ArticleJournal of psychiatric research2021
Racial and ethnic disparities in posttraumatic psychopathology among postpartum women.
Article in Journal of psychiatric research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A systematic review of psychosocial screening tools for identification of postpartum mental health status beyond depressive symptoms.Midwifery · 2025Pooled it
- Bridges to treatment satisfaction: the roles of trauma, social support, race and ethnicity among perinatal women receiving behavioural activation therapy.BMC medicine · 2025Trial
- Pathways to Birth Trauma: Prenatal PTSD as a Mediator Between Adverse Childhood Experiences and Childbirth-Related PTSD Symptoms.Birth (Berkeley, Calif.) · 2026Article
- Listening to Unheard Voices: Addressing Systemic Racism to Improve Maternity Care for Black Women After Perinatal Loss.International journal of environmental research and public health · 2026Article
- Postpartum behavioral health screening and engagement among a predominantly Hispanic, Spanish-speaking underserved population.Pregnancy (Hoboken, N.J.) · 2026Article
- A Pilot Study Exploring the Feasibility of Virtual Written Exposure Therapy with Underserved Black Perinatal Women.Journal of racial and ethnic health disparities · 2025Article
- Self-Advocacy Among Black Women During the Perinatal Period: Prevalence and Relationship to Patient Experiences.Birth (Berkeley, Calif.) · 2025Article
- Experiences of attending prenatal ultrasounds during the COVID-19 pandemic in Australia: A cross-sectional survey.Birth (Berkeley, Calif.) · 2025Article
- What's next for the field of multigenerational mental health? The need for deep behavioral phenotyping via a prenatal mental health registry.Development and psychopathology · 2024Article
- From pregnancy to the postpartum: Unraveling the complexities of symptom profiles among trauma-exposed women.Journal of affective disorders · 2024Article
- Parental Preconception Posttraumatic Stress Symptoms and Maternal Prenatal Inflammation Prospectively Predict Shorter Telomere Length in Children.Psychosomatic medicine · 2024Article
- Perinatal Posttraumatic Stress Disorder Diagnoses Among Commercially Insured People Increased, 2008-20.Health affairs (Project Hope) · 2024Article
- Expanding the reach and scalability of perinatal mental health interventions.Nature medicine · 2024Article
- Preconception maternal posttraumatic stress and child negative affectivity: Prospectively evaluating the intergenerational impact of trauma.Development and psychopathology · 2023Article
- Risk for trauma-related distress following difficult childbirth: Trajectories of traumatic intrusions across 2 years postpartum.Archives of women's mental health · 2023Article
- Posttraumatic stress disorder and coping strategies in the postpartum period: A symptomics approach.Journal of psychiatric research · 2022Article
- Screening for PTSD during pregnancy: a missed opportunity.BMC pregnancy and childbirth · 2022Article
- The Impact of Traumatic Events on Mental Health Among Older African American and Black Caribbean Adults.Journal of aging and health · 2022Article
- The contribution of racism-related stress and adversity to disparities in birth outcomes: evidence and research recommendations.F&S reports · 2022Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
People of color in the United States disproportionately bear the burden of trauma and posttraumatic stress disorder (PTSD). Pregnant women of color are at particular risk, as perinatal PTSD is associated with adverse maternal and child health. However, PTSD is a heterogeneous disorder comprising discrete symptom dimensions. Adopting a dimensional understanding of PTSD could aid in identifying women at-risk for the consequences of posttraumatic psychopathology and guide treatment selection. In a large sample of Latina, Black, and non-Hispanic White postpartum women in the United States (N = 1663), we examined racial and ethnic differences in the factors of the dysphoric arousal model-a leading dimensional model of PTSD. This model is characterized by five symptom dimensions: re-experiencing, avoidance, numbing, dysphoric arousal, and anxious arousal. Past-year trauma in this sample was common, afflicting nearly 70% of women. In unadjusted models, women of color exhibited more severe PTSD symptom levels across dimensions except for dysphoric arousal, with Black mothers particularly affected. In models adjusted for age, education, and poverty, Black women continued to report elevated symptoms of avoidance and, relative to Latina mothers, re-experiencing symptoms. In contrast, White women reported more dysphoric arousal symptoms relative to women of color. Illuminating differential patterns of symptom dimensions across racial and ethnic groups is critical to PTSD assessment and treatment and may shed light on disparities. Perinatal healthcare may be an important opportunity for posttraumatic symptom screening, and greater understanding of racial and ethnic variation in posttraumatic symptom dimensions can guide targeted intervention selection for perinatal women.
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