Evidence map›Paper›PMID 32353278›Full record

ArticleThe lancet. Psychiatry2020

Maternal perinatal depressive symptoms and offspring psychotic experiences at 18 years of age: a longitudinal study.

Ramya Srinivasan, Rebecca M Pearson, Sonia Johnson, Gemma Lewis, Glyn Lewis

Open access · hybridAbstract read
In one paragraph

Article in The lancet. Psychiatry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 3 pooled it
7.0field-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.

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, 3 syntheses or guidelines pooled it, 58 citations in OpenAlex.

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  3. Research Review: Developmental origins of depression - a systematic review and meta-analysis.Journal of child psychology and psychiatry, and allied disciplines · 2021
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Ramya SrinivasanDivision of Psychiatry, Faculty of Brain Sciences, University College London, London, UK. Electronic address: ramya.srinivasan.12@ucl.ac.uk.
Rebecca M PearsonPopulation Health Sciences, University of Bristol, Bristol, UK.
Sonia JohnsonDivision of Psychiatry, Faculty of Brain Sciences, University College London, London, UK.
Gemma LewisDivision of Psychiatry, Faculty of Brain Sciences, University College London, London, UK.
Glyn LewisDivision of Psychiatry, Faculty of Brain Sciences, University College London, London, UK.
Faculty (United Kingdom) · GBUniversity of Bristol · GB

Funding

Medical Research Council G0701503Medical Research Council G0701503/85179Medical Research Council G9815508Medical Research Council MC_PC_15018Medical Research Council MC_PC_19009Wellcome TrustWellcome Trust 084268/Z/07/ZWellcome Trust 102215/2/13/2Wellcome Trust 211163/Z/18/Z
6 · The paper itself

Abstract

backgroundEvidence exists that maternal depression in the perinatal period has an adverse effect on a range of early childhood outcomes and increases the risk of offspring depression during adolescence. However, the association between maternal depression during the perinatal period and offspring psychotic experiences has not been investigated. We aimed to investigate whether there is an association between maternal antenatal or postnatal depression and offspring psychotic experiences at 18 years of age.

methodsThis longitudinal study used data from the Avon Longitudinal Study of Parents and Children (ALSPAC), a prospective birth cohort, which recruited 14 541 pregnant women with an estimated delivery date between April 1, 1991, and Dec 31, 1992. Perinatal depression was measured using the Edinburgh Postnatal Depression Scale (EPDS); offspring psychotic experiences at 18 years of age were measured using the Psychosis-Like Symptom Interview. Offspring of mothers with complete data on maternal perinatal depression measures, and complete data on outcome (psychotic experiences) and confounding variables were included in the main analysis. For the main analysis, we used logistic regression to examine the associations between maternal depression (antenatal and postnatal) and offspring psychotic experiences at the age of 18 years. We used biprobit regression to model the association between maternal antenatal depression and the two offspring outcomes (psychotic experiences and depression) at 18 years of age jointly.

findings3067 offspring for whom data were available on maternal perinatal depression and offspring psychotic experiences aged 18 years were included in analyses. Maternal antenatal depressive symptoms were associated with offspring psychotic experiences at 18 years of age, with an unadjusted odds ratio (OR) of 1·38 (95% CI 1·18-1·61, p=0·0001) and after adjustment for confounders, an OR of 1·26 (1·06-1·49, p=0·0074). Maternal antenatal depressive symptoms were associated with both offspring psychotic experiences at the age of 18 years (n=2830, OR for a 5-point increase in EPDS score: 1·32 [95% CI 1·16-1·51], p<0·0001) and offspring depression at 18 years (OR for a 5-point increase in EPDS score: 1·18 [1·03-1·34], p=0·016). From joint modelling, there was no evidence that the association between maternal antenatal depression and offspring psychotic experiences differed in strength compared with offspring depression (p=0·19).

interpretationThe offspring of mothers who experience depression in the perinatal period are more likely to report psychotic experiences at 18 years of age. If the association is found to be causal, it would strengthen the case for identifying and treating maternal depression during and after pregnancy.

fundingUK Medical Research Council and the Wellcome Trust.

Indexed as

Depression, PostpartumAdolescentAdultChild of Impaired ParentsDepressionEnglandFemaleHumansLogistic ModelsLongitudinal StudiesMalePregnancyPregnancy ComplicationsPrenatal Exposure Delayed EffectsPsychotic DisordersYoung Adult

Identifiers

PMID32353278
PMCPMC7606907
OpenAlexW3018318995

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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.