Evidence map›Paper›PMID 29249808›Full record

ArticleTranslational psychiatry2017

Brain structure in women at risk of postpartum psychosis: an MRI study.

Montserrat Fusté, Astrid Pauls, Amanda Worker, Antje A T S Reinders, Andrew Simmons, Steven C R Williams, Josep M Haro, Kate Hazelgrove, Susan Pawlby, Susan Conroy and 5 more

Open access · goldAbstract read
In one paragraph

Article in Translational psychiatry, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.7field-weighted citation impact, top 9% 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

16 citing papers in PubMed, 39 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Biomarkers of reproductive psychiatric disorders.The British journal of psychiatry : the journal of mental science · 2025
    Review
  5. Familial Risk of Postpartum Psychosis.The American journal of psychiatry · 2025
    Article
  6. 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 · 2023
    Review
  7. Postpartum psychosis: A proposed treatment algorithm.Journal of psychopharmacology (Oxford, England) · 2023
    Review
  8. Review
  9. Article
  10. Recent Neuroscience Advances in Human Parenting.Advances in neurobiology · 2022
    Article
  11. Article
  12. Neurobiology of peripartum mental illness.Handbook of clinical neurology · 2021
    Review
  13. Review
  14. Article
  15. Article
  16. Review
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

15 authors at 2 institutions in 2 countries.

Montserrat FustéDepartment of Psychosis Studies, Institute of Psychiatry, Psychology & Neurosciences, King's College London, De Crespigny Park, London, UK, SE5 8AF. Montserrat.fuste_boadella@kcl.ac.uk.
Astrid PaulsDepartment of Psychosis Studies, Institute of Psychiatry, Psychology & Neurosciences, King's College London, De Crespigny Park, London, UK, SE5 8AF.
Amanda WorkerDepartment of Neuroimaging, Institute of Psychiatry, Psychology & Neurosciences, King's College of London, De Crespigny Park, London, UK.
Antje A T S ReindersDepartment of Psychosis Studies, Institute of Psychiatry, Psychology & Neurosciences, King's College London, De Crespigny Park, London, UK, SE5 8AF.
Andrew SimmonsDepartment of Neuroimaging, Institute of Psychiatry, Psychology & Neurosciences, King's College of London, De Crespigny Park, London, UK.
Steven C R WilliamsDepartment of Neuroimaging, Institute of Psychiatry, Psychology & Neurosciences, King's College of London, De Crespigny Park, London, UK.ORCID http://orcid.org/0000-0003-4299-1941
Josep M HaroCIBERSAM, Centro de Investigación Biomédica en Red de Salud Mental, Madrid, Spain.
Kate HazelgroveDepartment of Psychosis Studies, Institute of Psychiatry, Psychology & Neurosciences, King's College London, De Crespigny Park, London, UK, SE5 8AF.
Susan PawlbySection of Stress, Psychiatry and Immunology and Perinatal Psychiatry, Department of Psychological Medicine, Institute of Psychiatry, Psychology & Neurosciences, King's College London, London, UK.
Susan ConroySection of Stress, Psychiatry and Immunology and Perinatal Psychiatry, Department of Psychological Medicine, Institute of Psychiatry, Psychology & Neurosciences, King's College London, London, UK.
Costanza VecchioSection of Stress, Psychiatry and Immunology and Perinatal Psychiatry, Department of Psychological Medicine, Institute of Psychiatry, Psychology & Neurosciences, King's College London, London, UK.
Gertrude SeneviratneSection of Stress, Psychiatry and Immunology and Perinatal Psychiatry, Department of Psychological Medicine, Institute of Psychiatry, Psychology & Neurosciences, King's College London, London, UK.
Carmine M ParianteNational Institute for Health Research (NIHR) Mental Health Biomedical Research Centre at South London and Maudsley NHS Foundation Trust and King's College London, London, UK.ORCID http://orcid.org/0000-0002-9132-5091
Mitul A MehtaDepartment of Neuroimaging, Institute of Psychiatry, Psychology & Neurosciences, King's College of London, De Crespigny Park, London, UK.
Paola DazzanDepartment of Psychosis Studies, Institute of Psychiatry, Psychology & Neurosciences, King's College London, De Crespigny Park, London, UK, SE5 8AF.
King's College London · GBCentro de Investigación Biomédica en Red de Salud Mental · ES

Funding

Medical Research Council G108/603Medical Research Council MR/N026063/1Medical Research Council MR/N029488/1MRF_ C0439
6 · The paper itself

Abstract

Postpartum psychosis (PP) is the most severe psychiatric disorder associated with childbirth. The risk of PP is very high in women with a history of bipolar affective disorder or schizoaffective disorder. However, the neurobiological basis of PP remains poorly understood and no study has evaluated brain structure in women at risk of, or with, PP. We performed a cross-sectional study of 256 women at risk of PP and 21 healthy controls (HC) in the same postpartum period. Among women at risk, 11 who developed a recent episode of PP (PPE) (n = 2 with lifetime bipolar disorder; n = 9 psychotic disorder not otherwise specified) and 15 at risk women who did not develop an episode of PP (NPPE) (n = 10 with lifetime bipolar disorder; n = 1 with schizoaffective disorder; n = 1 with a history of PP in first-degree family member; n = 3 with previous PP). We obtained T1-weighted MRI scans at 3T and examined regional gray matter volumes with voxel-based morphometry and cortical thickness and surface area with Freesurfer. Women with PPE showed smaller anterior cingulate gyrus, superior temporal gyrus and parahippocampal gyrus compared to NPPE women. These regions also showed decreased surface area. Moreover, the NPPE group showed a larger superior and inferior frontal gyrus volume than the HC. These results should be interpreted with caution, as there were between-group differences in terms of duration of illness and interval between delivery and MRI acquisition. Nevertheless, these are the first findings to suggest that MRI can provide information on brain morphology that characterize those women at risk of PP more likely to develop an episode after childbirth.

Indexed as

AdultBrainCross-Sectional StudiesFemaleHumansMagnetic Resonance ImagingPsychotic DisordersPuerperal DisordersRisk Factors

Identifiers

PMID29249808
PMCPMC5802701
OpenAlexW2771596610

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.