ArticleArchives of women's mental health2016
Altered stress patterns and increased risk for postpartum depression among low-income pregnant women.
Article in Archives of women's mental health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03627247 (Impact of a Cognitive Behavioral Stress Management Intervention on Cortisol Regulation During Pregnancy), which is not on this map. Cited by 31 papers, 1 of them a synthesis 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.
Impact of a Cognitive Behavioral Stress Management Intervention on Cortisol Regulation During Pregnancy
Who cites it
31 citing papers in PubMed, 1 synthesis or guideline pooled it, 64 citations in OpenAlex.
- Human and economic resources for empowerment and pregnancy-related mental health in the Arab Middle East: a systematic review.Archives of women's mental health · 2019Pooled it
- A randomized trial of prenatal cognitive behavioral stress management effects on obstetric health outcomes and infant cortisol levels.Psychoneuroendocrinology · 2026Trial
- Influences of adverse childhood experiences and weekly pregnancy stress on postpartum mental health symptoms: a machine learning examination.Archives of women's mental health · 2026Article
- Prevalence and risk factors related to postpartum depression among women after giving birth in a mountainous area of Vietnam.BMC pregnancy and childbirth · 2026Article
- Maternal exposure to trace elements and perfluoroalkyl acids and their associations with alterations of the hypothalamic-pituitary-adrenal axis.Environmental research · 2025Article
- Socioeconomic factors affecting postpartum mental health in mothers referred to a hospital in yasuj, Southwestern Iran.BMC pregnancy and childbirth · 2025Article
- The effect of cortisol in early pregnancy on postpartum depressive symptoms.Scientific reports · 2025Article
- Effects of psychosocial factors on postpartum depression: a half-longitudinal mediation analysis of cognitive reactivity.BMC pregnancy and childbirth · 2025Article
- Postpartum symptoms of anxiety, depression and stress: differential relationships to women's cortisol profiles.Archives of women's mental health · 2024Article
- Examination of Maternal Allostatic Load Among Postpartum Women With Distinct Postpartum Symptom Typologies.Biological research for nursing · 2024Article
- Developmental trajectories of internalizing distress among ethnic minoritized mothers following childbirth: Associations with early child psychological adjustment.Development and psychopathology · 2024Article
- Emotion dysregulation and reward responsiveness as predictors of autonomic reactivity to an infant cry task among substance-using pregnant and postpartum women.Developmental psychobiology · 2024Article
- The mediating role of social support and resilience between self-efficacy and prenatal stress: a mediational analysis.BMC pregnancy and childbirth · 2023Article
- Translation and validation of the Chinese version of the maternal postpartum stress scale.BMC pregnancy and childbirth · 2023Article
- The effect of perceived social support on postpartum stress: the mediating roles of marital satisfaction and maternal postnatal attachment.BMC women's health · 2023Article
- The post-discharge coping difficulty of puerperal women in a middle and low-income tourist city during the COVID-19 pandemic.BMC pregnancy and childbirth · 2023Article
- Effectiveness of mindfulness training on pregnancy stress and the hypothalamic-pituitary-adrenal axis in women in China: A multicenter randomized controlled trial.Frontiers in psychology · 2023Article
- The role of the hypothalamic-pituitary-adrenal axis in depression across the female reproductive lifecycle: current knowledge and future directions.Frontiers in endocrinology · 2023Review
- Mitochondrial might: powering the peripartum for risk and resilience.Frontiers in behavioral neuroscience · 2023Review
- The Mediating Role of Perceived Stress and Academic Procrastination between Physical Activity and Depressive Symptoms among Chinese College Students during the COVID-19 Pandemic.International journal of environmental research and public health · 2022Article
Corrections and comments
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Authors and funding
2 authors at 2 institutions in 1 country.
Funding
Abstract
Postpartum depression (PPD) has been associated with a number of negative maternal and infant health outcomes. Despite these adverse health effects, few studies have prospectively examined patterns of pre- and postnatal stress that may increase a woman's risk for PPD. The current study examined whether the timing of altered salivary cortisol patterns and perceived stress levels during pregnancy and at 3 months postpartum was associated with PPD symptoms among 100 low-income mothers. Higher levels of PPD were found among women with a lower cortisol awakening response (first and second trimester), lower average daily cortisol (second trimester), a flatter diurnal cortisol pattern (second and third trimester and at 3 months postpartum), and a less abrupt drop in both cortisol and perceived stress from the third trimester to 3 months postpartum. These results support the need for early screening and regulation of stress levels to promote depression prevention efforts in at-risk populations.
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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.