| 1. |
- Alehagen, Siw, 1953-, et al.
(författare)
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Fear, pain and stress hormones during childbirth
- 2005
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Ingår i: Journal of Psychosomatic Obstetrics and Gynaecology. - : Informa UK Limited. - 0167-482X .- 1743-8942. ; 26:3, s. 153-165
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Tidskriftsartikel (refereegranskat)abstract
- Aims. To investigate the course of fear, pain and stress hormones during labor, and the associations between fear, pain, stress hormones and duration of labor in nulliparous women with and without epidural analgesia (EDA).Method. One day during gestation weeks 37–39, urinary and salivary samples were collected to measure catecholamines and cortisol. Hourly during labor, the participants answered the Delivery Fear Scale and a pain intensity scale, and urinary and salivary samples were collected to measure stress hormones.Results. The course of fear, pain and stress hormones differed throughout labor in women with and without EDA. Pain and cortisol increased throughout labor in women without EDA. Women who received EDA had more fear, but not more pain, before the administration of the EDA than women who did not receive EDA. Pain, fear and catecholamines decreased when women received EDA, but fear and pain increased again later in labor. Fear and pain correlated, as well as levels of fear in the different phases of labor. During phase one of labor epinephrine and duration of the phase were negatively correlated.Conclusion. The course of fear, pain and concentrations of stress hormones differed, highly influenced by the administration of EDA. Fear and pain correlated more pronounced than stress hormones and fear, pain and duration of labor.
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| 2. |
- Alehagen, Siw, et al.
(författare)
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Fear, pain and stress hormones during labor and delivery
- 2005
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Ingår i: Journal of Psychosomatic Obstetrics and Gynaecology. - : Informa UK Limited. - 0167-482X .- 1743-8942. ; 26:3, s. 153-165
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Tidskriftsartikel (refereegranskat)abstract
- Aims: To investigate the course of fear, pain and stress hormones during labor, and the associations between fear, pain, stress hormones and duration of labor in nulliparous women with and without epidural analgesia (EDA).Method: One day during gestation weeks 37-39, urinary and salivary samples were collected to measure catecholamines and cortisol. Hourly during labor, the participants answered the Delivery Fear Scale and a pain intensity scale, and urinary and salivary samples were collected to measure stress hormones.Results: The course of fear, pain and stress hormones differed throughout labor in women with and without EDA. Pain and cortisol increased throughout labor in women without EDA. Women who received EDA had more fear, but not more pain, before the administration of the EDA than women who did not receive EDA. Pain, fear and catecholamines decreased when women received EDA, but fear and pain increased again later in labor. Fear and pain correlated, as well as levels of fear in the different phases of labor. During phase one of labor epinephrine and duration of the phase were negatively correlated.Conclusion: The course of fear, pain and concentrations of stress hormones differed, highly influenced by the administration of EDA. Fear and pain correlated more pronounced than stress hormones and fear, pain and duration of labor.
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| 3. |
- Ayers, Susan, et al.
(författare)
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Post-traumatic stress disorder following childbirth : current issues and recommendations for future research
- 2008
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Ingår i: Journal of psychosomatic obstetrics and gynaecology. - : Informa UK Limited. - 0167-482X .- 1743-8942. ; 29:4, s. 240-250
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Tidskriftsartikel (refereegranskat)abstract
- Background: An increasing body of research shows that a proportion of women experience significant symptoms of Post-Traumatic Stress Disorder (PTSD) following childbirth. Aims and method: An international group of researchers, clinicians, and user-group representatives met in 2006 to discuss the research to date into PTSD following childbirth, issues and debates within the field, and recommendations for future research. This paper reports the content of four discussions on (1) prevalence and comorbidity, (2) screening and treatment, (3) diagnostic and conceptual issues, and (4) theoretical issues. Conclusions: Current knowledge from the perspectives of the researchers is summarized, dilemmas are articulated and recommendations for future research into PTSD following childbirth are made. In addition, methodological and conceptual issues are considered.
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| 4. |
- Berglund, Anna-Lena, 1942-, et al.
(författare)
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Personality characteristics of-A stress incontinent women : a pilot study
- 1994
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Ingår i: Journal of Psychosomatic Obstetrics and Gynaecology. - : Informa Healthcare. - 0167-482X .- 1743-8942. ; 15:3, s. 165-170
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Tidskriftsartikel (refereegranskat)abstract
- Personality traits were assessed by means of the Karolinska Scale of Personality (KSP) and the Eysenck Personality Inventory (EPI) in 45 genuine stress incontinent women and compared with a reference group of continent women in order to investigate the possible impact of this chronic condition on the personality. Women with stress incontinence of long duration scored significantly higher than controls on the KSP scales somatic anxiety, psychic anxiety, psychasthenia and suspicion and on the EPI lie-scale. These findings point to the importance of personality factors in chronic conditions such as urinary incontinence.
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| 5. |
- Björklund, Ulla, et al.
(författare)
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Does an information film about prenatal testing in early pregnancy affect women's anxiety and worries?
- 2013
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Ingår i: Journal of Psychosomatic Obstetrics and Gynaecology. - : Taylor & Francis. - 0167-482X .- 1743-8942. ; 34:1, s. 9-14
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Tidskriftsartikel (refereegranskat)abstract
- Abstract Objective: To explore if an information film about prenatal examinations affects pregnant women's worry and anxiety. Methods: Randomized controlled study. The intervention was an information film about prenatal examinations. Data was collected in gestational week 26 by a questionnaire including the STAI (State-Trait Anxiety Inventory) instrument and further questions about worry. A total of 184 women in the intervention group and 206 in the control group filled in the questionnaire. Results: There were no statistically significant differences between the groups neither in state nor trait anxiety. Regarding worry about the possibility of something being wrong with the baby and worry about giving birth, there were no statistically significant differences between the groups. The women stated that to see the film increased their worry rather than decreased it. Conclusion: An informational film as additional information to complement written and verbal information about prenatal testing does not appear to increase women's anxiety and worries. However, the informational film may cause worry at the time of viewing which should be taken into consideration.
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| 6. |
- Carlsson, Maria, 1958-, et al.
(författare)
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How patients with gynecological cancer experience the information process
- 1998
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Ingår i: Journal of Psychosomatic Obstetrics and Gynaecology. - : Informa Healthcare. - 0167-482X .- 1743-8942. ; 19:4, s. 192-201
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Tidskriftsartikel (refereegranskat)abstract
- This qualitative study was designed to explore the kind of experiences women with a diagnosis of gynecological cancer have with regard to information given during their illness and how it could be improved. Data were collected through a semistructured interview which focused on the 24 women's experiences of the information given. The interviews were tape-recorded and transcribed verbatim for each participant, and analysed using a content analysis. Two main themes were revealed: to actively address questions, and the right to receive honest information. The results also include a short description on how information was offered, the patients' opinion of it and how the patients had sought information for themselves. When patients address questions they want honest answers. Some effort should also be made to identify patients who do not want information. If it is in accordance with the patient's and next-of-kin's wishes, efforts should be made to provide information at times when both can participate. Information given jointly to the patient and her family lessens the burden for the patient. In Sweden today, as a result of recent political decisions, caregivers must also consider the need to discuss economic issues.
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| 7. |
- Daniels, Ken, et al.
(författare)
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Semen providers and their three families
- 2005
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Ingår i: Journal of Psychosomatic Obstetrics and Gynaecology. - 0167-482X .- 1743-8942. ; 26:1, s. 15-22
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Tidskriftsartikel (refereegranskat)
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| 8. |
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| 9. |
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| 10. |
- Ekback, Maria, et al.
(författare)
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“We feel rejected” : experiences of women with hirsutism consulting physicians
- 2011
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Ingår i: Journal of Psychosomatic Obstetrics and Gynaecology. - : Informa Healthcare. - 0167-482X .- 1743-8942. ; 32:3, s. 157-159
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Tidskriftsartikel (refereegranskat)abstract
- The aim of the study was to describe how women with hirsutism experience their relationship with health care. Data were collected by tape-recorded individual interviews, which were analyzed by means of qualitative content analysis. The results showed that the relationship with health care, from the perspective of patients with hirsutism, is suboptimal.
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| 11. |
- Elmerstig, Eva, et al.
(författare)
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Prioritizing the partner's enjoyment : a population-based study on young Swedish women with experience of pain during vaginal intercourse
- 2013
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Ingår i: Journal of Psychosomatic Obstetrics and Gynaecology. - : Informa Healthcare. - 0167-482X .- 1743-8942. ; 34:2, s. 82-89
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Tidskriftsartikel (refereegranskat)abstract
- The present study examines the prevalence of women who continue to have vaginal intercourse (VIC) despite pain, avoid telling the partner, and feign enjoyment. It also considers the reasons for this behavior. A sample of 1566 female senior high school students (aged 18-22 years) completed a questionnaire concerning their experiences and attitudes toward their body and sexuality. Forty-seven percent (270/576) of those women who reported pain during VIC continued to have VIC despite the pain. The most common reasons were that they did not want to spoil sex for or hurt the partner by interrupting VIC. Feigning enjoyment and not telling the partner about their pain were reported by 22 and 33%, respectively. Continuing to have VIC despite pain was associated with feelings of being inferior to the partner during sex, dissatisfaction with their own sex lives and feigning enjoyment while having pain. Pain during VIC is reported by every third young Swedish woman, and almost half of those still continue to have VIC. The major reason given is noteworthy - prioritizing the partner's enjoyment before their own - and indicates that young women who continue to have VIC despite pain take a subordinate position in sexual interactions.
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| 12. |
- Elmerstig, Eva, 1969-, et al.
(författare)
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"Sexual pleasure on equal terms": Young women´s ideal sexual situations
- 2012
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Ingår i: Journal of Psychosomatic Obstetrics and Gynaecology. - : Informa Healthcare. - 0167-482X .- 1743-8942. ; 33:3, s. 129-134
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: We wanted to identify young women’s ideal images of sexual situations and expectations of themselves in sexual situations.Methods: We conducted audiotaped qualitative individual interviews with 14 women aged 14 to 20 years, visiting two youth centers in Sweden. The data were analyzed with constant comparative analysis, the basis of grounded theory methodology. Results: The women’s ideal sexual situations in heterosexual practice were characterized by sexual pleasure on equal terms, implying that no one dominates and both partners get pleasure. There were obstacles to reaching this ideal, such as influences from social norms and demands, and experiences of the partner’s “own race”. An incentive to reach the ideal sexual situation was the wish to experience the source of pleasure.Conclusions: Our research further accentuates the importance of finding ways to focus on the complexity of unequal gender norms in youth heterosexuality. A better understanding of these cognitions is essential and useful among professionals working with youths´ sexual health.
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| 13. |
- Engman, Maria, et al.
(författare)
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Surface electromyography diagnostics in women with partial vaginismus with or without vulvar vestibulitis and in asymptomatic women
- 2004
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Ingår i: Journal of Psychosomatic Obstetrics & Gynecology. - : Informa UK Limited. - 0167-482X .- 1743-8942. ; 25:3/4, s. 281-294
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to investigate to what extent women with superficial dyspareunia can be diagnosed for both partial vaginismus (PaV) and vulvar vestibulitis (VVS) and to discover to what extent surface electromyography (sEMG) of the pelvic floor muscles (PFM) can distinguish between women with PaV solely, PaV + VVS, and asymptomatic women. A total of 224 consecutive women with superficial dyspareunia were examined clinically for both PaV and VVS diagnoses. We examined 47 women with PaV ± VVS and 27 asymptomatic women with sEMG of the PFM. The results showed that 102/224 women with superficial dyspareunia and 33/47 women with PaV in the sEMG part of the study had both PaV and VVS. All women with VVS had vaginismus, while 42/224 had PaV but not VVS. sEMG measurements revealed no significant differences between the three groups of women (PaV solely, PaV + VVS, and asymptomatic). Almost half of the women with superficial dyspareunia referred to our clinic have both the diagnosis PaV and VVS. sEMG was not a method of any value to distinguish between women with PaV solely, PaV + VVS, or asymptomatic women. The increased tone found clinically in the PFM of women with PaV ± VVS may be of other origin than electrogenic contractions.
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| 14. |
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| 15. |
- Essén, Birgitta, et al.
(författare)
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An anthropological analysis of the perspectives of Somali women in the West and their obstetric care providers on caeserean birth
- 2011
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Ingår i: Journal of Psychosomatic Obstetrics and Gynaecology. - 0167-482X .- 1743-8942. ; 32:1, s. 10-18
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Tidskriftsartikel (refereegranskat)abstract
- We explored the perceptions of 39 Somali women and 62 obstetric care providers in London in relation to caesarean birth, as borne out of a paradox we recognised from evidence-based information about the Somali group. Socio-cultural factors potentially leading to adverse obstetric outcome were identified using in-depth and focus group interviews with semistructured, open-ended questions. A cultural anthropology model, the emic/etic model, was used for analysis. Somali women expressed fear and anxiety throughout the pregnancy and identified strategies to avoid caesarean section (CS). There was widespread, yet anecdotal, awareness among obstetric care providers about negative Somali attitudes. Caesarean avoidance and refusal were expressed as being highly stressful among providers, but also as being the responsibility of the women and families. For women, avoiding or refusing caesarean was based on a rational choice to avoid death and coping with adverse outcome relied on fatalistic attitudes. Motivation for the development of preventive actions among both groups was not described, which lends weight to the vast distinction and lack of correspondence in identified perspectives between Somali women and UK obstetric providers. Early booking and identification of women likely to avoid caesarean is proposed, as is the development of preventive strategies to address CS avoidance.
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| 16. |
- Flink, Ida K., 1980-, et al.
(författare)
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Expecting the uncertain : The applicability of the intolerance of uncertainty model on fear of childbirth
- 2023
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Ingår i: Journal of Psychosomatic Obstetrics and Gynaecology. - : Taylor & Francis. - 0167-482X .- 1743-8942. ; 44:1
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Tidskriftsartikel (refereegranskat)abstract
- A considerable number of pregnant women experience fear of childbirth (FOC), characterized by worries and fear of the unpredictable. Despite this, the psychological processes in FOC have received notably little attention. The aim of this study was to advance the understanding by exploring the applicability of the Intolerance of Uncertainty (IU) model on FOC. Anonymous data was collected in a sample of pregnant women (N = 357) with varying levels of FOC. Analyses supported the associations between FOC and all proposed psychological processes: IU, negative problem orientation, positive beliefs about worry and avoidance of inner experiences. The exploration of potential mediators of the relation between IU and FOC revealed that, of the three processes from the model, only positive beliefs about worry were a mediator, and more specifically, a partial mediator between IU and FOC. These findings add to the theoretical understanding of FOC, by indicating that the role of IU may be similar to other conditions inflicted by worry and anxiety, which may inform treatment development. © 2023 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.
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| 17. |
- Grundström, Hanna, et al.
(författare)
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Experiences of communication in women with endometriosis : perceived validation and invalidation in different contexts, and associations with health-related quality of life
- 2023
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Ingår i: Journal of Psychosomatic Obstetrics and Gynaecology. - : Taylor & Francis. - 0167-482X .- 1743-8942. ; 44:1
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Tidskriftsartikel (refereegranskat)abstract
- Endometriosis, a chronic gynecological disease affecting approximately 10% of women of reproductive age, has a significant impact on physical and mental health. This cross-sectional study aimed to explore experiences of validating and invalidating communication in three contexts (with healthcare providers, employers, and family/friends), and whether this may predict health-related quality of life (HRQoL) in women with endometriosis. Data was collected through a digital survey distributed to women with self-reported endometriosis in Sweden. The survey included measures of validating and invalidating communication, depressive symptoms, anxiety, and HRQoL. A total of 427 women participated. The results indicated that women experienced varying levels of validating and invalidating communication in different contexts, with close family/friends providing the highest level of validation, and healthcare providers the lowest. Furthermore, a combined construct of high levels of validation and low levels of invalidation from healthcare providers and from close family and friends were significant predictors of HRQoL. These findings highlight the importance of supportive communication and understanding from healthcare providers and close social networks in promoting the well-being of women with endometriosis. Future research should further explore the impact of validating communication within healthcare settings and develop interventions to improve communication and support for women with endometriosis.
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| 18. |
- Grundström, Hanna, et al.
(författare)
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'You expose yourself in so many ways': young women's experiences of pelvic examination
- 2011
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Ingår i: Journal of Psychosomatic Obstetrics and Gynaecology. - : Informa Healthcare. - 0167-482X .- 1743-8942. ; 32:2, s. 59-64
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to identify and describe young women's experiences of pelvic examination (PE). Qualitative interviews were conducted with nine women aged 18--23 years, who had undergone at least one PE. Data were analysed using an interpretative phenomenological approach. Three general themes were identified: (1) relinquishing and regaining control, (2) facilitation of the situation by the examiner and (3) PE is an unpleasant necessity. These general themes had a common structure that represented the essence: an intimate situation. The women experienced PE as an intimate situation, which they associated with their sexuality. They felt exposed both bodily and mentally and were placed in a vulnerable situation. PE was considered as unpleasant but necessary to confirm their health. During the PE, the women felt that they lost control of the situation by exposing their intimate parts. To regain control, the women felt a need for continuous information from the examiner. The vulnerable situation could be made less vulnerable if the examiner built a trusting relationship and made the women feel secure and seen as individuals. A deeper understanding of the situation from the women's perspective could facilitate the examiner's performance of PE, leading to more positive experiences among young women.
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| 19. |
- Hallström, Sofia, et al.
(författare)
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Fear of childbirth and mental health among lesbian, bisexual, transgender and queer people : a cross-sectional study
- 2022
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Ingår i: Journal of Psychosomatic Obstetrics and Gynaecology. - : Taylor & Francis Ltd. - 0167-482X .- 1743-8942. ; 43:4, s. 526-531
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Tidskriftsartikel (refereegranskat)abstract
- Background: Most studies of fear of childbirth (FOC) are conducted on heterosexual cisgender pregnant populations of birth-giving parents. Among lesbian and bisexual women, as well as transgender and queer people (LBTQ), minority stress can add an extra layer to FOC. Gender binary and cisnormative assumptions leave it to the patient to educate and navigate healthcare providers, which can increase mental health problems. Objective: The aim of this study is to compare FOC and mental illness among expecting birth-giving parents and their partners in an LBTQ population. Materials and methods: This cross-sectional study recruited 80 self-identified pregnant LBTQ persons and their 54 non-pregnant partners at a LBTQ specialized antenatal clinic in a large Swedish city of over one million inhabitants. The survey included socio-demographic characteristics, sexual and gender orientation, obstetric history, previous mental health, previous trauma exposure and measures of FOC and mental health. Results: Levels of FOC were significantly higher for the pregnant participants (median W-DEQ 67.5) than for partners (median W-DEQ 60.0). The proportion of severe FOC was higher for pregnant participants (20.3%) than for partners (9.4%), although this difference was not statistically significant. Mental illness was significantly associated with FOC. Conclusion: The results add valuable information to our understanding of the specific needs of pregnant LBTQ people and their partners and may help us to develop healthcare in the future.
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| 20. |
- Hildingsson, Ingegerd, 1955-, et al.
(författare)
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A cluster analysis of reasons behind fear of birth among women in Sweden
- 2024
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Ingår i: Journal of Psychosomatic Obstetrics and Gynaecology. - : Taylor & Francis. - 0167-482X .- 1743-8942. ; 45:1
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Tidskriftsartikel (refereegranskat)abstract
- BackgroundFear of birth is common and complex, caused by a variety of reasons. The aim was to investigate the prevalence of pre-established reasons in relation to fear, and to identify profiles of women based on their reported reasons behind fear of birth.MethodsA cross-sectional Swedish study of women with self-reported fear of birth who completed an online survey. Descriptive statistics, chi-square test, crude and adjusted odds ratios with 95% confidence intervals were used in the analysis of pre-established reasons in relation to self-reported severe fear. A Kappa-means cluster analysis was performed in order to group reasons, that were further investigated in relation to women’s background variables.ResultsA total of 1419 women completed the survey. The strongest reason behind fear of birth was to be forced to give birth vaginally. Four clusters were identified and labeled: minor complexity (reference group), relative minor complexity, relative major complexity, and major complexity. Cesarean section preference, previous mental health problems, being younger, primiparity, and exposure to domestic violence were factors related to cluster grouping.ConclusionsWomen with fear of birth have various reasons and diverse complexities behind their fear. Health care providers need to investigate these reasons and support pregnant women with childbirth fear, based on their needs.
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| 21. |
- Hildingsson, Ingegerd, 1955-, et al.
(författare)
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Childbirth experiences among women with fear of birth randomized to internet-based cognitive therapy or midwife counseling
- 2020
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Ingår i: Journal of Psychosomatic Obstetrics and Gynecology. - 0167-482X .- 1743-8942. ; 41:3, s. 205-214
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Tidskriftsartikel (refereegranskat)abstract
- Background: Although women with fear of birth often report negative birth experiences, few studies have focused on their experiences in the long term. The aim of this study was to compare birth experiences a year after childbirth in two groups of women receiving treatment for experiencing fear of birth during pregnancy. Methods: As part of the U-CARE: Pregnancy Trial, a prospective multicenter randomized controlled trial comparing the effects of internet-based cognitive behavioral therapy (iCBT) and standard care among pregnant women with fear of birth. Women were recruited at three Swedish hospitals following a screening procedure that assessed their fear of birth. Data were collected online with the Childbirth Experience Questionnaire (CEQ), one question about the overall birth experience, and questions about personal background, collected before randomization. Results: A total of 181 women responded to the follow-up questionnaire a year after childbirth. Approximately half of participants reported a less positive birth experience. Preferred mode of birth, actual mode of birth, marital status and psychiatric history were associated with the domains of the CEQ. However, no statistically significant differences emerged between the treatment groups. Conclusions: Being randomized to receive iCBT or counseling with midwives for fear of birth was not associated with perceptions of the birth experience assessed a year after birth. Most participants reported less-than-positive birth experiences and scored low on the domain of the CEQ reflecting Own capacity. In response, additional research remains necessary to identify the best model of care that might facilitate positive experiences with giving birth among women with fear of birth.
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| 22. |
- Hildingsson, Ingegerd, et al.
(författare)
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Testing the birth attitude profile scale in a Swedish sample of women with fear of birth
- 2021
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Ingår i: Journal of Psychosomatic Obstetrics and Gynaecology. - : Taylor & Francis. - 0167-482X .- 1743-8942. ; 42:2, s. 132-139
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Tidskriftsartikel (refereegranskat)abstract
- Objective: The aim of this study was to explore the “Birth Attitude Profile Scale (BAPS)” in a selected sample of women with fear of birth. Another aim was to develop profiles of women according to their birth attitudes and levels of childbirth fear in relation to background characteristics. Methods: A secondary analysis of data collected in two different samples of women with fear of birth. Data were collected by a questionnaire in gestational week 36 and background data from mid-pregnancy. A principal component analysis and a cluster analysis were performed of the combined sample of 195 women. Results: The principal component analysis revealed four domains of the BAPS: “personal impact, birth as a natural event, freedom of choice and safety concerns”. When adding the fear of birth scale, two clusters were identified: one with strong attitudes and lower fear, labeled “self-determiners”; and one with no strong attitudes but high levels of fear, labeled “fearful.” Women in the “Fearful” cluster more often reported previous and current mental health problems, which were the main difference between the clusters. Conclusion: The BAPS instrument seems to be useful in identifying birth attitudes in women with fear of birth and could be a basis for discussions and birth planning during pregnancy. Mental health problems were the main difference in cluster membership; therefore, it is important to ask women with fear of childbirth about physical, mental and social aspects of health. In addition, a qualitative approach using techniques such as focus groups or interviews is needed to explore how women come to form their attitudes and beliefs about birth.
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| 23. |
- Hildingsson, Ingegerd, et al.
(författare)
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The role of women’s emotional profiles in birth outcome and birth experience
- 2022
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Ingår i: Journal of Psychosomatic Obstetrics and Gynaecology. - 0167-482X .- 1743-8942. ; 43:3, s. 298-306
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Tidskriftsartikel (refereegranskat)abstract
- Objective: The aim was to investigate birth outcome and birth experience in relation to women’s emotional heslth. An additional aim was to explore the relationship between emotional health, continuity with a known midwife, and the birth experience. Methods: A prospective longitudinal cohort study of 243 women enrolled in a continuity of care project in a rural area in Sweden. Profiles were constructed from instruments measuring depressive symptoms, worries, fear of birth, and sense of coherence. Antenatal and birth records and questionnaires were used to collect data. Result: Women were categorized into two cluster profiles: “emotionally healthy” vs. “emotionally unhealthy”. Women in the “emotionally unhealthy” cluster had a less positive birth experience (p = 0.006). The total score of the Childbirth Experience Questionnaire was highest in women who had had a known midwife assisting at birth. Babies born to women in the “emotionally unhealthy” cluster were more likely to have a severe neonatal diagnosis. Conclusion: There were few differences in birth outcome between the clusters, while there were explicit differences in the childbirth experience. Having a known midwife is important to warrant women a more positive childbirth experience. Screening with validated instruments during antenatal care could be a first step to further investigate women’s emotional well-being and provide targeted psychosocial support.
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| 24. |
- Hildingsson, Ingegerd, 1955-, et al.
(författare)
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The role of women’s emotional profiles in birth outcome and birth experience
- 2022
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Ingår i: Journal of Psychosomatic Obstetrics and Gynaecology. - : Taylor & Francis. - 0167-482X .- 1743-8942. ; 43:3, s. 298-306
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Tidskriftsartikel (refereegranskat)abstract
- ObjectiveThe aim was to investigate birth outcome and birth experience in relation to women's emotional heslth. An additional aim was to explore the relationship between emotional health, continuity with a known midwife, and the birth experience.MethodsA prospective longitudinal cohort study of 243 women enrolled in a continuity of care project in a rural area in Sweden. Profiles were constructed from instruments measuring depressive symptoms, worries, fear of birth, and sense of coherence. Antenatal and birth records and questionnaires were used to collect data.ResultWomen were categorized into two cluster profiles: "emotionally healthy" vs. "emotionally unhealthy". Women in the "emotionally unhealthy" cluster had a less positive birth experience (p = 0.006). The total score of the Childbirth Experience Questionnaire was highest in women who had had a known midwife assisting at birth. Babies born to women in the "emotionally unhealthy" cluster were more likely to have a severe neonatal diagnosis.ConclusionThere were few differences in birth outcome between the clusters, while there were explicit differences in the childbirth experience. Having a known midwife is important to warrant women a more positive childbirth experience. Screening with validated instruments during antenatal care could be a first step to further investigate women's emotional well-being and provide targeted psychosocial support.
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| 25. |
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| 26. |
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| 27. |
- Järvholm, Stina, et al.
(författare)
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Is pre-implantation genetic diagnosis (PGD) more of a strain regarding satisfaction with marital quality for male or female partners? A three-year follow-up study
- 2018
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Ingår i: Journal of Psychosomatic Obstetrics and Gynecology. - 0167-482X .- 1743-8942. ; 39:3, s. 182-189
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Tidskriftsartikel (refereegranskat)abstract
- © 2017 Informa UK Limited, trading as Taylor & Francis GroupIntroduction: Men and women with a hereditary genetic disease are faced with different options when they plan to become parents. One is pre-implantation genetic diagnosis (PGD) which is a combination of in vitro fertilization (IVF) and genetic analysis of the embryo before implantation. The present study focuses on how men and women planning for PGD experience the quality of marital satisfaction when they apply for treatment and again, three years later. Methods: The study was a prospective cohort study where all couples (n=22) applying for PGD during 2010 and 2011 were eligible. Nineteen women and 17 men (i.e. 17 couples and two women) participated. Participants answered several questionnaires (Dyadic Adjustment Scale, Hospital Anxiety and Depression Scale and Parental Stress Questionnaire) before PGD treatment, and again three years later. Results: Women who underwent PGD rated the quality of their marital relationship similarly to that of first-time parents and IVF couples, whereas men rated the marital quality somewhat lower than the contrasts groups. Satisfaction with marital quality was stable over the three-year period although men were less satisfied than women on both occasions. At year three, there was a significant correlation between martial satisfaction and parental stress in men, and between martial satisfaction and anxiety and depression in women. Discussion: Men are equally, or more, affected by their situation than their female partners, with consequences for satisfaction with marital quality. For this reason they should be included in any counselling offered.
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| 28. |
- Kero, Anneli, 1950-, et al.
(författare)
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Ambivalence - a logical response to legal abortion : a prospective study among women and men
- 2000
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Ingår i: Journal of Psychosomatic Obstetrics and Gynaecology. - : Informa UK Limited. - 0167-482X .- 1743-8942. ; 21:2, s. 81-91
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Tidskriftsartikel (refereegranskat)abstract
- The aim of the study was to elucidate ambivalence in relation to legal abortion by studying emotions, attitudes, motives for abortion and ethical reasoning in a-strategic sample of women and men who, 1 year after abortion, expressed both positive and painful feelings in relation to the abortion. The study shows that social perspectives legitimate the decision to have an abortion whilst ethical perspectives complicate the decision. Nearly all women and men described having the abortion as an expression of responsibility. Almost one-half also had parallel feelings of guilt, as they regarded the abortion as a violation of their ethical values. The majority of the sample expressed relief while simultaneously experiencing the termination of the pregnancy as a loss coupled with feelings of grief/emptiness, in spite of the ambivalence, only one woman regretted the abortion. For the vast majority, the impact of the abortion had led to increased maturity and deepened self-knowledge. Thus, ambivalence might be regarded not only as problematic but also as indicating openness to the complexity of the abortion issue. Since incompatible values clash in connection with abortion, experiences of ambivalence become both logical and understandable. Read More: http://informahealthcare.com/doi/abs/10.3109/01674820009075613
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| 29. |
- Kero, Anneli, et al.
(författare)
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Reactions and reflections in men, 4 and 12 months post-abortion
- 2004
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Ingår i: Journal of Psychosomatic Obstetrics and Gynaecology. - : Parthenon Publishing Group. - 0167-482X .- 1743-8942. ; 25:2, s. 135-143
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Tidskriftsartikel (refereegranskat)abstract
- Background: In general, men involved in legal abortion constitute an invisiblegroup and there is scarcely any knowledge about their experiences and opinions.Therefore, the aim of the present study was to increase knowledge about reactionsand reflections by means of a prospective study of men’s attitudes and feelingstowards abortion.Methods: Twenty-six men answered a questionnaire before abortion, andparticipated in interviews at the time of abortion and 4 and 12 months postabortion.Results: Nearly all of the men were happy with the women’s decision to havean abortion at both follow-ups. They experienced the abortion as a relief and aresponsible act. Simultaneously, abortion could also be experienced as a painfuland ethically problematic act. Overall, most men had only positive experiencespost- abortion, such as a feeling of maturity. More than half of those whoaccompanied their partners to the hospital felt that the staff did not have awelcoming attitude. It was also found that 1-year post-abortion, more than a thirdconsistently did not use a reliable contraceptive method.Conclusions: There is a need for further studies concerning men’s experiencesand reactions in the context of abortion and it is of fundamental importance that agender perspective is incorporated into this specific field of reproductive healthresearch.
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| 30. |
- Klabbers, Gert A., et al.
(författare)
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Haptotherapy as a new intervention for treating fear of childbirth: a randomized controlled trial
- 2019
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Ingår i: Journal of Psychosomatic Obstetrics and Gynaecology. - : TAYLOR & FRANCIS LTD. - 0167-482X .- 1743-8942. ; 40:1, s. 38-47
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Tidskriftsartikel (refereegranskat)abstract
- Objective: To evaluate the effect of haptotherapy on severe fear of childbirth in pregnant women.Design: Randomized controlled trial.Setting: Community midwifery practices and a teaching hospital in the Netherlands.Population or Sample: Primi- and multigravida, suffering from severe fear of childbirth (N=134).Methods: Haptotherapy, psycho-education via Internet and care as usual were randomly assigned at 20-24weeks of gestation and the effects were compared at 36weeks of gestation and 6weeks and 6months postpartum. Repeated measurements ANOVA were carried out on the basis of intention to treat. Since there were crossovers from psycho-education via Internet and care as usual to haptotherapy, the analysis was repeated according to the as treated principle.Main outcome measures: Fear of childbirth score at the Wijma Delivery Expectancy/Experience Questionnaire.Results: In the intention to treat analysis, only the haptotherapy group showed a significant decrease of fear of childbirth, F(2,99)=3.321, p=.040. In the as treated analysis, the haptotherapy group showed a greater reduction in fear of childbirth than the other two groups, F(3,83)=6.717, pamp;lt;.001.Conclusion: Haptotherapy appears to be more effective in reducing fear of childbirth than psycho-education via Internet and care as usual.
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| 31. |
- Lalos, Ann, 1953-, et al.
(författare)
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A psychosocial characterization of infertile couples before surgical treatment of the female
- 1985
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Ingår i: Journal of Psychosomatic Obstetrics and Gynaecology. - : Elsevier. - 0167-482X .- 1743-8942. ; 4:2, s. 83-93
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Tidskriftsartikel (refereegranskat)abstract
- Social background and personality characteristics were examined in 30 infertile women with tubal damage and their 29 men. The emotional and social impact of their infertility was investigated using symptom checklists, the Eysenck Personality Inventory and interviews. The infertile couples did not differ with respect to psychosocial background, current life situation, neuroticism or personality characteristics when compared to psychologically normal controls. The infertility had severe emotional and social effects. Grief, depression, guilt, feelings of inferiority and isolation were commonly reported. The women openly admitted more symptoms than their men. Marital relationship was often affected and in particular the effect on sexual life was negative. Relatives and friends could not fulfill a supportive function, and all couples expressed their need for professional support and counselling.
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| 32. |
- Lalos, Ann, 1953-, et al.
(författare)
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Depression, guilt and isolation among infertile women and their partners
- 1986
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Ingår i: Journal of Psychosomatic Obstetrics and Gynaecology. - 0167-482X .- 1743-8942. ; 5:3, s. 197-206
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Tidskriftsartikel (refereegranskat)abstract
- The crisis of infertility has been studied in 30 women with tubal damage and the manner in which it affected their partners over a period of 2 years. Altogether, 4 interviews were carried out with the women, and two with the men. The partners of each couple were interviewed individually on the same day a few weeks before and 2 years after a reconstructive tubal operation. Furthermore, the women were interviewed on the first postoperative day, and 1 month later at the second-look laparoscopy. Most of the symptoms recorded during the interviews could be classified in terms of depression, guilt and isolation. The women generally manifested more depressive symptoms than the men who often suppressed or even denied emotional reactions. Feelings of guilt were more common among the women than among the men. Relatives and friends did not give genuine support — according to the majority of the couples. Pregnant women and other people's children often evoked negative feelings. Social isolation often developed among the infertile women and their partners. In most cases, the crisis of infertility was found to be prolonged, especially among the women. The study indicates that in order to cope with the crisis of infertility, couples require supportive counseling in parallel to the investigation and medical treatment. This counseling should be designed both for the couple as an entity and for the partners separately.Read More: http://informahealthcare.com/doi/abs/10.3109/01674828609016758?prevSearch=allfield%253A%2528lalos%2529&searchHistoryKey=
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| 33. |
- Lalos, Ann, et al.
(författare)
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Experiences of the male partner in cervical and endometrial cancer : a prospective interview study
- 1995
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Ingår i: Journal of Psychosomatic Obstetrics and Gynaecology. - 0167-482X .- 1743-8942. ; 16:3, s. 153-165
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Tidskriftsartikel (refereegranskat)abstract
- This article focuses on social, psychological and sexual experiences of 47 men before their partner was treated for cervical or endometrial cancer and 1 year later. As a complement to the interviews the men completed a symptom check-list. Before initiation of treatment, a great majority of the men were in psychological crisis. The number of psychological symptoms decreased from the first to the last interview. Symptoms with psychosomatic character increased, however, considerably. In the endometrial group, several had intrapsychic problems, while interpersonal problems were more common in the cervical group. Both groups found it difficult to know how to behave and how to communicate with their partner, friends and acquaintances. A majority had nobody to whom they could speak honestly, and most did not obtain basic information about their partner's disease. The experiences of intercourse were much more negative after completed treatment and a majority described impaired sexual desire. Provided that the woman herself desires it, the coping and rehabilitation of the woman, the man and the couple would improve if the male were integrated in the care program from the moment the diagnosis of cancer is made.
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| 34. |
- Lalos, Othon, et al.
(författare)
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Urinary, climacteric and sexual symptoms 1 year after treatment of cervical cancer without brachytherapy
- 2009
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Ingår i: Journal of Psychosomatic Obstetrics and Gynaecology. - : Informa UK Limited. - 0167-482X .- 1743-8942. ; 30:4, s. 269-274
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: Prospective studies elucidating the impact of the treatment of cervical cancer on urinary and climacteric symptoms and sexual life are relatively rare. The aim of this study was to seek information about the occurrence of urinary, climacteric and sexual symptoms in women with cervical cancer before and 1 year after treatment without brachytherapy. METHODS: This prospective study evaluated 39 women treated for cervical cancer. Data were collected by two questionnaires (before and 1 year after treatment). In order to supplement the data from the questionnaires, some data were selected from the patient's medical records. RESULTS: The number of voluntary micturitions, urgency, urinary incontinence and climacteric symptoms had not increased 1 year after treatment. Vaginal dryness and dyspareunia had increased and sexual desire was reduced 1-year post-treatment. CONCLUSION: This study has shown that urinary and climacteric symptoms are not frequent 1 year after treatment of cervical cancer without brachytherapy. However, there is an increased occurrence of vaginal dryness and sexual disorders 1-year post-treatment, mainly in the form of dyspareunia and reduced sexual desire. Taken together these symptoms affect the women's quality of life and it is, therefore, crucial that the medical providers become more aware of and skilled to deal with these conditions before and after treatment.
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| 35. |
- Larsson, Anna-Karin, et al.
(författare)
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Information for better or for worse: interviews with parents when their foetus was found to have choroid plexus cysts at a routine second trimester ultrasound.
- 2009
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Ingår i: Journal of Psychosomatic Obstetrics and Gynecology. - : Informa UK Limited. - 0167-482X .- 1743-8942. ; 30:1, s. 48-57
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Tidskriftsartikel (refereegranskat)abstract
- The aim of the study was to gain a theoretical understanding of parents' experiences and handling of the situation, when their foetus was diagnosed as having choroid plexus cysts, at a routine second trimester ultrasound examination. Nine couples and one mother were interviewed using one open question. Analysis method was Grounded Theory. The main concern was anxiety and the core category became need for knowledge. The other categories were frightening and confusing, judging risk and making a choice and comforting. The parents felt information during the ultrasound examination was insufficient. The time delay between the diagnosis and the doctor's appointment was also often criticized. Most of the parents in this study wanted to know what can be diagnosed by ultrasound, even if there is a small risk that the child will have a malformation or chromosome abnormality. However, when the diagnosis is made, they need adequate information, otherwise unnecessary anxiety arises. By giving sufficient information without days of delay, anxiety can hopefully be minimized. Some written information was also requested. It is of utmost importance that the staff use the same terminology and the correct name of the soft marker to the parents.
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| 36. |
- Larsson, Anna-Karin, et al.
(författare)
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Parental level of anxiety, sense of coherence and state of mind when choroid plexus cysts have been identified at a routine ultrasound examination in the second trimester of pregnancy: a case control study.
- 2009
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Ingår i: Journal of psychosomatic obstetrics and gynaecology. - : Informa UK Limited. - 1743-8942 .- 0167-482X. ; 30:2, s. 95-100
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Tidskriftsartikel (refereegranskat)abstract
- The aim of the study was to compare parents' experience of a routine ultrasound examination in the second trimester, when a choroid plexus cyst/cysts (CPC) were found (Study group; n = 22), with matched controls where no fetal deviations were identified (Control group, n = 66). All the parents had participated in a larger cohort study. The instruments used for measuring anxiety were STAI-state/trait, sense of coherence (SOC) and Parents' Expectations, Experiences, Reactions to an Ultrasound examination during pregnancy (PEER-U, State of Mind Index). Regarding the SOC and STAI-state/trait no significant differences were found between the cases and controls or within the respective group before and after the ultrasound examination. The cases had an increase in anxiety (more anxious) as measured by the instrument PEER-U after the examination, while the controls showed a significant better level of State of Mind Index (less anxious) after the examination, compared to before. Therefore PEER-U can be a more reliable instrument when studying state of mind (anxiety) in connection with ultrasound examinations, and as it is specific for this situation it does not appear to be time dependent.
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| 37. |
- Larsson, Nirina, et al.
(författare)
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Self-compassion, perfectionism, impostor phenomenon, stress and anxiety in patients with localized provoked vulvodynia
- 2023
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Ingår i: Journal of Psychosomatic Obstetrics and Gynaecology. - : Taylor & Francis. - 0167-482X .- 1743-8942. ; 44:1
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Tidskriftsartikel (refereegranskat)abstract
- Studies have shown that psychological distress has a role in the symptomology of localized provoked vulvodynia. Therefore, psychosocial support has been presented as a valuable part of the treatment. However, little is known about which psychological variables that coincide with localized provoked vulvodynia. The purpose of this study was to identify qualities of psychological distress in patients with localized provoked vulvodynia. Patients with localized provoked vulvodynia were consecutively recruited to participate in this cross-sectional questionnaire-based study. Participants completed a self-report questionnaire measuring perfectionism, impostor phenomenon, self-compassion, anxiety and perceived stress. A sample of 30 patients were included. Questionnaire results suggestive of perfectionism was seen in 63%, impostor phenomenon in 80%, low self-compassion in 27%, anxiety in 43% and perceived stress in 23% of the participants. The level of self-compassion was higher in patients in a committed relationship. The investigated qualities appear to be more common in patients with localized provoked vulvodynia than in comparable groups. Impostor phenomenon and perfectionism were particularly common, with more than half of the study population scoring above the cutoff for clinical significance. This motivates research to investigate if interventions targeting impostor phenomenon and perfectionism, may aid in the treatment of localized provoked vulvodynia.
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| 38. |
- Liljas Stålhandske, Maria, 1970-, et al.
(författare)
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Existential experiences and needs related to induced abortion in a group of Swedish women : a quantitative investigation
- 2012
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Ingår i: Journal of Psychosomatic Obstetrics and Gynaecology. - 0167-482X .- 1743-8942. ; 33:2, s. 53-61
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Tidskriftsartikel (refereegranskat)abstract
- Objective: To investigate the prevalence of existential experiences and needs among women involved in induced abortion. Methods: A questionnaire was used to collect information from 499 women requesting an induced abortion. A principle component analysis resulted in three components of existential experiences and needs, labelled: existential thoughts, existential practices, and humanisation of foetus. These components were analysed in relation to background data and other data from the questionnaire. Results: Existential experiences and needs were common. Existential thoughts about life and death, meaning and morality were related to abortion experience for 61% of women. Almost 50% of women, reported a need for special acts in relation to the abortion; and, 67% of women considered the pregnancy in terms of a child. A higher degree of existential components correlated to difficulty in making the abortion decision and poor psychological wellbeing after the abortion. Conclusion: Women’s experiences of abortion can include existential thoughts about life, death, meaning and morality, feelings of connectedness to the foetus, and the need for symbolic expression. This presents a challenge for abortion personnel, as the situation involves complex aspects beyond medical procedures and routines.
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| 39. |
- Liljas Stålhandske, Maria, 1970-, et al.
(författare)
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Women’s existential experiences within Swedish abortion care
- 2011
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Ingår i: Journal of Psychosomatic Obstetrics and Gynaecology. - 0167-482X .- 1743-8942. ; 32:1, s. 35-41
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Tidskriftsartikel (refereegranskat)abstract
- Objective: To explore Swedish women’s experiences of clinical abortion care in relation to their need for existential support. Methods: Individual in-depth interviews with 24 women with previous experience of unwanted pregnancy and abortion. Participants were recruited between 2006 and 2009. Interviews were analysed by latent content analysis. Findings: Although the women had similar experiences of the abortion care offered, the needs they expressed differed. Swedish abortion care was described as rational and neutral, with physical issues dominating over existential ones. For some women, the medical procedures triggered existential experiences of life, meaning, and morality. While some women abstained from any form of existential support, others expressed a need to reflect upon the existential aspects and/or to reconcile their decision emotionally. Conclusion: As women’s needs for existential support in relation to abortion vary, women can be disappointed with the personnel’s ability to respond to their thoughts and feelings related to the abortion. To ensure abortion care personnel meet the physical, psychological, and existential needs of each patient, better resources and new lines of education are needed to ensure abortion personnel are equipped to deal with the existential aspects of abortion care.
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| 40. |
- Lin, Chung-Ying, et al.
(författare)
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Using extended theory of planned behavior to determine factors associated with help-seeking behavior of sexual problems in women with heart failure : a longitudinal study
- 2020
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Ingår i: Journal of Psychosomatic Obstetrics and Gynaecology. - : Taylor & Francis Group. - 0167-482X .- 1743-8942. ; 41:1, s. 54-61
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Tidskriftsartikel (refereegranskat)abstract
- Introduction: This study used extended theory of planned behavior (extended TPB) to understand the underlying factors related to help-seeking behavior for sexual problems among Iranian women with heart failure (HF). Methods: We recruited 758 women (mean age = 61.21 +/- 8.92) with HF at three university-affiliated heart centers in Iran. Attitude, subjective norms, perceived behavioral control, behavioral intention, self-stigma of seeking help, perceived barriers, frequency of planning, help-seeking behavior, and sexual function were assessed at baseline. Sexual function was assessed again after 18 months. Structural equation modeling was used to explain change in sexual functioning after 18 months. Results: Attitude and perceived behavioral control were positively correlated to behavioral intention. Behavioral intention was negatively and self-stigma in seeking help was positively correlated to perceived barriers. Behavioral intention was positively and self-stigma in seeking help was negatively correlated to frequency of planning. Perceived behavioral control, behavior intention, and frequency of planning were positively and self-stigma in seeking help and perceived barriers were negatively correlated to help-seeking behavior. Help-seeking behavior was positive correlated to the change of FSFI latent score. Conclusions: The extended TPB could be used by healthcare professionals to design an appropriate program to treat sexual dysfunction in women with HF.
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| 41. |
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| 42. |
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| 43. |
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| 44. |
- Magnusson, Chris, et al.
(författare)
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Girls experiencing sexual intercourse early : Could it play a part inreproductive health in middle adulthood?
- 2006
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Ingår i: Journal of Psychosomatic Obstetrics and Gynaecology. - : Informa UK Limited. - 0167-482X .- 1743-8942. ; 27:4, s. 237-244
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Tidskriftsartikel (refereegranskat)abstract
- The aim of the present study is to examine the possible relationship between experiencing early intercourse and reproductive health characteristics in midlife for women. The participants belonged to the Swedish longitudinal research program Individual Development and Adaptation (IDA) project. By the age of 14, the cohort consisted of 590 girls, whereas 522 gave information about the timing of their first sexual intercourse experience. Approximately 29 years later, when the women were 43 years old, a sub-cohort of 369 women participated in the psychological-medical investigation. Those who experienced early intercourse were likely to be different on various demographics and have markers of poorer reproductive health characteristics than their counterparts. More specifically, those experiencing early intercourse were less formally educated, left home earlier, and earned on average less than their counterparts who experienced sexual intercourse later. Early intercourse likely plays a role in not only specific reproductive health but also reproductive health characteristics as a whole in midlife. Early intercourse was consistently a predictor of teenage pregnancy, terminated pregnancies, no use of contraception, and having menstrual symptoms.
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| 45. |
- Muchanga, S. M. J., et al.
(författare)
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Association between nausea and vomiting of pregnancy and postpartum depression: the Japan Environment and Children's Study
- 2022
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Ingår i: Journal of Psychosomatic Obstetrics & Gynecology. - : Informa UK Limited. - 0167-482X .- 1743-8942. ; 43:1, s. 2-10
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Tidskriftsartikel (refereegranskat)abstract
- Objective: Postpartum depression (PPD) is a global emotional distress that affects women and their offspring regardless of their culture. The association between nausea and vomiting of pregnancy (NVP) and PPD has been widely described only for the severe form of NVP. We aimed to assess the relationship between PPD and NVP with regards to its severity. Methods: Data from the Japan Environment and Children's Study (JECS), a birth cohort study, were analyzed. PPD was assessed using the Edinburgh Postnatal Depression Scale (EPDS). Multiple logistic regression models were performed to assess the association between NVP and PPD. Results: Out of the 80,396 women included in the study 14% had PPD. Among them 4,640 (42.1%) had mild NVP; 3,295 (29.9%) had moderate NVP whereas 1,481 (13.4%) had severe NVP. All forms of NVP were associated with PPD and the association gradually increased with the severity of NVP symptoms with odd ratio (OR): 1.26; 95% confidence interval (CI): 1.18-1.35 for mild, OR: 1.28; 95% CI: 1.19-1.38 for moderate and OR: 1.54; 95% CI: 1.42-1.68 for severe NVP. Conclusion: Japanese women with NVP were more susceptible to develop PPD and the more severe the NVP symptoms were, the greater the risk of PPD. Thus, close monitoring of NVP-affected women is recommended.
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| 46. |
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| 47. |
- Nedstrand, Elisabeth, et al.
(författare)
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Psychological well-being improves in women with breast cancer after treatment with applied relaxation or electro-acupuncture for vasomotor symptom
- 2006
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Ingår i: Journal of Psychosomatic Obstetrics and Gynaecology. - : Informa UK Limited. - 0167-482X .- 1743-8942. ; 27:4, s. 193-199
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to evaluate the effect of applied relaxation and electro-acupuncture (EA) on psychological well-being in breast cancer-treated women with vasomotor symptoms. Thirty-eight breast cancer-treated postmenopausal women with vasomotor symptoms were included in the study. They were randomized to either treatment with electro-acupuncture (EA) (N = 19, three of them with tamoxifen) or applied relaxation (AR) (n = 19, five of them with tamoxifen) over a 12-week study period with six months follow-up. Vasomotor symptoms were registered daily. A visual analog scale was used to assess climacteric symptom, estimation of general well-being was made using the Symptom Checklist, and mood using the Mood Scale. These were applied during treatment and at follow-up. In total 31 women completed 12 weeks of treatment and six months of follow-up. Hot flushes were reduced by more than 50%. Climacteric symptoms significantly decreased during treatment and remained so six months after treatment in both groups. Psychological well-being significantly improved during therapy and at follow-up visits in both groups. Mood improved significantly in the electro-acupuncture treated group. In conclusion psychological well-being improved in women with breast cancer randomized to treatment with either AR or EA for vasomotor symptoms and we therefore suggest that further studies should be performed in order to evaluate and develop these alternative therapies. © 2006 Informa UK Ltd.
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| 48. |
- Nieminen, Katri, et al.
(författare)
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Treatment of nulliparous women with severe fear of childbirth via the Internet : a feasibility study
- 2016
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Ingår i: Journal of Psychosomatic Obstetrics and Gynaecology. - : Taylor & Francis. - 0167-482X .- 1743-8942. ; 37:2, s. 37-43
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Tidskriftsartikel (refereegranskat)abstract
- Objective: The aim of the present study was to test the feasibility of Internet interventions among nulliparous women suffering from severe fear of childbirth (FOC) by means of an Internet-delivered therapist-supported self-help program based on cognitive behavioral therapy (ICBT).Design: Prospective, longitudinal cohort study.Setting: A feasibility study of an ICBT program for the treatment of severe FOC in pregnant women.Sample: Twenty-eight Swedish-speaking nulliparous women with severe FOC recruited via a project home page from January 2012 to December 2013.Methods: The main components of the ICBT program for the treatment of severe FOC comprised psycho-education, breathing retraining, cognitive restructuring, imaginary exposure, in vivo exposure and relapse prevention. The study participants were anonymously self-recruited over the Internet, interviewed by telephone and then enrolled. All participants were offered 8 weeks of treatment via the Internet. Participants reported their homework weekly, submitted measurements of their fear and received feedback from a therapist via a secure online contact management system.Main outcome measures: Level of FOC measured with the Wijma Delivery Expectancy/Experience Questionnaire (W-DEQ A) during screening at enrollment and weekly during the treatment (W-DEQ version A), and after the delivery (W-DEQ version B).Results: A statistically significant (p < 0.0005) decrease of FOC [W-DEQ sum score decreased pre to post-therapy, with a large effect size (Cohen’s d = 0.95)].Conclusions: The results of this feasibility study suggest that ICBT has potential in the treatment of severe FOC during pregnancy in motivated nulliparous women. The results need to be confirmed by randomized controlled studies.
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| 49. |
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| 50. |
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