Evidence map›Paper›PMID 29335435›Full record

ArticleScientific reports2018

Placental Morphology Is Associated with Maternal Depressive Symptoms during Pregnancy and Toddler Psychiatric Problems.

Marius Lahti-Pulkkinen, Melissa Jane Cudmore, Eva Haeussner, Christoph Schmitz, Anu-Katriina Pesonen, Esa Hämäläinen, Pia M Villa, Susanna Mehtälä, Eero Kajantie, Hannele Laivuori and 3 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
3.7field-weighted citation impact, top 7% 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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 30 citations in OpenAlex.

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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

13 authors at 4 institutions in 3 countries.

Marius Lahti-PulkkinenDepartment of Psychology and Logopedics, University of Helsinki, Helsinki, Finland. marius.lahti-pulkkinen@helsinki.fi.ORCID http://orcid.org/0000-0002-5244-5525
Melissa Jane CudmoreBritish Heart Foundation Centre for Cardiovascular Science, Queen's Medical Research Institute, University of Edinburgh, Edinburgh, United Kingdom.
Eva HaeussnerDepartment of Anatomy II, LMU Munich, Munich, Germany.
Christoph SchmitzDepartment of Anatomy II, LMU Munich, Munich, Germany.ORCID http://orcid.org/0000-0002-4065-1241
Anu-Katriina PesonenDepartment of Psychology and Logopedics, University of Helsinki, Helsinki, Finland.
Esa HämäläinenHUSLAB and Department of Clinical Chemistry, Helsinki University Central Hospital, Helsinki, Finland.
Pia M VillaObstetrics and Gynaecology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Susanna MehtäläMedical and Clinical Genetics, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Eero KajantieChronic Disease Prevention Unit, National Institute for Health and Welfare, Helsinki, Finland.
Hannele LaivuoriMedical and Clinical Genetics, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.ORCID http://orcid.org/0000-0003-3212-7826
Rebecca M ReynoldsBritish Heart Foundation Centre for Cardiovascular Science, Queen's Medical Research Institute, University of Edinburgh, Edinburgh, United Kingdom.
Hans-Georg FrankDepartment of Anatomy II, LMU Munich, Munich, Germany.
Katri RäikkönenDepartment of Psychology and Logopedics, University of Helsinki, Helsinki, Finland.
University of Helsinki · FILMU Klinikum · DEBritish Heart Foundation · GBHelsinki University Hospital · FI

Funding

Medical Research Council MR/K024868/1
6 · The paper itself

Abstract

Maternal depressive symptoms during pregnancy predict increased psychiatric problems in children. The underlying biological mechanisms remain unclear. Hence, we examined whether alterations in the morphology of 88 term placentas were associated with maternal depressive symptoms during pregnancy and psychiatric problems in 1.9-3.1-years old (Mean = 2.1 years) toddlers. Maternal depressive symptoms were rated biweekly during pregnancy with the Center of Epidemiological Studies Depression Scale (n = 86). Toddler psychiatric problems were mother-rated with the Child Behavior Checklist (n = 60). We found that higher maternal depressive symptoms throughout pregnancy [B = -0.24 Standard Deviation (SD) units: 95% Confidence Interval (CI) = -0.46; -0.03: P = 0.03; Mean difference = -0.66 SDs; 95% CI = -0.08; -1.23: P = 0.03; between those with and without clinically relevant depressive symptoms] were associated with lower variability in the placental villous barrier thickness of γ-smooth muscle actin-negative villi. This placental morphological change predicted higher total (B = -0.34 SDs: 95% CI = -0.60; -0.07: P = 0.01) and internalizing (B = -0.32 SDs: 95% CI = -0.56; -0.08: P = 0.01) psychiatric problems in toddlers. To conclude, our findings suggest that both maternal depressive symptoms during pregnancy and toddler psychiatric problems may be associated with lower variability in the villous membrane thickness of peripheral villi in term placentas. This lower heterogeneity may compromise materno-fetal exchange, suggesting a possible role for altered placental morphology in the fetal programming of mental disorders.

Indexed as

ActinsAdultChild, PreschoolChorionic VilliDepressionFemaleHumansInfantMaleMental DisordersMother-Child RelationsMothersPlacentaPre-EclampsiaPregnancyPregnancy ComplicationsACTA2 protein, humanActins

Identifiers

PMID29335435
PMCPMC5768752
OpenAlexW2782687848

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.