Evidence map›Paper›PMID 31650283›Full record

ArticleArchives of women's mental health2020

Beyond postpartum depression: posttraumatic stress-depressive response following childbirth.

Sharon Dekel, Tsachi Ein-Dor, Gabriella A Dishy, Philip A Mayopoulos

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Archives of women's mental health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05662423 (The Effects of Expressive Writing Following Traumatic Childbirth), which is not on this map. Cited by 49 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 2 pooled it
8.0field-weighted citation impact, top 2% 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.

NCT05662423 nacompletednot on this mapstarted 2023, after this paper: background citation

The Effects of Expressive Writing Following Traumatic Childbirth

TypeinterventionalSponsorMassachusetts General HospitalRan2023 to 2026Enrolled66ConditionsPTSD (Childbirth-Related)ArmsExpressive Writing about Childbirth, Neutral Writing
3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 2 syntheses or guidelines pooled it, 120 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Perceived connectedness during the perinatal period: Implications for parent and child well-being.Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association (Division 43) · 2026
    Review
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  6. Disrespectful Maternity Care and Postpartum Depression at 2 Months: A Population-Based Study.BJOG : an international journal of obstetrics and gynaecology · 2026
    Article
  7. Validation of the City Birth Trauma Scale in a sample of Norwegian mothers.Acta obstetricia et gynecologica Scandinavica · 2026
    Article
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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 2 institutions in 2 countries.

Sharon DekelDepartment of Psychiatry, Massachusetts General Hospital, Boston, MA, USA. sdekel@mgh.harvard.edu.
Tsachi Ein-DorSchool of Psychology, Interdisciplinary Center (IDC), Herzliya, Israel.
Gabriella A DishyDepartment of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
Philip A MayopoulosDepartment of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
Massachusetts General Hospital · USReichman University · IL

Funding

Intranasal oxytocin as a means to enhance mother-infant bonding in the early postpartum periodR21HD090396 · NICHD · MASSACHUSETTS GENERAL HOSPITAL · PI DEKEL, SHARON · 2018 to 2019
$463k
NICHD NIH HHS R21 HD090396
6 · The paper itself

Abstract

Although depression following childbirth is well recognized, much less is known about comorbid postpartum psychiatric conditions. Some women can endorse posttraumatic stress related to the childbirth experience accompanied by symptoms of depression. The objective of our study was to examine the nature of the comorbidity of symptoms of childbirth-related posttraumatic stress disorder (PTSD) and postpartum depression. We studied a sample of 685 women who were on average 3 months following childbirth and collected data about their mental health pertaining to PTSD, depression, general distress, and childbirth experience. The vast majority of women with elevated childbirth-related PTSD symptoms also endorsed elevated postpartum depression symptoms. Factor analysis revealed that symptoms of childbirth-related PTSD and postpartum depression loaded onto one single factor rather than two factors. Stepwise multi-nominal regression analysis revealed that childbirth stressors, including obstetric complications and peritraumatic distress in birth, predicted the likelihood of developing comorbid childbirth-related PTSD and postpartum depression, but not depression alone. The findings suggest that beyond postpartum depression, postpartum women suffer from a posttraumatic stress-depressive response in the wake of a traumatic childbirth experience. Increasing awareness in routine postpartum care about traumatic childbirth and its associated emotional sequela is warranted.

Indexed as

AdultComorbidityDelivery, ObstetricDepressionDepression, PostpartumFemaleHumansMental HealthParturitionPostpartum PeriodStress Disorders, Post-TraumaticSurveys and QuestionnairesFactor analysisPostpartum depressionPosttraumatic stressPTSDTraumatic childbirth

Identifiers

PMID31650283
PMCPMC7182486
OpenAlexW2982086055

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.