Trial reportJournal of consulting and clinical psychology2017
Depressive symptoms and gestational length among pregnant adolescents: Cluster randomized control trial of CenteringPregnancy® plus group prenatal care.
Trial report in Journal of consulting and clinical psychology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 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
26 citing papers in PubMed, 2 syntheses or guidelines pooled it, 57 citations in OpenAlex.
- Group Medical Care: A Systematic Review of Health Service Performance.International journal of environmental research and public health · 2021Pooled it
- Psychosocial interventions targeting mental health in pregnant adolescents and adolescent parents: a systematic review.Reproductive health · 2020Pooled it
- Enhanced Prenatal Care Models and Postpartum Depression: The EMBRACE Randomized Clinical Trial.JAMA network open · 2026Trial
- Effects of Two Group Prenatal Care Interventions on Mental Health: An RCT.American journal of preventive medicine · 2024Trial
- Randomized Controlled Trial on the Effect of Group Versus Individual Prenatal Care on Psychosocial Outcomes.Journal of obstetric, gynecologic, and neonatal nursing : JOGNN · 2023Trial
- Associations between intimate partner violence profiles and mental health among low-income, urban pregnant adolescents.BMC pregnancy and childbirth · 2019Trial
- A Quasi-Experimental Study: Social Support in Group Prenatal Care's Impact on Postpartum Depression in Black and Hispanic Women.International journal of environmental research and public health · 2025Article
- Design, implementation, and evaluation of a psychosocial intervention to improve mental health in pregnant adolescents: a mixed-methods protocol.Reproductive health · 2025Article
- Psychosocial Prenatal Interventions for Teenage Pregnant: A Systematic Review.Journal of family & reproductive health · 2025Review
- Reflections on resilience.Development and psychopathology · 2024Article
- Article
- Group Multimodal Prenatal Care and Postpartum Outcomes.JAMA network open · 2024Article
- Group prenatal care successes, challenges, and frameworks for scaling up: a case study in adopting health care innovations.Implementation science communications · 2024Article
- Elevating Voices, Addressing Depression, Toxic Stress, and Equity Through Group Prenatal Care: A Pilot Study.Health equity · 2024Article
- Article
- Long-term effects of a prenatal mindfulness intervention on depressive symptoms in a diverse sample of women.Journal of consulting and clinical psychology · 2022Article
- Group antenatal care (gANC) for Somali-speaking women in Sweden - a process evaluation.BMC pregnancy and childbirth · 2022Article
- Effect of Parameterization on Statistical Power and Effect Size Estimation in Latent Growth Modeling.Structural equation modeling : a multidisciplinary journal · 2021Article
- Model fidelity of group antenatal and postnatal care: a process analysis of the first implementation of this innovative service model by the Preterm Birth Initiative-Rwanda.Gates open research · 2020Article
- Protocol for a pilot randomized controlled feasibility study of brief interpersonal psychotherapy for addressing social-emotional needs and preventing excess gestational weight gain in adolescents.Pilot and feasibility studies · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 4 institutions in 2 countries.
Funding
Abstract
objectivesDepressive symptoms are associated with preterm birth among adults. Pregnant adolescents have high rates of depressive symptoms and low rates of treatment; however, few interventions have targeted this vulnerable group. Objectives are to: (a) examine impact of CenteringPregnancy® Plus group prenatal care on perinatal depressive symptoms compared to individual prenatal care; and (b) determine effects of depressive symptoms on gestational age and preterm birth among pregnant adolescents.
methodThis cluster-randomized controlled trial was conducted in 14 community health centers and hospitals in New York City. Clinical sites were randomized to receive standard individual prenatal care (n = 7) or CenteringPregnancy® Plus group prenatal care (n = 7). Pregnant adolescents (ages 14-21, N = 1,135) completed the Center for Epidemiologic Studies Depression Scale during pregnancy (second and third trimesters) and postpartum (6 and 12 months). Gestational age was obtained from medical records, based on ultrasound dating. Intention to treat analyses were used to examine objectives.
resultsAdolescents at clinical sites randomized to CenteringPregnancy® Plus experienced greater reductions in perinatal depressive symptoms compared to those at clinical sites randomized to individual care (p = .003). Increased depressive symptoms from second to third pregnancy trimester were associated with shorter gestational age at delivery and preterm birth (<37 weeks gestation). Third trimester depressive symptoms were also associated with shorter gestational age and preterm birth. All p < .05.
conclusionsPregnant adolescents should be screened for depressive symptoms prior to third trimester. Group prenatal care may be an effective nonpharmacological option for reducing depressive symptoms among perinatal adolescents. (PsycINFO Database Record
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