Evidence map›Paper›PMID 33345933›Full record

Trial reportAmerican journal of obstetrics & gynecology MFM2020

Preventing maternal mental health disorders in the context of poverty: pilot efficacy of a dyadic intervention.

Pamela Scorza, Catherine Monk, Seonjoo Lee, Tianshu Feng, Obianuju O Berry, Elizabeth Werner

Open access · greenAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in American journal of obstetrics & gynecology MFM, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
0.9field-weighted citation impact, top 22% 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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. A Supported Online Resilience-Enhancing Intervention for Pregnant Women: A Non-Randomized Pilot Study.International journal of environmental research and public health · 2024
    Trial
  5. Article
  6. Review
  7. Article
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

6 authors at 3 institutions in 1 country.

Pamela ScorzaDepartments of Obstetrics and Gynecology, Columbia University, New York, NY. Electronic address: pls2122@cumc.columbia.edu.
Catherine MonkDepartments of Obstetrics and Gynecology, Columbia University, New York, NY; Psychiatry, Columbia University, New York, NY; New York State Psychiatric Institute, New York, NY.
Seonjoo LeeNew York State Psychiatric Institute, New York, NY.
Tianshu FengNew York State Psychiatric Institute, New York, NY.
Obianuju O BerryPsychiatry, Columbia University, New York, NY.
Elizabeth WernerDepartments of Obstetrics and Gynecology, Columbia University, New York, NY; Psychiatry, Columbia University, New York, NY.
New York Psychoanalytic Society and Institute · USColumbia University · USColumbia University Irving Medical Center · US

Funding

Mothers' childhoods and the intergenerational transmission of mental health risk in the context of adversityK01MH117443 · NIMH · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI SCORZA BIANCHOTTI, PAMELA LORRAINE · 2019 to 2022
$717k
NIMH NIH HHS K01 MH117443
6 · The paper itself

Abstract

backgroundThe United States Preventive Services Task Force recommends that clinicians provide or refer pregnant and postpartum women who are at an increased risk of perinatal depression to counseling interventions. However, this prevention goal requires effective interventions that reach women at risk of, but before, the development of a depressive disorder.

objectiveWe describe a pilot efficacy trial of a novel dyadic intervention to prevent common maternal mental health disorders, that is, Practical Resources for Effective Postpartum Parenting, in a sample of women at risk of maternal mental health disorders based on poverty status. We hypothesized that Practical Resources for Effective Postpartum Parenting compared with enhanced treatment as usual would reduce symptoms of maternal mental health disorders after birth. STUDY

designA total of 60 pregnant women who were recruited from obstetrical practices at Columbia University Irving Medical Center were randomized to the Practical Resources for Effective Postpartum Parenting (n=30) or enhanced treatment as usual (n=30) intervention. The Edinburgh Postnatal Depression Scale, Hamilton Depression Rating Scale, Hamilton Anxiety Rating Scale, and Patient Health Questionnaire were used to compare maternal mood at 6 weeks, 10 weeks, and 16 weeks after delivery.

resultsAt 6 weeks after delivery, women randomized to Practical Resources for Effective Postpartum Parenting had lower mean Edinburgh Postnatal Depression scores (P=.018), lower mean Hamilton Depression scores (P<.001), and lower mean Hamilton Anxiety scores (P=.041); however, the incidence of postpartum mental disorders did not differ by treatment group.

conclusionThe Practical Resources for Effective Postpartum Parenting, which is an intervention integrated within obstetrical care, improves subclinical symptomology for at-risk dyads at a crucial time in the early postpartum period; however, our study did not detect reductions in the incidence of postpartum mental disorders.

Indexed as

Depression, PostpartumMental HealthFemaleHumansPostpartum PeriodPovertyPregnancyPsychiatric Status Rating ScalesUnited Statesmaternal mental health disorderspostpartum depressionprevention

Identifiers

PMID33345933
PMCPMC7893538
OpenAlexW3091296628

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.