{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T02:51:09Z","timestamp":1792464669135,"version":"4.5.0"},"reference-count":36,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2024,3,6]],"date-time":"2024-03-06T00:00:00Z","timestamp":1709683200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,3,6]],"date-time":"2024-03-06T00:00:00Z","timestamp":1709683200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Women's Health"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To assess whether depression, anxiety, and post-traumatic stress disorder (PTSD) are associated with serum anti-M\u00fcllerian hormone (AMH) levels.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>We used data from a sample of women firefighters from the Fire Fighter Cancer Cohort Study. Participant demographics, reproductive history, and self-reported clinical diagnosis of anxiety, depression, and PTSD were collected with serum for AMH analysis at enrollment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measure:<\/jats:title>\n                    <jats:p>Linear regression models were used to estimate the association between anxiety, depression, and PTSD and log transformed AMH levels adjusted for age years (continuous and squared) and body mass index. Percent difference in AMH was calculated by [exp(\u03b2) \u2013 1] \u00d7 100.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Among 372 participants, with mean \u00b1 standard deviation age 32.54 \u00b1 6.32, clinical diagnoses were reported as follows: depression (15%), anxiety (18.2%), or PTSD (8.7%). No statistically significant association was observed between depression and AMH levels (\u221222%\u0394, 95% confidence interval [CI]: \u221247.3, 14.5). Women firefighters with a history of anxiety (\u221233%\u0394, 95% CI: \u221253.5, \u22124.2) and PTSD (\u221266%\u0394, 95% CI: \u221279.1, \u221244.6) had lower serum AMH compared with participants without those conditions. When individuals with concurrent PTSD were excluded, the association between anxiety ceased to be statistically significant (26.7%\u0394, 95% CI: \u221217.9, 92.6).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>A history of clinically diagnosed anxiety or PTSD was associated with statistically significantly lower AMH levels. This association offers insight into the potential biological mechanisms through which mental health conditions may influence reproductive health.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/jwh.2024.0534","type":"journal-article","created":{"date-parts":[[2024,12,19]],"date-time":"2024-12-19T11:13:11Z","timestamp":1734606791000},"page":"354-361","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Evaluating the Effect of Depression, Anxiety, and Post-Traumatic Stress Disorder on Anti-M\u00fcllerian Hormone Levels Among Women Firefighters"],"prefix":"10.1177","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-4749-5302","authenticated-orcid":false,"given":"Michelle A.","family":"Valenti","sequence":"first","affiliation":[{"name":"Department of Epidemiology &amp; Biostatistics, Mel and Enid Zuckerman College of Public Health, The University of Arizona, Tucson, Arizona, USA."},{"name":"Department of Community, Environment, &amp; Policy, Mel &amp; Enid Zuckerman College of Public Health, University of Arizona, Tucson, Arizona, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leslie V.","family":"Farland","sequence":"additional","affiliation":[{"name":"Department of Epidemiology &amp; Biostatistics, Mel and Enid Zuckerman College of Public Health, The University of Arizona, Tucson, Arizona, USA."},{"name":"Department of Obstetrics, Gynecology, and Reproductive Biology, College of Medicine-Tucson, University of Arizona, Tucson, Arizona, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaiwen","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Epidemiology &amp; Biostatistics, Mel and Enid Zuckerman College of Public Health, The University of Arizona, Tucson, Arizona, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yiwen","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Epidemiology &amp; Biostatistics, Mel and Enid Zuckerman College of Public Health, The University of Arizona, Tucson, Arizona, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shawn C.","family":"Beitel","sequence":"additional","affiliation":[{"name":"Department of Community, Environment, &amp; Policy, Mel &amp; Enid Zuckerman College of Public Health, University of Arizona, Tucson, Arizona, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara A.","family":"Jahnke","sequence":"additional","affiliation":[{"name":"Center for Fire, Rescue &amp; EMS Health Research, NDRI-USA, Inc., Leawood, Kansas, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brittany","family":"Hollerbach","sequence":"additional","affiliation":[{"name":"Center for Fire, Rescue &amp; EMS Health Research, NDRI-USA, Inc., Leawood, Kansas, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caitlin C.","family":"St. Clair","sequence":"additional","affiliation":[{"name":"Puget Sound Regional Fire Authority, Kent, Washington, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John J.","family":"Gulotta","sequence":"additional","affiliation":[{"name":"Tucson Fire Department, Tucson, Arizona, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jamie J.","family":"Kolar","sequence":"additional","affiliation":[{"name":"Los Angeles County Fire Department, Los Angeles, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Derek J.","family":"Urwin","sequence":"additional","affiliation":[{"name":"Los Angeles County Fire Department, Los Angeles, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paola","family":"Louzado-Feliciano","sequence":"additional","affiliation":[{"name":"Leonard M. 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