Evidence map›Paper›PMID 38070747›Full record

ArticleJournal of affective disorders2024

Screening for post-traumatic stress disorder following childbirth using the Peritraumatic Distress Inventory.

Kathleen M Jagodnik, Tsachi Ein-Dor, Sabrina J Chan, Adi Titelman Ashkenazy, Alon Bartal, Robert L Barry, Sharon Dekel

2 registry-linked trialsOpen access · greenAbstract read
In one paragraph

Article in Journal of affective disorders, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
4.9field-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.

NCT07223736 narecruitingnot on this mapstarted 2026, after this paper: background citation

Postpartum Education Via Artificial Intelligence for Recovery and Loneliness (PEARL): A Randomized Controlled Trial

TypeinterventionalSponsorUniversity of California, San DiegoRan2026 to 2026Enrolled130ConditionsPelvic Floor Disorder, Loneliness, Postpartum, Mental HealthArmsGenerative artificial intelligence (genAI) postpartum chatbot, Standard of Care (SOC)
NCT07340970 recruitingnot on this mapstarted 2026, after this paper: background citation

Patient Perception of Sensory Stimuli During Elective Cesarean Delivery Under Neuraxial Anesthesia (PIONEER): A Multicenter Prospective Cohort Study

TypeobservationalSponsorUniversity of British ColumbiaRan2026 to 2027Enrolled1,005ConditionsIntraoperative PainArmsPatient-initiated request for pharmacological intervention during cesarean delivery
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
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  4. Early prediction of childbirth-related posttraumatic stress disorder symptoms.medRxiv : the preprint server for health sciences · 2026
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  9. Peritraumatic dissociation during childbirth in Nigeria: A preliminary study.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Kathleen M JagodnikDepartment of Psychiatry, Massachusetts General Hospital, Boston, MA, USA; Harvard Medical School, Boston, MA, USA.
Tsachi Ein-DorSchool of Psychology, Reichman University, Herzliya, Israel.
Sabrina J ChanDepartment of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
Adi Titelman AshkenazyDepartment of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
Alon BartalSchool of Business Administration, Bar-Ilan University, Ramat Gan, Israel.
Robert L BarryAthinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Charlestown, MA, USA; Harvard Medical School, Boston, MA, USA; Harvard-Massachusetts Institute of Technology Health Sciences & Technology, Cambridge, MA, USA.
Sharon DekelDepartment of Psychiatry, Massachusetts General Hospital, Boston, MA, USA; Harvard Medical School, Boston, MA, USA. Electronic address: sdekel@mgh.harvard.edu.
Massachusetts General Hospital · USAthinoula A. Martinos Center for Biomedical Imaging · USBar-Ilan University · IL

Funding

Defining postpartum PTSD and its implications for maternal wellness and child developmentR01HD108619 · NICHD · MASSACHUSETTS GENERAL HOSPITAL · PI Sharon Dekel · 2022 to 2026
$3.7M
Neural underpinnings of postpartum adaptation following traumatic delivery and implications for infant developmentR21HD100817 · NICHD · MASSACHUSETTS GENERAL HOSPITAL · PI DEKEL, SHARON · 2020 to 2021
$574k
The effects of expressive writing following traumatic childbirthR21HD109546 · NICHD · MASSACHUSETTS GENERAL HOSPITAL · PI DEKEL, SHARON · 2023 to 2024
$462k
NICHD NIH HHS R01 HD108619NICHD NIH HHS R21 HD100817NICHD NIH HHS R21 HD109546
6 · The paper itself

Abstract

backgroundPost-traumatic stress disorder (PTSD) following traumatic childbirth may undermine maternal and infant health, but screening for maternal childbirth-related PTSD (CB-PTSD) remains lacking. Acute emotional distress in response to a traumatic experience strongly associates with PTSD. The Peritraumatic Distress Inventory (PDI) assesses acute distress in non-postpartum individuals, but its use to classify women likely to endorse CB-PTSD is unknown.

methods3039 women provided information about their mental health and childbirth experience. They completed the PDI regarding their recent childbirth event, and a PTSD symptom screen to determine CB-PTSD. We employed Exploratory Graph Analysis and bootstrapping to reveal the PDI's factorial structure and optimal cutoff value for CB-PTSD classification.

resultsFactor analysis revealed two strongly correlated stable factors based on a modified version of the PDI: (1) negative emotions and (2) bodily arousal and threat appraisal. A score of 15+ on the modified PDI produced high sensitivity and specificity: 88 % with a positive CB-PTSD screen in the first postpartum months and 93 % with a negative screen. LIMITATIONS: In this cross-sectional study, the PDI was administered at different timepoints postpartum. Future work should examine the PDI's predictive utility for screening women as closely as possible to the time of childbirth, and establish clinical cutoffs in populations after complicated deliveries.

conclusionsBrief self-report screening concerning a woman's emotional reactions to childbirth using our modified PDI tool can detect those likely to endorse CB-PTSD in the early postpartum. This may serve as the initial step of managing symptoms to ultimately prevent chronic manifestations.

Indexed as

Stress Disorders, Post-TraumaticCross-Sectional StudiesDelivery, ObstetricFemaleHumansParturitionPostpartum PeriodPregnancyChildbirthChildbirth-related PTSDDelivery, obstetricDiagnosisFactorial analysisPostpartum periodPostpartum PTSDReceiver Operating CharacteristicScreeningTraumatic childbirthValidity

Identifiers

PMID38070747
PMCPMC10872536
OpenAlexW4389430590

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.