Evidence map›Paper›PMID 36897389›Full record

ArticleArchives of women's mental health2023

The microbiota-gut-brain axis and perceived stress in the perinatal period.

Emily S Long, Beatriz Penalver Bernabe, Kai Xia, M Andrea Azcarate-Peril, Ian M Carroll, Hannah S Rackers, Karen M Grewen, Samantha Meltzer-Brody, Mary C Kimmel

Open access · hybridAbstract read
In one paragraph

Article in Archives of women's mental health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
5.5field-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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
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  8. Frontiers in microbiology · 2025
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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

9 authors at 2 institutions in 1 country.

Emily S LongDepartment of Psychiatry, University of North Carolina School of Medicine, Campus Box #7160, Chapel Hill, NC, 27599-7160, USA.
Beatriz Penalver BernabeDepartment of Biomedical Engineering, College of Medicine, University of Illinois at Chicago, Chicago, IL, USA.
Kai XiaDepartment of Psychiatry, University of North Carolina School of Medicine, Campus Box #7160, Chapel Hill, NC, 27599-7160, USA.
M Andrea Azcarate-PerilDepartments of Medicine and Nutrition, Microbiome Core, University of North Carolina, Chapel Hill, NC, USA.
Ian M CarrollDepartment of Nutrition, University of North Carolina Gillings School of Public Health, Chapel Hill, NC, USA.
Hannah S RackersDepartment of Psychiatry, University of North Carolina School of Medicine, Campus Box #7160, Chapel Hill, NC, 27599-7160, USA.
Karen M GrewenDepartment of Psychiatry, University of North Carolina School of Medicine, Campus Box #7160, Chapel Hill, NC, 27599-7160, USA.
Samantha Meltzer-BrodyDepartment of Psychiatry, University of North Carolina School of Medicine, Campus Box #7160, Chapel Hill, NC, 27599-7160, USA.
Mary C KimmelDepartment of Psychiatry, University of North Carolina School of Medicine, Campus Box #7160, Chapel Hill, NC, 27599-7160, USA. mary_kimmel@med.unc.edu.ORCID http://orcid.org/0000-0002-6270-5394
University of North Carolina at Chapel Hill · USUniversity of Illinois Chicago · US

Funding

SHORT-TERM RESEARCH TRAININGT35DK007386 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Evan Samuel Dellon · 1986 to 2026
$4.1M
UIC Building Interdisciplinary Research Careers in Women's Health ProgramK12HD101373 · NICHD · UNIVERSITY OF ILLINOIS AT CHICAGO · PI BUHIMSCHI, IRINA A, MAKI, PAULINE M · 2020 to 2023
$2.9M
The Microbiota-Gut-Brain Axis and Postpartum DepressionK23MH110660 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KIMMEL, MARY CLAIRE · 2016 to 2019
$781k
NICHD NIH HHS K12 HD101373NIDDK NIH HHS T35 DK007386NIMH NIH HHS K23 MH110660NIMH NIH HHS K23 MH110660-01
6 · The paper itself

Abstract

Perinatal perceived stress can contribute to worse health outcomes for the parent-child dyad. Given the emerging relationship between the microbiota-gut-brain axis and stress, this study sought to elucidate connections between bowel symptoms and the gut microbiome in relation to perceived stress at three time points in the perinatal period: two during pregnancy and one postpartum. Ninety-five pregnant individuals participated in a prospective cohort study from April 2017 to November 2019. Researchers assessed Perceived Stress Scale-10 (PSS); bowel symptoms (according to the IBS Questionnaire); psychiatrist assessment of new onset or exacerbated depression and anxiety; and fecal samples analyzed for alpha diversity (measures of gut microbiome diversity utilizing Shannon, Observed OTUs, and Faith's PD) at each timepoint. Covariates included weeks of gestation and weeks postpartum. PSS scores were divided into "Perceived Self-Efficacy" and "Perceived Helplessness." Increased gut microbial diversity was associated with decreased bowel symptoms, decreased overall perceived stress, increased ability to cope with adversity, and decreased distress in the postpartum period. This study found a significant association between a less diverse microbial community, lower self-efficacy early in pregnancy, and greater bowel symptoms and perceived helplessness later in the perinatal period, relationships that may ultimately point to novel diagnostic methods and interventions for perceived stress based on the microbiota-gut-brain axis.

Indexed as

Gastrointestinal MicrobiomeMicrobiotaBrain-Gut AxisFemaleHumansPregnancyProspective StudiesStress, PsychologicalBowel symptomsGut-brain axisMicrobiomePregnancyStress

Identifiers

PMID36897389
PMCPMC10063483
OpenAlexW4323809358

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.