Trial reportJournal of abnormal psychology2012
Maternal cognitions and mother-infant interaction in postnatal depression and generalized anxiety disorder.
Trial report in Journal of abnormal psychology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03351465 (A Randomized Controlled Trial of Coordinated Anxiety Learning and Management), which is not on this map. Cited by 78 papers, 4 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.
A Randomized Controlled Trial of Coordinated Anxiety Learning and Management (CALM) for Pregnant and Postpartum Women
Who cites it
78 citing papers in PubMed, 4 syntheses or guidelines pooled it, 238 citations in OpenAlex.
- Perinatal Anxiety and Depressive Symptoms and Maternal Parenting Behavior During the First Three Years Postpartum: A Systematic Review.Depression and anxiety · 2025Pooled it
- The role of emotion regulation in perinatal depression and anxiety: a systematic review.BMC psychology · 2024Pooled it
- Universal prevention of distress aimed at pregnant women: a systematic review and meta-analysis of psychological interventions.BMC pregnancy and childbirth · 2021Pooled it
- Rumination and postnatal depression: A systematic review and a cognitive model.Behaviour research and therapy · 2016Pooled it
- Five-year post-disaster mental changes: Mothers and children living in low-dose contaminated Fukushima regions.PloS one · 2020Trial
- Developing a core outcome set for generalized anxiety disorder during the perinatal period: Identifying core treatment outcomes in perinatal anxiety.The British journal of clinical psychology · 2026Article
- Preconception Learned Helplessness as a Cognitive Vulnerability to Lower Maternal Bonding Across the Perinatal Period.Journal of clinical medicine · 2026Article
- Effectiveness of psychological interventions for reducing depressive symptoms among women experiencing perinatal depression: a systematic review.AJOG global reports · 2026Review
- The impact of critical periods of maternal generalized anxiety disorder on mental health problems in preschoolers: a Brazilian study of young mothers.European child & adolescent psychiatry · 2026Article
- Exploring the effects of mental health on bonding and caregiving among pregnant and postpartum persons with likely depression and/or PTSD in South Africa: a qualitative analysis.BMC pregnancy and childbirth · 2026Article
- Fetal attachment and infant temperament: The mediating role of perinatal mental health.Journal of affective disorders · 2026Article
- Differential impacts of parental attention deficit/hyperactivity disorder on early maternal-infant attachment.JCPP advances · 2026Article
- The Acceptability and Appropriateness of Delivering Postnatal Mental Health Support at Community Health Centers.Annals of the New York Academy of Sciences · 2026Article
- Social Support and Spousal Relationship Quality Improves Responsiveness among Anxious Mothers.Child psychiatry and human development · 2026Article
- Obsessive Beliefs, Metacognitive Beliefs, and Rumination in Parents of Adolescents with and Without Obsessive-Compulsive Disorder: A Linear Mixed-Effects Model.Brain sciences · 2025Article
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- "Association between perinatal mood disorders of parents and child health outcomes".Archives of women's mental health · 2024Article
- Understanding the meaning of the lived experience "maternal role" in women with multiple sclerosis and planning a supportive program: a combined exploratory study protocol.Reproductive health · 2024Article
- The Worry Behaviors Inventory-Perinatal Revised: Adaptation and Initial Validation for Use in Perinatal Samples.Assessment · 2024Article
18 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors at 5 institutions in 2 countries.
Funding
Abstract
Postnatal depression and anxiety have been shown to increase the risk of disturbances in mother-child interaction and child development. Research into mechanisms has focused on genetics and maternal behavior; maternal cognitions have received little attention. Our aim was to experimentally determine if worry and rumination in mothers with generalized anxiety disorder (GAD) and major depressive disorder (MDD), diagnosed in the postnatal 6 months, interfered with maternal responsiveness to their 10-month old infants. Mothers (N = 253: GAD n = 90; MDD n = 57; control n = 106) and their infants were randomized to either a worry/rumination prime (WRP) or a neutral prime (NP); mother-infant interactions were assessed before and after priming. Type of priming was a significant predictor of maternal cognitions, with WRP resulting in more negative thoughts, higher thought recurrence and more self-focus relative to NP across the entire sample. Interaction effects between group and priming were significant for two parenting variables: Compared with controls, WRP had a more negative impact on maternal responsiveness to infant vocalization for GAD, and to a lesser extent for MDD; WRP led to decreased maternal vocalization for GAD. Also, mothers with GAD used stronger control after the NP than WRP, as well as compared with other groups, and overall post-priming, their children exhibited lower emotional tone and more withdrawal. Across the entire sample, WRP was associated with increased child vocalization relative to NP. This study demonstrated that disturbances in maternal cognitions, in the context of postnatal anxiety and to a lesser degree depression, play a significant role in mother-child interaction.
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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.