Archives of Women s Mental Health (ARCH WOMEN MENT HLTH)

Publisher: World Psychiatric Association. Section on Women's Mental Health, Springer Verlag

Journal description

The relationship between mental disorders and reproductive functions in women has fascinated scientific thinkers for centuries. Nevertheless it has been well documented that sex and gender differences in mental illness and their treatment are understudied until now. In many cases the role of the obstetric-gynecologic event or condition in the psychiatric illness is not recognized: Many women have questions and concerns about psychiatric aspects of menstruation and menopause. Feelings about hysterectomy or the loss or termination of a pregnancy may play a role in the dynamics of a current conflict. Many manias depressions and other psychoses are related to endocrinology. Sexual abuse is a frequent feature of the history of patients with several major psychiatric disorders. Current developments in reproductive technology are new challenges for psychiatrists as well. The editors of "Archives of Women's Mental Health" hope that this journal will assist clinicians teachers and researchers to incorporate knowledge of all aspects of women's mental health into current and future clinical care and research. The journal's scope includes psychodynamics social and biological aspects of all psychiatric and psychosomatic disorders in women. The editors especially welcome interdisciplinary studies focussing on the interface between psychiatry psychosomatics obstetrics and gynecology. The exchange of knowledge between psychiatrists and obstetrician-gynecologists is one of the major aims of the journal. "Archives of Women's Mental Health" publish rigorously reviewed research papers short original communications case reports review articles book reviews and letters to the editors on psychiatric and psychosomatic disorders in women related to the menstrual cycle pregnancy childbirth and perimenopause psychiatric aspects of childloss and abortion sterilization and perimenopause maternal mental illness and disorders of mother-to-infant attachment and all other aspects of motherhood and mental health gender differences in psychopathology psychopharmacology and epidemiology of psychiatric disorders psychotropic drugs and the safety of their use during pregnancy and breastfeeding the association between ovarian hormones and neurochemistry and other biological aspects of psychiatric disorders in women psychosocial cultural and ethnic aspects of psychiatric disorders in women psychiatric aspects of domestic violence liaison psychiatry in women's hospital planning specialized mental health services for women hormonal treatment of psychiatric disorders related to women's reproductive system influence of menstrual cycle on pharmacokinetics of psychotropic drugs psychological aspects of cancer in women sexual disorders in women alcohol and drug abuse in the practice of obstetrics and gynecology contraceptives and their effects on women's mental health historical aspects of women's mental health care and research.

Current impact factor: 2.16

Impact Factor Rankings

2015 Impact Factor Available summer 2016
2014 Impact Factor 2.164
2013 Impact Factor 1.955
2012 Impact Factor 2.009
2011 Impact Factor 2.057
2010 Impact Factor 1.813
2009 Impact Factor 1.427
2008 Impact Factor 2.208
2007 Impact Factor 1.912

Impact factor over time

Impact factor

Additional details

5-year impact 2.65
Cited half-life 6.00
Immediacy index 0.35
Eigenfactor 0.00
Article influence 0.86
Website Archives of Women's Mental Health website
Other titles Archives of women's mental health (Online)
ISSN 1434-1816
OCLC 42787623
Material type Document, Periodical, Internet resource
Document type Internet Resource, Computer File, Journal / Magazine / Newspaper

Publisher details

Springer Verlag

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  • Classification

Publications in this journal

  • [Show abstract] [Hide abstract]
    ABSTRACT: Research investigating maternal bonding and parenting stress in the course of postpartum depression is lacking. Aim of the study was to investigate the development and potential mediation of both constructs in the course of postpartum depression. n = 31 mothers with postpartum depression according to DSM-IV and n = 32 healthy controls completed the German version of the Postpartum Bonding Questionnaire and the Parenting Stress Index at two measuring times: acute depression (T1) and remission (T2). At T1, the clinical group reported lower bonding and higher parenting stress. Bonding was found to partially mediate the link between maternal diagnosis and parenting stress. Furthermore, the clinical group reported lower bonding and higher parenting stress averaged over both measurement times. However, at T2, the clinical group still differed from the controls even though they improved in bonding and reported less parenting stress. A significant increase of bonding was also observed in the control group. Maternal bonding seems to buffer the negative impact of postpartum depression on parenting stress. The results emphasize the need for interventions focusing on maternal bonding and mother-infant interaction in order to prevent impairment of the mother-child relationship.
    Archives of Women s Mental Health 11/2015; DOI:10.1007/s00737-015-0590-4
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    ABSTRACT: Purpose Significant numbers of sexual minority women are choosing to parent. Despite this, there is limited research on postpartum depression (PPD) with sexual minority mothers and less research considering differences within sexual minority women in the experience of PPD. This research examines two questions to address this gap in research: (1) Do experiences of PPD symptoms vary between different subgroups of sexual minority women, and (2) Which recruitment strategies effectively address the challenge of recruiting sexual minority women who are pregnant? Methods Two Canadian studies recruited participants via consecutive or convenience sampling from midwifery clinics and hospital sites. Participants completed prenatal and postnatal measures of PPD symptoms, social support, and perceived discrimination. Results Considering our first question, we found an interaction effect between past sexual behavior and current partner gender. Women currently partnered with men reported higher scores on the Edinburgh Postpartum Depression Scale when their sexual history included partners of more than one gender, whereas this effect was not found among women who were currently partnered with women or not partnered. Regarding our second question, most sexual minority participants recruited through convenience sampling were partnered with women and identified as lesbian or queer, while most participants recruited through consecutive sampling were partnered with men and identified as bisexual. Conclusions Women whose sexual histories include more than one gender and are currently partnered with men may be at a higher risk for PPD symptoms. Recruitment method may influence the type of sample recruited for perinatal mental health research among sexual minority women.
    Archives of Women s Mental Health 08/2015; DOI:10.1007/s00737-015-0566-4
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    ABSTRACT: Neurobiology and Treatment of Traumatic Dissociation: Toward an Embodied Self is a 22-chapter manual divided into two parts: the first, focusing on our current understanding of the neuroscience underlying trauma and dissociative states; and the second, providing a framework for how to proceed with psychotherapy in patients suffering with dissociative disorders. Intended for an academic audience (preferably one initiated in neurobiology), this book provides an intriguing read complete with many insightful “aha” moments and would serve well as a companion to a senior undergraduate or graduate level course in Neuroscience or Neuropsychology.Part 1, entitled Neurobiology, employs a clever mixture of translational neuroscience with a focus on animal models as well as neuro-imaging data and pharmacological research, presenting a detailed overview of our current understanding of the neuroscience underlying trauma and dissociation. A great deal of attention is paid to the mammalian midbrain ne ...
    Archives of Women s Mental Health 04/2015; 18(2). DOI:10.1007/s00737-014-0487-7
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    ABSTRACT: Intimate partner violence (IPV) during pregnancy is a major public health issue with significant implications for maternal mental health. Less studied is the association between IPV during pregnancy and suicidal ideation. This study reports the prevalence and correlates of suicidal ideation among low-income pregnant women receiving prenatal care at a university obstetrical clinic from February 2009 to March 2010. We performed a cross-sectional analysis of 166 women surveyed between 24 and 28 weeks of gestation using the Edinburgh Postnatal Depression Scale (EPDS) and the Abuse Assessment Screen (AAS). Multiple logistic regression identified factors associated with antenatal suicidal ideation. The prevalence of suicidal ideation was 22.89 %. In the fully adjusted model, antenatal depressive symptomatology (OR = 17.04; 95 % CI 2.10-38.27) and experiencing IPV (OR = 9.37; 95 % CI 3.41-25.75) were significantly associated with an increased risk of antenatal suicidal ideation. The prevalence of antenatal suicidal ideation in the current study was higher than other population-based samples though this sample was predominantly single, low-income, and 19 % experienced IPV during pregnancy. Given the strong association of antenatal suicidal ideation, depressive symptomatology, and IPV, health care providers are urged to identify those women at risk so that antenatal care can be tailored to best support optimal maternal and neonatal outcomes.
    Archives of Women s Mental Health 03/2015; 18(4). DOI:10.1007/s00737-015-0515-2
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    ABSTRACT: The Attitudes Toward Motherhood (AToM) Scale was developed to assess women's beliefs about motherhood, a specific risk factor for emotional distress in perinatal populations. As the measure was initially developed and validated for use among first-time mothers, this study assessed the reliability and validity of the AToM Scale in a sample of multiparous women. Maternal attitudes were significantly associated with symptoms of depression, even after controlling for demographic, cognitive, and interpersonal risk factors. Maternal attitudes were also associated with symptoms of anxiety after controlling for demographic risk factors, but this association was not significant after accounting for cognitive and interpersonal risk factors. Compared to primiparous women from the initial validation study of the AToM Scale, multiparous women reported lower levels of social support and marital satisfaction. The relationships between cognitive and interpersonal risk factors and symptoms of depression and anxiety were comparable between multiparous and primiparous women.
    Archives of Women s Mental Health 02/2015; 18(4). DOI:10.1007/s00737-015-0511-6
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    ABSTRACT: Substantial evidence links antenatal depression, anxiety and stress with negative effects on foetal development, resulting in enduring problems in child development. Despite this, there is a paucity of research on intervention programmes designed to address depression and anxiety, and none that include infant outcomes. We aimed to evaluate the efficacy of a brief treatment for maternal depression and anxiety in pregnancy in a sample of women with a diagnosed depressive disorder. We developed a cognitive behavioural therapy treatment for antenatal depression and anxiety and evaluated it in a feasibility trial. This was followed by a pilot randomised controlled trial (RCT) which collected data on the efficacy of the brief intervention and follow-up data on infants. The feasibility study (n = 25) yielded promising results for adherence, acceptability and improvements in depression and anxiety (Beck Depression Inventory and Beck Anxiety Inventory). The RCT (n = 54) again showed excellent adherence and acceptability and supported the efficacy of the treatment. Strong reductions in anxiety were observed during pregnancy, and improvements in depression were maintained at 9 months representing a moderately large effect size. Nine-month infant outcomes showed several medium to large effects favouring the intervention in domains including problem solving, self-regulation and stress reactivity, which were independent of maternal postnatal mood. Treating severe depression and anxiety during pregnancy with a brief cognitive behavioural therapy (CBT) intervention appears feasible and worthwhile. To reliably detect clinically meaningful effects on infant outcomes, larger RCTs are likely to be required.
    Archives of Women s Mental Health 02/2015; 18(5). DOI:10.1007/s00737-015-0512-5

  • Archives of Women s Mental Health 02/2015; 18(3). DOI:10.1007/s00737-015-0514-3
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    ABSTRACT: This randomised controlled trial examined the feasibility of enhancing relationship functioning in couples during the transition to parenthood through the development and delivery of a low-intensity antenatal intervention. The 2-h psycho-educational programme marks the first of its kind to be trialled in the UK and was delivered as an adjunct to existing antenatal classes provided through the National Health Service. A cluster randomised design was used as antenatal classes rather than participants were randomly allocated to either treatment condition. Feasibility was assessed on the basis of pragmatic delivery and acceptability of the intervention. Data from 47 participants who received the intervention and 36 participants who did not was then compared to provide a preliminary indication of its effectiveness. Outcomes were assessed in terms of relationship satisfaction, couple communication and psychological distress. The intervention appeared feasible in terms of pragmatic delivery, rates of uptake and attendance at sessions. Participant evaluation forms also indicated that people were reasonably satisfied with the intervention and would recommend it to friends. Three significant phases × condition interactions were indicated using mixed-methods analyses of variance (ANOVAs); women in the intervention condition reported significantly less deterioration in relationship satisfaction (F(1, 44) = 3.11; p = 0.021; eta(2) = 0.07), while men in the intervention condition reported significantly less deterioration in couple communication (F(1, 35) = 2.59; p = 0.029; eta(2) = 0.08) and significant improvement in their experience of psychological distress (adjusted z = 1.99; p = 0.023; Cohen's d = 0.47). These positive preliminary indicators lend support to future large-scale investigation.
    Archives of Women s Mental Health 02/2015; 18(5). DOI:10.1007/s00737-015-0510-7
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    ABSTRACT: The purpose of this study is to determine the relationship between personality, the serotonin transporter (5HTT) and monoamine oxidase A (MAO-A) polymorphisms and the severity of climacteric and depressive symptoms in postmenopausal women. The study involved 272 healthy postmenopausal women from Poland. This survey-based study was performed using the following: the Beck Depression Inventory for depressive symptoms, the Blatt-Kupperman Menopausal Index and the Neuroticism-Extroversion-Openness-Five Factor Inventory for personality. A polymerase chain reaction was employed to identify the DNA polymorphisms. The women were aged 55.4 ± 5.5 years on average. Significant correlations were proved between the allele frequency of the 30-bp variable-number tandem repeat (VNTR) polymorphism in the MAO-A promoter region and the incidence of depressive symptoms in the women analysed (p ≤ 0.05), as well as between the severity of climacteric symptoms in the postmenopausal women and the allele frequency of the polymorphism in the 5HTT gene (the 5HTT 's' variant) (p ≤ 0.05). There was a significant correlation between the severity of climacteric and depressive symptoms (p < 0.001). (1) The severity of climacteric and depressive symptoms depends on personality traits. (2) Personality traits are biologically determined, and the level of their expression is associated with the 5HTT polymorphism. (3) Identification of homogeneous groups of women having predispositions to depressive and severe climacteric symptoms may help to implement early prevention programmes for this group of recipients.
    Archives of Women s Mental Health 02/2015; 18(4). DOI:10.1007/s00737-015-0497-0
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    ABSTRACT: Along with physical and biological changes, a tremendous amount of upheaval and adjustment accompany the pregnancy and postpartum period of a woman's life that together can often result in what is commonly known as postpartum depression. However, anxiety disorders have been found to be more frequent than depression during pregnancy and at least as common, if not more so, during the postpartum period, e.g., Brockington et al., (Archieves Women's Ment Health 9:253-263, 2006; Wenzel et al. (J Anxiety Disord, 19:295-311, 2005). Cognitive-behavioral therapy (CBT) is a well-established psychological treatment of choice for anxiety; however, few studies have specifically examined a cognitive-behavioral intervention targeting perinatal anxiety. This pilot study examined the effectiveness of a cognitive-behavioral group treatment (CBGT) program specifically tailored to address perinatal anxiety in 10 women who were either pregnant or within 12 months postpartum. Participants were recruited from a women's clinic at an academic hospital setting, with anxiety identified as their principal focus of distress. Following a diagnostic interview confirming a primary anxiety disorder and completion of assessment measures, participants completed a 6-week CBGT program. There was a statistically significant reduction in anxiety and depressive symptoms following the CBGT program (all p < 0.05). Participants also reported high acceptability and satisfaction with this treatment for addressing their perinatal anxiety. These findings suggest that CBGT for perinatal anxiety is a promising treatment for both anxiety and depressive symptoms experienced during the perinatal period. Further studies are needed to evaluate the treatment efficacy through larger controlled trials.
    Archives of Women s Mental Health 02/2015; 18(4). DOI:10.1007/s00737-015-0498-z
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    ABSTRACT: The etiology of premenstrual disorders, including premenstrual syndrome (PMS) and premenstrual dysphoric disorders (PMDD), is not well understood. In the current study, the relationship between self-focused attention (SFA) and premenstrual disorders was examined to explore the hypothesis that women with premenstrual disorders tend to respond to symptoms in a maladaptive manner. Based on retrospective report, clinical interview, and 30–day prospective recording of premenstrual symptoms, women (N = 52) were categorized as meeting criteria for premenstrual disorders (PMD; n = 24) or not (controls; n = 28). Key findings indicated that women with premenstrual disorders reported greater use of SFA in response to negative affect elicited by laboratory tasks than controls, despite no significant differences in change in negative affect between the two groups. Women with premenstrual disorders also reported greater trait levels of SFA and maladaptive coping styles compared to controls. Women with premenstrual disorders may tend to respond to menstrual cycle changes using increased levels of SFA. The interaction between psychological and physiological menstrual cycle-related changes may lead to increased distress and impairment. Implications for psychological contributions to premenstrual distress and disorders are discussed.
    Archives of Women s Mental Health 02/2015; 18(4). DOI:10.1007/s00737-015-0505-4
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    ABSTRACT: We read with interest the article by Robinson et al. (2014) Regarding the effect of vitamin D level in pregnancy and postpartum depression (PPD). The etiology of post partum depression (PPD) is not well understood. It has been hypothesized that rapid physiologic changes may play a role in its development. Additionally, physiologic, psychological, and social factors may affect the development of PPD. Neuroendocrine or immune system dysregulation may also contribute to the development of PPD (Ellsworth-Bowers and Corwin 2012). Vitamin D has regulatory functions in the immune system. It has been suggested that vitamin D may act as a potential neurosteroid.Epidemiologic evidence of a relationship between vitamin D and depression is limited. However, some studies have shown a meaningful relationship between vitamin D and depression in selective populations (Tolppanen et al. 2012). Murphy et al. (2010) postulated that there may be a negative correlation between vitamin D level and PPD. In th ...
    Archives of Women s Mental Health 02/2015; 18(2). DOI:10.1007/s00737-015-0509-0
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    ABSTRACT: Antenatal mental health assessment is increasingly common in high-income countries. Despite lacking evidence on validation or acceptability, the Whooley questions (modified PHQ-2) and Arroll ‘help’ question are used in the UK at booking (the first formal antenatal appointment) to identify possible cases of depression. This study investigated validation of the questions and women’s views on assessment. Women (n = 191) booking at an inner-city hospital completed the Whooley and Arroll questions as part of their routine clinical care then completed a research questionnaire containing the Edinburgh postnatal depression scale (EPDS). A purposive subsample (n = 22) were subsequently interviewed. The Whooley questions ‘missed’ half the possible cases identified using the EPDS (EPDS threshold ≥10: sensitivity 45.7 %, specificity 92.1 %; ≥13: sensitivity 47.8 %, specificity 86.1 %), worsening to nine in ten when adopting the Arroll item (EPDS ≥10: sensitivity 9.1 %, specificity 98.2 %; ≥13: sensitivity 9.5 %, specificity 97.1 %). Women’s accounts indicated that under-disclosure relates to the context of assessment and perceived relevance of depression to maternity services. Depression symptoms are under-identified in current local practice. While validated tools are needed that can be readily applied in routine maternity care, psychometric properties will be influenced by the context of disclosure when implemented in practice.
    Archives of Women s Mental Health 02/2015; DOI:10.1007/s00737-015-0508-1
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    ABSTRACT: Perinatal depression is a major public health burden impacting both mothers and their offspring. The purpose of this study was to develop and test the acceptability and feasibility of a novel psychotherapeutic intervention that integrates an evidence-based intervention for depression, interpersonal psychotherapy (IPT), with postpartum dyadic psychotherapy focused on emotional development in the context of the mother-infant relationship. Nine women between 12 and 30 weeks gestation with Edinburgh Depression Scale (EDS) scores >12 were entered into treatment. Three out of nine women dropped out of the study after initiating treatment (one lost to follow-up antepartum; two lost to follow-up postpartum). Seven out of eight women (87 %) reported clinically significant improvements in EDS scores from baseline to 37-39 weeks gestation, and all women had clinically significant improvements at 12 months postpartum. A small randomized controlled trial is underway to further examine the feasibility and acceptability of the intervention.
    Archives of Women s Mental Health 01/2015; 18(3). DOI:10.1007/s00737-015-0503-6
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    ABSTRACT: This study examines the clinical profile of women admitted to a psychiatric mother-baby unit as well as change in their clinical, parenting, attachment and quality of life outcomes. Data was collected from 191 mothers through self-report measures at admission and discharge. Change was analysed in terms of Edinburgh Postnatal Depression Scale (EPDS) score, parenting confidence, maternal attachment to the infant and overall functioning. Psychosocial factors impacting on symptom severity and recovery were examined. Most women (64.8 %) were admitted in the first 3 months after birth with an ICD-10 unipolar depressive episode (52.3 %) or anxiety disorder (25.7 %), and 47.6 % had comorbid diagnoses. Improvement from admission to discharge was seen with large effect sizes (≥one standard deviation, i.e. μ) in terms of clinical symptoms (EPDS, μ = 1.7), parenting confidence (Karitane Parenting Confidence Scale (KPCS), μ = 1.1) and attachment to their infant (Maternal Postpartum Attachment Scale (MPAS), μ = 0.9) as well as overall level of functioning (SF-14, μ = 1.9). The majority (73.3 %) recovered symptomatically, and this was associated with increasing maternal age (odds ratio (OR) = 1.129, p = 0.002) and lower levels of psychosocial risk at admission (OR = 0.963, p = 0.008). Improvement in parenting confidence was associated with increasing maternal age (OR = 1.17, p = 0.003). No predictive factors were found for improvement in maternal attachment after controlling for admission scores. In the short term, joint admission of mothers with their infants is highly beneficial in terms of clinical, functional and parenting outcomes, but follow up studies are needed to assess the longer term benefits for mother-infant dyads. The use of an observational tool to enhance our assessment of maternal-infant interaction and some measure of maternal emotional dysregulation-both important mediators of development of secure infant attachment-would also enhance our ability to tailor therapeutic interventions.
    Archives of Women s Mental Health 01/2015; 18(6). DOI:10.1007/s00737-014-0492-x