Evidence map›Paper›PMID 30183473›Full record

ArticleJournal of women's health (2002)2019

Adverse Childhood Experiences and Mental and Behavioral Health Conditions During Pregnancy: The Role of Resilience.

Kelly C Young-Wolff, Amy Alabaster, Brigid McCaw, Nicole Stoller, Carey Watson, Stacy Sterling, Kathryn K Ridout, Tracy Flanagan

Abstract read
In one paragraph

Article in Journal of women's health (2002), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 67 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

67 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  14. Associations of adverse childhood experiences (ACE) with pregnancy outcomes in people with cardiac disease.European journal of obstetrics, gynecology, and reproductive biology · 2025
    Article
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  18. Targeted Research and Treatment Implications in Women With Depression.Focus (American Psychiatric Publishing) · 2025
    Review
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  20. Article

7 more citing papers are in PubMed but not listed here.

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.

Kelly C Young-Wolff1 Division of Research, Kaiser Permanente Northern California, Oakland, California.
Amy Alabaster1 Division of Research, Kaiser Permanente Northern California, Oakland, California.
Brigid McCaw2 Family Violence Prevention Program, Kaiser Permanente Northern California, Oakland, California.
Nicole Stoller1 Division of Research, Kaiser Permanente Northern California, Oakland, California.
Carey Watson3 Obstetrics and Gynecology, Kaiser Antioch Medical Center, Antioch, California.
Stacy Sterling1 Division of Research, Kaiser Permanente Northern California, Oakland, California.
Kathryn K Ridout4 Department of Psychiatry, Kaiser Permanente San Jose, San Jose, California.
Tracy Flanagan5 The Permanente Medical Group, Regional Offices, Kaiser Permanente Northern California, Oakland, California.

Funding

Identifying Risk Factors for Prenatal Substance and Polysubstance UseK01DA043604 · NIDA · KAISER FOUNDATION RESEARCH INSTITUTE · PI YOUNG-WOLFF, KELLY CORINNE · 2017 to 2021
$907k
NIDA NIH HHS K01 DA043604
6 · The paper itself

Abstract

introductionLittle is known about how exposure to adverse childhood experiences (ACEs) and protective factors, such as resilience, influence prenatal mental and behavioral health. This study examined associations between exposure to ACEs and mental and behavioral health during pregnancy overall and among women with high versus low levels of resilience. MATERIALS AND

methodsWomen in two Kaiser Permanente Northern California medical centers were screened for ACEs and resilience during prenatal care (∼14-23 weeks of gestation; N = 355). Multivariable logistic regression analyses examined associations between ACEs and prenatal mental and behavioral health conditions overall and for women with low (≤32) versus high (>32) resilience on the 10-item Connor-Davidson Resilience Scale.

resultsOverall, 54% of women reported 0 ACEs, 28% 1-2 ACEs, and 18% 3+ ACEs. Relative to women with 0 ACEs, those with 1-2 ACEs had higher odds of an anxiety or depressive disorder and intimate partner violence (IPV) (odds ratios [ORs] 2.42-3.12, p < 0.05), and those with 3+ ACEs had higher odds of an anxiety or depressive disorder, depression symptoms, and IPV (ORs 3.08-4.71, p < 0.05). In stratified analyses by high (56%) and low (44%) resilience, having one or more ACEs (vs. 0 ACEs) was only associated with worse mental and behavioral health in women with low resilience.

conclusionsACEs predicted mental and behavioral health conditions among pregnant women, and associations were the strongest among women with low levels of current resilience. Longitudinal research is needed to understand the causal mechanisms underlying these associations.

Indexed as

Resilience, PsychologicalAdultAdverse Childhood ExperiencesCaliforniaFemaleHumansIntimate Partner ViolenceMental DisordersPregnancyPregnant PeoplePrenatal CareSurveys and QuestionnairesYoung Adultadverse childhood experiencesintimate partner violencemental healthpregnancyresilience

Identifiers

PMID30183473
PMCPMC6482914

What OpenQuestion holds

Textmetadata
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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.