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75% of new mothers struggle with body image, study finds

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Up to 75 per cent of Australian women report concerns about their body image after giving birth, with many feeling pressure to “bounce back” to pre-pregnancy shape.

A review of 36 studies found these struggles are shaped by partners, families and cultural expectations, and that social pressure can even trigger eating disorders for the first time.

The analysis showed that social and interpersonal factors can either protect against or worsen body dissatisfaction and disordered eating during pregnancy and the first year after birth.

Researchers at Flinders University in Australia found that supportive partners and strong social networks help women feel more positive about their bodies, while unrealistic media portrayals and appearance-focused comments can cause harm.

Lead author Madeleine Rhodes, a PhD candidate at Flinders, said: “We wanted to understand how new and expecting mums are affected by the people and environment close to them when it comes to their bodies and eating habits.

“Whilst support from partners, family, friends, and healthcare professionals can help women feel better about their bodies, negative comments and social pressure to ‘bounce back’ make things worse.”

Protective factors included emotional and practical support from loved ones and clear, non-judgemental guidance from healthcare providers.

Risk factors included appearance-related comments, interpersonal abuse and pressure to conform to thin ideals. Some women reported that weight-related advice triggered distress, especially those with a history of eating disorders.

Healthcare professionals were identified as vital sources of reassurance, yet many women said conversations about body changes were absent or overly focused on weight.

Professor Ivanka Prichard, senior author, said: “The cultural obsession with ‘getting your body back’ is harmful and unrealistic.

“This is a public health issue with real consequences for mothers, babies, and families.

“By shifting the focus from individual responsibility to shared support, we can create healthier outcomes for everyone.”

Insight

Scaling startups risk increasing gender gaps, study finds

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Rapidly scaling startups often make rushed hiring choices that disadvantage women, a recent study has found.

The findings draw on more than 31,000 new ventures founded in Sweden between 2004 and 2018.

Researchers at the Stockholm School of Economics report that in male-led startups, scaling reduces the odds of hiring a woman by about 18 per cent, and the odds of appointing a woman to a managerial post by 22 per cent.

Mohamed Genedy is co-author and postdoctoral fellow at the House of Innovation, Stockholm School of Economics.

Genedy  said: “During those moments of rapid growth, even well-intentioned leaders can fall back on familiar stereotypes when assessing who they believe is best suited for the role.”

The patterns emerge even in Sweden, regarded as a highly gender-equal national context.

Founders with human resources-related education counteract these challenges.

In ventures led by founders with HR training, the odds of hiring a woman increase by more than 30 per cent, and the odds of appointing a woman to a managerial role increase by 14 per cent for the same level of growth.

Genedy said: “When founders have experience with structured hiring practices, the gender gaps shrink, and in some cases even reverse.

“This shows that getting the basics of HR right early on really pays off.

“When things start moving fast, founders with HR knowledge are less likely to rely on biased instincts and more likely to hire from a broader talent pool.”

Prior experience in companies with established HR practices also helps, though to a lesser degree.

It raises the likelihood of hiring women as ventures scale, but does not significantly affect managerial appointments.

The study additionally shows these patterns are not driven by founder gender alone.

Even solo female-led ventures display similar tendencies when growing rapidly, though to a somewhat lesser degree.

In female-dominated industries, rapid growth increases the hiring of women for regular roles but still reduces the likelihood that women are appointed to managerial positions.

“When scaling accelerates, cognitive bias kicks in for everyone. Female founders are not immune to these patterns,” said Genedy.

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Mental health

Study reveals why women more likely to develop PTSD

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High brain oestrogen may raise women’s PTSD risk if severe stress strikes during high oestrogen phases, causing memory problems and stronger fear responses, new research has revealed.

The study found that exposure to several simultaneous stressors can lead to persistent memory problems, difficulty recalling events and stronger reactions to trauma reminders.

Tallie Baram is distinguished professor of paediatrics, anatomy and neurobiology, and neurology at UC Irvine’s School of Medicine, and led the research.

Baram said: “High oestrogen is essential for learning, memory and overall brain health.

“But when severe stress hits, the same mechanisms that normally help the brain adapt can backfire, locking in long-lasting memory problems.”

Oestrogen, which usually supports learning and memory, can increase vulnerability when levels are high in the hippocampus, a brain region central to memory formation and retrieval.

Researchers reported that female mice stressed during cycle phases with high oestrogen developed enduring memory loss and heightened fear of reminders, while lower levels were protective. Males, who also have high hippocampal oestrogen, were susceptible more mildly and through different receptor pathways.

High oestrogen loosens the packaging of DNA in brain cells, known as permissive chromatin.

This normally helps learning, but under extreme stress it can allow harmful, lasting changes in memory circuits.

Memory problems were driven by different oestrogen receptors in men and women, alpha in men and beta in women.

Blocking the relevant receptor prevented stress-related memory issues even when oestrogen stayed high. Vulnerability depended on hormone levels at the time of stress, not afterwards.

Co-author Elizabeth Heller is associate professor of pharmacology at the University of Pennsylvania Perelman School of Medicine.

She said: “A lot of what determines vulnerability is the state your brain is already in.

“If a traumatic event hits during a period when oestrogen is already unusually high, the biology can amplify the impact in lasting ways.

“This study shows that a state of high oestrogen in a specific brain region promotes vulnerability to stress in both male and female subjects.”

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Wellness

Wysa awarded £5.3m to address girls’ mental health in rural India

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Wysa has secured £5.3m to adapt a digital mental health programme for adolescent girls in rural India.

The funding comes from Wellcome and will support a scale-up study to tailor a clinically validated digital intervention for girls facing limited autonomy, restricted access to technology, lower literacy, stigma and family gatekeeping.

Digital interventions are app-based programmes that deliver guided tools to manage anxiety and low mood, and are tested to show clinical benefit.

The study will map cultural and practical barriers to access, adapt Wysa’s content and delivery to those realities, and then test effectiveness in real-world low-to-middle-income settings.

Wysa is a global platform that combines artificial intelligence and human support to provide psychological wellbeing services.

It is used by more than seven million users across 105 countries and works with healthcare providers, employers and governments including the UK’s NHS, the Ministry of Health in Singapore, and programmes in India.

“This funding allows us to go far beyond simple translation,” said Chaitali Sinha, chief clinical and research and development officer at Wysa and the study’s principal investigator.

“By working closely with academic and community partners, we aim to co-design a digital intervention that is not only clinically effective, but genuinely usable and relevant for adolescent girls living in rural India.”

India has more than 253 million adolescents, the largest such population globally.

Around half of mental health conditions begin before age 14, and suicide is among the leading causes of death for young people.

The study team includes Aparna Joshi from Tata Institute of Social Sciences, Ceire Costelloe and Patrick Kierkegaard from Imperial College London, Dhirendra Pratap Singh from Milaan Foundation, and Becky Inkster from the University of Cambridge.

Miranda Wolpert is director of mental health at Wellcome.

She said: “We are delighted to support Wysa in their work to adapt and scale up this evidence-based digital intervention to address anxiety and depression in adolescent girls across rural India.

“This funding was awarded as part of our call to find the best ways to develop and scale digital innovations for early intervention.”

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