Evidence map›Paper›PMID 39932108›Full record

ArticleBirth (Berkeley, Calif.)2025

The Cost of Untreated Perinatal Mood and Anxiety Disorders (PMADs) in Montana: An Economic Analysis of Perinatal Mental Health in a Rural State.

Jessica L Liddell, Alison Monroe, Tess A Carlson, Katrina Mullan

Abstract read
In one paragraph

Article in Birth (Berkeley, Calif.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

4 authors.

Jessica L LiddellSchool of Social Work, University of Montana, Missoula, Montana, USA.ORCID 0000-0003-4114-3174
Alison MonroeCenter for Population Health Research, University of Montana, Missoula, Montana, USA.ORCID 0009-0005-2832-9144
Tess A CarlsonSchool of Social Work, University of Montana, Missoula, Montana, USA.ORCID 0000-0002-8261-5273
Katrina MullanDepartment of Economics, University of Montana, Missoula, Montana, USA.ORCID 0000-0003-0906-9269

Funding

Wildfires and Cardiovascular Health: Evaluating Associations and Intervention StrategiesP20GM130418 · NIGMS · UNIVERSITY OF MONTANA · PI Jessica Liddell · 2020 to 2026
$17.9M
National Institute of General Medical Sciences of the National Institutes of HealthNIGMS NIH HHS P20 GM130418
6 · The paper itself

Abstract

backgroundAlthough extremely common, and with a broad range of associated negative outcomes for both parents and infants, the full impact and cost of perinatal mood and anxiety disorders (PMADs) is under-researched. Rural states, such as Montana, in particular experience gaps in access to mental healthcare and high rates of PMADs, emphasizing a need for an economic analysis of untreated PMADs. To address this gap, a cost analysis of the impact of untreated PMADs in Montana was conducted using 2021 birth data.

methodsA cost-of-illness analysis was conducted to estimate the incremental costs of untreated PMADs in Montana. Secondary data sources and peer-reviewed literature were utilized to provide baseline estimates of the prevalence of maternal and birth outcomes in Montana and to estimate the impact of PMADs on these outcomes from the perinatal period through the first year postpartum.

resultsUsing 15% as the PMAD prevalence rate in Montana, the total estimated incremental cost of untreated perinatal mood and anxiety disorders for births in 2021 is about $21.7 million. This is about $12,897 per impacted mother-child pair. DISCUSSION: This study provides needed insight into the economic impact of untreated PMADs and highlights the broad range of negative impacts PMADs have on the well-being of parents and infants. This study highlights the importance of providing effective treatment to people experiencing PMADs to improve the health of both parents and their infants and has important policy implications for increased funding and workforce development for the detection and treatment of PMADs.

Indexed as

Anxiety DisordersCost of IllnessMood DisordersPregnancy ComplicationsAdultFemaleHumansInfant, NewbornMental HealthMontanaPregnancyPrevalenceRural Populationbirth outcomeschildbirtheconomic analysismaternal mental healthperinatal mood and anxiety disorderPMADs

Identifiers

PMID39932108
PMCPMC12434807

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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.