Evidence map›Paper›PMID 40211420›Full record

Trial reportBMC psychology2025

The impact of expressive writing of deep feelings about labor experiences on postpartum depression: a randomized clinical controlled trial.

Sara Mohammadi, Fatemeh Hadizadeh Talasaz, Fatemeh Mohammadzadeh, Jahanshir Tavakolizadeh, Narjes Bahri

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC psychology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Sara MohammadiDepartment of Midwifery, Faculty of Medical Sciences, Birjand Branch, Islamic Azad University, Birjand, Iran.
Fatemeh Hadizadeh TalasazDepartment of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
Fatemeh MohammadzadehDepartment of Epidemiology & Biostatistics, School of Health, Social Development & Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad, Iran.
Jahanshir TavakolizadehDepartment of Basic Sciences, School of Medicine, Gonabad University of Medical Sciences, Gonabad, Iran.
Narjes BahriDepartment of Midwifery, Faculty of Medicine, Reproductive Health and Population Research Center, Gonabad University of Medical Sciences, Gonabad, Iran. nargesbahri@yahoo.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed to evaluate the expression of deep feelings about labor experiences in a virtual group of peers on the rate of postpartum depression.

methodsThis randomized clinical trial was conducted on 154 women who had given birth at a public hospital in Birjand city, in the North East of Iran, between May and October 2019. The participants were randomly allocated into two groups using four permuted blocks (the emotion expression and the control group). The participants fulfilled the Edinburgh Postnatal Depression Scale and a demographic questionnaire 6-72 h after delivery. For two weeks and twice a day, the intervention group wrote about the deepest thoughts and feelings about their experiences during labor and delivery in their peers' virtual social media group. The control group shared information about their daily life events or daily baby care experiences in another virtual social media group of their peers. The Edinburgh Postnatal Depression Scale was completed again by the participants at the end of the second week and three months after delivery. Data were analyzed using the Generalized Estimation Equations model. P < 0.05 was set as the level of statistical significance.

resultsThe participants had a mean age of 27.7 years (SD = 5.2), with no significant differences observed between the two groups in terms of demographic and reproductive characteristics (p-values > 0.05). The results of the Generalized Estimation Equation model indicated that there was no statistically significant difference in depression scores between the two groups 6-72 h after childbirth (p = 0.404). Additionally, the analysis showed that the changes in depression scores over time did not significantly differ between the control and intervention groups following the intervention. This suggests that both groups experienced similar patterns of change in their depression scores (p = 0.112).

conclusionOverall, the results showed that the expression of deep feelings about labor experiences in a virtual social media group of peers does not affect the rate of postpartum depression. More clinical trials with larger sample sizes are needed to draw better conclusions. REGISTRY OF CLINICAL TRIAL: Iranian Registry of Clinical Trial (IRCT). REGISTRATION NUMBER: IRCT20190610043859N1. Date of registration: 12/08/2019.

Indexed as

Depression, PostpartumExpressed EmotionLabor, ObstetricWritingAdultFemaleHumansIranPeer GroupPregnancySocial MediaYoung AdultExpressing of feelingsLabor stagesPostpartum depression

Identifiers

PMID40211420
PMCPMC11984279

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Registered trials

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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.