Evidence map›Paper›PMID 31450789›Full record

ArticleJournal of clinical medicine2019

Prenatal and Postnatal Hair Steroid Levels Predict Post-Partum Depression 12 Weeks after Delivery.

Leila Jahangard, Thorsten Mikoteit, Saman Bahiraei, Mehrangiz Zamanibonab, Mohammad Haghighi, Dena Sadeghi Bahmani, Serge Brand

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
6.4field-weighted citation impact, top 3% 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

21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 48 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

7 authors at 3 institutions in 3 countries.

Leila JahangardResearch Center for Behavioral Disorders and Substance Abuse, Hamadan University of Medical Sciences, 6516848741 Hamadan, Iran.
Thorsten MikoteitCenter for Affective, Stress and Sleep Disorders, Psychiatric Clinics, University of Basel, 4502 Basel, Switzerland.ORCID 0000-0003-2166-6330
Saman BahiraeiResearch Center for Behavioral Disorders and Substance Abuse, Hamadan University of Medical Sciences, 6516848741 Hamadan, Iran.
Mehrangiz ZamanibonabDepartment of Obstetrics & Gynecology, Hamadan University of Medical Sciences, 6516848741 Hamadan, Iran.
Mohammad HaghighiResearch Center for Behavioral Disorders and Substance Abuse, Hamadan University of Medical Sciences, 6516848741 Hamadan, Iran.
Dena Sadeghi BahmaniCenter for Affective, Stress and Sleep Disorders, Psychiatric Clinics, University of Basel, 4502 Basel, Switzerland.ORCID 0000-0002-1301-5522
Serge BrandCenter for Affective, Stress and Sleep Disorders, Psychiatric Clinics, University of Basel, 4502 Basel, Switzerland. serge.brand@upk.ch.ORCID 0000-0003-2175-2765
Hamedan University of Medical Sciences · IRUniversity of Basel · CHIsfahan University of Medical Sciences · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWithin three to six months after delivery, 13%-19% of women suffer from post-partum depression (PPD), understood as a dysfunctional adaptation to the postpartum condition and motherhood. In the present cross-sectional study, we compared the hair steroid levels of women 12 weeks before and after delivery and with or without PPD.

methodThe present study was a cross-sectional study conducted twelve weeks after delivery. At that time, 48 women (mean age: 25.9 years) with PPD and 50 healthy controls (mean age: 25.2 years) completed questionnaires on depressive symptoms. Further, at the same time point, 6 cm lengths of hair strands were taken, providing samples of hair steroids 12 weeks before and 12 weeks after delivery in order to analyze hair steroids (cortisol, cortisone, progesterone, testosterone, and dehydroepiandrosterone (DHEA)).

resultsCompared to those of women without PPD, hair steroid levels (cortisol, cortisone, progesterone) were significantly lower in women with PPD both before and after delivery. Lower prenatal cortisone and progesterone levels predicted higher depression scores 12 weeks after delivery. Lower prenatal levels of cortisol and progesterone and higher levels of DHEA, and postnatal lower levels of cortisol, cortisone, and progesterone, along with higher levels of DHEA predicted PPD-status with an accuracy of 98%.

conclusionsPPD is associated with blunted hair cortisol, cortisone, and progesterone secretions both pre- and postpartum. Such blunted steroid levels appear to reflect a stress responsivity that is less adaptive to acute and transient stressors. It follows that prenatally assessed low hair cortisol and progesterone levels, along with high DHEA levels, are reliable biomarkers of post-partum depression 12 weeks after delivery.

Indexed as

cortisolcortisoneDHEApost-partum depressionpre- and postnatal hair steroidsprogesteronetestosterone

Identifiers

PMID31450789
PMCPMC6780455
OpenAlexW2969858208

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.