Evidence map›Paper›PMID 31357958›Full record

ArticleBMC psychiatry2019

The effect of perceived social support during early pregnancy on depressive symptoms at 6 weeks postpartum: a prospective study.

Yuexin Gan, Ran Xiong, Junjiao Song, Xinli Xiong, Fei Yu, Weiming Gao, Hui Hu, Jinsong Zhang, Ying Tian, Xiaobo Gu and 2 more

Open access · goldAbstract readEvaluation Study
In one paragraph

Article in BMC psychiatry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
6.0field-weighted citation impact, top 4% 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

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 52 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

12 authors at 3 institutions in 1 country.

Yuexin GanMinistry of Education-Shanghai Key Laboratory of Children's Environmental Health, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, 1665 Kongjiang Road, Shanghai, 200092, China.
Ran XiongDepartment of Neurology, East Hospital, Tongji University School of Medicine, Shanghai, 200120, China.
Junjiao SongMinistry of Education-Shanghai Key Laboratory of Children's Environmental Health, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, 1665 Kongjiang Road, Shanghai, 200092, China.
Xinli XiongDepartment of Neurology, East Hospital, Tongji University School of Medicine, Shanghai, 200120, China.
Fei YuDepartment of Neurology, East Hospital, Tongji University School of Medicine, Shanghai, 200120, China.
Weiming GaoDepartment of Neurology, East Hospital, Tongji University School of Medicine, Shanghai, 200120, China.
Hui HuDepartment of Neurology, East Hospital, Tongji University School of Medicine, Shanghai, 200120, China.
Jinsong ZhangDepartment of Medical Psychology, Xinhua hospital affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Ying TianMinistry of Education-Shanghai Key Laboratory of Children's Environmental Health, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, 1665 Kongjiang Road, Shanghai, 200092, China.
Xiaobo GuDepartment of Neurology, East Hospital, Tongji University School of Medicine, Shanghai, 200120, China. gxb0033@163.com.
Jun ZhangMinistry of Education-Shanghai Key Laboratory of Children's Environmental Health, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, 1665 Kongjiang Road, Shanghai, 200092, China. zhangjun@xinhuamed.com.cn.
Dan ChenMinistry of Education-Shanghai Key Laboratory of Children's Environmental Health, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, 1665 Kongjiang Road, Shanghai, 200092, China. simpledandan1981@163.com.
Shanghai East Hospital · CNShanghai Jiao Tong University · CNXinHua Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPostpartum depression was associated with maternal suffering and diminished functioning, increased risk of marital conflict as well as adverse child outcomes. Perceived social support during pregnancy was associated with postpartum depression among women. However, its causal relationship remains unclear. Therefore, we prospectively evaluate the association between perceived social support during early pregnancy and postpartum depressive symptoms.

methodsWe prospectively examined whether perceived social support during early pregnancy affected depressive symptoms at 6 weeks postpartum in a cohort of 3310 women. Perceived social support and postpartum depression were assessed by ENRICHD Social Support Instrument (ESSI) and the postpartum Edinburgh Postpartum Depression Scale (EPDS), respectively. Prevalence of postpartum depressive symptoms was 11.4% (EPDS cutoff≥10). As a test of heterogeneity of association in subpopulations, logistic regression models were performed to analyze the association between social support and postpartum depressive symptoms in strata which were defined by the potential confounder candidates. After multiple imputation, multivariable logistic regression was performed to assess the effect of social support on postpartum symptoms in individual items and total score. Two models were built. Model I adjusted for the variables associated with social support or postpartum depression and changed the association estimates by ≥10%. Model II adjusted for all variables that may be related to social support or postpartum depression.

resultsSignificant associations between low perceived social support and postpartum depressive symptoms was found(Model I odds ratio: 1.63, 95% confidence interval: 1.15, 2.30; Model II odds ratio: 1.77, 95% confidence interval: 1.24-2.52). Stratified analyses showed that there was little evidence of heterogeneity of association in subpopulations by basic characteristics of participants.

conclusionsThese findings suggest that early intervention may be able to help protect against depression symptoms at 6 weeks postpartum.

Indexed as

Social SupportAdultDepression, PostpartumFemaleHumansLogistic ModelsOdds RatioPerceptionPostpartum PeriodPregnancyPrenatal CarePrevalenceProspective StudiesPsychiatric Status Rating ScalesPostpartum depressionPostpartum depressive symptomsPregnancyProspective studySocial support

Identifiers

PMID31357958
PMCPMC6664519
OpenAlexW2964642650

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.