Evidence map›Paper›PMID 34311331›Full record

ArticleJournal of affective disorders2021

Elucidating posttraumatic stress symptom dimensions and health correlates among postpartum women.

Jordan L Thomas, Shiloh Cleveland, Robert H Pietrzak, Christine Dunkel Schetter, Jennifer A Sumner

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of affective disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.0field-weighted citation impact, top 14% 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

8 citing papers in PubMed, 12 citations in OpenAlex.

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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

5 authors at 2 institutions in 1 country.

Jordan L ThomasDepartment of Psychology, University of California, Los Angeles, CA, United States. Electronic address: thomasjl@ucla.edu.
Shiloh ClevelandDepartment of Psychology, University of California, Los Angeles, CA, United States.
Robert H PietrzakDepartment of Psychiatry, Yale University School of Medicine, New Haven, CT, United States; Department of Social and Behavioral Sciences, Yale University School of Public Health, New Haven, CT, United States; Department of Veteran Affairs, National Center for PTSD, VA Connecticut Healthcare System, West Haven, CT, United States.
Christine Dunkel SchetterDepartment of Psychology, University of California, Los Angeles, CA, United States.
Jennifer A SumnerDepartment of Psychology, University of California, Los Angeles, CA, United States.
University of California, Los Angeles · USYale University · US

Funding

Scientific and Technical CoreP2CHD041022 · NICHD · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Martha Jane Bailey · 2016 to 2026
$6.9M
Community Child Health Network-Lake County, ILU01HD044226 · NICHD · NORTHSHORE UNIV HEALTHSYSTEM RES INST · PI SHALOWITZ, MADELEINE ULLMAN · 2003 to 2011
$3.9M
Community Response to Maternal/Child Health DisparitiesU01HD044245 · NICHD · CEDARS-SINAI MEDICAL CENTER · PI HOBEL, CALVIN J. · 2003 to 2011
$3.4M
Community Child Health Network: District of ColumbiaU01HD044253 · NICHD · VIRGINIA POLYTECHNIC INST AND ST UNIV · PI RAMEY, SHARON LANDESMAN · 2007 to 2011
$3.3M
Community Child Health Network: BaltimoreU01HD044207 · NICHD · ST. MICHAEL'S HOSPITAL · PI VANCE, MAXINE · 2003 to 2012
$3.2M
Community Maternal &Child Health-Eastern North CarolinaU01HD044219 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI THORP, JOHN M · 2003 to 2011
$3.1M
Data Coordination and Analyses Center for the Community and Child Health NetworkU01HD054791 · NICHD · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI CHINCHILLI, VERNON M · 2006 to 2011
$2.7M
Posttraumatic Stress and Cardiovascular Risk in Women: Tests of Biological MechanismsK01HL130650 · NHLBI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI SUMNER, JENNIFER A · 2016 to 2020
$815k
Community Child Health Research in Washington, D.C.U01NR008929 · NINR · GEORGETOWN UNIVERSITY · PI RAMEY, SHARON LANDESMAN · 2003 to 2006
$630k
Documenting the CAPPR Process in the L.A. Site of the Community Child Health NetwR03HD059584 · NICHD · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI WRIGHT, KYNNA N · 2008 to 2009
$138k
NHLBI NIH HHS K01 HL130650NICHD NIH HHS P2C HD041022NICHD NIH HHS R03 HD059584NICHD NIH HHS U01 HD044207NICHD NIH HHS U01 HD044219NICHD NIH HHS U01 HD044226NICHD NIH HHS U01 HD044245NICHD NIH HHS U01 HD044253NICHD NIH HHS U01 HD054791NICHD NIH HHS U01 HD54019NINR NIH HHS U01 NR008929
6 · The paper itself

Abstract

backgroundPosttraumatic stress disorder (PTSD) is associated with interpersonal dysfunction and adverse maternal health during the perinatal period (extending from conception through one year postpartum). However, PTSD is a heterogeneous disorder, and little is known about which aspects of this disorder may be particularly deleterious to the health of new mothers. Such data may inform more personalized approaches to PTSD prevention and treatment among postpartum women.

methodsUsing confirmatory factor analysis, we compared three models of PTSD symptom structure-the four-factor dysphoria model, four-factor emotional numbing model, and five-factor dysphoric arousal model-in 1,663 postpartum women from the Community and Child Health Network (CCHN). We examined associations between PTSD symptom dimensions of the best-fitting model with four correlates relevant to maternal health and functioning-parenting stress, partner relationship stress, relationship satisfaction, and contraceptive use.

resultsThough all models fit well, the five-factor dysphoric arousal model provided optimal fit. Symptom dimensions from this model-re-experiencing, avoidance, numbing, dysphoric arousal, and anxious arousal-evidenced differential associations with the maternal health indicators. Numbing symptoms were most strongly associated with indicators of poor interpersonal functioning, whereas dysphoric arousal symptoms were most strongly related to low-efficacy contraceptive use. LIMITATIONS: Our cross-sectional study assessed DSM-IV PTSD symptoms.

conclusionsPTSD symptoms among postpartum women are best-represented by five factors. Numbing symptoms (e.g., restricted affect, detachment) are most strongly associated with interpersonal difficulties, whereas dysphoric arousal symptoms (e.g., agitation, irritability) are linked with low-efficacy contraceptive use. Screening for these symptoms may help promote the health of new mothers.

Indexed as

Stress Disorders, Post-TraumaticAnxietyChildCross-Sectional StudiesFactor Analysis, StatisticalFemaleHumansPostpartum PeriodPregnancyRisk FactorsConfirmatory factor analysisDysphoric arousal modelMaternal healthNumbing symptomsPostpartum womenPosttraumatic stress disorder

Identifiers

PMID34311331
PMCPMC9663210
OpenAlexW3185617428

What OpenQuestion holds

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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.