Evidence map›Paper›PMID 28394509›Full record

ArticleThe Journal of clinical psychiatry2017

Adverse Childhood Experiences and Risk for First-Episode Major Depression During the Menopause Transition.

C Neill Epperson, Mary D Sammel, Tracy L Bale, Deborah R Kim, Sarah Conlin, Stephanie Scalice, Katharine Freeman, Ellen W Freeman

Open access · greenAbstract read
In one paragraph

Article in The Journal of clinical psychiatry, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
4.7field-weighted citation impact, top 5% of its field
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

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 91 citations in OpenAlex.

  1. Pooled it
  2. Impact of Tryptophan Depletion on Executive System Function during Menopause is Moderated by Childhood Adversity.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2017
    Trial
  3. Trial
  4. Article
  5. Article
  6. Review
  7. Lifestyle medicine pillars for women's heart health.American journal of preventive cardiology · 2025
    Article
  8. Article
  9. Review
  10. Review
  11. Article
  12. Article
  13. Polyvictimization and Adolescent Health and Well-Being in Ethiopia: The Mediating Role of Resilience.International journal of environmental research and public health · 2023
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Discontinuation of hormonal contraception due to changes in mood and decreases in sexual desire: the role of adverse childhood experiences.The European journal of contraception & reproductive health care : the official journal of the European Society of Contraception · 2022
    Article
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

8 authors at 1 institution in 1 country.

C Neill EppersonProfessor of Psychiatry and Obstetrics and Gynecology, Perelman School of Medicine, University of Pennsylvania, 3535 Market St, Rm 3001, Philadelphia, PA 19104. cepp@mail.med.upenn.edu.
Mary D SammelPenn PROMOTES Research on Sex and Gender in Health, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Tracy L BalePenn PROMOTES Research on Sex and Gender in Health, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Deborah R KimPenn PROMOTES Research on Sex and Gender in Health, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Sarah ConlinDepartment of Counseling Psychology, University of Florida, Gainesville.
Stephanie ScalicePenn PROMOTES Research on Sex and Gender in Health, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Katharine FreemanPenn PROMOTES Research on Sex and Gender in Health, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Ellen W FreemanDepartment of Obstetrics and Gynecology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
University of Pennsylvania · US

Funding

EPIDEMIOLOGIC STUDY OF THE LATE REPRODUCTIVE YEARSR01AG012745 · NIA · UNIVERSITY OF PENNSYLVANIA · PI FREEMAN, ELLEN W · 1996 to 2010
$6.7M
Prepubertal Stress, Windows of Risk & Sex Bias for Affective DisturbanceP50MH099910 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI KIM, DEBORAH · 2012 to 2017
$6.5M
Multimodal Imaging of Progesterone/Neurosteroid Effects in Nicotine AddictionR01DA037289 · NIDA · UNIVERSITY OF PENNSYLVANIA · PI EPPERSON, C. NEILL · 2015 to 2019
$3.3M
Training in Sex and Gender Differences Research to Improve Women's HealthK12HD085848 · NICHD · UNIVERSITY OF PENNSYLVANIA · PI OQUENDO, MARIA A · 2015 to 2019
$2.2M
Interaction of Estrogen and Serotonin in Modulating Brain Activation in MenopauseR01AG030641 · NIA · UNIVERSITY OF PENNSYLVANIA · PI EPPERSON, C. NEILL · 2009 to 2010
$994k
Neuroendocrine Contribution to Behavior & Cognition in the Female LifespanK24DA030301 · NIDA · UNIVERSITY OF PENNSYLVANIA · PI EPPERSON, C. NEILL · 2010 to 2014
$954k
Reversing Impact of Childhood Adversity on MDD & Cognitive Decline in MenopauseR01AG048839 · NIA · UNIVERSITY OF PENNSYLVANIA · PI EPPERSON, C. NEILL · 2014 to 2015
$630k
Effects of tryptophan depletion and adverse childhood experiences on neural markers of executive function in menopausal womenF30AG055256 · NIA · UNIVERSITY OF PENNSYLVANIA · PI SHANMUGAN, SHEILA · 2016 to 2017
$89k
NIA NIH HHS R01 AG012745NIA NIH HHS R01 AG030641NIA NIH HHS R01 AG048839NICHD NIH HHS K12 HD085848NIDA NIH HHS K24 DA030301NIDA NIH HHS R01 DA037289NIMH NIH HHS P50 MH099910
6 · The paper itself

Abstract

objectiveStress exposures may have a differential impact on risk and resilience for depression depending on their timing across development. We sought to determine whether adverse childhood experiences (ACEs) and their onset with respect to puberty contribute to the increased risk observed in first-episode major depressive disorder (MDD) during the menopause transition.

methodsParticipants were from the Penn Ovarian Aging Study cohort, which is composed of women from Philadelphia County, Pennsylvania, who underwent behavioral, cognitive, and endocrine evaluations approximately yearly from 1996 to 2012 and completed the Adverse Childhood Experiences Questionnaire at study end point (n = 243). ACEs that first occurred 2 or more years before menarche were considered prepubertal. Incident menopause MDD was defined as first observed onset of the disorder in the perimenopause to postmenopause transition using the Structured Clinical Interview for DSM-III-R and the Primary Care Evaluation of Mental Disorders.

resultsIncident menopause MDD occurred in 48% of the 100 women who reported lifetime MDD. Women reporting ≥ 2 total ACEs were at significantly greater risk for lifetime MDD (adjusted odds ratio [aOR] = 2.05, P = .034) and incident menopause MDD (aOR = 2.58, P = .03) compared to those reporting 0 ACEs; women with ≥ 2 postpubertal ACEs were 2.3 times more likely to experience incidence menopause MDD (P = .024) after controlling for race, smoking, body mass index, and employment. Experiencing only 1 ACE in the prepubertal window, regardless of additional ACEs in postpuberty, was associated with reduced risk for lifetime and incident menopause MDD.

conclusionsTiming and number of adverse experiences with respect to puberty differentially impacted risk and resilience for MDD across the female life span and during the menopause transition in this community cohort.

Indexed as

Life Change EventsAdolescentAdultChildChild AbuseChild Abuse, SexualChild of Impaired ParentsChild, PreschoolCohort StudiesCross-Sectional StudiesDomestic ViolenceFamily ConflictFemaleHumansMajor Depressive DisorderMenopause

Identifiers

PMID28394509
PMCPMC11348890
OpenAlexW2597878197

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.