Maternal adverse childhood experiences and postpartum depressive symptoms in young, low-income women

Shin, Sunny H.; Jiskrova, Gabriela Ksinan; Kimbrough, Tiffany; Tabb, Karen M.; Lee, Elizabeth Overall; Ayers, Carl E.

doi:10.1016/j.psychres.2020.113679

Cited by 4 publications

(2 citation statements)

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“…Researchers in Calgary similarly demonstrated ACEs to be predictive of depressive symptoms in pregnancy, both across the perinatal period and during the postpartum period ( 24 ). Additionally, several studies have linked ACEs to postpartum depression in patients with low-socioeconomic status ( 19 , 25 ). However, it is likely, based on the results of this study, that ACEs counts are higher among our pregnant patient, therefore screening should be widened to include the entirety of the population.…”

Section: Discussionmentioning

confidence: 99%

“…Additionally, attention has begun to turn to the impact ACEs may have on maternal mental health. Several studies show that pregnant people with ACEs, especially higher ACE scores, are at an increased risk of developing PPD ( 18 , 19 ). Research shows that patients with higher ACE scores may have depressive symptoms longer despite traditional treatment ( 20 ).Routine prenatal ACE screening may be a valid tool to identify pregnancy health risks, but more research is needed to determine the most effective methods of screening and intervention for pregnant patients with high scores ( 21 ).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The Association Between Adverse Childhood Experiences and Postpartum Depression

Prentice¹,

Otaibi²,

Stetter³

et al. 2022

Front. Glob. Womens Health

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ObjectiveAdverse childhood experiences (ACEs) are linked to worsening overall health outcomes and psychological diagnoses. Routine screening, particularly in patients with postpartum depression (PPD), would identify patients who could benefit from interventions to prevent the perpetuation of ACEs and establish a system of preventative care to mitigate the risks of adverse health outcomes associated with high ACE scores. The purpose of this study is to explore the link between ACEs and PPD to advocate for the use of the ACE questionnaire as a routine screening tool in all pregnant patients diagnosed with PPD. We hypothesize that a cohort of patients with PPD will be more likely to have high-risk ACE scores than the general female population.Study DesignOur IRB approved, retrospective cohort study identified all patients diagnosed with PPD at an academic medical center between January 2015 and December 2019. The subjects were identified using retrospective chart review. Subjects were recruited via telephone and asked to complete an ACE questionnaire. Questionnaires were sent via RedCap. ACE scores were calculated, categorized as 0, 1, 2, 3, or 4 or more ACEs, and compared to the prevalence in the original Kaiser-CDC ACE study female cohort using a chi-square goodness-of-fit test.ResultsThere were 132/251 surveys completed (53% response rate). In our PPD population, 19.3% had 0 ACEs, 17.0% had 1 ACE, 13.1% had 2 ACEs, 16.5% had 3 ACEs, and 34.1% had 4 or more ACEs. These percentages were significantly different from the Kaiser-CDC ACE Study percentages of 34.5, 24.5, 15.5, 10.3, and 15.2%, respectively (p < 0.001).ConclusionOur unique study showed that women with PPD are more likely to have high-risk ACE scores than the general female population. This finding has important implications in regards to counseling, intervening to prevent perpetual ACEs, and establishing important provider-patient relationships for life-long preventative care.Non-gendered language is used when possible throughout. However, the wording from studies cited in this paper was preserved.

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Section: Discussionmentioning

confidence: 99%