Evidence map›Paper›PMID 34517012›Full record

ArticleThe Journal of pediatrics2022

Depression in Female Adolescents with Heavy Menstrual Bleeding.

Angela C Weyand, Kate D Fitzgerald, Mary McGrath, Vibhuti Gupta, Thomas M Braun, Elisabeth H Quint, Sung W Choi

Open access · greenAbstract read
In one paragraph

Article in The Journal of pediatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
3.9field-weighted citation impact, top 6% 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

21 citing papers in PubMed, 34 citations in OpenAlex.

  1. Review
  2. Seventh Åland Island Meeting on von Willebrand Disease.Haemophilia : the official journal of the World Federation of Hemophilia · 2026
    Article
  3. Article
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  5. Von Willebrand disease: more than just a bleeding disorder.Research and practice in thrombosis and haemostasis · 2026
    Review
  6. Menstrual pattern and self-reported abnormal uterine bleeding in Brazilian adolescents: A multicenter cross-sectional study.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025
    Article
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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

7 authors at 1 institution in 1 country.

Angela C WeyandDepartment of Pediatrics, Division of Pediatric and Adolescent Gynecology, University of Michigan Medical School, Ann Arbor, MI; Division of Hematology/Oncology, Division of Pediatric and Adolescent Gynecology, University of Michigan Medical School, Ann Arbor, MI. Electronic address: acweyand@med.umich.edu.
Kate D FitzgeraldDepartment of Psychiatry, Division of Pediatric and Adolescent Gynecology, University of Michigan Medical School, Ann Arbor, MI.
Mary McGrathDepartment of Pediatrics, Division of Pediatric and Adolescent Gynecology, University of Michigan Medical School, Ann Arbor, MI; Division of Hematology/Oncology, Division of Pediatric and Adolescent Gynecology, University of Michigan Medical School, Ann Arbor, MI.
Vibhuti GuptaDepartment of Pediatrics, Division of Pediatric and Adolescent Gynecology, University of Michigan Medical School, Ann Arbor, MI.
Thomas M BraunDepartment of Biostatistics, University of Michigan School of Public Health, Ann Arbor, MI.
Elisabeth H QuintDepartment of Obstetrics and Gynecology, Division of Pediatric and Adolescent Gynecology, University of Michigan Medical School, Ann Arbor, MI.
Sung W ChoiDepartment of Pediatrics, Division of Pediatric and Adolescent Gynecology, University of Michigan Medical School, Ann Arbor, MI; Division of Hematology/Oncology, Division of Pediatric and Adolescent Gynecology, University of Michigan Medical School, Ann Arbor, MI.
University of Michigan · US

Funding

Patient-Oriented Research and Mentoring in Hematopoietic Cell TransplantationK24HL156896 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI SUNG WON CHOI · 2021 to 2026
$870k
NHLBI NIH HHS K24 HL156896
6 · The paper itself

Abstract

objectiveTo assess the degree to which heavy menstrual bleeding is associated with depression, independent of hormonal contraception. STUDY

designWe performed a retrospective cohort study of 1168 female adolescents 9-18 years old presenting to general pediatricians for heavy menstrual bleeding or well visits. Depression was the primary outcome and defined as a diagnosis in the health record. Univariable and multivariable regression models were fit to the data to identify factors associated with depression diagnosis.

resultsIn total, 581 adolescents with heavy menstrual bleeding and 587 without heavy menstrual bleeding were included. Depression diagnoses occurred with greater frequency in youth with heavy menstrual bleeding compared with those without heavy menstrual bleeding (50.9% vs 24.2% P < .001; risk ratio 1.67, 95% CI 1.39-2.01) but did not significantly differ between those taking vs not taking hormonal contraception (risk ratio 0.99; 95% CI 0.84-1.17). Most patients with depression and heavy menstrual bleeding developed depression following or concurrent with heavy menstrual bleeding (261/296, 88%). Of these, 199 of 261 (76%) were treated with hormonal contraception, but the majority (168/199; 84%) were diagnosed with depression before initiation.

conclusionsHeavy menstrual bleeding is associated with depression diagnosis in female adolescents. The use of hormonal contraception was not associated with depression diagnosis in multivariable analysis, covarying heavy menstrual bleeding, age, body mass index, anxiety, sexual activity, and substance use. As hormonal contraception is often used to treat heavy menstrual bleeding, heavy menstrual bleeding may be partially driving previous reports of increased depression risk in those taking hormonal contraception.

Indexed as

AdolescentCausalityChildContraceptive Agents, HormonalDatabases, FactualDepressionFemaleHumansMenorrhagiaRetrospective StudiesContraceptive Agents, Hormonal

Identifiers

PMID34517012
PMCPMC9055780
OpenAlexW3200165001

What OpenQuestion holds

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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.