{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,5]],"date-time":"2026-01-05T06:40:01Z","timestamp":1767595201567,"version":"3.48.0"},"reference-count":75,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,1,5]],"date-time":"2026-01-05T00:00:00Z","timestamp":1767571200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Glob. Women\u2019s Health"],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Specialized reproductive mental health services help to alleviate symptoms of mental disorders associated with the reproductive system such as menstrual cycle, infertility, pregnancy or birth. However, people by reproductive mental disorders often do not receive the treatment they need or treatment is initiated after a long delay. The current study examined the process of accessing specialized reproductive mental health services in patients (mostly cisgender women) who just attended their first psychotherapy session in these services. Specifically, we examined the role of self-stigmatization related to mental issues as well as experiences with non-mental healthcare professionals and expectations regarding reproductive mental health services.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>The sample consisted of 106 cisgender female and 3 cisgender male patients who recently attended the specialized reproductive mental health service (called gynecospsychiatry). Data were collected using a mixed-methods design based on validated questionnaires and open-ended text questions in an online survey. Additionally, clinical information was obtained from the treating psychotherapists. T-tests and regression analyses were applied to quantitative data. Open ended questions were analyzed qualitatively using thematic analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Quantitatively, self-stigma was not significantly associated with the process of help seeking. Furthermore, our results suggest that merely being approached by primary or reproductive healthcare professionals was not associated with lower levels of self-stigma in our sample. Qualitative-analyses showed two major themes: 1) Not beating around the bush \u2013 clear words instead of overlooking or downplaying psychological distress, 2) Wanting to feel understood and accepted as opposed to condemned, judged, and devalued.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Based on these findings, recommendations were made for psychotherapists as well as primary or reproductive healthcare professionals about how those affected by reproductive mental disorders can best be supported to seek treatment. Further research is recommended with larger clinical samples of patients with reproductive mental disorders.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fgwh.2025.1658534","type":"journal-article","created":{"date-parts":[[2026,1,5]],"date-time":"2026-01-05T06:37:47Z","timestamp":1767595067000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Access and barriers to reproductive mental health services. A mixed-methods examination of self-stigmatization, help-seeking motivation and experiences with primary or reproductive healthcare professionals"],"prefix":"10.3389","volume":"6","author":[{"given":"Luisa","family":"Fornasiero","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna-Lena","family":"Horn","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katrin","family":"Braune-Krickau","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabienne","family":"Forster","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,1,5]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"e238685","DOI":"10.1001\/jamanetworkopen.2023.8685","article-title":"Association between mental health and reproductive system disorders in women: a systematic review and meta-analysis","volume":"6","author":"Zaks","year":"2023","journal-title":"JAMA Network Open"},{"key":"B2","doi-asserted-by":"publisher","first-page":"11","DOI":"10.3390\/healthcare9111572","article-title":"The role and the effect of the partner: a systematic review","volume":"9","author":"Antoniou","year":"2021","journal-title":"Healthcare"},{"key":"B3","doi-asserted-by":"publisher","first-page":"801","DOI":"10.1007\/s00404-020-05685-1","article-title":"Maternal mental health and reproductive outcomes: a scoping review of the current literature","volume":"302","author":"Montagnoli","year":"2020","journal-title":"Arch Gynecol Obstet"},{"key":"B4","doi-asserted-by":"publisher","first-page":"1082","DOI":"10.1001\/jamapediatrics.2020.2910","article-title":"Association between maternal perinatal depression and anxiety and child and adolescent development: a meta-analysis","volume":"174","author":"Rogers","year":"2020","journal-title":"JAMA Pediatr"},{"key":"B5","doi-asserted-by":"publisher","first-page":"w14417","DOI":"10.4414\/smw.2017.14417","article-title":"Perinatal mental disorders in Switzerland: prevalence estimates and use of mental-health services","volume":"147","author":"Berger","year":"2017","journal-title":"Swiss Med Wkly"},{"key":"B6","first-page":"1","author":"Stocker","year":"2016","journal-title":"Versorgungssituation psychisch erkrankter Personen in der Schweiz"},{"key":"B7","doi-asserted-by":"publisher","first-page":"313","DOI":"10.1002\/wps.20769","article-title":"Perinatal mental health: a review of progress and challenges","volume":"19","author":"Howard","year":"2020","journal-title":"World Psychiatry"},{"key":"B8","doi-asserted-by":"publisher","first-page":"417","DOI":"10.1055\/a-2044-8033","article-title":"Depressionen in der schwangerschaft","volume":"17","author":"Lanczik","year":"2023","journal-title":"PSYCH up2date"},{"key":"B9","doi-asserted-by":"publisher","first-page":"501","DOI":"10.1016\/j.ajog.2013.10.009","article-title":"Perinatal psychiatric disorders: an overview","volume":"210","author":"Paschetta","year":"2014","journal-title":"Am J Obstet Gynecol"},{"key":"B10","doi-asserted-by":"publisher","first-page":"668","DOI":"10.1186\/s12905-023-02828-9","article-title":"The social determinants of mental health disorders among women with infertility: a systematic review","volume":"23","author":"Bagade","year":"2023","journal-title":"BMC Womens Health"},{"key":"B11","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1136\/bmjopen-2021-057132","article-title":"Worldwide prevalence, risk factors and psychological impact of infertility among women: a systematic review and meta-analysis","volume":"12","author":"Hazlina","year":"2022","journal-title":"BMJ Open"},{"key":"B12","doi-asserted-by":"publisher","first-page":"677","DOI":"10.3109\/00016341003623746","article-title":"Infertility, mental disorders and well-being \u2013 a nationwide survey","volume":"89","author":"Klemetti","year":"2010","journal-title":"Acta Obstet Gynecol Scand"},{"key":"B13","doi-asserted-by":"publisher","first-page":"673","DOI":"10.3389\/fpsyt.2024.1378224","article-title":"A bidirectional causal relationship study between mental disorders and male and female infertility","volume":"15","author":"Chen","year":"2024","journal-title":"Front Psychiatry"},{"key":"B14","doi-asserted-by":"publisher","first-page":"e0280054","DOI":"10.1371\/journal.pone.0280054","article-title":"Women infertility and common mental disorders: a cross-sectional study from north India","volume":"18","author":"Kamboj","year":"2023","journal-title":"PLoS One"},{"key":"B15","doi-asserted-by":"publisher","first-page":"831","DOI":"10.1007\/s00737-022-01246-4","article-title":"Premenstrual exacerbation of mental health disorders: a systematic review of prospective studies","volume":"25","author":"Nolan","year":"2022","journal-title":"Arch Womens Mental Health"},{"key":"B16","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1192\/bjp.2025.133","article-title":"A systematic review and meta-analysis on the comorbidity of premenstrual dysphoric disorder or premenstrual syndrome with mood disorders: prevalence, clinical and neurobiological correlates","author":"Bengi","year":"2025","journal-title":"Br J Psychiatry"},{"key":"B17","doi-asserted-by":"publisher","first-page":"534","DOI":"10.1016\/j.jad.2024.01.066","article-title":"The prevalence of premenstrual dysphoric disorder: systematic review and meta-analysis","volume":"349","author":"Reilly","year":"2024","journal-title":"J Affect Disord"},{"key":"B18","doi-asserted-by":"publisher","first-page":"106","DOI":"10.7860\/JCDR\/2014\/8024.4021","article-title":"Epidemiology of premenstrual syndrome (PMS)-A systematic review and meta-analysis study","volume":"8","author":"Direkvand-Moghadam","year":"2014","journal-title":"J Clin Diagn Res"},{"key":"B19","doi-asserted-by":"publisher","first-page":"157","DOI":"10.1586\/erp.09.14","article-title":"Premenstrual syndrome and premenstrual dysphoric disorder: quality of life and burden of illness","volume":"9","author":"Rapkin","year":"2009","journal-title":"Expert Rev Pharmacoecon Outcomes Res"},{"key":"B20","doi-asserted-by":"publisher","first-page":"1775","DOI":"10.1016\/S0140-6736(14)61276-9","article-title":"Non-psychotic mental disorders in the perinatal period","author":"Howard","year":"2014","journal-title":"Lancet"},{"key":"B21","doi-asserted-by":"publisher","first-page":"220","DOI":"10.1007\/s11920-005-0057-9","article-title":"Interface of women\u2019s mental and reproductive health","volume":"7","author":"Lolak","year":"2005","journal-title":"Curr Psychiatry Rep"},{"key":"B22","doi-asserted-by":"publisher","first-page":"71","DOI":"10.1093\/humupd\/dmac034","article-title":"Efficacy of psychological interventions for mental health and pregnancy rates among individuals with infertility: a systematic review and meta-analysis","volume":"29","author":"Dube","year":"2023","journal-title":"Hum Reprod Update"},{"key":"B23","doi-asserted-by":"publisher","first-page":"100","DOI":"10.1097\/HRP.0000000000000329","article-title":"Psychiatric symptoms across the menstrual cycle in adult women: a comprehensive review","volume":"30","author":"Handy","year":"2022","journal-title":"Harv Rev Psychiatry"},{"key":"B24","doi-asserted-by":"publisher","first-page":"1","DOI":"10.3389\/fpsyt.2025.1568088","article-title":"Editorial: psychiatric illness across the menstrual cycle","volume":"16","author":"Hantsoo","year":"2025","journal-title":"Front Psychiatry"},{"key":"B25","article-title":"Integrierte psychiatrisch-psychotherapeutische pr\u00e4konzeptionelle Beratung von Frauen im geb\u00e4rf\u00e4higen Alter \u2013 Langversion","author":"Binswanger","year":"2023"},{"key":"B26","doi-asserted-by":"publisher","first-page":"472","DOI":"10.1016\/j.jad.2022.05.105","article-title":"Parental embodied mentalizing: associations with maternal depression, anxiety, verbal mentalizing, and maternal styles of interaction","volume":"311","author":"Ierardi","year":"2022","journal-title":"J Affect Disord"},{"key":"B27","doi-asserted-by":"publisher","first-page":"75","DOI":"10.1002\/wps.20822","article-title":"The clinical significance of duration of untreated psychosis: an umbrella review and random-effects meta-analysis","volume":"20","author":"Howes","year":"2021","journal-title":"World Psychiatry"},{"key":"B28","doi-asserted-by":"publisher","first-page":"179","DOI":"10.1016\/j.appsy.2005.07.001","article-title":"The stigma of mental illness: explanatory models and methods for change","volume":"11","author":"Corrigan","year":"2005","journal-title":"Appl Prevent Psychol"},{"key":"B29","doi-asserted-by":"publisher","first-page":"847","DOI":"10.1111\/jep.13684","article-title":"On the definition of stigma","volume":"28","author":"Andersen","year":"2022","journal-title":"J Eval Clin Pract"},{"key":"B30","first-page":"11","volume-title":"The Impact of Mental Illness StigmaIn on the Stigma of Mental Illness: Practical Strategies for Research and Social Change","author":"Corrigan","year":"2005"},{"key":"B31","doi-asserted-by":"publisher","first-page":"103","DOI":"10.1037\/prj0000136","article-title":"From discrimination to internalized mental illness stigma: the mediating roles of anticipated discrimination and anticipated stigma","volume":"38","author":"Quinn","year":"2015","journal-title":"Psychiatr Rehabil J"},{"key":"B32","doi-asserted-by":"publisher","first-page":"83","DOI":"10.1055\/s-0032-1332878","article-title":"Internalisiertes stigma bei schizophrenie: validierung der deutschen version der internalized stigma of mental illness-skala (ISMI)","volume":"40","author":"Sibitz","year":"2013","journal-title":"Psychiatr Prax"},{"key":"B33","doi-asserted-by":"publisher","first-page":"75","DOI":"10.1002\/j.2051-5545.2009.tb00218.x","article-title":"Self-stigma and the \u201cwhy try\u201d effect: impact on life goals and evidence-based practices","volume":"8","author":"Corrigan","year":"2009","journal-title":"World Psychiatry"},{"key":"B34","doi-asserted-by":"publisher","first-page":"261","DOI":"10.1192\/bjp.bp.116.189464","article-title":"Association between mental health-related stigma and active help-seeking: systematic review and meta-analysis","volume":"210","author":"Schnyder","year":"2017","journal-title":"Br J Psychiatry"},{"key":"B35","doi-asserted-by":"publisher","first-page":"480","DOI":"10.12738\/estp.2014.2.1799","article-title":"Gender, self-stigma, and public stigma in predicting attitudes toward psychological help-seeking","volume":"14","author":"Topkaya","year":"2014","journal-title":"Educ Sci Theory Pract"},{"key":"B36","doi-asserted-by":"publisher","first-page":"461","DOI":"10.1097\/NMD.0000000000000831","article-title":"Differential association of stigma with perceived need and mental health service use","volume":"206","author":"Wong","year":"2018","journal-title":"J Nerv Ment Dis"},{"key":"B37","doi-asserted-by":"publisher","first-page":"574","DOI":"10.1186\/s12884-022-04865-y","article-title":"Perinatal mental health literacy: knowledge, attitudes, and help-seeking among perinatal women and the public \u2013 a systematic review","volume":"22","author":"Daehn","year":"2022","journal-title":"BMC Pregnancy Childbirth"},{"key":"B38","doi-asserted-by":"publisher","first-page":"e70239","DOI":"10.1111\/hex.70239","article-title":"Navigating power imbalances and stigma in mental healthcare. Patient-reported barriers and facilitators to participation in shared decision-making in mental health care, a qualitative meta-summary","volume":"28","author":"Mertens","year":"2025","journal-title":"Health Expect"},{"key":"B39","doi-asserted-by":"publisher","first-page":"851","DOI":"10.2147\/PRBM.S503942","article-title":"A systematic review and meta-analysis of implicit stigma toward people with mental illness among different groups: measurement, extent, and correlates","volume":"18","author":"Ren","year":"2025","journal-title":"Psychol Res Behav Manag"},{"key":"B40","doi-asserted-by":"crossref","first-page":"369","DOI":"10.1007\/978-3-031-81802-8_17","article-title":"The interplay between psychiatry, general practitioners, and other specialists","volume-title":"Comorbidity Between Mental and Physical Disorders: Identification, Management and Treatment","author":"Mattei","year":"2025"},{"key":"B41","doi-asserted-by":"publisher","first-page":"106","DOI":"10.1016\/j.midw.2018.11.011","article-title":"Perceptions of barriers to accessing perinatal mental health care in midwifery: a scoping review","volume":"70","author":"Viveiros","year":"2019","journal-title":"Midwifery"},{"key":"B42","doi-asserted-by":"publisher","first-page":"1543","DOI":"10.1111\/jocn.14179","article-title":"Nurses\u2019 professional stigma and attitudes towards postpartum women with severe mental illness","volume":"27","author":"Ordan","year":"2018","journal-title":"J Clin Nurs"},{"key":"B43","doi-asserted-by":"publisher","first-page":"749","DOI":"10.1007\/s11195-022-09757-9","article-title":"Healthcare professionals\u2019 perspectives on integrating reproductive and acute mental healthcare","volume":"40","author":"Cahn","year":"2022","journal-title":"Sex Disabil"},{"key":"B44","doi-asserted-by":"publisher","first-page":"240","DOI":"10.1037\/ipp0000094","article-title":"Mental health literacy: a review of what it is and why it matters","volume":"7","author":"Furnham","year":"2018","journal-title":"Int Perspect Psychol"},{"key":"B45","doi-asserted-by":"publisher","first-page":"204","DOI":"10.1186\/s12889-025-21488-y","article-title":"Mental health literacy of reproductive age women: a qualitative study","volume":"25","author":"Safaralinezhad","year":"2025","journal-title":"BMC Public Health"},{"key":"B46","doi-asserted-by":"publisher","first-page":"469","DOI":"10.1007\/s00406-018-0896-0","article-title":"Stigma as a barrier to recognizing personal mental illness and seeking help: a prospective study among untreated persons with mental illness","volume":"269","author":"Schomerus","year":"2019","journal-title":"Eur Arch Psychiatry Clin Neurosci"},{"key":"B47","doi-asserted-by":"publisher","first-page":"399","DOI":"10.1002\/cpp.1900","article-title":"The process of seeking psychotherapy and its impact on therapy expectations and experiences","volume":"22","author":"Elliott","year":"2015","journal-title":"Clin Psychol Psychother"},{"key":"B48","doi-asserted-by":"publisher","first-page":"554","DOI":"10.1037\/0033-3204.30.4.554","article-title":"Applicants\u2019 experience of the process of seeking therapy","volume":"30","author":"Saunders","year":"1993","journal-title":"Psychother Theor Res Pract Train"},{"key":"B49","doi-asserted-by":"publisher","first-page":"100930","DOI":"10.1016\/j.lanepe.2024.100930","article-title":"Support not stigma: redefining perinatal mental health care","volume":"40","year":"2024","journal-title":"Lancet Reg Health Eur"},{"key":"B50","doi-asserted-by":"publisher","first-page":"56","DOI":"10.1016\/j.midw.2016.12.010","article-title":"Midwives\u2019 perceptions and experiences of caring for women who experience perinatal mental health problems: an integrative review","volume":"45","author":"Noonan","year":"2017","journal-title":"Midwifery"},{"key":"B51","doi-asserted-by":"publisher","first-page":"427","DOI":"10.2147\/NDT.S292734","article-title":"Perinatal mental health disorders: a review of lessons learned from obstetric care settings","volume":"19","author":"Ayala","year":"2023","journal-title":"Neuropsychiatr Dis Treat"},{"key":"B52","doi-asserted-by":"publisher","first-page":"237","DOI":"10.2217\/WHE.14.16","article-title":"Aspects of mental health care in the gynecological setting","volume":"10","author":"Bryant","year":"2014","journal-title":"Womens Health"},{"key":"B53","doi-asserted-by":"publisher","first-page":"247","DOI":"10.1111\/tct.13294","article-title":"Helping future providers talk about mental health","volume":"18","author":"Voorhees","year":"2021","journal-title":"Clin Teach"},{"key":"B54","doi-asserted-by":"publisher","first-page":"657","DOI":"10.1037\/ppm0000518","article-title":"Stop the stigma: TED talk reduces negative attitudes about mental health treatment","volume":"13","author":"Morton","year":"2024","journal-title":"Psychology of Popular Media"},{"key":"B55","doi-asserted-by":"publisher","first-page":"6","DOI":"10.1111\/inm.12820","article-title":"Stigma in relation to families living with parental mental illness: an integrative review","volume":"30","author":"Reupert","year":"2021","journal-title":"Int J Ment Health Nurs"},{"key":"B56","doi-asserted-by":"publisher","first-page":"723","DOI":"10.1016\/j.psychres.2014.09.010","article-title":"Parents with serious mental illness: differences in internalised and externalised mental illness stigma and gender stigma between mothers and fathers","volume":"225","author":"Lacey","year":"2015","journal-title":"Psychiatry Res"},{"key":"B57","doi-asserted-by":"publisher","first-page":"714","DOI":"10.1111\/j.1469-7610.2005.01456.x","article-title":"The stigmatization of mental illness in children and parents: developmental issues, family concerns, and research needs","volume":"46","author":"Hinshaw","year":"2005","journal-title":"J Child Psychol Psychiatry"},{"key":"B58","doi-asserted-by":"publisher","first-page":"379","DOI":"10.1080\/00207411.2023.2166444","article-title":"Umbrella review on peer support in mental disorders","volume":"52","author":"Yim","year":"2023","journal-title":"Int J Ment Health"},{"key":"B59","doi-asserted-by":"publisher","first-page":"1250","DOI":"10.15252\/embr.201643041","article-title":"The stigma of mental disorders","volume":"17","author":"R\u00f6ssler","year":"2016","journal-title":"EMBO Rep"},{"key":"B60","volume-title":"Motivational Interviewing: Helping People Change and Grow","author":"Miller","year":"2023"},{"key":"B61","doi-asserted-by":"publisher","first-page":"184","DOI":"10.1002\/jclp.20754","article-title":"Expectations","volume":"67","author":"Constantino","year":"2011","journal-title":"J Clin Psychol"},{"key":"B62","doi-asserted-by":"publisher","first-page":"110","DOI":"10.1080\/07448481.2010.483714","article-title":"A meta-analysis of gender differences in attitudes toward seeking professional psychological help","volume":"59","author":"Nam","year":"2010","journal-title":"J Am Coll Health"},{"key":"B63","doi-asserted-by":"publisher","first-page":"e70031","DOI":"10.1002\/ijop.70031","article-title":"Traditional masculinity and men\u2019s psychological help-seeking: a meta-analysis","volume":"60","author":"\u00dcz\u00fcm\u00e7eker","year":"2025","journal-title":"Int J Psychol"},{"key":"B64","doi-asserted-by":"publisher","first-page":"1001","DOI":"10.1177\/0192513X19833111","article-title":"Forgotten fathers: postpartum depression in men","volume":"40","author":"Eddy","year":"2019","journal-title":"J Fam Issues"},{"key":"B65","doi-asserted-by":"publisher","first-page":"247","DOI":"10.1111\/appy.12204","article-title":"Perinatal mental health: fathers \u2013 the (mostly) forgotten parent","volume":"8","author":"Wong","year":"2016","journal-title":"Asia Pac Psychiatry"},{"key":"B66","doi-asserted-by":"publisher","first-page":"78","DOI":"10.1097\/00005053-198202000-00003","article-title":"Sociocultural determinants of the help-seeking behavior of patients with mental illness","volume":"170","author":"Lin","year":"1982","journal-title":"J Nerv Ment Dis"},{"key":"B67","doi-asserted-by":"publisher","first-page":"313","DOI":"10.1111\/jpr.12091","article-title":"Predictors of help-seeking behavior: Distinction between help-seeking intentions and help-seeking behavior","volume":"57","author":"Nagai","year":"2015","journal-title":"Jpn Psychol Res"},{"key":"B68","doi-asserted-by":"publisher","first-page":"698","DOI":"10.1186\/s12888-022-04278-3","article-title":"The structure of social support: a multilevel analysis of the personal networks of people with severe mental disorders","volume":"22","author":"Wyngaerden","year":"2022","journal-title":"BMC Psychiatry"},{"key":"B69","doi-asserted-by":"publisher","first-page":"105","DOI":"10.1080\/02646838.2019.1589758","article-title":"Stigma and maternity care","volume":"37","author":"Alderdice","year":"2019","journal-title":"J Reprod Infant Psychol"},{"key":"B70","doi-asserted-by":"publisher","first-page":"89","DOI":"10.1016\/j.ijgo.2014.01.002","article-title":"Reducing stigma in reproductive health","volume":"125","author":"Cook","year":"2014","journal-title":"Int J Gynecol Obstet."},{"key":"B71","article-title":"Die Bev\u00f6lkerung der Schweiz 2013","year":"2014"},{"key":"B72","doi-asserted-by":"publisher","first-page":"31","DOI":"10.1016\/j.psychres.2003.08.008","article-title":"Internalized stigma of mental illness: psychometric properties of a new measure","volume":"121","author":"Boyd Ritsher","year":"2003","journal-title":"Psychiatry Res"},{"key":"B73","doi-asserted-by":"publisher","first-page":"17","DOI":"10.1037\/prj0000035","article-title":"Brief version of the Internalized Stigma of Mental Illness (ISMI) scale: psychometric properties and relationship to depression, self esteem, recovery orientation, empowerment, and perceived devaluation and discrimination","volume":"37","author":"Boyd","year":"2014","journal-title":"Psychiatr Rehabil J."},{"key":"B74","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1191\/1478088706qp063oa","article-title":"Using thematic analysis in psychology","volume":"3","author":"Braun","year":"2006","journal-title":"Qual Res Psychol."},{"key":"B75","doi-asserted-by":"crossref","DOI":"10.1007\/978-3-319-69909-7_3470-2","volume-title":"Thematic Analysis: A Practical Guide","author":"Braun","year":"2022"}],"container-title":["Frontiers in Global Women's Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fgwh.2025.1658534\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,5]],"date-time":"2026-01-05T06:37:49Z","timestamp":1767595069000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fgwh.2025.1658534\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,5]]},"references-count":75,"alternative-id":["10.3389\/fgwh.2025.1658534"],"URL":"https:\/\/doi.org\/10.3389\/fgwh.2025.1658534","relation":{},"ISSN":["2673-5059"],"issn-type":[{"value":"2673-5059","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,5]]},"article-number":"1658534"}}