Evidence map›Paper›PMID 25560192›Full record

ArticleJournal of affective disorders2015

The roles of resilience and childhood trauma history: main and moderating effects on postpartum maternal mental health and functioning.

Minden B Sexton, Lindsay Hamilton, Ellen W McGinnis, Katherine L Rosenblum, Maria Muzik

Abstract read
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In one paragraph

Article in Journal of affective disorders, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 7 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

50 citing papers in PubMed, 7 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Minden B SextonMental Health Service, Ann Arbor Veterans Healthcare Administration, USA; Department of Psychiatry, University of Michigan, USA.
Lindsay HamiltonDepartment of Psychiatry, University of Michigan, USA.
Ellen W McGinnisDepartment of Psychiatry, University of Michigan, USA.
Katherine L RosenblumDepartment of Psychiatry, University of Michigan, USA; Center for Human Growth and Development, University of Michigan, USA.
Maria MuzikDepartment of Psychiatry, University of Michigan, USA; Center for Human Growth and Development, University of Michigan, USA. Electronic address: muzik@med.umich.edu.

Funding

Michigan Institute for Clinical and Health Research (MCHR)UL1TR000433 · NCATS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MASHOUR, GEORGE ALEXANDER · 2012 to 2016
$49.9M
Michigan Mentored Clinical Scholars ProgramK12RR017607 · NCRR · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI SCHTEINGART, DAVID EDUARDO · 2003 to 2007
$3.0M
Infant Stress Response: Effects of Maternal PTSD and Infant GenesK23MH080147 · NIMH · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MUZIK, MARIA · 2008 to 2011
$717k
NCATS NIH HHS UL1 TR000433NCATS NIH HHS UL1TR000433NCRR NIH HHS K12 RR017607NCRR NIH HHS K12RR017607-04NIMH NIH HHS K23 MH080147NIMH NIH HHS K23MH080147-01
6 · The paper itself

Abstract

objectiveRecently postpartum women participated to investigate main and moderating influences of resilience and childhood history of maltreatment on posttraumatic stress disorder (PTSD), major depressive disorder (MDD), parental sense of mastery, and family functioning.

methodAt 4-months postpartum, 214 mothers (145 with a history of childhood abuse or neglect) completed interviews assessing mental health symptoms, positive functioning, resilience and trauma history. Multiple and moderated linear regression with the Connor-Davidson Resilience Scale (CD-RISC) and Childhood Trauma Questionnaires (CTQ) were conducted to assess for main and moderating effects.

resultsResilience, childhood trauma severity, and their interaction predicted postpartum PTSD and MDD. In mothers without childhood maltreatment, PTSD was absent irrespective of CD-RISC scores. However, for those with the highest quartile of CTQ severity, 8% of those with highest resilience in contrast with 58% of those with lowest CD-RISC scores met PTSD diagnostic criteria. Similar, in those with highest resilience, no mothers met criteria for postpartum MDD, irrespective of childhood trauma, while for those with lowest quartile of resilience, 25% with lowest CTQ severity and 68% of those with highest CTQ severity were depressed. The CD-RISC, but not the CTQ, was predictive of postpartum sense of competence. The CD-RISC and the CTQ were predictive of postpartum family functioning, though no moderating influence of resilience on childhood trauma was found.

conclusionsResilience is associated with reduced psychopathology and improved wellbeing in all mothers. It further serves as a buffer against psychiatric symptoms following childhood trauma. Such findings may assist in identification of those at greatest risk of adverse functioning postpartum, utilization of resilience-enhancing intervention may benefit perinatal wellness, and reduce intergenerational transmission of risk.

Indexed as

Resilience, PsychologicalAdolescentAdultChild AbuseDepression, PostpartumDiagnostic and Statistical Manual of Mental DisordersFamily HealthFemaleHumansMajor Depressive DisorderMothersPostpartum PeriodPregnancySelf ConceptStress Disorders, Post-TraumaticYoung AdultChildhoodDepressionPosttraumatic stress disorderResilienceTrauma

Identifiers

PMID25560192
PMCPMC4339466

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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.