ArticlePsychological trauma : theory, research, practice and policy2020
Trauma, psychiatric disorders, and treatment history among pregnant African American women.
Article in Psychological trauma : theory, research, practice and policy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
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Who cites it
36 citing papers in PubMed, 1 synthesis or guideline pooled it, 64 citations in OpenAlex.
- A systematic review of psychosocial screening tools for identification of postpartum mental health status beyond depressive symptoms.Midwifery · 2025Pooled it
- Comparing two posttraumatic stress disorder screening approaches to improve health outcomes in pregnant black women: a comparative effectiveness trial protocol.European journal of psychotraumatology · 2026Trial
- Exploring trauma-informed prenatal care preferences through diverse pregnant voices.BMC health services research · 2025Trial
- Post-traumatic stress disorder and adverse pregnancy and birth outcomes: a population-based study.European journal of psychotraumatology · 2026Article
- Breaking the cycle: a review of the impacts of maternal PTSD, adverse pregnancy outcomes, and health disparities among Black women.Maternal health, neonatology and perinatology · 2026Review
- Maternal lifetime stress and placental mitochondrial DNA mutational load: Effect modification by maternal characteristics.Placenta · 2026Article
- Maternal Mental Health and Labor Dysfunction: Prenatal Posttraumatic Stress Disorder, Labor Dystocia, and Unplanned Cesarean in a Cohort of Black Pregnant People.Research in nursing & health · 2026Article
- Closing a critical gap in perinatal mental health: The case for posttraumatic stress disorder screening in obstetric care.Pregnancy (Hoboken, N.J.) · 2026Article
- A Feasibility and Acceptability Trial of Narrative Exposure Therapy During Pregnancy.Behavior therapy · 2026Article
- Racial Discrimination-Related Interoceptive Network Disruptions: A Pathway to Disconnection.Biological psychiatry. Cognitive neuroscience and neuroimaging · 2026Article
- A Pilot Study Exploring the Feasibility of Virtual Written Exposure Therapy with Underserved Black Perinatal Women.Journal of racial and ethnic health disparities · 2025Article
- Maternal PTSD symptoms and sensitivity during caregiving in early postpartum: The moderating role of resting and reactive RSA in a trauma-exposed sample.Psychological medicine · 2025Article
- Longitudinal effects of pregnancy on PTSD symptoms in black female participants: Moderation by sexual trauma and progesterone.Psychoneuroendocrinology · 2025Article
- Breaking the Silence: A Scoping Literature Review on Trauma-Informed Care for Black Women Navigating Sexual Health-Related Trauma.International journal of environmental research and public health · 2025Article
- Examining the role of socioeconomic adversity on depressive symptoms during pregnancy among non-Hispanic Black women.SSM. Mental health · 2025Article
- Associations between pre- and postpartum posttraumatic stress symptoms and maternal functioning in Black trauma-exposed women.Journal of mood and anxiety disorders · 2025Article
- Integrating a trauma recovery center into an urban hospital setting serving multiply marginalized patients in the Southeastern United States.BMC health services research · 2025Article
- The Relations Among Childhood Maltreatment and Later Intimate Partner Violence Victimization With and Without a Weapon in a Sample of Pregnant Black Individuals.Journal of interpersonal violence · 2025Article
- A Trauma-informed Care Curriculum for Perinatal Providers, Staff, and Learners.MedEdPORTAL : the journal of teaching and learning resources · 2025Article
- Narrative Exposure Therapy: Expanding Virtual Treatment of Posttraumatic Stress Disorder to the Postpartum Period.Journal of aggression, maltreatment & trauma · 2025Article
Corrections and comments
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Authors and funding
10 authors at 1 institution in 1 country.
Funding
Abstract
objectivePregnant African American women living in low-income urban communities have high rates of trauma exposure and elevated risk for the development of trauma-related disorders, including posttraumatic stress disorder (PTSD) and depression. Yet, engagement in behavioral health services is lower for African American women than Caucasian women. Limited attention has been given to identifying trauma exposure and PTSD, especially within at-risk communities. The present study examined rates of trauma exposure, PTSD, depression, and behavioral health treatment engagement in an obstetrics/gynecology (OB/GYN) clinic within an urban hospital.
methodThe study included 633 pregnant African American women screened within the OB/GYN clinic waiting room; 55 of the women also participated in a subsequent detailed clinical assessment based on eligibility for a separate study of intergenerational risk for trauma and PTSD in African American mother-child dyads.
resultsOverall, 98% reported trauma exposure, approximately one third met criteria for probable current PTSD, and one third endorsed moderate-or-severe depression based on self-report measures. Similar levels were found based on clinical assessments in the subsample. While 18% endorsed depression treatment, only 6% received treatment for PTSD. In a subsample of women with whom chart reviews were conducted (
conclusionResults of the current study highlight elevated levels of trauma exposure, PTSD, and depression in low-income, African American pregnant women served by this urban clinic, and demonstrate the need for better identification of trauma-related disorders and appropriate linkage to culturally responsive care especially for PTSD. (PsycINFO Database Record (c) 2020 APA, all rights reserved).
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Registered trials
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.