Archives of Women's Mental Health最新文献

英文中文

Disability and women’s mental health: the case for inclusion and accessibility 残疾与妇女心理健康：包容和无障碍的理由。

IF 2.7 3区医学 Q2 PSYCHIATRY

Archives of Women's Mental Health

Pub Date : 2025-07-05 DOI: 10.1007/s00737-025-01603-z

Hilary K. Brown, Lesley A. Tarasoff

引用次数: 0

Maternal antidepressant effects on the fetal nonstress test 母亲抗抑郁药对胎儿无应激试验的影响。

IF 2.7 3区医学 Q2 PSYCHIATRY

Archives of Women's Mental Health

Pub Date : 2025-07-03 DOI: 10.1007/s00737-025-01607-9

Emily McCauley, Alyssa Thompson, Samantha Gawrys, Jason Benedict, Jonathan Schaffir

Purpose

Selective serotonin reuptake inhibitors (SSRIs) are commonly prescribed for mood disorders in pregnancy, though studies regarding effects on fetal behavior are conflicting. Previous studies have suggested that fetuses exposed to these medications in the third trimester may have decreased fetal heart rate variability. Since changes in variability may affect the interpretation of antenatal testing, clinicians should be aware of those medications that may impair effective testing.

Methods

A retrospective observational cohort study was performed to compare nonstress test (NST) parameters of fetuses exposed to SSRIs with unexposed fetuses at 36 weeks gestation. Subjects were excluded if they had multiple gestations, fetal anomalies including growth restriction, illicit substance use or use of other psychotropic medications. NSTs were compared for fetal baseline heart rate, variability, time to reactivity, number of accelerations over time, and number of fetal movements over time.

Results

Of 219 participants, 12 were taking an SSRI/SNRI at the time of their 36-week NST. There were no significant differences in demographics or indications for NST between groups. NSTs were reactive in 92% of those taking an SSRI/SNRI and in 97% of those not taking an SSRI/SNRI. Time to reactivity [8.6 min vs. 12.5 min], baseline heart rate [142 bpm vs. 139 bpm], and heart rate variability [12.1 bpm vs. 11.7 bpm] were all similar between the two groups.

Conclusion

Though limited by sample size, lack of pharmacologic data and potential confounding by indication, the study suggests SSRI use is not associated with any significant changes in NST. Clinicians should be reassured that NST assessment remains a useful means of determining fetal wellbeing in patients using these medications.

目的：选择性血清素再摄取抑制剂（SSRIs）通常用于治疗妊娠期情绪障碍，尽管有关其对胎儿行为的影响的研究存在矛盾。先前的研究表明，胎儿在妊娠晚期接触这些药物可能会降低胎儿心率变异性。由于可变性的变化可能会影响产前检测的解释，临床医生应该意识到那些可能损害有效检测的药物。方法：采用回顾性观察队列研究，比较妊娠36周暴露于SSRIs的胎儿与未暴露于SSRIs的胎儿的非应激试验（NST）参数。如果受试者有多胎妊娠、胎儿异常包括生长受限、非法使用药物或使用其他精神药物，则排除受试者。对nst进行胎儿基线心率、变异性、反应时间、随时间加速次数和随时间胎动次数的比较。结果：在219名参与者中，12名在他们36周的NST时服用SSRI/SNRI。两组之间在人口统计学或NST适应症方面没有显著差异。在服用SSRI/SNRI的患者中，nst反应性为92%，未服用SSRI/SNRI的患者中为97%。反应时间[8.6 min vs. 12.5 min]、基线心率[142 bpm vs. 139 bpm]和心率变异性[12.1 bpm vs. 11.7 bpm]在两组之间都相似。结论：尽管受样本量、缺乏药理学数据和适应症的潜在混淆的限制，该研究表明SSRI的使用与NST的任何显著变化无关。临床医生应该放心，NST评估仍然是确定使用这些药物的患者胎儿健康的有用手段。

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引用次数: 0

A cautionary note regarding the use of the FDA adverse event reporting system 关于使用FDA不良事件报告系统的警告说明。

IF 2.7 3区医学 Q2 PSYCHIATRY

Archives of Women's Mental Health

Pub Date : 2025-06-30 DOI: 10.1007/s00737-025-01605-x

Katherine L. Wisner, Krista F. Huybrechts

引用次数: 0

Perinatal mental disorders, mental health services, and human rights treaties: recognizing the state’s obligations 围产期精神障碍、精神卫生服务和人权条约：承认国家的义务。

IF 2.7 3区医学 Q2 PSYCHIATRY

Archives of Women's Mental Health

Pub Date : 2025-06-28 DOI: 10.1007/s00737-025-01604-y

Ritika Behl

引用次数: 0

Perinatal depression at the intersection of race/ethnicity and disability 围产期抑郁症在种族/民族和残疾的交叉点。

IF 2.7 3区医学 Q2 PSYCHIATRY

Archives of Women's Mental Health

Pub Date : 2025-06-20 DOI: 10.1007/s00737-025-01593-y

Brandie Bentley, Willi Horner-Johnson, Nichole Nidey, Tuyet-Mai Hoang, Chi-Fang Wu, Skky Martin, Ashley Brevil, Reshawna Chapple, Karen M. Tabb

Purpose

Perinatal depression disparately impacts diverse groups, with marginalized populations often facing greater vulnerability. While previous research has highlighted disparities in perinatal depression by race/ethnicity and by disability status independently, there is a lack of research examining the intersectionality of these social identities and their combined association with perinatal depression. Therefore, this study adopts an intersectional lens to explore variations in perinatal depressive symptoms associated with the combination of race/ethnicity and disability status in a nationally representative sample of women who had recently given birth.

Methods

We conducted a cross-sectional secondary data analysis using 2019–2020 data from the Pregnancy Risk Assessment Monitoring System (PRAMS), including a sample of disabled and non-disabled individuals across 22 sites. We used logistic regression analyses to estimate associations of race/ethnicity and disability status with perinatal depressive symptoms, performing separate analyses for the antenatal and postpartum periods. In adjusted regression models, we controlled for other sociodemographic characteristics.

Results

Our analysis included 33,854 individuals, including 31,480 (93%) without a disability and 2,374 (7%) with at least one disability. Women with disabilities reported higher prevalence of antenatal (42.7%) and postpartum (33.1%) depressive symptoms compared to non-disabled women (14.1% and 12.1%, respectively). Antenatal depression was most common among disabled Non-Hispanic (NH) White women, while prevalence and odds of postpartum depression were highest among disabled NH American/Indian Alaska Native and disabled NH Black women.

Conclusion

Our findings emphasize the need for perinatal depression screening for disabled women, as well as culturally appropriate interventions to support the mental health of diverse women with disabilities throughout the perinatal period.

目的：围产期抑郁症对不同群体的影响不同，边缘人群往往面临更大的脆弱性。虽然先前的研究强调了种族/民族和残疾状况在围产期抑郁方面的差异，但缺乏对这些社会身份的交叉性及其与围产期抑郁的综合关联的研究。因此，本研究采用交叉视角，在具有全国代表性的近期分娩妇女样本中，探讨与种族/民族和残疾状况相结合的围产期抑郁症状的变化。方法：我们利用妊娠风险评估监测系统（PRAMS） 2019-2020年的数据进行了横断面二次数据分析，包括22个站点的残疾和非残疾个体样本。我们使用逻辑回归分析来估计种族/民族和残疾状况与围产期抑郁症状的关联，并对产前和产后进行单独分析。在调整后的回归模型中，我们控制了其他社会人口统计学特征。结果：我们的分析包括33,854人，其中31,480人（93%）没有残疾，2,374人（7%）至少有一种残疾。残疾妇女报告的产前抑郁症状患病率（42.7%）和产后抑郁症状患病率（33.1%）高于非残疾妇女（分别为14.1%和12.1%）。产前抑郁在残疾的非西班牙裔（NH）白人妇女中最常见，而产后抑郁的患病率和几率在残疾的NH美国/印第安阿拉斯加原住民和残疾的NH黑人妇女中最高。结论：我们的研究结果强调了对残疾妇女进行围产期抑郁症筛查的必要性，以及在文化上适当的干预措施，以支持各种残疾妇女在整个围产期的心理健康。

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引用次数: 0

Emotional distress and assisted reproductive technology outcomes among women with unexplained infertility: a nested case–control study 不明原因不孕症妇女的情绪困扰和辅助生殖技术结果：一项巢式病例对照研究。

IF 2.7 3区医学 Q2 PSYCHIATRY

Archives of Women's Mental Health

Pub Date : 2025-06-19 DOI: 10.1007/s00737-025-01597-8

Jiwei Sun, Bing Sun, Xiaofei Sun, Yuzhi Duan, Jingmei Hu, Kuona Hu, Xiulei Zhang, Linlin Cui, Zi-Jiang Chen

Objectives

Identifying the specific etiology of unexplained infertility is a focus of reproductive research, particularly investigating overlooked topics such as addressing the emotional and psychological impact of infertility. The present study aimed to explore the association between emotional distress (anxiety and depression) and assisted reproductive technology outcomes among women with unexplained infertility in a nested case–control study.

Methods

Each woman with unexplained infertility and assisted reproductive technology failure (case group) was matched by age and body mass index (BMI) with one randomly selected woman with unexplained infertility and successful assisted reproductive technology (control group). Totally, 1512 patients in case group and 1512 matched controls were identified.

Results

Anxiety and depression in women with unexplained infertility were associated with a significant increased risk of failed assisted reproductive technology, respectively. The Johnson–Neyman plot for the conditional effect of anxiety symptoms indicated that the negative impact on assisted reproductive technology outcomes depended on the pre-pregnancy BMI (22.796–30.914 kg/m²), whereas the effect of depression symptoms on assisted reproductive technology outcomes depended on both age (27.749–39.048 years) and pre-pregnancy BMI (19.514–28.389 kg/m²).

Conclusions

Monitoring emotional distress among women of reproductive age or those who are not obese and have unexplained infertility is crucial.

目的：确定不明原因不孕症的具体病因是生殖研究的重点，特别是调查被忽视的主题，如解决不孕症的情绪和心理影响。本研究旨在通过巢式病例对照研究，探讨不明原因不孕症妇女的情绪困扰（焦虑和抑郁）与辅助生殖技术结果之间的关系。方法：将1例不明原因不孕并辅助生殖技术失败的女性（病例组）与随机选择1例不明原因不孕并辅助生殖技术成功的女性（对照组）按年龄和体重指数（BMI）进行匹配。病例组1512例，对照组1512例。结果：不明原因不孕妇女的焦虑和抑郁分别与辅助生殖技术失败的风险显著增加相关。焦虑症状条件效应的Johnson-Neyman图显示，焦虑症状对辅助生殖技术结果的负面影响取决于孕前BMI (22.796 ~ 30.914 kg/m2)，而抑郁症状对辅助生殖技术结果的影响取决于年龄（27.749 ~ 39.048岁）和孕前BMI （19.514 ~ 28.389 kg/m2）。结论：监测育龄妇女或那些不肥胖但有不明原因不孕的妇女的情绪困扰是至关重要的。

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引用次数: 0

Editorial AWMH June 2025 社论AWMH 2025年6月。

IF 2.7 3区医学 Q2 PSYCHIATRY

Archives of Women's Mental Health

Pub Date : 2025-06-13 DOI: 10.1007/s00737-025-01600-2

Anita Riecher-Rössler

引用次数: 0

Intersections of racism, disability, and postpartum depression in minoritized racial and ethnic populations 种族主义、残疾和产后抑郁症在少数种族和族裔人群中的交叉。

IF 2.7 3区医学 Q2 PSYCHIATRY

Archives of Women's Mental Health

Pub Date : 2025-06-13 DOI: 10.1007/s00737-025-01599-6

Maria McDonald, Genevieve Lyons, Rosemary B. Hughes, Kathryn Laughon, Casey Johnson, Jeanne L. Alhusen

Purpose

Using an intersectional lens, this study examined the association between maternal reports of emotional distress due to racism (EDR) and postpartum depression (PPD) symptoms among persons with and without disabilities in minoritized racial and ethnic populations.

Methods

An analysis of Phase 8 (2018–2020) data from the Pregnancy Risk Assessment Monitoring System (PRAMS) included 2,452 respondents with a recent live birth from three states (MO, GA, VA). We examined the association between EDR and PPD symptoms among respondents with and without disabilities using Pearson’s chi-square test. Multivariate regression models were used to further estimate the odds of PPD symptoms associated with EDR and to examine differences in this relationship by disability status.

Results

EDR was significantly associated with PPD symptoms, with a higher prevalence of PPD symptoms among those with at least one disability (52.3%) compared to those without disabilities (19.9%). After adjusting for maternal demographics, EDR was significantly associated with PPD symptoms across disability groups. No significant interaction between disability group and EDR was observed, suggesting the association’s strength did not differ significantly by disability group in this study. In the fully adjusted model, history of depression attenuated the EDR-PPD association across disability groups, highlighting the effect of prior depressive episodes on PPD outcomes.

Conclusion

EDR is significantly associated with PPD symptoms, and persons with disabilities in minoritized racial and ethnic populations may be particularly susceptible to EDR and PPD. Additional research using an intersectional perspective is needed to elucidate PPD disparities as related to multiple, intersecting social identities and experiences of discrimination.

目的：使用交叉透镜，本研究检查了少数民族种族和民族人群中有残疾和无残疾的产妇因种族主义引起的情绪困扰（EDR）与产后抑郁症（PPD）症状之间的关系。方法：对妊娠风险评估监测系统（PRAMS）的第8期（2018-2020）数据进行分析，包括来自三个州（MO， GA， VA）的2,452名近期活产的受访者。我们使用皮尔逊卡方检验检验了有和没有残疾的受访者中EDR和PPD症状之间的关系。使用多变量回归模型进一步估计PPD症状与EDR相关的几率，并检查残疾状况在这种关系中的差异。结果：EDR与PPD症状显著相关，至少有一种残疾的患者PPD症状的患病率（52.3%）高于无残疾的患者（19.9%）。在调整了产妇人口统计数据后，EDR与残疾群体的PPD症状显著相关。残障组与EDR之间无显著交互作用，提示本研究中残障组与EDR的关联强度无显著差异。在完全调整的模型中，抑郁史减弱了残疾群体中EDR-PPD的关联，强调了既往抑郁发作对PPD结局的影响。结论：EDR与PPD症状有显著相关性，少数民族人群的残疾人可能特别容易发生EDR和PPD。需要使用交叉视角的进一步研究来阐明PPD差异与多重交叉的社会身份和歧视经历有关。

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引用次数: 0

Burnout and related factors in mothers of preschool children 学龄前儿童母亲的职业倦怠及其相关因素。

IF 2.7 3区医学 Q2 PSYCHIATRY

Archives of Women's Mental Health

Pub Date : 2025-05-31 DOI: 10.1007/s00737-025-01596-9

Feyza Yılmaz, Pelin Göksel

Purpose

Being a parent, in addition to its rewarding aspects, also involves significant psychological and physical challenges. When the balance between caregiving burden and support resources is disrupted, it becomes almost inevitable for mothers to experience burnout. We designed our study to investigate the factors related to burnout complaints in mothers of preschool children.

Methods

The sample of our study consisted of 80 mothers who presented to psychiatry clinics with burnout complaints and 80 healthy controls. Data collection tools included the Maslach Burnout Inventory, the Parenting Stress Index, and the Spousal Support Scale. Scale scores were compared between the groups. The mediating role of the Spousal Support Scale (SSS) in the relationship between the Parenting Stress Index (PSI) and the Maslach Burnout Inventory (MBI) was tested using path analysis.

Results

No statistically significant age difference was found between the two groups (p > 0.05). The number of children among participants in the burnout group was higher (p = 0.018).In the burnout group, a positive and statistically significant relationship was found between the total scores of the Maslach Burnout Inventory (MBI) and the Parenting Stress Index (PSI) (r: 0.664; p: 0.000), and a negative and statistically significant relationship with the total score of the Spousal Support Scale (SSS) (r: -0.409; p: 0.000).The indirect effect of the Parenting Stress Index (PSI) on the Maslach Burnout Inventory (MBI) through the Spousal Support Scale (SSS) was found to be statistically significant ( (:beta:) = -0.3294, p < 0.001).

Conclusion

Parental stress is associated with the level of burnout in mothers. However, spousal support may weaken the relationship between parental stress and burnout. Further research on the relationship between spousal support and burnout, as well as awareness projects related to spousal support, is needed.

目的：为人父母，除了它的回报方面，也涉及重大的心理和生理挑战。当照顾负担和支持资源之间的平衡被打破时，母亲们几乎不可避免地会感到倦怠。本研究旨在探讨学龄前儿童母亲倦怠投诉的相关因素。方法：本研究的样本包括80名到精神病学诊所就诊的母亲和80名健康对照者。数据收集工具包括马斯拉克倦怠量表、养育压力指数和配偶支持量表。比较两组间的量表得分。采用通径分析方法检验配偶支持量表（SSS）在养育压力指数（PSI）和马斯拉奇倦怠量表（MBI）之间的中介作用。结果：两组患者年龄差异无统计学意义（p < 0.05）。倦怠组被试中儿童人数较高（p = 0.018）。在倦怠组，Maslach倦怠量表（MBI）总分与父母压力指数（PSI）呈显著正相关(r: 0.664；p: 0.000)，与配偶支持量表（SSS）总分呈负相关且有统计学意义(r: -0.409；p: 0.000)。通过配偶支持量表（SSS），发现父母压力指数（PSI）对Maslach倦怠量表（MBI）的间接影响具有统计学意义（[公式：见文]= -0.3294,p）。结论：父母压力与母亲的倦怠水平相关。然而，配偶的支持可能会削弱父母压力和倦怠之间的关系。需要进一步研究配偶支持与职业倦怠之间的关系，并开展与配偶支持相关的认知项目。

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引用次数: 0

Posttraumatic stress disorder, general psychopathology, and suicidality among Yazidi women in Iraq kidnapped and/or raped by ISIS in 2014 2014年被ISIS绑架和/或强奸的伊拉克雅兹迪妇女的创伤后应激障碍、一般精神病理学和自杀倾向。

IF 2.7 3区医学 Q2 PSYCHIATRY

Archives of Women's Mental Health

Pub Date : 2025-05-20 DOI: 10.1007/s00737-025-01594-x

Fuaad Mohammed Freh, Carol S. North

Purpose

The current study investigated the mental health of Yazidi women exposed to kidnapping and sexual violence among Yazidi women survivors of the Islamic State of Iraq and Syria (ISIS) attacks during captivity in the 2014 genocide period in Iraq.

Methods

This cross-sectional population-based study was conducted at the Internal Displaced People (IDP) camps located in the Duhok Governorate, Kurdistan Regional Government of Iraq (KRG). The data were collected from September 2023 to May 2024. The KRG granted the principal researcher and 2 assistants access to 7 of the 18 IDP camps in Duhok. The number of households for inclusion in each camp was selected proportional to the total number of households in each selected camp by division of each camp’s census into the total census of all camps combined, and all adult women > 18 years of age in these households were deemed eligible for participation in the study. The study sample included 215 Yazidi women aged 18 to 41 years. Face-to-face interviewing was conducted by the first author and trained clinical psychologists, following structured questionnaires: a 6-item demographic questionnaire, The Event Scale (ES), Suicidality (3 questions included suicidality ideation, suicide attempt, and suicidal behavior), Posttraumatic Check List for DSM-5 (PCL-5), and General Health Questionnaire-28 (GHQ-28).

Results

Women’s current mental health following rape during captivity revealed risk for posttraumatic stress disorder (PTSD), general psychopathology, and suicidality in association with kidnapping and sexual violence, with odds ratios between 3.11 and 4.89 for the three main variables (PTSD risk, General psychopathology and suicidality) in multivariate models.

Conclusion

It can be concluded that ISIS captivity and wartime rapes had extensive long-term consequences on the mental health of women survivors. The high prevalence of PTSD emphasizes the need for culturally sensitive diagnostic and therapeutic services to address the intermediate and long-term consequences of wartime rape.

目的：本研究调查了2014年伊拉克种族灭绝期间遭受伊拉克和叙利亚伊斯兰国（ISIS）袭击的雅兹迪妇女幸存者中遭受绑架和性暴力的雅兹迪妇女的心理健康状况。方法：这项以人口为基础的横断面研究在位于伊拉克库尔德斯坦地区政府（KRG）杜胡克省的国内流离失所者（IDP）营地进行。数据收集于2023年9月至2024年5月。KRG允许首席研究员和两名助理进入杜胡克18个国内流离失所者营地中的7个。每个营地纳入的家庭数量与每个营地的家庭总数成比例，将每个营地的人口普查分成所有营地的总人口普查，这些家庭中所有18岁以上的成年妇女都被认为有资格参加这项研究。研究样本包括215名年龄在18至41岁之间的雅兹迪妇女。面对面访谈由第一作者和训练有素的临床心理学家进行，采用结构化问卷：6项人口统计问卷、事件量表（ES）、自杀倾向（3个问题包括自杀意念、自杀企图和自杀行为）、DSM-5创伤后检查表（PCL-5）和一般健康问卷-28 （GHQ-28）。结果：在囚禁期间被强奸的妇女的当前心理健康状况揭示了与绑架和性暴力相关的创伤后应激障碍（PTSD）、一般精神病理和自杀的风险，在多变量模型中，三个主要变量（PTSD风险、一般精神病理和自杀）的比值比在3.11和4.89之间。结论：可以得出结论，ISIS囚禁和战时强奸对妇女幸存者的心理健康产生了广泛的长期影响。创伤后应激障碍的高患病率强调需要文化敏感的诊断和治疗服务，以解决战时强奸的中期和长期后果。

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