ArticleBMC psychiatry2024
Association of maternal postpartum depression, anxiety, and stress symptoms: a network analysis.
Article in BMC psychiatry, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Associations of maternal fatigue and perceived nurse-parent support with cyberchondria dimensions among mothers of hospitalized children aged 0-6 years: a path analysis.BMC public health · 2026Article
- Fetal attachment and infant temperament: The mediating role of perinatal mental health.Journal of affective disorders · 2026Article
- Stable structure, shifting links: How depression-anxiety symptom networks reconfigure from pregnancy to postpartum.European psychiatry : the journal of the Association of European Psychiatrists · 2026Article
- Association Between Postpartum Depression Symptoms of Primiparas and Uterine Recovery, Sleep Quality and Postpartum Stress.Actas espanolas de psiquiatria · 2026Article
- Postpartum Mental Health Problems in the Mothers of Very, Moderately and Late Preterm Infants During and After COVID-19 Pandemic: A Cross-Sectional Comparison Study and Possible Risk Factors.Depression and anxiety · 2026Article
- Development and psychometric evaluation of a postpartum stress scale in early postpartum mothers.Frontiers in public health · 2026Article
- The interrelationships among insomnia, frailty, anxiety, and cognitive function in middle-aged and older adults: a cross-sectional study.Frontiers in psychiatry · 2026Article
- Predictors of psychological distress among postpartum women at a tertiary health institution in Nigeria.Discover mental health · 2025Article
- Postpartum Women's Childhood Trauma and Postpartum Depressive Symptoms: A Network Analysis.Depression and anxiety · 2025Article
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Authors and funding
5 authors.
Funding
Abstract
backgroundNew mothers frequently encounter postpartum depression, anxiety, and stress symptoms, which pose challenges in diagnosis and treatment owing to their intricate interplay. This study employs network analysis to explore the interconnections between these symptoms and identify potential intervention points.
methodsThe study was carried out from December 2023 to June 2024 at the postpartum clinics of three representative tertiary hospitals in Nantong City. The participants were mothers undergoing their 42-day postpartum check-up. Participants completed the Edinburgh Postnatal Depression Scale (EPDS), the Depression, Anxiety, and Stress Scales (DASS-21), and the Maternal postpartum stress scale (MPSS). The R language was used to construct the network. Network analysis was also carried out to explore the network structure, centrality indices (strength, closeness, betweenness, and expected influence), and the stability of the network.
resultsA total of 625 women were included. The resulting network indicates a close interconnection between communities associated with depression, anxiety, and stress. As assessed on the centrality index, "I have felt sad or miserable" (EPDS-8), "Baby's irregular patterns of daily sleep" (MPSS-9), "lack of time for myself" (MPSS-19), "I have been so unhappy that I have been crying" (EPDS-4), and "Physical appearance after childbirth" (MPSS-20) are the five most important nodes of these three network structures. High network stability (> 0.7).
conclusionPostpartum-specific stress symptoms play a significant role in the network of postpartum depression, anxiety, and stress, and identifying the central symptoms of depression, anxiety, and stress can provide a scientific basis for the development of precise interventions. CLINICAL TRIAL NUMBER: Not Applicable.
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