Evidence map›Paper›PMID 35777494›Full record

ArticleJournal of affective disorders2022

Effects of gonadal steroids on reward circuitry function and anhedonia in women with a history of postpartum depression.

C E Schiller, E Walsh, T A Eisenlohr-Moul, J Prim, G S Dichter, L Schiff, J Bizzell, S L Slightom, E C Richardson, A Belger and 2 more

Open access · greenAbstract read
In one paragraph

Article in Journal of affective disorders, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
5.4field-weighted citation impact, top 4% 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

18 citing papers in PubMed, 27 citations in OpenAlex.

  1. Trial
  2. Psychedelic therapy and postpartum depression: priorities and prospects.Therapeutic advances in psychopharmacology · 2026
    Review
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  11. Temporal dynamics of neurobehavioral hormone sensitivity in a scaled-down experimental model of early pregnancy and parturition.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2024
    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

12 authors at 4 institutions in 1 country.

C E SchillerDepartment of Psychiatry, University of North Carolina at Chapel Hill School of Medicine, United States of America. Electronic address: crystal_schiller@med.unc.edu.
E WalshDepartment of Psychiatry, University of North Carolina at Chapel Hill School of Medicine, United States of America.
T A Eisenlohr-MoulDepartment of Psychiatry, University of Illinois at Chicago, United States of America.
J PrimDepartment of Psychiatry, University of North Carolina at Chapel Hill School of Medicine, United States of America.
G S DichterDepartment of Psychiatry, University of North Carolina at Chapel Hill School of Medicine, United States of America.
L SchiffDepartment of Obstetrics and Gynecology, University of North Carolina at Chapel Hill School of Medicine, United States of America.
J BizzellDepartment of Psychiatry, University of North Carolina at Chapel Hill School of Medicine, United States of America.
S L SlightomDepartment of Psychiatry, University of North Carolina at Chapel Hill School of Medicine, United States of America.
E C RichardsonUniversity of Texas Austin, United States of America.
A BelgerDepartment of Psychiatry, University of North Carolina at Chapel Hill School of Medicine, United States of America.
P SchmidtNational Institute of Mental Health, Behavioral Endocrinology Branch, United States of America.
D R RubinowDepartment of Psychiatry, University of North Carolina at Chapel Hill School of Medicine, United States of America.
University of North Carolina at Chapel Hill · USNational Institute of Mental Health · USThe University of Texas at Austin · USUniversity of Illinois Chicago · US

Funding

Re-Entry Supplement: Investigation of Oral Microbial Enzymes for the Detection and Treatment of Periodontal DiseaseUL1TR002489 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BUSE, JOHN BERNARD, SHAHEEN, NICHOLAS J · 2018 to 2022
$48.6M
Psychobiology And Treatment Of Perimenopausal Mood DisordersZIAMH002537 · NIMH · NATIONAL INSTITUTE OF MENTAL HEALTH · PI SCHMIDT, PETER · 2009 to 2025
$14.9M
Preclinical CoreP50HD103573 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Mark D Shen · 2020 to 2026
$9.7M
Cyclical Neuroactive Steroid Changes, Arousal, and Proximal Suicide Risk: An Experimental ApproachRF1MH120843 · NIMH · UNIVERSITY OF ILLINOIS AT CHICAGO · PI EISENLOHR-MOUL, TORY ANNE · 2019 to 2019
$3.1M
Postdoctoral Training in Reproductive Mood DisordersT32MH093315 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI SUSAN Scott GIRDLER, David R. Rubinow · 2012 to 2026
$2.8M
Neuroinflammatory Mechanisms of Anhedonia in Major DepressionK23MH113733 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI WALSH, ERIN · 2018 to 2023
$866k
Neuroendocrine Mechanisms of Reproductive Hormone Related Affective DysfunctionR21MH101409 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI RUBINOW, DAVID R., SCHILLER, CRYSTAL EDLER · 2013 to 2014
$418k
NCATS NIH HHS UL1 TR002489NICHD NIH HHS P50 HD103573NIMH NIH HHS K23 MH113733NIMH NIH HHS R21 MH101409NIMH NIH HHS RF1 MH120843NIMH NIH HHS T32 MH093315
6 · The paper itself

Abstract

backgroundReward system dysfunction is evident across neuropsychiatric conditions. Here we present data from a double-blinded pharmaco-fMRI study investigating the triggering of anhedonia and reward circuit activity in women.

methodsThe hormonal states of pregnancy and parturition were simulated in euthymic women with a history of postpartum depression (PPD+; n = 15) and those without such a history (PPD-; n = 15) by inducing hypogonadism, adding back estradiol and progesterone for 8 weeks ("addback"), and then withdrawing both steroids ("withdrawal"). Anhedonia was assessed using the Inventory of Depression and Anxiety Symptoms (IDAS) during each hormone phase. Those who reported a 30 % or greater increase in IDAS anhedonia, dysphoria, or ill temper during addback or withdrawal, compared with pre-treatment, were identified as hormone sensitive (HS+) and all others were identified as non-hormone sensitive (HS-). The monetary incentive delay (MID) task was administered during fMRI sessions at pre-treatment and during hormone withdrawal to assess brain activation during reward anticipation and feedback.

resultsOn average, anhedonia increased during addback and withdrawal in PPD+ but not PPD-. During reward feedback, both HS+ (n = 10) and HS- (n = 18) showed decreased activation in clusters in the right putamen (p < .031, FWE-corrected) and left postcentral and supramarginal gyri (p < .014, FWE-corrected) at the withdrawal scans, relative to pre-treatment scans. LIMITATIONS: A modest sample size, stringent exclusion criteria, and relative lack of diversity in study participants limit the generalizability of results.

conclusionAlthough results do not explain differential hormone sensitivity in depression, they demonstrate significant effects of reproductive hormones on reward-related brain function in women.

Indexed as

AnhedoniaDepression, PostpartumBrainBrain MappingFemaleHumansMagnetic Resonance ImagingPregnancyRewardAnhedoniaDepressionEstrogenfMRIPostpartumProgesteroneReward

Identifiers

PMID35777494
PMCPMC9605402
OpenAlexW4283708651

What OpenQuestion holds

Textmetadata
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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.