Evidence map›Paper›PMID 40539750›Full record

Trial reportEarly intervention in psychiatry2025

Descriptive Characteristics of Psychiatric Medication Discontinuation Among Perinatal Women With Depressive Symptoms.

Clevanne Julce, Julie Flahive, Taber Lightbourne, Sriya Podila, Allexis Mahanna, Martha Zimmermann, Radley Christopher Sheldrick, Tiffany A Moore Simas, Nancy Byatt

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Early intervention in psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02760004 (PRogram In Support of Moms), which is not on this map. Not yet cited in PubMed.

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

NCT02760004 nacompletednot on this map

PRogram In Support of Moms: An Innovative Stepped-Care Approach for Obstetrics and Gynecology Clinics

TypeinterventionalSponsorUniversity of Massachusetts, WorcesterRan2017 to 2022Enrolled312ConditionsDepressionArmsPRogram In Support of Moms (PRISM), MCPAP for Moms
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

9 authors.

Clevanne JulceDepartment of Psychiatry, UMass Chan Medical School/UMass Memorial Health, Shrewsbury, Massachusetts, USA.ORCID https://orcid.org/0000-0001-5633-8252
Julie FlahiveDepartment of Population and Quantitative Health Sciences, UMass Chan Medical School, Worcester, Massachusetts, USA.
Taber LightbourneDepartment of Psychiatry, UMass Chan Medical School/UMass Memorial Health, Shrewsbury, Massachusetts, USA.
Sriya PodilaDepartment of Psychiatry, UMass Chan Medical School/UMass Memorial Health, Shrewsbury, Massachusetts, USA.
Allexis MahannaDepartment of Psychiatry, UMass Chan Medical School/UMass Memorial Health, Shrewsbury, Massachusetts, USA.
Martha ZimmermannDepartment of Psychiatry, UMass Chan Medical School/UMass Memorial Health, Shrewsbury, Massachusetts, USA.ORCID https://orcid.org/0000-0003-3468-1732
Radley Christopher SheldrickDepartment of Psychiatry, UMass Chan Medical School/UMass Memorial Health, Shrewsbury, Massachusetts, USA.
Tiffany A Moore SimasDepartment of Psychiatry, UMass Chan Medical School/UMass Memorial Health, Shrewsbury, Massachusetts, USA.
Nancy ByattDepartment of Psychiatry, UMass Chan Medical School/UMass Memorial Health, Shrewsbury, Massachusetts, USA.

Funding

University of Massachusetts Center for Clinical and Translational ScienceKL2TR001455 · NCATS · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI KIEFE, CATARINA I. · 2015 to 2024
$5.0M
Transdisciplinary Training In Cardiovascular ResearchT32HL120823 · NHLBI · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI DONAHUE, J KEVIN, KIEFE, CATARINA I. · 2014 to 2025
$3.9M
CDC HHS U01DP006093NCATS NIH HHS KL2 TR001455NCCDPHP CDC HHS U01 DP006093NHLBI NIH HHS T32 HL120823NIH HHS 2T32HL120823NIH HHS T32GM135701
6 · The paper itself

Abstract

introductionThis study examined the prevalence of psychiatric medication discontinuation amongst perinatal women with depressive symptoms and describes characteristics of those who discontinued compared to those who continued medications in pregnancy.

methodsWe conducted a cross-sectional analysis using baseline data from the PRogram In Support of Moms study. Amongst 98 women prescribed psychiatric medication, we descriptively assessed sociodemographic characteristics of participants who discontinued versus continued medications. A logistic regression model evaluated the association between depressive symptoms and medication discontinuation.

resultsApproximately 65% reported medication discontinuation in pregnancy (95% CI: 55%-74%). Those who discontinued had a median Edinburgh Postnatal Depression Scale (EPDS) score that was 1 point higher than those who continued (p = 0.12). Of those who discontinued medications, 27% were never married, 52% reported annual incomes < $60 000, and 56% were Medicaid-insured.

conclusionMost participants prescribed psychiatric medications before pregnancy discontinued them in pregnancy. Adequately powered studies are needed to validate findings and to explore mediating factors.

trial registrationNCT02760004.

Indexed as

Antidepressive AgentsDepressionPregnancy ComplicationsAdultCross-Sectional StudiesFemaleHumansPregnancyYoung AdultAntidepressive Agentsperinatal depressionpreconceptionpsychiatric medication use

Identifiers

PMID40539750
PMCPMC12665357

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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.