Evidence map›Paper›PMID 42288803›Full record

ArticleBMC pregnancy and childbirth2026

Expanded adverse childhood experiences and postpartum mental health among an under-resourced sample of Spanish- and English-speaking mothers referred for community-based mental health services during pregnancy.

Jonika B Hash, Dana C Nelson, Charles B Fleming, Monica L Oxford, Mary Jane Lohr, A B de Castro, Maria E Bleil, Susan J Spieker

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC pregnancy and childbirth, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02724774 (Collaborative Perinatal Mental Health and Parenting Support in Primary Care), 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.

NCT02724774 nacompletednot on this map

Collaborative Perinatal Mental Health and Parenting Support in Primary Care

TypeinterventionalSponsorUniversity of WashingtonRan2015 to 2020Enrolled252ConditionsParenting, Mother-child RelationsArmsPromoting First Relationships®
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

8 authors.

Jonika B HashSchool of Nursing, Department of Child, Family, and Population Health Nursing, University of Washington, Box 357231, Seattle, WA, 98195, USA. jonika@uw.edu.ORCID http://orcid.org/0000-0001-7710-5220
Dana C NelsonDepartment of Psychology, University of Washington, Seattle, WA, USA.ORCID http://orcid.org/0000-0001-7909-0931
Charles B FlemingDepartment of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, USA.ORCID http://orcid.org/0000-0002-1357-5706
Monica L OxfordSchool of Nursing, Department of Child, Family, and Population Health Nursing, University of Washington, Box 357231, Seattle, WA, 98195, USA.ORCID http://orcid.org/0000-0002-0506-843X
Mary Jane LohrSchool of Nursing, Department of Child, Family, and Population Health Nursing, University of Washington, Box 357231, Seattle, WA, 98195, USA.ORCID http://orcid.org/0000-0001-9826-5389
A B de CastroSeattle University, College of Nursing and Health Sciences, Seattle, WA, 98122, USA.ORCID http://orcid.org/0000-0002-1293-7015
Maria E BleilSchool of Nursing, Department of Child, Family, and Population Health Nursing, University of Washington, Box 357231, Seattle, WA, 98195, USA.ORCID http://orcid.org/0000-0002-2006-4533
Susan J SpiekerSchool of Nursing, Department of Child, Family, and Population Health Nursing, University of Washington, Box 357231, Seattle, WA, 98195, USA.ORCID http://orcid.org/0000-0003-4768-0181

Funding

The Role of Parenting in Infant Sleep Regulation and Sleep Problem RiskR01HD052809 · NICHD · PENNSYLVANIA STATE UNIVERSITY, THE · PI TETI, DOUGLAS MICHAEL · 2008 to 2012
$2.7M
University of Washington Pediatric and Reproductive Environmental Health Scholars (UW PREHS)K12ES033584 · NIEHS · UNIVERSITY OF WASHINGTON · PI CATHERINE J KARR, Sheela Sathyanarayana · 2022 to 2026
$2.4M
Eunice Kennedy Shriver National Institute of Child Health and Human Development R01HD052809NICHD NIH HHS R01 HD052809NIEHS NIH HHS K12 ES033584NIEHS NIH HHS K12ES033584
6 · The paper itself

Abstract

backgroundAdverse childhood experiences (ACEs) historically include 10 types of adversities (the "Conventional 10"), developed in the context of the landmark CDC-Kaiser ACEs study. These 10 ACEs are associated with an increased risk of perinatal depression and anxiety, but they may also overlook traumas that harm disadvantaged and minoritized groups. This study investigated an Expanded set of ACEs (the Conventional 10 plus five additional) among a sample of Spanish- and English-speaking postpartum mothers who had previously received a referral for a prenatal mental health concern from a community-based service providing care to under-resourced populations. Specific aims were to: (1) Describe the Conventional 10 and Expanded 15 ACEs in this sample, and compare the Conventional 10 in this sample to that of the existing landmark CDC-Kaiser ACEs study sample (reference sample), (2) Investigate demographic variation in the Conventional 10 and Expanded 15 ACE scores in this sample, and (3) Examine associations between ACEs and symptoms of depression, anxiety, and post-traumatic stress disorder (PTSD) at 6-12 weeks postpartum in this sample.

methodsParticipants included 244 Spanish- and English-speaking mothers from under-resourced communities who were previously referred for a mental health concern during pregnancy. Participants reported on their ACEs and their 6-to-12-week postpartum mental health including depression, anxiety, and post-traumatic stress symptoms. Reference sample data (descriptives of the Conventional 10 ACEs in the CDC-Kaiser ACEs study sample women) were obtained from a publicly available report.

resultsThe proportion of mothers reporting each of the Conventional 10 ACEs was greater in this sample than that of the reference CDC-Kaiser sample. Among the present study sample, mothers who came to the United States (US) in adulthood reported fewer ACEs compared to mothers born in the US. Additionally, among the present study sample, correlations with the postpartum mental health outcomes were slightly larger for the Expanded 15 ACE score than the Conventional 10 (rs = 0.31-0.42 and 0.26-0.37, respectively).

conclusionsFuture studies should consider the context of how and with whom ACEs measures are developed.

trial registrationClinicalTrials.gov (ID NCT02724774 registration date 3242016).

Indexed as

Adverse Childhood ExperiencesAnxietyDepression, PostpartumMothersPostpartum PeriodStress Disorders, Post-TraumaticAdultCommunity Mental Health ServicesDepressionFemaleHispanic or LatinoHumansMental HealthPregnancyYoung AdultAdverse childhood experiencesImmigrant healthLow-incomePostpartum anxietyPostpartum depression

Identifiers

PMID42288803
PMCPMC13488575

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LicenceCC BY-NC-ND
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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.