2f:I[703058,["/_next/static/immutable/chunks/3bhq_5eh1d760.js","/_next/static/immutable/chunks/1855-ogyi8eh4.js","/_next/static/immutable/chunks/2pfsjpn6k6zlg.js","/_next/static/immutable/chunks/26c7v3_3uwnwu.js","/_next/static/immutable/chunks/25a3ozcrvi1ff.js","/_next/static/immutable/chunks/2r4wx50nvjh_4.js","/_next/static/immutable/chunks/23fsw06hsi5b1.js","/_next/static/immutable/chunks/06_yt270h41rg.js","/_next/static/immutable/chunks/3ezsiz-7shkna.js","/_next/static/immutable/chunks/20x2y96ldu5wx.js","/_next/static/immutable/chunks/2lxntcm3pd1_h.js","/_next/static/immutable/chunks/00dgco8irq3jw.js","/_next/static/immutable/chunks/00nwe-kq0rboc.js","/_next/static/immutable/chunks/2051ffx3xzio9.js"],"PaperListPageClient"] 30:T684,A prominent barrier to broader intrauterine device (IUD) uptake is the fear of pain and discomfort associated with insertion of the device. To examine the pain level perceived during IUD insertion and identify factors associated with perceived pain during the insertion procedure. We conducted a secondary analysis of nationally representative survey data from Australian women using IUDs. We explored self-reported pain perception during IUD insertion retrospectively. We asked women about pregnancy history, mental health and their perceived knowledge about the IUD method they were using at the time of the survey. Ordinal logistic regression was employed to analyse associations between these factors and pain perception. A total of 347 respondents were using an IUD and reported on pain perception during IUD insertion. One in five women reported experiencing severe pain during IUD insertion and approximately one in two women reported experiencing mild or no pain during this procedure. Having a current mental health condition, having more than one previous pregnancy and higher self-perceived knowledge about IUD groups were associated with more perceived pain. These findings highlight the need for healthcare providers to consider the complex interplay of factors affecting pain perception during IUD insertion, prioritise individualized pain management strategies and address perceived knowledge surrounding IUDs, particularly in women with mental health conditions. Exploring ways to improve the experience of women during IUD insertion may contribute to positive discourse around IUDs and to encourage others to select an IUD as a contraceptive approach.31:T9a4,ABSTRACT Background A prominent barrier to broader intrauterine device (IUD) uptake is the fear of pain and discomfort associated with insertion of the device. Aim To examine the pain level perceived during IUD insertion and identify factors associated with perceived pain during the insertion procedure. Materials and Methods We conducted a secondary analysis of nationally representative survey data from Australian women using IUDs. We explored self‐reported pain perception during IUD insertion retrospectively. We asked women about pregnancy history, mental health and their perceived knowledge about the IUD method they were using at the time of the survey. Ordinal logistic regression was employed to analyse associations between these factors and pain perception. Results A total of 347 respondents were using an IUD and reported on pain perception during IUD insertion. One in five women reported experiencing severe pain during IUD insertion and approximately one in two women reported experiencing mild or no pain during this procedure. Having a current mental health condition, having more than one previous pregnancy and higher self‐perceived knowledge about IUD groups were associated with more perceived pain. Conclusions These findings highlight the need for healthcare providers to consider the complex interplay of factors affecting pain perception during IUD insertion, prioritise individualized pain management strategies and address perceived knowledge surrounding IUDs, particularly in women with mental health conditions. Exploring ways to improve the experience of women during IUD insertion may contribute to positive discourse around IUDs and to encourage others to select an IUD as a contraceptive approach. 25:[[["$","script","0",{"type":"application/ld+json","dangerouslySetInnerHTML":{"__html":"{\"@context\":\"https://schema.org\",\"@type\":\"CollectionPage\",\"name\":\"Mental Health Conditions: condition Research & Clinical Takeaways\",\"description\":\"Explore peer-reviewed papers on Mental Health Conditions (condition). Clinician-written summaries and actionable practice insights. 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Commands and medical leadership should prioritize access to AMO-trained providers for aeromedical mental health evaluations."}},{"doi":"10.3389/fpsyt.2026.1835204","pmid":null,"title":"The effect of weather on unscheduled healthcare utilisation for mental health conditions in England, 2014–2022","journal_title":"Frontiers in Psychiatry","journal_issn":"1664-0640","published_at":"2026-06-30T00:00:00.000Z","url":"https://doi.org/10.3389/fpsyt.2026.1835204","source_score":58,"is_retracted":false,"is_open_access":true,"raw_metadata":{"pubmed":false,"crossref":true,"unpaywall":true},"created_at":"2026-07-01T13:27:27.774Z","updated_at":"2026-07-01T13:27:27.774Z","tags":[{"paper_doi":"10.3389/fpsyt.2026.1835204","tag_type":"age_group","value":"mixed","value_numeric":null},{"paper_doi":"10.3389/fpsyt.2026.1835204","tag_type":"category","value":"Psychiatry","value_numeric":null},{"paper_doi":"10.3389/fpsyt.2026.1835204","tag_type":"condition","value":"Alcohol Use Disorder","value_numeric":null},{"paper_doi":"10.3389/fpsyt.2026.1835204","tag_type":"condition","value":"Anxiety","value_numeric":null},{"paper_doi":"10.3389/fpsyt.2026.1835204","tag_type":"condition","value":"Depression","value_numeric":null},{"paper_doi":"10.3389/fpsyt.2026.1835204","tag_type":"condition","value":"Mental Health Conditions","value_numeric":null},{"paper_doi":"10.3389/fpsyt.2026.1835204","tag_type":"condition","value":"Overdose","value_numeric":null},{"paper_doi":"10.3389/fpsyt.2026.1835204","tag_type":"condition","value":"Self-Harm","value_numeric":null},{"paper_doi":"10.3389/fpsyt.2026.1835204","tag_type":"impact_flag","value":"confirms_prior","value_numeric":null},{"paper_doi":"10.3389/fpsyt.2026.1835204","tag_type":"level_of_evidence","value":"3","value_numeric":null},{"paper_doi":"10.3389/fpsyt.2026.1835204","tag_type":"sample_size","value":"9 regions, 2014–2022 (population-level surveillance)","value_numeric":null},{"paper_doi":"10.3389/fpsyt.2026.1835204","tag_type":"sex","value":"mixed","value_numeric":null},{"paper_doi":"10.3389/fpsyt.2026.1835204","tag_type":"study_design","value":"Retrospective Observational Study","value_numeric":null},{"paper_doi":"10.3389/fpsyt.2026.1835204","tag_type":"warning","value":"Full text figures were not fully extractable; specific RR point estimates for individual conditions are inferred from figure descriptions only.","value_numeric":null},{"paper_doi":"10.3389/fpsyt.2026.1835204","tag_type":"warning","value":"Sample size tag reflects population-level surveillance data across 9 regions over 9 years; no individual-level N is reported in the abstract or available full text.","value_numeric":null},{"paper_doi":"10.3389/fpsyt.2026.1835204","tag_type":"warning","value":"Study design is observational with ecological (regional) data — causal interpretation should be made cautiously.","value_numeric":null}],"summaries":{"what_studied":"This retrospective observational study examined associations between daily weather conditions (temperature, sunshine hours, rainfall) and unscheduled mental health–related healthcare contacts across nine English regions from January 2014 to December 2022, covering emergency departments (EDs), GP out-of-hours (GP OOH) services, and NHS 111.","key_result":"Rising temperatures up to ~18°C and fewer sunshine hours were consistently associated with increased mental health–related healthcare demand across all three services, with daily demand varying within ±10–20% of baseline. Rainfall showed no consistent association. Adults over 64 showed a U-shaped temperature–ED attendance relationship (higher use in both cold and warm conditions). Alcohol-related contacts increased with higher sunshine and temperature.","limitations":"- Observational design precludes causal inference; residual confounding (e.g., air quality, social factors) cannot be excluded.\n- Relies on coded healthcare contact data, which may undercount or misclassify mental health presentations.\n- Regional-level analysis may mask within-region variation in weather exposure and healthcare access.","practice_takeaway":"Mental health services should anticipate modestly higher demand on low-sunshine and moderately warm days, and plan additional capacity for older adults during both cold and hot spells. These findings can support NHS seasonal and climate preparedness planning."}},{"doi":"10.1037/pst0000620","pmid":"42133381","title":"Spiritual and religious competence in psychotherapy training.","journal_title":"Psychotherapy","journal_issn":"1939-1536","published_at":"2026-06-01T00:00:00.000Z","url":"https://doi.org/10.1037/pst0000620","source_score":8,"is_retracted":false,"is_open_access":false,"raw_metadata":{"pubmed":true,"crossref":true,"unpaywall":true},"created_at":"2026-05-21T13:21:00.770Z","updated_at":"2026-05-21T13:21:00.770Z","tags":[{"paper_doi":"10.1037/pst0000620","tag_type":"age_group","value":"mixed","value_numeric":null},{"paper_doi":"10.1037/pst0000620","tag_type":"category","value":"Psychology, Clinical","value_numeric":null},{"paper_doi":"10.1037/pst0000620","tag_type":"condition","value":"Mental Health Conditions","value_numeric":null},{"paper_doi":"10.1037/pst0000620","tag_type":"impact_flag","value":"limited_evidence","value_numeric":null},{"paper_doi":"10.1037/pst0000620","tag_type":"level_of_evidence","value":"7","value_numeric":null},{"paper_doi":"10.1037/pst0000620","tag_type":"modality","value":"Multicultural Competence Training","value_numeric":null},{"paper_doi":"10.1037/pst0000620","tag_type":"modality","value":"Psychotherapy","value_numeric":null},{"paper_doi":"10.1037/pst0000620","tag_type":"study_design","value":"Editorial / Special Section Introduction","value_numeric":null},{"paper_doi":"10.1037/pst0000620","tag_type":"warning","value":"Published date is listed as June 1, 2026, which is in the future relative to today's date (May 21, 2026) — this may reflect an ahead-of-print or scheduled publication date.","value_numeric":null},{"paper_doi":"10.1037/pst0000620","tag_type":"warning","value":"Study design label is non-standard; closest descriptor is 'Editorial / Special Section Introduction.'","value_numeric":null},{"paper_doi":"10.1037/pst0000620","tag_type":"warning","value":"This paper is an editorial introduction to a special journal section, not a primary research study — no empirical data, sample, or outcomes are reported. Level of evidence is assigned as 7 (expert opinion/editorial).","value_numeric":null}],"summaries":{"what_studied":"This introduction to a special journal section examines the rationale for integrating spirituality/religion (S/R) training into psychotherapy education, covering knowledge, attitudes, and skills needed to treat religiously and spiritually diverse clients (including atheist, agnostic, and secular populations).","key_result":"The paper identifies a widespread gap: many therapists across disciplines (counseling, MFT, psychology, social work) lack foundational S/R competence training in graduate school or continuing education, despite client demand and evidence-based practice standards.","limitations":"This is an introductory overview article, not an empirical study — it presents no original data, effect sizes, or direct outcome measures. The breadth of 'acceptable, feasible, and effective' training strategies remains undefined pending future research.","practice_takeaway":"Clinicians should actively seek out S/R competence training, as many clients want their spiritual and religious identities addressed in therapy. Treating S/R as a core dimension of multicultural competence — not an optional add-on — is consistent with evidence-based practice."}},{"doi":"10.1111/ajo.70125","pmid":"41969241","title":"Factors Associated With Pain Related to Insertion of a Contraceptive Intrauterine Device: Findings of a National Survey","journal_title":"Australian and New Zealand Journal of Obstetrics and Gynaecology","journal_issn":"0004-8666","published_at":"2026-04-13T00:00:00.000Z","url":"https://doi.org/10.1111/ajo.70125","source_score":15,"is_retracted":false,"is_open_access":true,"raw_metadata":{"ooir":{"day":"2026-04-14","doi":"10.1111/ajo.70125","days":"30","issn":"0004-8666","rank":"4","field":"Clinical Medicine","score":"15","category":"Obstetrics & Gynecology","categories":["Obstetrics & Gynecology"],"_categories":["Obstetrics & Gynecology"]},"pubmed":{"doi":"10.1111/ajo.70125","title":"Factors Associated With Pain Related to Insertion of a Contraceptive Intrauterine Device: Findings of a National Survey.","journal":"The Australian & New Zealand journal of obstetrics & gynaecology","methods":"","results":"A total of 347 respondents were using an IUD and reported on pain perception during IUD insertion. 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Having a current mental health condition, having more than one previous pregnancy and higher self-perceived knowledge about IUD groups were associated with more perceived pain.","abstract":"$30","keywords":["contraceptive IUD","knowledge","mental health","pain","regression analysis"],"pubmed_id":"41969241","conclusions":"","publication_date":"2026-04-13T00:00:00"},"crossref":{"DOI":"10.1111/ajo.70125","URL":"https://doi.org/10.1111/ajo.70125","ISSN":["0004-8666","1479-828X"],"link":[{"URL":"https://obgyn.onlinelibrary.wiley.com/doi/pdf/10.1111/ajo.70125","content-type":"application/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https://obgyn.onlinelibrary.wiley.com/doi/full-xml/10.1111/ajo.70125","content-type":"application/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https://obgyn.onlinelibrary.wiley.com/doi/pdf/10.1111/ajo.70125","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"page":null,"type":"journal-article","issue":"2","score":1,"title":["Factors Associated With Pain Related to Insertion of a Contraceptive Intrauterine Device: Findings of a National Survey"],"author":[{"given":"Vera","family":"Camões‐Costa","sequence":"first","affiliation":[{"name":"Department of General Practice, School of Public Health and Preventive Medicine Monash University Melbourne Australia"}]},{"given":"Charlotte","family":"Kwok","sequence":"additional","affiliation":[{"name":"Department of General Practice, School of Public Health and Preventive Medicine Monash University Melbourne Australia"}]},{"given":"Michaela","family":"Pascoe","sequence":"additional","affiliation":[{"name":"Department of General Practice, School of Public Health and Preventive Medicine Monash University Melbourne Australia"}]},{"given":"Sarah","family":"White","sequence":"additional","affiliation":[{"name":"Jean Hailes for Women's Health Melbourne Australia"}]},{"given":"A. 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In multivariate analysis, current mental health condition, more than one prior pregnancy, and higher self-perceived IUD knowledge were each independently associated with greater pain perception; age was not significant after adjustment.","limitations":"- Retrospective recall of pain (IUDs can stay in place up to 10 years), introducing recall bias likely toward underreporting severity.\n- Pregnancy history lacked detail on mode of delivery or outcome (vaginal birth, caesarean, miscarriage, abortion), limiting interpretation.\n- Mental health assessed by a single non-validated item capturing only functionally impairing conditions; specific diagnoses (e.g., anxiety vs. depression) and timing relative to insertion were not captured.","practice_takeaway":"Screen IUD candidates for mental health conditions and assess the quality—not just level—of their IUD knowledge before insertion, correcting misinformation early. Individualized pain management and evidence-based counseling are especially important for women with mental health diagnoses or a history of multiple pregnancies."}}],"initialOffset":4,"fetchConfig":{"kind":"tags","tags":[{"tag_type":"condition","value":"Mental Health Conditions"}]},"breadcrumbItems":[{"name":"Home","href":"/"},{"name":"Research Hub","href":"/hub"},{"name":"Conditions","href":"/hub/tag/condition"},{"name":"Mental Health Conditions"}],"hrefConfig":{"basePath":"/hub/papers","webViewQueryParams":{"hub_ctx":"tag","hub_tag_type":"condition","hub_tag_value":"Mental Health Conditions"}}}]]

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