Evidence map›Paper›PMID 33109744›Full record

ArticlePediatrics2020

Trajectories of Maternal Postpartum Depressive Symptoms.

Diane L Putnick, Rajeshwari Sundaram, Erin M Bell, Akhgar Ghassabian, Risë B Goldstein, Sonia L Robinson, Yassaman Vafai, Stephen E Gilman, Edwina Yeung

Abstract read
In one paragraph

Article in Pediatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 79 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
79citing papers in PubMed, 5 pooled it
–field-weighted citation impact
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

79 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Postnatal Depression Beyond 12 Months: A Systematic Review and Meta-Analysis.International journal of mental health nursing · 2025
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  13. "Journal of clinical medicine · 2026
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  19. Engage & connect psychotherapy improves social reward responsivity and reduces postpartum depression.Psychotherapy research : journal of the Society for Psychotherapy Research · 2025
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19 more citing papers are in PubMed but not listed here.

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

9 authors.

Diane L PutnickEpidemiology Branch, putnickd@mail.nih.gov.
Rajeshwari SundaramBiostatistics and Bioinformatics Branch, and.
Erin M BellDepartment of Environmental Health Sciences, School of Public Health, University at Albany, Albany, New York.
Akhgar GhassabianDepartments of Pediatrics, Environmental Medicine, and Population Health, Grossman School of Medicine, New York University, New York, New York; and.
Risë B GoldsteinSocial and Behavioral Sciences Branch, Division of Intramural Population Health Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, Maryland.
Sonia L RobinsonEpidemiology Branch.
Yassaman VafaiEpidemiology Branch.
Stephen E GilmanSocial and Behavioral Sciences Branch, Division of Intramural Population Health Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, Maryland.
Edwina YeungEpidemiology Branch.

Funding

Intramural NIH HHS Z99 HD999999Intramural NIH HHS ZIA HD008937NICHD NIH HHS HHSN267200700019CNICHD NIH HHS HHSN275201200005C
6 · The paper itself

Abstract

objectivesTo identify homogenous depressive symptom trajectories over the postpartum period and the demographic and perinatal factors linked to different trajectories.

methodsMothers (

resultsFour depression trajectories were identified: low-stable (74.7%), characterized by low symptoms at all waves; low-increasing (8.2%), characterized by initially low but increasing symptoms; medium-decreasing (12.6%), characterized by initially moderate but remitting symptoms; and high-persistent (4.5%), characterized by high symptoms at all waves. Compared with the high-persistent group, older mothers (maximum odds ratio [OR] of the 3 comparisons: 1.10; 95% confidence interval [CI]: 1.05 to 1.15) or those with college education (maximum OR: 2.52; 95% CI: 1.36 to 4.68) were more likely to be in all other symptom groups, and mothers who had a history of mood disorder (minimum OR: 0.07; 95% CI: 0.04 to 0.10) or gestational diabetes mellitus diagnosis (minimum OR: 0.23; 95% CI: 0.08 to 0.68) were less likely to be in other symptom groups. Infertility treatment, multiple births, prepregnancy BMI, gestational hypertension, and infant sex were not differentially associated with depressive symptom trajectories.

conclusionsOne-quarter of mothers in a population-based birth cohort had elevated depressive symptoms in 3 years postpartum. Screening for maternal depression beyond the postpartum period may be warranted, particularly after mood and diabetic disorders.

Indexed as

AdolescentAdultCohort StudiesDepression, PostpartumFemaleHumansMiddle AgedSymptom AssessmentTime FactorsYoung Adult

Identifiers

PMID33109744
PMCPMC7772818

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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.