{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,27]],"date-time":"2025-11-27T13:00:17Z","timestamp":1764248417277,"version":"3.46.0"},"reference-count":25,"publisher":"Akademiai Kiado Zrt.","issue":"4","license":[{"start":{"date-parts":[[2025,11,27]],"date-time":"2025-11-27T00:00:00Z","timestamp":1764201600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["AMicr"],"published-print":{"date-parts":[[2025,11,27]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    This study evaluates the impact of psychosomatic interventions on the immune system and microbiome composition of pregnant women diagnosed with gestational hypertension. A case-control study on 200 pregnant women diagnosed with gestational hypertension was conducted between June 2021 and December 2024. The control group (\n                    <jats:italic>n<\/jats:italic>\n                    = 100) included pregnant women diagnosed with gestational hypertension and under only pharmacological treatment with antihypertensive drugs such as labetalol. The case group (\n                    <jats:italic>n<\/jats:italic>\n                    = 100) received standard care for hypertensive disorders in pregnancy like control group, but in addition to it, we incorporated evidence based psychosomatic medicine to this group. Psychosomatic medicine included stress management, relaxation techniques, and counseling for the study group. Primary outcomes included blood pressure levels, psychological state (SAS and SDS scores), mode of delivery, incidence of complications, neonatal outcomes, patient satisfaction, reductions in inflammatory cytokines (e.g., IL-6, TNF-alpha), and improvements in microbiome diversity. Psychosomatic intervention led to a significant increase in microbiome diversity (Shannon Index,\n                    <jats:italic>P<\/jats:italic>\n                    \u00a0&lt;\u00a00.05). Beta-diversity analysis revealed a distinct separation in microbial community composition between the study and control groups (\n                    <jats:italic>P<\/jats:italic>\n                    = 0.02). The case group also showed a reduction in pro-inflammatory cytokines, IL-6 decreased from 40.0 to 28.0\u2009pg mL\n                    <jats:sup>\u22121<\/jats:sup>\n                    (\n                    <jats:italic>P<\/jats:italic>\n                    = 0.008) and TNF-alpha from 25.0 to 18.0\u2009pg mL\n                    <jats:sup>\u22121<\/jats:sup>\n                    (\n                    <jats:italic>P<\/jats:italic>\n                    = 0.004). The case group demonstrated significant improvements in systolic (\n                    <jats:italic>P<\/jats:italic>\n                    \u00a0= 0.020) and diastolic (\n                    <jats:italic>P<\/jats:italic>\n                    = 0.003) blood pressures, psychological well-being (SAS,\n                    <jats:italic>P<\/jats:italic>\n                    = 0.006; SDS:\n                    <jats:italic>P<\/jats:italic>\n                    \u00a0= 0.026), and delivery outcomes (\n                    <jats:italic>P<\/jats:italic>\n                    = 0.032). Complications were significantly lower in the case\u00a0group (\n                    <jats:italic>P<\/jats:italic>\n                    = 0.013), with better neonatal outcomes, including lower rates of intrauterine distress (\n                    <jats:italic>P<\/jats:italic>\n                    \u00a0= 0.011), premature birth (\n                    <jats:italic>P<\/jats:italic>\n                    = 0.003), and asphyxia (\n                    <jats:italic>P<\/jats:italic>\n                    = 0.013). Emotional resilience, coping confidence, and patient satisfaction were significantly higher in the case group (\n                    <jats:italic>P<\/jats:italic>\n                    &lt; 0.05). These findings suggest that psychosomatic medicine may offer a novel approach for managing gestational hypertension through microbiome modulation.\n                  <\/jats:p>","DOI":"10.1556\/030.2025.02688","type":"journal-article","created":{"date-parts":[[2025,10,13]],"date-time":"2025-10-13T08:01:07Z","timestamp":1760342467000},"page":"321-330","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":0,"title":["The role of psychosomatic interventions on the immune system and gut microbiome diversity of pregnant women with gestational hypertension"],"prefix":"10.1556","volume":"72","author":[{"given":"Wenwen","family":"Gu","sequence":"first","affiliation":[{"name":"Department of Gynecology and Obstetrics, Jintan First People's Hospital, Changzhou, 213200, Jiangsu Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juan","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, Jintan First People's Hospital, Changzhou, 213200, Jiangsu Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-5466-9596","authenticated-orcid":true,"given":"Xia","family":"Yuan","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, Jintan First People's Hospital, Changzhou, 213200, Jiangsu Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"issue":"3","key":"B1","series-title":"Chin J Clin Obstet Gynecol","doi-asserted-by":"publisher","first-page":"248","DOI":"10.13390\/j.issn.1672-1861.2022.03.008","article-title":"Effects of nifedipine combined with labetalol on umbilical artery S\/D value and fetal hemodynamics in patients with preeclampsia","volume":"23","author":"Xu X","year":"2022","unstructured":"Xu X, Pan W, Chen M. 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