Evidence map›Paper›PMID 36697477›Full record

ArticleScientific reports2023

Cumulative trauma predicts hair cortisol concentrations and symptoms of depression and anxiety in pregnant women-an investigation of community samples from Greece, Spain and Perú.

Johanna Dobernecker, Andria Spyridou, Thomas Elbert, Maggie Schauer, Susan Garthus-Niegel, Martina Ruf-Leuschner, Inga Schalinski

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 8% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Perinatal Depression: Current Knowledge.Advances in experimental medicine and biology · 2026
    Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Past Traumatic Life Events, Postpartum PTSD, and the Role of Labor Support.International journal of environmental research and public health · 2023
    Article
  10. Review
  11. 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 4 institutions in 2 countries.

Johanna Dobernecker *Psychologische Hochschule Berlin, Berlin, Germany.
Andria Spyridou *Department of Psychology, University of Konstanz, Konstanz, Germany. andria.spyridou@vivo.org.
Thomas ElbertDepartment of Psychology, University of Konstanz, Konstanz, Germany.
Maggie SchauerDepartment of Psychology, University of Konstanz, Konstanz, Germany.
Susan Garthus-NiegelInstitute for Systems Medicine and Faculty of Medicine, Medical School Hamburg, Hamburg, Germany.
Martina Ruf-LeuschnerDepartment of Psychology, University of Konstanz, Konstanz, Germany.
Inga SchalinskiPsychologische Hochschule Berlin, Berlin, Germany. inga.schalinski@uni-konstanz.de.
University of Konstanz · DEPE International (Germany) · DEPsychologische Hochschule Berlin · DETU Dresden · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Exposure to traumatic experiences across lifespan shapes the functioning of the hypothalamic pituitary adrenal (HPA) axis and sets individuals at risk to develop symptoms of depression and anxiety. Particularly, HPA axis regulation and the psychological health of the expectant mother have been of interest, as the health of the unborn child may be affected through changes in gestational biology. The present study investigated the potential associations between lifetime trauma, current symptoms (depression and anxiety) and hair cortisol concentrations (HCC) in pregnant women. A total of 149 pregnant women were interviewed in public outpatient clinics with varying gestational age in Greece, Spain and Perú. Lifetime trauma exposure and current symptoms of depression and anxiety were assessed. HCC was measured in scalp-near hair segments (2 cm length) reflecting cumulative cortisol secretion of the past two months. Results showed that trauma load is negatively associated with HCC and higher symptoms of depression and anxiety. There was a negative association between HCC and symptoms. The present findings support the notion that cumulative trauma exposure exerts long-lasting effects on the expectant mother's HPA axis activity functioning and mental health and may thereby potentially create risk trajectories for the unborn child via changes in gestational biology.

Indexed as

HydrocortisonePregnant PeopleAnxietyDepressionFemaleGreeceHairHumansHypothalamo-Hypophyseal SystemPeruPituitary-Adrenal SystemPregnancySpainStress, PsychologicalHydrocortisone

Identifiers

PMID36697477
PMCPMC9876917
OpenAlexW4317952030

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.