Evidence map›Paper›PMID 41256097›Full record

ArticleFrontiers in psychology2025

Network analysis of postpartum depression symptoms and perinatal risk factors in Chinese women: a prospective observational study.

Xian Zhang, Jiasi Yao, Hongxiao He, Jiahe Li, Junying Li, Hong Lu, Xiaona Huang, Xiaobo Tian, Junxiao Liang, Luxia Gong and 4 more

Abstract read
In one paragraph

Article in Frontiers in psychology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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

2 citing papers in PubMed.

  1. Article
  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

14 authors.

Xian ZhangSchool of Nursing and Health, Zhengzhou University, Zhengzhou, Henan, China.
Jiasi YaoSchool of Nursing, Hebei Medical University, Shijiazhuang, Hebei, China.
Hongxiao HeSchool of Nursing, Peking University, Beijing, China.
Jiahe LiSchool of Nursing, Peking University, Beijing, China.
Junying LiSchool of Nursing, Peking University, Beijing, China.
Hong LuSchool of Nursing, Peking University, Beijing, China.
Xiaona HuangChild Health and Development Section, United Nations Children's Fund China Office, Beijing, China.
Xiaobo TianChild Health and Development Section, United Nations Children's Fund China Office, Beijing, China.
Junxiao LiangChild Health and Development Section, United Nations Children's Fund China Office, Beijing, China.
Luxia GongChinese Maternal and Child Health Association, Beijing, China.
Ruyan PangChinese Maternal and Child Health Association, Beijing, China.
Qiong LuoDepartment of Health Informatics and Management, School of Health Humanities, Peking University, Beijing, China.
Jinbing AnDepartment of Health Informatics and Management, School of Health Humanities, Peking University, Beijing, China.
Xiu ZhuSchool of Nursing, Peking University, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Postpartum depression (PPD) is a prevalent mental health issue with significant implications for maternal and infant wellbeing. Despite extensive research, the complex interplay of perinatal factors contributing to PPD remains inadequately characterized. This study utilizes a network analysis approach to identify central depressive symptoms, critical perinatal risk factors, and pathways contributing to PPD among Chinese postpartum women. Methods: A prospective observational study enrolled 377 women from 10 tertiary hospitals in China. Sociodemographic and perinatal factors were assessed shortly after childbirth. At 4-6 weeks postpartum, PPD symptoms were evaluated using the Edinburgh Postnatal Depression Scale (EPDS). Maternal and infant health outcomes, breastfeeding experiences, and family support were captured through self-administered questionnaires. Random forest and Bayesian network analyses were employed to identify influential factors and their interrelationships. Results: Among the participants, 98 women (26.0, 95% CI: 21.6-30.7%) screened positive for PPD (EPDS score ≥10). Conclusion: This study reveals a significant prevalence of PPD among mothers in China. It underscores the positive impact of skin-to-skin contact, continuous postpartum care and tailored breastfeeding support in addressing PPD. These findings will advance PPD prevention strategies and inform evidence-based clinical practice in postpartum care.

Indexed as

Bayesian networkbreastfeedingEdinburgh Postnatal Depression Scalenetwork analysisperinatal risk factorspostpartum depressionrandom forest

Identifiers

PMID41256097
PMCPMC12620362

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.