p><h3>Results</h3><p> Women in the PCOM–STRESS group exhibited significantly lower LH levels, LH/FSH ratios, and AMH concentrations compared to PCOM–NON–STRESS, despite similar ovarian morphology and preserved FSH levels. Mediation analysis revealed that the LH/FSH ratio significantly mediated the effect of psychological stress on both estradiol and AMH levels. Moderation analysis indicated that leptin modulated the impact of stress on the LH/FSH ratio (interaction p = 0.004), with more pronounced suppressive effects of psychological stress under low leptin levels. Despite high psychological stress, women in the PCOM–STRESS group showed no activation of the HPA axis, suggesting neuroendocrine resilience or adaptation. These findings highlight the clinical value of assessing both psychological and metabolic context in women with ambiguous ovulatory dysfunction.</p><h3>Conclusion</h3><p> Chronic psychological stress in women with PCOM is associated with functional suppression of LH and ovarian endocrine output, reflecting an attenuation of the typical PCOS endocrine phenotype despite the polycystic ovarian morphology. Leptin modulates individual susceptibility to stress-induced reproductive suppression, acting as a potential permissive signal of hypothalamic resilience. Assessing gonadotropin ratios and metabolic context may improve diagnostic accuracy in women with ambiguous ovulatory dysfunction.</p></div>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"29 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s00737-025-01657-z.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145910246","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":"Sex/gender differences in autistic traits, intelligence and executive functions of school-aged autistic children without intellectual disability","authors":"Katarína Polónyiová,&nbsp;Peter Teličák,&nbsp;Klaudia Kyselicová,&nbsp;Dóra Dukonyová,&nbsp;Daniela Ostatníková","doi":"10.1007/s00737-025-01663-1","DOIUrl":"10.1007/s00737-025-01663-1","url":null,"abstract":"<div><h3>Background</h3><p>ASD has been more often diagnosed and researched in men than women, shaping diagnostic criteria which may not adequately capture the female presentation. Examining differences between girls and boys with ASD could enhance diagnostic accuracy and help reduce gender-related biases in research and clinical practice. The aim of this research was to analyze potential differences in autistic traits, intelligence, and executive functions of school-aged girls and boys diagnosed with ASD without intellectual disability.</p><h3>Methods</h3><p>The research sample consisted of 79 children with ASD, 20 girls and 59 boys, aged between 6 and 12 years. Autistic traits were measured by Autism Diagnostic Observation Schedule – Second Version and Autism Diagnostic Interview-Revised, intelligence by the Woodcock-Johnson International Editions II, and executive functions by Wisconsin Card Sorting Test and Behavior Rating Inventory of Executive Function 2.</p><h3>Results</h3><p>Girls scored lower in the amount of restricted, repetitive and stereotyped behaviors, but showed more severe deficits in Emotion Regulation, Cognitive Regulation and clinical scales Shift and Initiate, as measured by BRIEF-2.</p><h3>Conclusion</h3><p>Our results indicate girls with ASD exhibit certain differences from boys with ASD, which may be diagnostically relevant and helpful for their early detection and access to necessary resources and support. Nevertheless, extensive further research on the sex/gender differences and female ASD presentation is still needed.</p></div>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"29 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s00737-025-01663-1.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145910323","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":"Postpartum retention in opioid agonist treatment for opioid dependence: A population-based cohort study","authors":"Joanna Zhou,&nbsp;Bianca Varney,&nbsp;Nicola Jones,&nbsp;Chrianna Bharat,&nbsp;Louisa Degenhardt,&nbsp;Alys Havard,&nbsp;Duong Thuy Tran","doi":"10.1007/s00737-025-01640-8","DOIUrl":"10.1007/s00737-025-01640-8","url":null,"abstract":"<div><h3>Purpose</h3><p>Opioid agonist treatment (OAT) is the first-line treatment for opioid dependence during pregnancy and recommended for at least one year postpartum or until a strong maternal-infant bond and stable family environment is established. Evidence on postpartum OAT retention is limited. We examined retention rates and associated maternal characteristics.</p><h3>Methods</h3><p>We linked OAT prescription authority to perinatal, mortality, and other data sources. We identified all opioid-dependent women who gave birth in New South Wales, Australia (1 January 2004-31 March 2020) while receiving OAT. We defined retention at 90, 180, and 365 days postpartum as continuous treatment over each period. We calculated retention rates and used generalised linear modelling to examine association between retention and maternal socio-demographic and clinical factors.</p><h3>Results</h3><p>There were 3933 childbirths among 2514 women on OAT. Retention rates were 93.3% (<i>n</i> = 3670) at 90 days, 88.4% (<i>n</i> = 3475) at 180 days, and 78.5% (<i>n</i> = 3086) at 365 days. Retention at 180 days was lower for those who gave birth after 2015, were Indigenous, had recent conviction or incarceration, initiated OAT after conception, received buprenorphine, or had a mental illness. We observed similar association patterns at 90 and 365 days.</p><h3>Conclusions</h3><p>Among women on OAT at childbirth, postpartum treatment retention was high but varied across subgroups. Lower retention among women who initiated OAT late in pregnancy or with social or clinical risk factors highlights the need for targeted support. Lower buprenorphine retention warrants ongoing monitoring and tailored care, particularly in settings where it is the preferred treatment during pregnancy.</p></div>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"29 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12769642/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145905567","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":"Sex differences in the independent and combined effects of genomic and exposomic risks for schizophrenia on distressing psychotic experiences: insights from the ABCD study","authors":"Thanavadee Prachason,&nbsp;Angelo Arias-Magnasco,&nbsp;Bochao Danae Lin,&nbsp;Jim van Os,&nbsp;Bart P. F. Rutten,&nbsp;Lotta-Katrin Pries,&nbsp;Sinan Guloksuz","doi":"10.1007/s00737-025-01644-4","DOIUrl":"10.1007/s00737-025-01644-4","url":null,"abstract":"<div><h3>Purpose</h3><p>To investigate sex-dependent effects of polygenic risk (PRS-SCZ) and exposome score (ES-SCZ) for schizophrenia, both independently and jointly, on distressing psychotic experiences (PEs) in early adolescents.</p><h3>Method</h3><p>Baseline to 3-year follow-up data of the Adolescent Brain and Cognitive Development Study (ABCD) were used. PRS-SCZ and ES-SCZ were calculated to assess cumulative genetic and environmental (childhood adversity, cannabis use, hearing impairment, and winter births) risk for schizophrenia, respectively. The primary outcome was past-month distressing PEs at the 3-year follow-up. Secondary outcomes included distressing PEs across four yearly assessments: lifetime (≥ 1 wave), repeated (≥ 2 or ≥ 3 waves), and persisting (≥ 4 waves). Sex-stratified multilevel logistic regression models were used to test the independent and joint associations of binary modes (&gt; 75th percentile) of PRS-SCZ (PRS-SCZ₇₅) and ES-SCZ (ES-SCZ₇₅) on the outcomes. As sensitivity analysis, the sex-stratified analyses were repeated on a randomly selected unrelated sample, and the coefficients of males and females were compared.</p><h3>Results</h3><p>PRS-SCZ₇₅ was not associated with past-month distressing PEs in either sex but significantly associated with lifetime and repeated (≥ 2 waves) distressing PEs only in females. In both sexes, ES-SCZ₇₅ was significantly associated with all PE outcomes but did not additively interact with PRS-SCZ₇₅ in predicting them. Sensitivity analysis confirmed the findings and revealed a significant sex difference in the association between PRS-SCZ₇₅ and lifetime distressing PEs.</p><h3>Conclusion</h3><p>The influence of genomic risk for schizophrenia on distressing PEs might be sex-dependent, whereas that of the exposomic risk was universal in early adolescence. Further studies in larger samples are needed.</p></div>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"29 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s00737-025-01644-4.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145910203","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":"Mental health service utilization in a novel insurance-based Ob/Gyn integrated model for women across the lifespan","authors":"Andréane Lavallée,&nbsp;Vanessa Babineau,&nbsp;Kristina D’Antonio,&nbsp;Elizabeth Werner,&nbsp;Andrew T. Drysdale,&nbsp;Madalyn Osbourne,&nbsp;Myrriam Grubb,&nbsp;Nathalie Moise,&nbsp;Inbal Reuveni,&nbsp;Zhijun Zhang,&nbsp;Seonjoo Lee,&nbsp;Dani Dumitriu,&nbsp;Mary D’Alton,&nbsp;Catherine Monk","doi":"10.1007/s00737-025-01652-4","DOIUrl":"10.1007/s00737-025-01652-4","url":null,"abstract":"<div><h3>Purpose</h3><p>Women’s Mental Health @Obstetrics and Gynecology (WMH @Ob/Gyn) is a novel, insurance-based clinical model integrated in Ob/Gyn practices that offers approachable, acceptable, available, and affordable mental healthcare to women across the lifespan. Women seen by Ob/Gyn physicians for physical healthcare needs are referred to the WMH @Ob/Gyn service based on patient request, provider observation, and/or results on universal depression screening. WMH@Ob/Gyn’ services include mental health screening, psychotherapy, psychopharmacology and support groups, all embedded into Ob/Gyn. Here, we sought to evaluate utilization rates of mental health services as an outcome of increased access resulting from real-world implementation of WMH @Ob/Gyn.</p><h3>Methods</h3><p>This prospective observational cohort study followed all patients referred to WMH @Ob/Gyn from 02/2020 to 12/2022. Data were obtained from a clinical registry and patient electronic health records. Utilization was estimated on initiation (proportion of women who attended at least one mental health visit), and sustainment (proportion of women who attended three or more visits). </p><h3>Results</h3><p>2,661 women were referred to WMH @Ob/Gyn; 65% initiated, out of which 36% sustained treatment. Hispanic/Latina/Spanish women were less likely to initiate treatment. Of those who initiated, women whose insurance was non-participating in mental healthcare, women that were not pregnant, and younger women, had lower odds of sustaining treatment. </p><h3>Conclusion</h3><p>WMH @Ob/Gyn facilitates the initiation and sustainment of mental health treatment at rates considerably higher than those observed in comparable perinatal-integrated programs or the general population. However, persistent systemic barriers, including disparities in physical and mental health insurance coverage, continue to constrain equitable, sustained access to mental healthcare. </p></div>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"29 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12765718/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145899114","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 critical reappraisal of the PROMUD program: bridging the 20-year gap in women’s substance use disorder treatment","authors":"Sahar Saleem,&nbsp;Mariam Azam,&nbsp;Mamoona Muneer","doi":"10.1007/s00737-025-01645-3","DOIUrl":"10.1007/s00737-025-01645-3","url":null,"abstract":"","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"29 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145896171","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":"Associations between attentional disengagement from distressed infant faces and cortisol reactivity are moderated by depressive symptoms in pregnant women: an eye-tracking study","authors":"Christine Dworschak,&nbsp;Gabriela Paganini,&nbsp;Abigail Beech,&nbsp;Kelley E. Gunther,&nbsp;Helena J. V. Rutherford,&nbsp;Jutta Joormann,&nbsp;Reuma Gadassi-Polack","doi":"10.1007/s00737-025-01638-2","DOIUrl":"10.1007/s00737-025-01638-2","url":null,"abstract":"<div><h3>Purpose</h3><p>Antenatal depression is a common psychological condition in pregnancy that negatively influences parenting. Theoretical models suggest that infant cue processing may represent one pathway by which depression may influence parenting. However, current understanding of how infant cue processing is linked with parenting in depression remains limited. Drawing upon previous research, cortisol stress reactivity may play an important role in this regard. The aim of the present study was to investigate the interaction between depressive symptoms and attentional disengagement from infant cues on cortisol reactivity. We examined this in a sample of pregnant and nulliparous women to test whether potential effects were specific to pregnancy.</p><h3>Methods</h3><p><i>N</i> = 79 women (<i>n</i> = 36 pregnant) completed two eye-tracking tasks examining disengagement from adult and infant stimuli, a stress manipulation task including collection of salivary cortisol, and filled out the BDI-II.</p><h3>Results</h3><p>Pregnant (vs. nulliparous) women showed a stronger cortisol reactivity in response to a stress test. Additionally, a significant association between disengagement from distressed infant faces and cortisol reactivity was found in the pregnant (but not nulliparous) group, which was moderated by depressive symptoms. For pregnant women with low levels of depressive symptoms, a slower disengagement from distressed infant stimuli predicted a weaker cortisol reactivity in response to stress, while the opposite pattern was observed for pregnant women with high levels of depressive symptoms.</p><h3>Conclusions</h3><p>Findings of the present study point at maternal distress during processing of infant distress as a potential intervention target for mothers with depression.</p></div>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"29 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12764579/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145896167","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":"Daughters-in-law’s perceptions and experiences with MILAP, a family-based intervention to reduce intimate partner violence and improve mental health in Nepal","authors":"Saugat Joshi,&nbsp;Rekha Khatri,&nbsp;Jene Shrestha,&nbsp;Mina Shrestha,&nbsp;Shuvam Sharma,&nbsp;Pragya Rimal,&nbsp;Dikshya Sharma,&nbsp;Sajama Nepali,&nbsp;Kripa Sigdel,&nbsp;Srijana Shrestha,&nbsp;Sumitra Poudel,&nbsp;Sunita Mainali,&nbsp;Meghnath Dhimal,&nbsp;Bibhav Acharya,&nbsp;Sabitri Sapkota","doi":"10.1007/s00737-025-01643-5","DOIUrl":"10.1007/s00737-025-01643-5","url":null,"abstract":"<div><h3>Background</h3><p>Intimate partner violence (IPV) and mental health (MH) issues among women in Nepal are deeply influenced by complex intergenerational family dynamics and power hierarchies. The traditional power hierarchies often place mothers-in-law (MILs) in authoritative roles over daughters-in-law (DILs), limiting the latter’s autonomy and decision-making power. We designed a multi-component family intervention called MILAP to lower depression and address intimate partner violence by improving communication, promoting gender equity, and improving family relationships. This paper explores the perceptions and experiences of DILs who received the MILAP intervention.</p><h3>Methods</h3><p>A total of 61 families participated in a pilot study of the MILAP intervention. Of these, 8 families (comprising triads of daughter-in-law, mother-in-law, and husband) were purposively selected for in-depth interviews (IDIs). All interviews were conducted immediately after the intervention and at the 6-month follow-up to assess MILAP’s sustainability and impact. A thematic approach was used to analyze the data, utilizing Dedoose data management software.</p><h3>Results</h3><p>Four major themes were identified: (1) Enhanced communication within the family, (2) Strengthened DIL’s empowerment, (3) Improved relationship quality, and (4) Increased DIL’s freedom of movement. Participants reported improvement in communication among family members, particularly by using active listening skills which in turn contributed to conflict reduction and a more harmonious family environment. DILs experienced increased empowerment. They were more involved in family decision-making as the family unit adopted more equitable gender norms. The intervention strengthened spousal relationship improved MIL-DIL interactions, facilitated mutual understanding, and reduced household stress. Additionally, MILAP enabled DILs to move more freely outside the home. This increased mobility expanded their social networks, as DILs participated in community events, visited natal families, and accessed health services. However, some participants expressed concerns about the long-term sustainability of these changes, highlighting the need for continued reinforcement.</p><h3>Conclusion</h3><p>Our study underscores the importance of a family-based intervention in improving relationship quality and promoting autonomy among DILs experiencing IPV. The positive shifts perceived within families suggest promise for MILAP to strengthen support structures and address factors that may influence DIL’s mental health. However, ongoing follow-up and reinforcement strategies are recommended to maintain the gains achieved from the intervention.</p></div>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"29 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145896177","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":"Global prevalence and associated factors of severe fear of childbirth: a systematic review and Meta-Analysis","authors":"Mahsa Maghalian,&nbsp;Zohreh Alizadeh-Dibazari,&nbsp;Mojgan Mirghafourvand","doi":"10.1007/s00737-025-01648-0","DOIUrl":"10.1007/s00737-025-01648-0","url":null,"abstract":"<div><h3>Background</h3><p>Fear of childbirth (FoC), particularly its severe form (tokophobia), is a significant public health concern associated with adverse maternal and neonatal outcomes. While previous meta-analyses have provided global prevalence estimates, significant knowledge gaps remain due to limited studies. This study aimed to provide an updated global prevalence estimate of severe FoC and explore sources of heterogeneity and associated risk factors.</p><h3>Methods</h3><p>A systematic review and meta-analysis was conducted following PRISMA and MOOSE guidelines. We searched international and Persian databases from inception until June 2025 for cross-sectional and cohort studies reporting severe FoC prevalence in pregnant women using validated tools with defined cutoffs. Two reviewers independently performed data extraction and quality assessment using the Newcastle-Ottawa Scale. Random-effects models were used for meta-analysis, with heterogeneity assessed via I² statistic. Subgroup analyses and meta-regressions explored variation sources. Risk factors were synthesized descriptively, though nulliparity and unplanned pregnancy allowed meta-analysis.</p><h3>Results</h3><p>From 67 included studies (<i>n</i> = 905,504 participants), the pooled prevalence of severe FoC was 16.5% (95% CI: 13.8–19.5%), with significant heterogeneity (I² = 99.45%). Assessment tools and cutoffs were major heterogeneity sources (<i>p</i> &lt; 0.001), with prevalence ranging from 3.7% to 58.7%. Country of study was also a significant moderator (<i>p</i> &lt; 0.001). Meta-regression showed no significant association with maternal age, gestational age, nulliparity percentage, or publication year. Key risk factors included previous traumatic birth, anxiety/depression symptoms, and inadequate social support. Nulliparous women had higher odds of severe FoC (OR = 1.36, 95% CI: 1.04–1.76), as did those with unplanned pregnancy (OR = 1.85, 95% CI: 1.29–2.65).</p><h3>Conclusion</h3><p>Severe FoC affects approximately one in six women globally. The substantial heterogeneity, largely due to methodological variations, underscores the need for standardized assessment protocols. Identified associations with factors such as previous traumatic birth and anxiety highlight the condition’s multifactorial nature, emphasizing the importance of targeted screening and evidence-based interventions aligned with Sustainable Development Goal (SDG) 3 to improve maternal mental health.</p></div>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"29 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145886847","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":"The Family Planning Belief Index (FPBI) as a measure to refurbish contraceptive counselling: evidence from Rural Odisha, India","authors":"Sonali Kar,&nbsp;Pramod Chandra Samantaray","doi":"10.1007/s00737-025-01627-5","DOIUrl":"10.1007/s00737-025-01627-5","url":null,"abstract":"","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"28 6","pages":"1561 - 1562"},"PeriodicalIF":2.7,"publicationDate":"2025-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s00737-025-01627-5.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145676453","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}