Publication Name	World Journal of Psychiatry
Manuscript ID	113734
Country	China

Category	Obstetrics & Gynecology
Manuscript Type	Randomized Controlled Trial
Article Title	Effect of multidisciplinary closed-loop care on pregnancy outcomes in anxiety and depression
Manuscript Source	Unsolicited Manuscript
All Author List	Tian-Tian Shen, Ya-Juan Zhang and Qiu-Xia Xie
Funding Agency and Grant Number	Funding Agency Grant Number Shanghai Songjiang District Science and Technology Research Project No. 2023SJKJGG89
Corresponding Author	Qiu-Xia Xie, Associate Chief Pharmacist, Department of Obstetrics and Gynecology, Songjiang Maternal and Child Health Hospital of Shanghai, No. 1010 Xilin North Road, Songiang District, Shanghai 201620, China. xieqiuxia_2025@163.com
Key Words	Pregnancy outcomes; Closed-loop psychological intervention; Multidisciplinary collaboration; Psychological dysfunction; Pregnant women
Core Tip	This pioneering study establishes a multidisciplinary closed-loop psychological intervention model for pregnant women with psychological dysfunction. Key findings demonstrate: 31.7% cesarean rate (vs 44.2% in controls; P < 0.05); 50% reduction in adverse maternal outcomes (15% vs 32.5%; P < 0.01); Improved postpartum pelvic floor recovery (dynamic electromyography activity increase, P < 0.05). The model integrates obstetric, psychological, and nutritional expertise through a “screening-intervention-feedback” loop, providing class A evidence for perinatal mental health guidelines.
Citation	Shen TT, Zhang YJ, Xie QX. Effect of multidisciplinary closed-loop care on pregnancy outcomes in anxiety and depression. World J Psychiatry 2025; In press

Received	2025-09-03 09:09
Peer-Review Started	2025-09-03 09:09
To Make the First Decision
Return for Revision	2025-09-25 03:21
Revised	2025-10-08 03:21
Second Decision	2025-11-13 02:40
Accepted by Journal Editor-in-Chief
Accepted by Executive Editor-in-Chief	2025-11-13 08:17
Articles in Press	2025-11-13 08:17
Publication Fee Transferred
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	2220-3206 (online)
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