ArticleFrontiers in psychiatry2020
Network Analyses of Maternal Pre- and Post-Partum Symptoms of Depression and Anxiety.
Article in Frontiers in psychiatry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.
- Exploring Heterogeneity in perinatal depression: a comprehensive review.BMC psychiatry · 2023Pooled it
- Effect of Citrus aurantium capsules on peripartum anxiety and postpartum blues: a randomized triple -blind clinical trial.BMC complementary medicine and therapies · 2026Trial
- Maternal mood, anxiety and mental health functioning after combined myo-inositol, probiotics, micronutrient supplementation from preconception: Findings from the NiPPeR RCT.Psychiatry research · 2024Trial
- Symptom-specific intervention targets for depression and anxiety among older adults by physical multimorbidity patterns: a simulation-based network analysis.Social psychiatry and psychiatric epidemiology · 2026Article
- Stable structure, shifting links: How depression-anxiety symptom networks reconfigure from pregnancy to postpartum.European psychiatry : the journal of the Association of European Psychiatrists · 2026Article
- Network analysis of PTSD symptoms following childbirth and comorbid conditions among women with sexual trauma history.Archives of women's mental health · 2025Article
- The association between bedtime smartphone use and anxiety symptoms: a network analysis of Chinese residents.BMC psychiatry · 2025Article
- Network analysis of postpartum depression symptoms and perinatal risk factors in Chinese women: a prospective observational study.Frontiers in psychology · 2025Article
- Network analysis of depressive and anxiety symptoms in older Chinese adults with diabetes mellitus.Frontiers in psychiatry · 2024Article
- Network structure of mobile phone addiction and anxiety symptoms among rural Chinese adolescents.BMC psychiatry · 2023Article
- Major depressive episode and postpartum depression: A network analysis comparison on the IGEDEPP cohort.European psychiatry : the journal of the Association of European Psychiatrists · 2023Article
- Which roads lead to depression in Latinas? A network analysis of prenatal depressive symptoms, discrimination, acculturative stress, and low birth weight.Research in nursing & health · 2022Article
- Psychological Interventions for Prenatal Anxiety in Latinas and Black Women: A Scoping Review and Recommendations.Frontiers in psychiatry · 2022Article
- Network analysis of anxiety and depressive symptoms among nursing students during the COVID-19 pandemic.Journal of affective disorders · 2021Article
- Does One Treatment Fit All? Effectiveness of a Multicomponent Cognitive Behavioral Therapy Program in Data-Driven Subtypes of Perinatal Depression.Frontiers in psychiatry · 2021Article
- Maternal and Paternal Depression During Pregnancy in China: Prevalence, Correlates, and Network Analysis.Neuropsychiatric disease and treatment · 2021Article
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Authors and funding
6 authors at 5 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMaternal mental health problems often develop prenatally and predict post-partum mental health. However, the circumstances before and following childbirth differ considerably. We currently lack an understanding of dynamic variation in the profiles of depressive and anxiety symptoms over the perinatal period.
methodsDepressive and anxiety symptoms were self-reported by 980 women at 26-week pregnancy and 3 months post-partum. We used network analysis of depressive and anxiety symptoms to investigate if the symptoms network changed during and after pregnancy. The pre- and post-partum depressive-anxiety symptom networks were assessed for changes in structure, unique symptom-symptom interactions, central and bridging symptoms. We also assessed if central symptoms had stronger predictive effect on offspring's developmental outcomes outcomes at birth and 24, 54, and 72 months old than non-central symptoms. Bridging symptoms between negative and positive mental health were also assessed.
resultsThough the depressive-anxiety network structures were stable during and after pregnancy, the post-partum network was more strongly connected. The central depressive-anxiety symptoms were also different between prenatal and post-partum networks. During pregnancy, central symptoms were mostly related to feeling worthless or useless; after pregnancy, central symptoms were mostly related to feeling overwhelmed or being punished. Central symptoms during pregnancy were associated with poorer developmental outcomes for the child. Anxiety symptoms were strongest bridging symptoms during and after pregnancy. The interactions between negative and positive mental health symptoms were also different during and after pregnancy.
conclusionsThe differences between pre- and post-partum networks suggest that the presentation of maternal mental health problems varies over the peripartum period. This variation is not captured by traditional symptom scale scores. The bridging symptoms also suggest that anxiety symptoms may precede the development of maternal depression. Interventions and public health policies should thus be tailored to specific pre- and post-partum symptom profiles.
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