Evidence map›Paper›PMID 30888077›Full record

ArticleResearch in nursing & health2019

Predictors of psychological distress in low-income mothers over the first postpartum year.

Harry Adynski, Catherine Zimmer, John Thorp, Hudson P Santos

Open access · greenAbstract read
In one paragraph

Article in Research in nursing & health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 4 pooled it
3.8field-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

17 citing papers in PubMed, 4 syntheses or guidelines pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  4. Pooled it
  5. Trial
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  12. Allostatic Load and Adverse Pregnancy Outcomes.Obstetrics and gynecology · 2022
    Observational
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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

4 authors at 1 institution in 1 country.

Harry AdynskiSchool of Nursing, PhD Division, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.ORCID 0000-0002-1375-232X
Catherine ZimmerOdum Institute for Research in Social Science, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
John ThorpDepartment of Obstetrics and Gynecology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Hudson P SantosSchool of Nursing, PhD Division, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.ORCID 0000-0002-4040-366X
University of North Carolina at Chapel Hill · US

Funding

Research Services CoreP2CHD050924 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KAREN B GUZZO · 2015 to 2026
$9.6M
Community Child Health Network-Lake County, ILU01HD044226 · NICHD · NORTHSHORE UNIV HEALTHSYSTEM RES INST · PI SHALOWITZ, MADELEINE ULLMAN · 2003 to 2011
$3.9M
Community Response to Maternal/Child Health DisparitiesU01HD044245 · NICHD · CEDARS-SINAI MEDICAL CENTER · PI HOBEL, CALVIN J. · 2003 to 2011
$3.4M
Community Child Health Network: District of ColumbiaU01HD044253 · NICHD · VIRGINIA POLYTECHNIC INST AND ST UNIV · PI RAMEY, SHARON LANDESMAN · 2007 to 2011
$3.3M
Community Child Health Network: BaltimoreU01HD044207 · NICHD · ST. MICHAEL'S HOSPITAL · PI VANCE, MAXINE · 2003 to 2012
$3.2M
Community Maternal &Child Health-Eastern North CarolinaU01HD044219 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI THORP, JOHN M · 2003 to 2011
$3.1M
Data Coordination and Analyses Center for the Community and Child Health NetworkU01HD054791 · NICHD · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI CHINCHILLI, VERNON M · 2006 to 2011
$2.7M
Community Child Health Research in Washington, D.C.U01NR008929 · NINR · GEORGETOWN UNIVERSITY · PI RAMEY, SHARON LANDESMAN · 2003 to 2006
$630k
Documenting the CAPPR Process in the L.A. Site of the Community Child Health NetwR03HD059584 · NICHD · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI WRIGHT, KYNNA N · 2008 to 2009
$138k
Eunice Kennedy Shriver National Institute of Child Health and Human Development R03 HD59584Eunice Kennedy Shriver National Institute of Child Health and Human Development U HD44Eunice Kennedy Shriver National Institute of Child Health and Human Development U HD44207Eunice Kennedy Shriver National Institute of Child Health and Human Development U HD44219Eunice Kennedy Shriver National Institute of Child Health and Human Development U HD44226Eunice Kennedy Shriver National Institute of Child Health and Human Development U HD44226-05S1Eunice Kennedy Shriver National Institute of Child Health and Human Development U HD44245Eunice Kennedy Shriver National Institute of Child Health and Human Development U HD44245-06S1Eunice Kennedy Shriver National Institute of Child Health and Human Development U HD44253Eunice Kennedy Shriver National Institute of Child Health and Human Development U HD54019Eunice Kennedy Shriver National Institute of Child Health and Human Development U HD54791National Institute for Nursing Research U NR008929NICHD NIH HHS P2C HD050924NICHD NIH HHS R03 HD059584NICHD NIH HHS U01 HD044207NICHD NIH HHS U01 HD044219NICHD NIH HHS U01 HD044226NICHD NIH HHS U01 HD044245NICHD NIH HHS U01 HD044253NICHD NIH HHS U01 HD054791NINR NIH HHS U01 NR008929
6 · The paper itself

Abstract

Up to 25% of postpartum women experience psychological distress including stress, depressive, or anxiety symptoms during the postpartum period. The purpose of this study was to explore the extent to which social determinants of health and allostatic load score, a 10-item index of biologic measures of chronic stress, predict psychological distress in low-income pregnant women over the first postpartum year. We conducted a secondary data analysis of the Child Community Health Research Network data set. The psychological distress outcome variables were perceived stress (n = 842), depression ( n = 845), and anxiety ( n = 846) symptoms, all measured categorically over the first year postpartum (T1:1 month, T2: 24-29 weeks, and T3: 50-65 weeks). Our predictors were social determinants of health (e.g., demographics, maternal hardship, percent poverty level, interpersonal violence, and food security) and allostatic load score. Generalized linear mixed models were used to determine which predictors were significantly associated with psychological distress symptoms across the first postpartum year. Interpersonal violence was a statistically significant risk factor for stress, depression, and anxiety symptoms over the first year postpartum. Other significant risk factors included low-income level, nativity, and perceived food security. Receiving food stamps was a significant protective factor for stress symptoms. The significance of risk factors for psychological distress, both modifiable and nonmodifiable, can be used as potential targets for further research, screening, and intervention. Future work should explore why and in what conditions these risk factors vary over time.

Indexed as

PovertyAdultAnxietyDepressionDepression, PostpartumFemaleHumansMothersParentingPostpartum PeriodStress, PsychologicalYoung Adultallostatic loadanxietychronic stresslow-income motherspostpartum depressionpsychological distresssocial determinants of health

Identifiers

PMID30888077
PMCPMC6472896
OpenAlexW2924695228

What OpenQuestion holds

Textmetadata
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Read underepoch 390

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.