Trial reportPsychoneuroendocrinology2011
Impact of a prenatal cognitive-behavioral stress management intervention on salivary cortisol levels in low-income mothers and their infants.
Trial report in Psychoneuroendocrinology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 10 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
47 citing papers in PubMed, 10 syntheses or guidelines pooled it, 118 citations in OpenAlex.
- Physiological Effects of Psychological Interventions Among Persons with Financial Stress: A Systematic Review, Meta-analysis, and Introduction to Psychophysiological Economics.Applied psychophysiology and biofeedback · 2024Pooled it
- Fidelity of Interventions to Reduce or Prevent Stress and/or Anxiety from Pregnancy up to Two Years Postpartum: A Systematic Review.Maternal and child health journal · 2021Pooled it
- Psychological interventions for depression and anxiety in pregnant Latina and Black women in the United States: A systematic review.Clinical psychology & psychotherapy · 2020Pooled it
- Offspring outcomes after prenatal interventions for common mental disorders: a meta-analysis.BMC medicine · 2018Pooled it
- A systematic review of cortisol, thyroid-stimulating hormone, and prolactin in peripartum women with major depression.Archives of women's mental health · 2018Pooled it
- A systematic review of depression psychotherapies among Latinos.Clinical psychology review · 2016Pooled it
- Use of Salivary Diurnal Cortisol as an Outcome Measure in Randomised Controlled Trials: a Systematic Review.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2016Pooled it
- Pooled it
- Psychosocial and psychological interventions for preventing postpartum depression.The Cochrane database of systematic reviews · 2013Pooled it
- Prenatal and postpartum maternal psychological distress and infant development: a systematic review.Child psychiatry and human development · 2012Pooled it
- A randomized trial of prenatal cognitive behavioral stress management effects on obstetric health outcomes and infant cortisol levels.Psychoneuroendocrinology · 2026Trial
- Cognitive behavioral stress management effects on prenatal anxiety among low-income women.Journal of consulting and clinical psychology · 2022Trial
- Moving the dial on prenatal stress mechanisms of neurodevelopmental vulnerability to mental health problems: A personalized prevention proof of concept.Developmental psychobiology · 2021Trial
- Using Smartphone-Based Psychoeducation to Reduce Postnatal Depression Among First-Time Mothers: Randomized Controlled Trial.JMIR mHealth and uHealth · 2019Trial
- Healthy Foundations Study: a randomised controlled trial to evaluate biological embedding of early-life experiences.BMJ open · 2018Trial
- Role of Mediators in Reducing Antepartum Depressive Symptoms in Rural Low-Income Women Receiving a Culturally Tailored Cognitive Behavioral Intervention.Issues in mental health nursing · 2016Trial
- Trial
- A coparent intervention to prevent prenatal stress and depression symptoms in families with lower incomes.Family relations · 2026Article
- Timing sensitivity of prenatal cortisol exposure and neurocognitive development.Development and psychopathology · 2025Article
- Scoping review of non-pharmacological or self-management interventions for perinatal mood and anxiety disorders tested with Hispanic and Latina women.Frontiers in psychiatry · 2025Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 2 institutions in 1 country.
Funding
Abstract
Recent findings suggest that elevated stress levels during the pre- and postpartum period are related to poor maternal and infant health outcomes; yet, few studies have prospectively examined the efficacy of stress management interventions on regulating stress levels among mothers and their infants. The current study examined whether a prenatal cognitive behavioral stress management (CBSM) intervention would be effective in regulating salivary cortisol (a biological marker of stress) and self-reported stress levels among mothers and their infants at six and 18 months postpartum, relative to two control groups. Our sample was comprised of predominantly Spanish-speaking, low-income women (80%; mean age=25±5 years) who were screened for depression during their second trimester of pregnancy (M=16±5 weeks of gestation). Women at high risk for depression [i.e., having either a past history of major depression or current elevated symptoms of depression (≥16 on CES-D)] were randomized to either a CBSM group (n=24) or a usual care (UC) group (n=33), while a low risk comparison (LRC) group (n=29) was comprised of women not meeting either depression criteria. ANCOVA analyses demonstrated that: (1) infants of women in the CBSM and LRC groups had significantly lower cortisol levels than infants of women in the UC group at six months postpartum (p<.001); and (2) women in the CBSM group had lower cortisol levels than women in the UC group at 18 months postpartum (p<.01). These results suggest that prenatal CBSM interventions may be efficacious in regulating biological markers of stress among mothers and their infants, thereby decreasing their risk for developing health complications over time.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.