Evidence map›Paper›PMID 40960524›Full record

Trial reportArchives of women's mental health2025

Effects of a Personalized Stress Management Intervention on Maternal Mental Health: A Randomized Clinical Trial.

S Darius Tandon, Judith T Moskowitz, Renee C Edwards, Yudong Zhang, Gina Giase, Brianna Sinche, Abigail L Blum, S Krislov, Haley M Reynolds, Aditi Rangarajan and 6 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Archives of women's mental health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05052281 (Promoting Healthy Brain Development Via Prenatal Stress Reduction), which is not on this map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

NCT05052281 nacompletednot on this map

Promoting Healthy Brain Development Via Prenatal Stress Reduction: An Innovative Precision Medicine Approach

TypeinterventionalSponsorNorthwestern UniversityRan2019 to 2024Enrolled100ConditionsPrenatal StressArmsMothers and Babies (MB) Course, Just in Time Intervention (JITI) Content, Biostamp nPoint Device
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. 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

16 authors.

S Darius TandonNorthwestern University Feinberg School of Medicine and Institute for Innovations in Developmental Sciences, Chicago, IL, USA. dtandon@northwestern.edu.ORCID 0000-0002-3243-903X
Judith T MoskowitzNorthwestern University Feinberg School of Medicine and Institute for Innovations in Developmental Sciences, Chicago, IL, USA.ORCID 0000-0002-1399-3318
Renee C EdwardsNorthwestern University Feinberg School of Medicine and Institute for Innovations in Developmental Sciences, Chicago, IL, USA.ORCID 0000-0002-0101-3570
Yudong ZhangNorthwestern University Feinberg School of Medicine and Institute for Innovations in Developmental Sciences, Chicago, IL, USA.ORCID 0000-0002-0640-7819
Gina GiaseNorthwestern University Feinberg School of Medicine and Institute for Innovations in Developmental Sciences, Chicago, IL, USA.
Brianna SincheNorthwestern University Feinberg School of Medicine and Institute for Innovations in Developmental Sciences, Chicago, IL, USA.
Abigail L BlumNorthwestern University Feinberg School of Medicine (now at Vanderbilt University), Chicago, IL, USA.ORCID 0000-0002-8953-5540
S KrislovNorthwestern University Feinberg School of Medicine and Institute for Innovations in Developmental Sciences, Chicago, IL, USA.
Haley M ReynoldsNorthwestern University Feinberg School of Medicine (now at University of Illinois College of Medicine), Chicago, USA.
Aditi RangarajanNorthwestern University Feinberg School of Medicine, Chicago, IL, USA.
Peter CummingsNorthwestern University Feinberg School of Medicine, Chicago, IL, USA.
Amélie PetitclercNorthwestern University Feinberg School of Medicine (now at Université Laval), Chicago, IL, USA.ORCID 0000-0002-1475-3113
Nabil AlshurafaNorthwestern University Feinberg School of Medicine and Institute for Innovations in Developmental Sciences, Chicago, IL, USA.ORCID 0000-0001-6681-7564
William A GrobmanNorthwestern University Feinberg School of Medicine (now at The Warren Alpert School of Medicine, Brown University), Chicago, IL, USA.
Erin A WardNorthwestern University Feinberg School of Medicine (now at Youth Guidance), Chicago, IL, USA.
Lauren S WakschlagNorthwestern University Feinberg School of Medicine and Institute for Innovations in Developmental Sciences, Chicago, IL, USA.ORCID 0000-0001-9511-2299

Funding

Lurie Children's Hospital SP0055092
6 · The paper itself

Abstract

purposeWhile interventions to mitigate and prevent perinatal maternal distress exist, none are personalized based on participants' daily experiences and intervention response. This study compared maternal distress outcomes (depressive symptoms, anxiety symptoms, perceived stress) between perinatal individuals receiving a personalized mobile health-enhanced cognitive-behavioral intervention and individuals receiving usual prenatal care.

methodsPregnant individuals ≤ 22 weeks' gestation recruited from six prenatal care clinics were randomized to the intervention or usual prenatal care. Intervention participants received a 12-session adaptation of the Mothers and Babies intervention (MB-P), personalized by just-in-time stress reduction and mindfulness content based on elevated physiologic or self-reported stress. Primary outcomes were depressive and anxiety symptoms, and perceived stress. Secondary outcomes were behavioral activation, decentering of thoughts, social support, and mood regulation. Outcomes were measured at baseline, one-week post-intervention, one month postpartum, and three months postpartum. An intent-to-treat approach using mixed-effects models guided analysis.

resultsForty-nine individuals were randomized to MB-P and fifty-one to usual prenatal care. Participants were 70% White, 33.7 years old on average, and 16.2 weeks gestation. At three months postpartum, intervention participants had lower depressive symptomatology (d = 0.43) and less perceived stress (d = 0.46) than controls. Intervention participants exhibited greater behavioral activation three months postpartum (d = 0.41), greater decentering post-intervention (d = 0.37), and greater mood regulation post-intervention (d = 0.56) and three months postpartum (d = 0.55).

conclusionMB-P improved maternal depression and anxiety and mechanisms of behavioral activation, decentering, and mood regulation when compared to usual prenatal care. Future research should examine MB-P impact compared to standard MB without just-in-time content.

trial registrationClinical Trials.gov, NCT05052281.

Indexed as

AnxietyCognitive Behavioral TherapyDepressionMothersPregnancy ComplicationsPrenatal CareStress, PsychologicalAdultFemaleHumansMental HealthMindfulnessPregnancySocial SupportJust-in-time interventionPostpartum depressionStress

Identifiers

PMID40960524
PMCPMC12702803

What OpenQuestion holds

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LicenceCC BY
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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.