Evidence map›Paper›PMID 40690816›Full record

SynthesisMidwifery2025

A systematic review of psychosocial screening tools for identification of postpartum mental health status beyond depressive symptoms.

Kaitlyn K Stanhope, Joelle Galatan, Amal Umerani, Rehnuma Islam, Abigail Powers, Vasiliki Michopoulos, Megan Lawley, Sharon L Leslie, Shakira F Suglia

Abstract readSystematic Review
In one paragraph

Synthesis in Midwifery, 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

9 authors.

Kaitlyn K StanhopeEmory University Rollins School of Public Health, Department of Epidemiology, 1518 Clifton Road NE Atlanta, 30329, Georgia; Emory University School of Medicine, Department of Gynecology and Obstetrics, 49 Jesse Hill Jr Drive SE, Atlanta, 30303, Georgia. Electronic address: Kaitlyn.keirsey.stanhope@emory.edu.
Joelle GalatanEmory University Rollins School of Public Health, Health Policy and Management, 1518 Clifton Road NE Atlanta, 30329, Georgia. Electronic address: Joelle.Galatan@Emory.edu.
Amal UmeraniEmory University Rollins School of Public Health, Department of Environmental Health, 1518 Clifton Road NE Atlanta, 30329, Georgia. Electronic address: amal.umerani@emory.edu.
Rehnuma IslamEmory University School of Medicine, Department of Gynecology and Obstetrics, 49 Jesse Hill Jr Drive SE, Atlanta, 30303, Georgia. Electronic address: ri188@mynsu.nova.edu.
Abigail PowersEmory University School of Medicine, Emory Department of Psychiatry and Behavioral Sciences, 12 Executive Park Dr NE #200, Atlanta, GA 30329, USA. Electronic address: abigail.lott@emoryhealthcare.org.
Vasiliki MichopoulosEmory University School of Medicine, Emory Department of Psychiatry and Behavioral Sciences, 12 Executive Park Dr NE #200, Atlanta, GA 30329, USA. Electronic address: vmichop@emory.edu.
Megan LawleyEmory University School of Medicine, Department of Gynecology and Obstetrics, 49 Jesse Hill Jr Drive SE, Atlanta, 30303, Georgia. Electronic address: mlawley@emory.edu.
Sharon L LeslieEmory University Woodruff Health Sciences Center Library, 1462 Clifton Rd, Atlanta, GA 30322, USA. Electronic address: Sharon.Leslie@emory.edu.
Shakira F SugliaEmory University Rollins School of Public Health, Department of Epidemiology, 1518 Clifton Road NE Atlanta, 30329, Georgia. Electronic address: Shakira.suglia@emory.edu.

Funding

Accumulation of stress and trauma across the life course and cardiometabolic risk during pregnancy and postpartumR00HL161355 · NHLBI · EMORY UNIVERSITY · PI Kaitlyn K Stanhope · 2024 to 2026
$825k
Accumulation of stress and trauma across the life course and cardiometabolic risk during pregnancy and postpartumK99HL161355 · NHLBI · EMORY UNIVERSITY · PI STANHOPE, KAITLYN K · 2022 to 2023
$188k
NHLBI NIH HHS K99 HL161355NHLBI NIH HHS R00 HL161355
6 · The paper itself

Abstract

backgroundMental health is a key driver of maternal health, particularly in the postpartum period. Psychiatric screening may improve linkage to care and outcomes. Limited evidence exists beyond screening for depression.

objectiveThe goal of this systematic review was to characterize the effects of systematic psychiatric and psychosocial screening on the identification, referral for, and resolution of postpartum mental health symptoms beyond depressive symptoms.

methodsWe identified studies that screened for psychiatric or psychosocial symptoms during pregnancy or postpartum and assessed at least one result of the screening in the postpartum year (e.g., diagnosis, linkage to care, resolution of symptoms). We searched six bibliographic databases on October 25, 2022 and again on December 15, 2023. Results were screened using Covidence. Two reviewers assessed each title/abstract and full text. We conducted a quality assessment using a modified version of the EPHPP (Effective Public Health Practice Quality Assessment Tool for Quantitative Studies).

resultsOf 5758 initially eligible studies, we selected 47 which fit our criteria. The most common symptom type was anxiety (25), followed by life course trauma (7), general psychosocial screening (4), and posttraumatic stress disorder (6). Studies primarily assessed diagnostic accuracy, followed by referral to care as outcomes. We deemed most studies of low quality (80.8 %), primarily due to a lack of an unscreened control group for assessing screening effectiveness.

conclusionsPostpartum screening is feasible and accurate for many psychiatric symptoms beyond depression. It is unclear whether it is effective in linking to care or improving postpartum outcomes.

Indexed as

Depression, PostpartumMass ScreeningMental DisordersPostpartum PeriodAdultDepressionFemaleHumansPregnancyPsychometricsAnxietyMental healthPostpartumReferralScreeningTreatment

Identifiers

PMID40690816
PMCPMC12947293

What OpenQuestion holds

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Registered trials

None linked

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.