Evidence map›Paper›PMID 40921797›Full record

SynthesisMolecular psychiatry2025

Neural correlates of peripartum depression: a systematic review, meta-analysis and comparison to major depressive disorder.

Mónica Sobral, Raquel Guiomar, Manya Rezaeian, Maria Vasileiadi, Sara Cruz, Francisca Pacheco, Vera Mateus, Roser Palau-Costafreda, Johanna Pozo-Neira, Ana Weidenauer and 4 more

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Molecular psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Psychedelic therapy and postpartum depression: priorities and prospects.Therapeutic advances in psychopharmacology · 2026
    Review
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

14 authors.

Mónica SobralFaculty of Psychology and Educational Sciences, University of Coimbra, Rua do Colégio Novo, Coimbra, 3000-315, Portugal.ORCID http://orcid.org/0000-0001-6003-1931
Raquel GuiomarFaculty of Psychology and Educational Sciences, University of Coimbra, Rua do Colégio Novo, Coimbra, 3000-315, Portugal.
Manya RezaeianCounseling Center of Tehran University, Tehran, Iran.
Maria VasileiadiMedical University of Vienna, Vienna, Austria.
Sara CruzDepartment of Psychology, School of Philosophy, Psychology & Language Sciences, University of Edinburgh, Edinburgh, UK.
Francisca PachecoFaculty of Psychology and Educational Sciences, University of Coimbra, Rua do Colégio Novo, Coimbra, 3000-315, Portugal.
Vera MateusFaculty of Psychology and Educational Sciences, University of Coimbra, Rua do Colégio Novo, Coimbra, 3000-315, Portugal.
Roser Palau-CostafredaSocial Determinants and Health Education Research Group (SDHEd), Hospital del Mar Research Institute. Hospital del Mar Nursing School (ESIHMar), Universitat Pompeu Fabra-affiliated, Barcelona, Spain.ORCID http://orcid.org/0000-0003-1407-3422
Johanna Pozo-NeiraPsyBrain Research Group, Institute of Neuroscience, Clinical Psychology School, Health and Wellness Academic Unit, Universidad Católica de Cuenca, Cuenca, Ecuador.
Ana WeidenauerMedical University of Vienna, Vienna, Austria.ORCID http://orcid.org/0000-0003-1210-7617
Helena MoreiraFaculty of Psychology and Educational Sciences, University of Coimbra, Rua do Colégio Novo, Coimbra, 3000-315, Portugal.
Martin TikMedical University of Vienna, Vienna, Austria.ORCID http://orcid.org/0000-0002-6571-4413
Ana Ganho-ÁvilaFaculty of Psychology and Educational Sciences, University of Coimbra, Rua do Colégio Novo, Coimbra, 3000-315, Portugal.ORCID http://orcid.org/0000-0001-5355-6166
Anna-Lisa SchulerResearch Group Cognition and Plasticity, Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany. schuler@cbs.mpg.de.ORCID http://orcid.org/0000-0003-0959-280X

Funding

MAMMALIAN POLYAMINE METABOLISMR01CA018138 · NCI · UNIVERSITY OF VIRGINIA · PI FEITH, DAVID J. · 1985 to 2015
$2.8M
MAMMALIAN POLYAMINE METABOLISMR37CA018138 · NCI · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI PEGG, ANTHONY E · 1988 to 2004
$1.7M
Ministry of Education and Science | Fundação para a Ciência e a Tecnologia (Portuguese Science and Technology Foundation) 2021.07006.BDMinistry of Education and Science | Fundação para a Ciência e a Tecnologia (Portuguese Science and Technology Foundation) UIDB/04375/2020Ministry of Education and Science | Fundação para a Ciência e a Tecnologia (Portuguese Science and Technology Foundation) UIDP/00730/2020NCI NIH HHS R01 CA018138NCI NIH HHS R37 CA018138
6 · The paper itself

Abstract

backgroundPeripartum depression (PPD) is a form of major depressive disorder (MDD) that begins during the peripartum period and poses a significant mental health challenge affecting 10 to 29% of women.

objectiveThis systematic review and multimodal activation likelihood estimation (ALE) meta-analysis explored the distinct structural, functional, and metabolic features of the PPD brain as compared to female non-peripartum MDD.

methodsFor this purpose, we conducted a comprehensive literature search in PubMed, Embase and PsycINFO databases to identify peer-reviewed original studies investigating the neural correlates associated with PPD or fMDD.

resultsForty-five studies in PPD and 55 in fMDD were included in the qualitative synthesis. From these, 25 PPD and 32 fMDD studies were included in the meta-analysis. Both shared and distinct neural underpinnings of PPD and fMDD were observed. Specifically, we found alterations in the cognitive control, salience and default mode networks for both PPD and fMDD, although with reversed structural and functional activity patterns in the insula, amygdala, precentral gyrus and precuneus.

conclusionsThese findings support the consistent pattern of dysregulation associated with emotional regulation, cognition and maternal caregiving in women with PPD, as well as possible differential sensitivity to hormonal influences, highlighting the need for targeted interventions.

Indexed as

Depression, PostpartumMajor Depressive DisorderBrainDepressionFemaleHumansMagnetic Resonance ImagingPeripartum PeriodPregnancy

Identifiers

PMID40921797
PMCPMC12602369

What OpenQuestion holds

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LicenceCC BY
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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.