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Women’s Health: Obstetrics and Gynecology
Book chapter

Women’s Health: Obstetrics and Gynecology

Pamela A. Geller, Alexandra R. Nelson, Sara L. Kornfield and Dina Goldstein Silverman
Handbook of Clinical Psychology in Medical Settings, pp 327-367
01 Jul 2014

Abstract

Gynecology Infertility Mutuality Obstetrics Pregnancy Relational context Sexual health Women’s health
Recent shifts towards the integration of mental health care in primary care settings have made clinical psychologists practicing in women’s health care settings an indispensable asset to both patients and medical providers. Women of all ages have higher rates of primary and specialty care visits than men, and many women of reproductive age receive primary and preventive health care within obstetrics and gynecology (ob/gyn) settings where medical providers are often the first professionals to triage and address complex mental health problems. Women face unique psychosocial and mental health challenges, including stress from multiple roles and caregiving responsibilities, relational context, and possible exposure to violence. In addition to discussion of these contextual factors, this chapter will examine current research regarding those conditions more commonly seen and treated by clinical psychologists in ob/gyn settings, including mental health issues surrounding pregnancy and childbirth, sexual health and functioning, pelvic pain, urinary incontinence, perimenopause and menopause, and infertility. For each area, when evidencein the research literature exists for the benefit of psychological intervention, this information also will be presented.

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