ArticleDepression and anxiety2019
Four maternal characteristics determine the 12-month course of chronic severe postpartum depressive symptoms.
Article in Depression and anxiety, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Exploring Heterogeneity in perinatal depression: a comprehensive review.BMC psychiatry · 2023Pooled it
- Long-term effects of mHealth consultation services on postpartum depressive symptoms and the mediating role of loneliness: A follow-up study of a randomized controlled trial.Psychological medicine · 2025Trial
- Postpartum Depression and the Emerging Mother-Infant Relationship: Associations With Selective Serotonin Reuptake Inhibitor Medication Use.JAACAP open · 2026Article
- Socio-demographic factors, informal payments and satisfaction with childbirth in the Hungarian context.BMC pregnancy and childbirth · 2025Article
- Health education and postpartum depression: exploring associations in clinical data.Frontiers in psychiatry · 2025Article
- Social determinants of antidepressant continuation during pregnancy in the USA: findings from the ABCD cohort study.Archives of women's mental health · 2024Article
- A panel network analysis of posttraumatic stress disorder and obsessive-compulsive disorder symptoms across the perinatal period.Journal of psychopathology and clinical science · 2024Article
- The long-term course and prognosis of postpartum depression: a retrospective longitudinal cohort study.Archives of women's mental health · 2024Article
- Feeling better? - Identification, interventions, and remission among women with early postpartum depressive symptoms in Sweden: a nested cohort study.European psychiatry : the journal of the Association of European Psychiatrists · 2024Article
- Remission or Persistence? A Prediction Tool to Identify Women at Risk for Long-Term Depressive Symptoms Postpartum.Depression and anxiety · 2024Article
- Long-Term Effects of Maternal Depression during Postpartum and Early Parenthood Period on Child Socioemotional Development.Children (Basel, Switzerland) · 2023Article
- Psychoneuroimmunology in the context of perinatal depression - Tools for improved clinical practice.Brain, behavior, & immunity - health · 2021Article
- Postpartum depression symptoms in survey-based research: a structural equation analysis.BMC public health · 2021Article
- Trajectories of maternal depressive symptoms from the antenatal period to 24-months postnatal follow-up: findings from the 2015 Pelotas birth cohort.BMC psychiatry · 2020Article
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Authors and funding
6 authors.
Funding
Abstract
backgroundPostpartum depression is a heterogeneous disorder in phenotype and etiology. Characterizing the longitudinal course of depressive symptoms over the first year after birth and identifying variables that predict distinct symptom trajectories will expedite efficient mental health treatment planning. The purpose was to determine 12-month trajectories of postpartum depressive symptoms, identify characteristics that predict the trajectories, and provide a computational algorithm that predicts trajectory membership.
methodsA prospective cohort of women delivering at an academic medical center (2006-2011) was recruited from an urban women's hospital in Pittsburgh, PA. Women with a postpartum depressive disorder (n = 507) participated and completed symptom severity assessments at 4-8 weeks (intake), 3 months, 6 months, and 12 months. Women were predominantly Caucasian (71.8%), married (53.3%), and college educated (38.7%). Clinician interviews of depressive symptom severity, medical and psychiatric history, assessment of function, obstetric experience, and infant status were conducted.
resultsAnalyses resulted in identification of three distinct trajectories of depressive symptoms: (1) gradual remission (50.4%), (2) partial improvement (41.8%), and (3) chronic severe (7.8%). Key predictive characteristics of the chronic severe versus gradual remission and partial improvement trajectories included parity, education, and baseline global functioning and depression severity. We were able to predict trajectory membership with 72.8% accuracy from these characteristics.
conclusionsFour maternal characteristics predicted membership in the chronic severe versus gradual remission and partial improvement trajectories with 72.8% accuracy. The trajectory groups comprise clinically relevant subgroups with the potential for tailored treatments to reduce the disease burden of postpartum depression.
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