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Peer-reviewedCC BYArchives of women's mental health

Childhood traumatic experiences and postpartum depression: a mixed methods narrative study.

  1. 1University of Virginia, Charlottesville, USA. [email protected].
  2. 2University of Virginia, Charlottesville, USA.

Abstract

Purpose

Postpartum depression (PPD) is a significant public health concern with profound effects on the health and well-being of women, children, and families. A growing body of research has identified an association between childhood traumatic experiences and an increased risk of PPD. This study aims to elucidate potentially underrecognized childhood experiences that are perceived as traumatic or particularly formative, and to examine whether linguistic features in brief trauma narratives are associated with PPD symptomatology.Methods

This analysis included data from 143 participants who provided narrative responses to an open-ended item on the Childhood Traumatic Events Scale (CTES). Topic modeling and thematic analysis were used to identify recurring trauma-related themes, while dictionary-based sentiment analysis quantified the emotional valence of participants' responses. Pearson's correlation analyses examined associations between sentiment scores and PPD severity across four postpartum time points (Week 2, Week 6, Month 3, and Month 6).Results

Three primary themes emerged: (1) familial adversity, (2) verbal/emotional abuse, and (3) childhood relocation or moving. Across all narratives, sentiment scores indicated predominantly negative language. No significant associations were found between sentiment scores and PPD symptomatology through six months postpartum.Conclusion

Expanding assessment tools to include open-ended narrative prompts may strengthen the identification and characterization of childhood adversity in both research and clinical settings. Further research is needed to better understand whether and how narrative language reflects perinatal mental health.Clinical trial number

Not applicable.

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BibTeX
@article{mcdonald2026childhood,
  title = {{Childhood traumatic experiences and postpartum depression: a mixed methods narrative study.}},
  author = {Maria McDonald and Richard Jiang and Sahana Gopi and Jennifer L Payne and Xin Tong},
  journal = {Archives of women's mental health},
  year = {2026},
  month = oct,
  doi = {10.1007/s00737-026-01777-0},
  url = {https://europepmc.org/article/MED/42891847},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Childhood traumatic experiences and postpartum depression: a mixed methods narrative study.
AU  - Maria McDonald
AU  - Richard Jiang
AU  - Sahana Gopi
AU  - Jennifer L Payne
AU  - Xin Tong
PY  - 2026
DA  - 2026/10/17
JO  - Archives of women's mental health
DO  - 10.1007/s00737-026-01777-0
UR  - https://europepmc.org/article/MED/42891847
AB  - Purpose  Postpartum depression (PPD) is a significant public health concern with profound effects on the health and well-being of women, children, and families. A growing body of research has identified an association between childhood traumatic experiences and an increased risk of PPD. This study aims to elucidate potentially underrecognized childhood experiences that are perceived as traumatic or particularly formative, and to examine whether linguistic features in brief trauma narratives are associated with PPD symptomatology.Methods  This analysis included data from 143 participants who provided narrative responses to an open-ended item on the Childhood Traumatic Events Scale (CTES). Topic modeling and thematic analysis were used to identify recurring trauma-related themes, while dictionary-based sentiment analysis quantified the emotional valence of participants' responses. Pearson's correlation analyses examined associations between sentiment scores and PPD severity across four postpartum time points (Week 2, Week 6, Month 3, and Month 6).Results  Three primary themes emerged: (1) familial adversity, (2) verbal/emotional abuse, and (3) childhood relocation or moving. Across all narratives, sentiment scores indicated predominantly negative language. No significant associations were found between sentiment scores and PPD symptomatology through six months postpartum.Conclusion  Expanding assessment tools to include open-ended narrative prompts may strengthen the identification and characterization of childhood adversity in both research and clinical settings. Further research is needed to better understand whether and how narrative language reflects perinatal mental health.Clinical trial number  Not applicable.
SN  - 1434-1816
SN  - 1435-1102
ER  -