ArticleArchives of women's mental health2015
Maladaptive coping mediates the influence of childhood trauma on depression and PTSD among pregnant women in South Africa.
Article in Archives of women's mental health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 5 of them syntheses that pooled it.
What it found
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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
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Who cites it
34 citing papers in PubMed, 5 syntheses or guidelines pooled it, 72 citations in OpenAlex.
- Psychological mediators of the associations between adverse and benevolent childhood experiences and posttraumatic stress disorder (PTSD) and complex PTSD: A systematic review and meta-analysis.Journal of traumatic stress · 2026Pooled it
- Gender differences in the prevalence of anxiety and post-traumatic stress disorder and associated factors among adults in sub-Saharan Africa: a systematic review and meta-analysis.Frontiers in psychiatry · 2026Pooled it
- Prevalence of Perinatal Anxiety and Related Disorders in Low- and Middle-Income Countries: A Systematic Review and Meta-Analysis.JAMA network open · 2023Pooled it
- The Relationship Between a Lifetime History of Sexual Victimization and Perinatal Depression: A Systematic Review and Meta-Analysis.Trauma, violence & abuse · 2023Pooled it
- Understanding Mental Health in the Context of Adolescent Pregnancy and HIV in Sub-Saharan Africa: A Systematic Review Identifying a Critical Evidence Gap.AIDS and behavior · 2021Pooled it
- The Primary Prevention of PTSD in Firefighters: Preliminary Results of an RCT with 12-Month Follow-Up.PloS one · 2016Trial
- More severe history of childhood adversity is linked to greater surface area of induced secondary hyperalgesia.medRxiv : the preprint server for health sciences · 2025Article
- Trauma as a mediator of childhood adversity and mental illness in South Africa: A path analysis.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2025Article
- Associations between violence in childhood, depression and suicide attempts in adolescence: evidence from a cohort study in Luwero district, Uganda.BMC public health · 2024Article
- Influence of childhood trauma and traumatic stress on a woman's risk of having a child with a fetal alcohol spectrum disorder.Alcohol, clinical & experimental research · 2024Article
- Early vs. Later Experiences of Violence and Polysubstance Use Among Adults Who Inject Drugs.Substance use & misuse · 2024Article
- Childhood adversity during the post-apartheid transition and COVID-19 stress independently predict adult PTSD risk in urban South Africa: A biocultural analysis of the stress sensitization hypothesis.American journal of biological anthropology · 2023Article
- Adverse childhood experiences, traumatic events, and mental health among adults at two outpatient psychiatric facilities in Johannesburg, South Africa: a cross-sectional analysis.BMC psychiatry · 2023Article
- The efficacy of psychological treatments on adolescent psychopathology: a narrative review.Translational pediatrics · 2023Review
- Post-traumatic-stress in the context of childhood maltreatment: pathways from attachment through mentalizing during the transition to parenthood.Frontiers in psychology · 2023Article
- Factors Related to Positive Memory Count Among Trauma-Exposed Individuals: A Scoping Review.Trauma, violence & abuse · 2022Article
- Toxic Relationships: The Experiences and Effects of Psychopathy in Romantic Relationships.International journal of offender therapy and comparative criminology · 2022Article
- Influence of Maternal Childhood Trauma on Perinatal Depression, Observed Mother-Infant Interactions, and Child Growth.Maternal and child health journal · 2022Article
- Study protocol: an observational study of distress, immune function and persistent pain in HIV.BMJ open · 2022Article
- Coping Methods Used by College Undergraduate and Graduate Students while Experiencing Childhood Adversities and Traumas.Journal of child & adolescent trauma · 2022Article
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 2 countries.
Funding
Abstract
Antenatal mental disorders compromise maternal and child health, and women who have experienced childhood trauma may be at increased risk for such disorders. One hypothesis is that early trauma leads to the development and use of maladaptive coping strategies as an adult, which in turn could predict mental health difficulties during stressful transitions such as pregnancy. To test this hypothesis, this study examined the relationship between childhood trauma and mental health (depression, PTSD) in a sample of 84 pregnant women seeking antenatal care in Cape Town, South Africa, and explored whether maladaptive coping mediated this relationship. The majority of women (62 %) met established criteria for antenatal depression and 30 % for antenatal PTSD; in addition, 40 % reported a history of childhood trauma. Childhood trauma, especially childhood sexual abuse and emotional abuse, was significantly associated with depression and PTSD. The relationships between childhood trauma and depression and PTSD were significantly mediated by maladaptive coping, even when adjusted for the woman's age, gestational age, and HIV status. Findings highlight the need for coping-based interventions to prevent and treat antenatal mental disorders among women with childhood trauma, particularly in high-trauma settings such as South Africa.
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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.