ArticleDepression and anxiety2018
Adverse life events increase risk for postpartum psychiatric episodes: A population-based epidemiologic study.
Article in Depression and anxiety, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 2 of them syntheses that pooled it.
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Who cites it
43 citing papers in PubMed, 2 syntheses or guidelines pooled it, 81 citations in OpenAlex.
- Family History of Psychiatric Disorders as a Risk Factor for Maternal Postpartum Depression: A Systematic Review and Meta-analysis.JAMA psychiatry · 2022Pooled it
- The impact of childhood trauma on psychological interventions for depression during pregnancy and postpartum: a systematic review.Archives of women's mental health · 2021Pooled it
- Understanding how adverse childhood experiences influence the development of postpartum post-traumatic stress disorder: a qualitative study in China.European journal of psychotraumatology · 2026Article
- The role of socioeconomic status and pre-pregnancy BMI in postpartum psychiatric episodes - a mediation study.Social psychiatry and psychiatric epidemiology · 2026Article
- Article
- Bereavement and maternal mental disorders during the perinatal period: a nationwide register-based study in Sweden.European journal of psychotraumatology · 2025Article
- Patterns of Adverse Childhood Experiences and Postpartum Depressive Symptoms.Journal of child & adolescent trauma · 2025Article
- Network analysis of PTSD symptoms following childbirth and comorbid conditions among women with sexual trauma history.Archives of women's mental health · 2025Article
- Adverse life events among bedouin and jewish women and the risk for postpartum depressive symptoms.Archives of women's mental health · 2025Article
- Do adverse childhood experiences increase the risk of postpartum traumatic stress and depression?Journal of evaluation in clinical practice · 2025Article
- Adverse life events among bedouin and jewish women and the risk for postpartum depressive symptoms.Archives of women's mental health · 2025Article
- Understanding the relationship between childhood emotional abuse and neglect and psychological distress in pregnant women: the role of prenatal attachment.BMC psychology · 2024Article
- Article
- Relationship between childhood trauma and postpartum psychotic experiences: the role of postnatal anxiety and depression as mediators.BMC psychiatry · 2024Article
- The bidirectional association between premenstrual disorders and perinatal depression: A nationwide register-based study from Sweden.PLoS medicine · 2024Article
- The long-term course and prognosis of postpartum depression: a retrospective longitudinal cohort study.Archives of women's mental health · 2024Article
- Personality vulnerability to depression, resilience, and depressive symptoms: epigenetic markers among perinatal women.Upsala journal of medical sciences · 2024Article
- Postpartum Psychosis: A Review of Risk Factors, Clinical Picture, Management, Prevention, and Psychosocial Determinants.Medical science monitor : international medical journal of experimental and clinical research · 2023Review
- "Echoes of a dark past" is a history of maternal childhood maltreatment a perinatal risk factor for pregnancy and postpartum trauma experiences? A longitudinal study.BMC pregnancy and childbirth · 2023Article
- Is There an Inflammatory Profile of Perinatal Depression?Current psychiatry reports · 2023Review
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 4 countries.
Funding
Abstract
backgroundTrauma histories may increase risk of perinatal psychiatric episodes. We designed an epidemiological population-based cohort study to explore if adverse childhood experiences (ACE) in girls increases risk of later postpartum psychiatric episodes.
methodsUsing Danish registers, we identified women born in Denmark between January 1980 and December 1998 (129,439 childbirths). Exposure variables were ACE between ages 0 and 15 including: (1) family disruption, (2) parental somatic illness, (3) parental labor market exclusion, (4) parental criminality, (5) parental death, (6) placement in out-of-home care, (7) parental psychopathology excluding substance use, and (8) parental substance use disorder. Primary outcome was first occurrence of in- or outpatient contact 0-6 months postpartum at a psychiatric treatment facility with any psychiatric diagnoses, ICD-10, F00-F99 (N = 651). We conducted survival analyses using Cox proportional hazard regressions of postpartum psychiatric episodes.
resultsApproximately 52% of the sample experienced ACE, significantly increasing risk of any postpartum psychiatric diagnosis. Highest risks were observed among women who experienced out-of-home placement, hazard ratio (HR) 2.57 (95% CI: 1.90-3.48). Women experiencing two adverse life events had higher risks of postpartum psychiatric diagnosis HR: 1.88 (95% CI: 1.51-2.36), compared to those with one ACE, HR: 1.24 (95% CI: 1.03-49) and no ACE, HR: 1.00 (reference group).
conclusionsACE primarily due to parental psychopathology and disability contributes to increased risk of postpartum psychiatric episodes; and greater numbers of ACE increases risk for postpartum psychiatric illness with an observed dose-response effect. Future work should explore genetic and environmental factors that increase risk and/or confer resilience.
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