Evidence map›Paper›PMID 36459760›Full record

ArticleJournal of psychiatric research2023

Pregnancy-related COVID worry, depressive symptom severity, and mediation through sleep disturbance in a low-income, primarily Latinx population in California's Central valley.

Jennifer N Felder, Patience A Afulani, Kimberly Coleman-Phox, Serwaa S Omowale, Charles E McCulloch, Lauren Lessard, Miriam Kuppermann

Registry-linked trialOpen access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of psychiatric research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04154423 (Comparing Approaches to Enhanced Prenatal Care to Improve Maternal and Child Health in Central CA), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.4field-weighted citation impact, top 19% 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.

NCT04154423 nacompletednot on this map

Comparing Approaches to Enhanced Prenatal Care to Improve Maternal and Child Health in Central CA

TypeinterventionalSponsorUniversity of California, San FranciscoRan2019 to 2024Enrolled678ConditionsPremature Birth, Pregnancy Preterm, Prenatal Stress, Depression, AnxietyArmsGlow! Group Prenatal Care, Individual Prenatal Care with CPSP
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. COVID-19 pandemic effects: Examining prenatal internalizing symptoms and infant temperament.Infancy : the official journal of the International Society on Infant Studies
    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

7 authors at 2 institutions in 1 country.

Jennifer N FelderDepartment of Psychiatry and Behavioral Sciences, University of California, San Francisco, United States; Osher Center for Integrative Health, University of California, San Francisco, United States. Electronic address: jennifer.felder@ucsf.edu.
Patience A AfulaniDepartment of Epidemiology and Biostatistics, University of California, San Francisco, United States; Department of Obstetrics, Gynecology & Reproductive Sciences, University of California, San Francisco, United States.
Kimberly Coleman-PhoxDepartment of Obstetrics, Gynecology & Reproductive Sciences, University of California, San Francisco, United States; California Preterm Birth Initiative, University of California, San Francisco, United States.
Serwaa S OmowaleDepartment of Obstetrics, Gynecology & Reproductive Sciences, University of California, San Francisco, United States; California Preterm Birth Initiative, University of California, San Francisco, United States.
Charles E McCullochDepartment of Epidemiology and Biostatistics, University of California, San Francisco, United States.
Lauren LessardInstitute for Circumpolar Health Studies, University of Alaska, Anchorage, United States.
Miriam KuppermannDepartment of Epidemiology and Biostatistics, University of California, San Francisco, United States; Department of Obstetrics, Gynecology & Reproductive Sciences, University of California, San Francisco, United States; California Preterm Birth Initiative, University of California, San Francisco, United States.
University of California, San Francisco · USUniversity of Alaska Anchorage · US

Funding

Transdisciplinary Research Training to Reduce Disparities in Preterm Birth and Improve Maternal and Neonatal OutcomesT32HD098057 · NICHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KUPPERMANN, MIRIAM · 2019 to 2023
$1.4M
NICHD NIH HHS T32 HD098057
6 · The paper itself

Abstract

purposeThis study (1) assessed the psychometric properties of a pregnancy-related COVID worry scale, (2) explored variations in pregnancy-related COVID worry over the course of the pandemic, and (3) examined associations between pregnancy-related COVID worry and depressive symptom severity, and evaluated sleep disturbance as a mediator.

methodsData were drawn from an ongoing randomized trial comparing the effectiveness of two enhanced forms of prenatal care. The current analysis includes baseline pre-randomization data collected from participants who enrolled November 2020-November 2021 (n = 201). Participants were pregnant individuals with low income and primarily Latinx.

resultsOur 7-item scale was valid and reliable for assessing pregnancy-related COVID worry. Pregnancy-related COVID worry did not vary significantly by any participant characteristic or pandemic stage. Pregnancy-related COVID worry was significantly associated with depressive symptom severity in multivariate analysis (p = .002). For each unit increase on the 10-point pregnancy-related COVID worry scale, the odds of mild-to-severe depression increased by 16% (odds ratio = 1.16, 95% confidence interval 1.02-1.32, p = .02), holding all other variables constant. Sleep disturbance mediated the pregnancy-related COVID worry-depressive symptom relationship (48% of the total effect mediated).

conclusionsWorry about how COVID may impact their baby, birth, and postpartum experiences was associated with higher depressive symptom severity, partly through its effect on sleep. These findings suggest that interventions related to improving sleep quality among perinatal populations may reduce depressive symptoms.

trial registrationClinicalTrials.gov NCT04154423, "Engaging Mothers & Babies; Reimagining Antenatal Care for Everyone (EMBRACE) Study".

Indexed as

COVID-19DepressionSleep Wake DisordersCaliforniaFemaleHispanic or LatinoHumansMothersPregnancyPsychometricsRandomized Controlled Trials as TopicCOVID-19Depressive symptom severityPregnantSleep disturbanceWorry

Identifiers

PMID36459760
PMCPMC10019815
OpenAlexW4309715913

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.