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Towards individuali...
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Lundin, CeciliaUppsala universitet,Reproduktiv hälsa
(författare)
Towards individualised contraceptive counselling : Clinical and reproductive factors associated with self-reported hormonal contraceptive-induced adverse mood symptoms
- Artikel/kapitelEngelska2021
Förlag, utgivningsår, omfång ...
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2021-01-15
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BMJ Publishing Group Ltd,2021
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LIBRIS-ID:oai:DiVA.org:umu-186202
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https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-186202URI
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https://doi.org/10.1136/bmjsrh-2020-200658DOI
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https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-451782URI
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http://kipublications.ki.se/Default.aspx?queryparsed=id:147174212URI
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Språk:engelska
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Sammanfattning på:engelska
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Ämneskategori:art swepub-publicationtype
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Objective: The study aim was to establish which demographic, clinical, reproductive and psychiatric factors are associated with self-reported hormonal contraceptive (HC)-induced adverse mood symptoms.Study design: We compiled baseline data from two Swedish studies: one cross-sectional study on combined oral contraceptive (COC)-induced adverse mood symptoms (n=118) and one randomised controlled trial on adverse mood symptoms on COC (n=184). Both included women eligible for COC use, aged over 18 years. All women answered a questionnaire on HC use and associated mood problems. The Mini-International Neuropsychiatric Interview (M.I.N.I.) was used to capture mood and anxiety disorders. Women who acknowledged HC-induced adverse mood symptoms, ongoing or previously (n=145), were compared with women without any such experience (n=157).Results: Compared with women without self-reported HC-induced adverse mood symptoms, women with these symptoms were younger at HC start (adjusted odds ratio (aOR) 0.83, 95% CI 0.72 to 0.95), had more often undergone induced abortion (OR 3.36, 95% CI 1.57 to 7.23), more often suffered from an ongoing minor depressive disorder (n=12 vs n=0) and had more often experienced any previous mental health problem (aOR 1.90, 95% CI 1.01 to 3.59).Conclusions: In line with previous research, this study suggests that women with previous or ongoing mental health problems and women who are younger at HC start are more likely to experience HC-induced adverse mood symptoms. Former and current mental health should be addressed at contraceptive counselling, and ongoing mental health disorders should be adequately treated.Implications: This study adds valuable knowledge for identification of women susceptible to HC-induced adverse mood symptoms. It should facilitate the assessment of whether or not a woman has an increased risk of such symptoms, and thus enable clinicians to adopt a more personalised approach to contraceptive counselling.
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Wikman, AnnaUppsala universitet,Reproduktiv hälsa(Swepub:uu)annwi617
(författare)
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Bixo, MarieUmeå universitet,Obstetrik och gynekologi,Umeå Univ, Dept Clin Sci Obstet & Gynecol, Umeå, Sweden.(Swepub:umu)mabi0001
(författare)
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Gemzell-Danielsson, KristinaKarolinska Institutet
(författare)
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Sundström Poromaa, Inger,1964-Uppsala universitet,Reproduktiv hälsa(Swepub:uu)inspo702
(författare)
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Uppsala universitetReproduktiv hälsa
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:BMJ Sexual & Reproductive Health: BMJ Publishing Group Ltd47:32515-19912515-2009
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