{"id":"https://openalex.org/W7225828762","doi":"https://doi.org/10.3389/fpsyt.2026.1927370","title":"Perceived family support and postpartum posttraumatic stress and depressive symptoms: a network analysis with temporal within-site replication","display_name":"Perceived family support and postpartum posttraumatic stress and depressive symptoms: a network analysis with temporal within-site replication","publication_year":2026,"publication_date":"2026-11-11","ids":{"openalex":"https://openalex.org/W7225828762","doi":"https://doi.org/10.3389/fpsyt.2026.1927370"},"language":"en","primary_location":{"id":"doi:10.3389/fpsyt.2026.1927370","doi":"https://doi.org/10.3389/fpsyt.2026.1927370","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fpsyt.2026.1927370","pdf_url":"https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2026.1927370/pdf","source":{"id":"https://openalex.org/S92766711","display_name":"Frontiers in Psychiatry","issn_l":"1664-0640","issn":["1664-0640"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","ki-jl-1","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Psychiatry","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2026.1927370/pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5161488775","display_name":"Lan Zhang","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I116953780","display_name":"Tongji University","ror":"https://ror.org/03rc6as71","country_code":"CN","type":"education","lineage":["https://openalex.org/I116953780"]},{"id":"https://openalex.org/I4210153623","display_name":"Shanghai First Maternity and Infant Hospital","ror":"https://ror.org/05myyzn85","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210153623"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Lan Zhang","raw_affiliation_strings":["Nursing Department, Shanghai First Maternity and Infant Hospital, School of Medicine, Tongji University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Nursing Department, Shanghai First Maternity and Infant Hospital, School of Medicine, Tongji University","institution_ids":["https://openalex.org/I116953780","https://openalex.org/I4210153623"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5146692981","display_name":"Xiu Ni","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I116953780","display_name":"Tongji University","ror":"https://ror.org/03rc6as71","country_code":"CN","type":"education","lineage":["https://openalex.org/I116953780"]},{"id":"https://openalex.org/I4210153623","display_name":"Shanghai First Maternity and Infant Hospital","ror":"https://ror.org/05myyzn85","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210153623"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Xiu Ni","raw_affiliation_strings":["Department of Anesthesiology, Shanghai First Maternity and Infant Hospital, School of Medicine, Tongji University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Anesthesiology, Shanghai First Maternity and Infant Hospital, School of Medicine, Tongji University","institution_ids":["https://openalex.org/I116953780","https://openalex.org/I4210153623"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5008539120","display_name":"Nafei Guo","orcid":"https://orcid.org/0000-0001-6260-107X","observed_orcids":["https://orcid.org/0000-0001-6260-107X"]},"institutions":[{"id":"https://openalex.org/I116953780","display_name":"Tongji University","ror":"https://ror.org/03rc6as71","country_code":"CN","type":"education","lineage":["https://openalex.org/I116953780"]},{"id":"https://openalex.org/I4210153623","display_name":"Shanghai First Maternity and Infant Hospital","ror":"https://ror.org/05myyzn85","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210153623"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Nafei Guo","raw_affiliation_strings":["Nursing Department, Shanghai First Maternity and Infant Hospital, School of Medicine, Tongji University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Nursing Department, Shanghai First Maternity and Infant Hospital, School of Medicine, Tongji University","institution_ids":["https://openalex.org/I116953780","https://openalex.org/I4210153623"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5159742099","display_name":"Junying Li","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I116953780","display_name":"Tongji University","ror":"https://ror.org/03rc6as71","country_code":"CN","type":"education","lineage":["https://openalex.org/I116953780"]},{"id":"https://openalex.org/I4210153623","display_name":"Shanghai First Maternity and Infant Hospital","ror":"https://ror.org/05myyzn85","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210153623"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Junying Li","raw_affiliation_strings":["Nursing Department, Shanghai First Maternity and Infant Hospital, School of Medicine, Tongji University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Nursing Department, Shanghai First Maternity and Infant Hospital, School of Medicine, Tongji University","institution_ids":["https://openalex.org/I116953780","https://openalex.org/I4210153623"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161487339","display_name":"Xuemei Li","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I116953780","display_name":"Tongji University","ror":"https://ror.org/03rc6as71","country_code":"CN","type":"education","lineage":["https://openalex.org/I116953780"]},{"id":"https://openalex.org/I4210153623","display_name":"Shanghai First Maternity and Infant Hospital","ror":"https://ror.org/05myyzn85","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210153623"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Xuemei Li","raw_affiliation_strings":["Nursing Department, Shanghai First Maternity and Infant Hospital, School of Medicine, Tongji University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Nursing Department, Shanghai First Maternity and Infant Hospital, School of Medicine, Tongji University","institution_ids":["https://openalex.org/I116953780","https://openalex.org/I4210153623"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5100414385","display_name":"Ying Liu","orcid":"https://orcid.org/0000-0003-0634-8158","observed_orcids":["https://orcid.org/0000-0003-0634-8158"]},"institutions":[{"id":"https://openalex.org/I116953780","display_name":"Tongji University","ror":"https://ror.org/03rc6as71","country_code":"CN","type":"education","lineage":["https://openalex.org/I116953780"]},{"id":"https://openalex.org/I4210153623","display_name":"Shanghai First Maternity and Infant Hospital","ror":"https://ror.org/05myyzn85","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210153623"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Ying Liu","raw_affiliation_strings":["Clinical Research Unit, Shanghai Key Laboratory of Maternal Fetal Medicine, Shanghai Institute of Maternal-Fetal Medicine and Gynecologic Oncology, Shanghai First Maternity and Infant Hospital, School of Medicine, Tongji University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Clinical Research Unit, Shanghai Key Laboratory of Maternal Fetal Medicine, Shanghai Institute of Maternal-Fetal Medicine and Gynecologic Oncology, Shanghai First Maternity and Infant Hospital, School of Medicine, Tongji University","institution_ids":["https://openalex.org/I116953780","https://openalex.org/I4210153623"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5100414385"],"corresponding_institution_ids":["https://openalex.org/I116953780","https://openalex.org/I4210153623"],"apc_list":{"value":3150,"currency":"CHF","value_usd":3801},"apc_paid":{"value":3150,"currency":"CHF","value_usd":3801},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"17","issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10786","display_name":"Maternal Mental Health During Pregnancy and Postpartum","score":0.9984999895095825,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10786","display_name":"Maternal Mental Health During Pregnancy and Postpartum","score":0.9984999895095825,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10453","display_name":"Maternal and Perinatal Health Interventions","score":0.000699999975040555,"subfield":{"id":"https://openalex.org/subfields/2729","display_name":"Obstetrics and Gynecology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13283","display_name":"Mental Health Research Topics","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/3205","display_name":"Experimental and Cognitive Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[],"concepts":[{"id":"https://openalex.org/C2778087770","wikidata":"https://www.wikidata.org/wiki/Q2297111","display_name":"Social support","level":2,"score":0.6822999715805054},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.5976999998092651},{"id":"https://openalex.org/C2991847609","wikidata":"https://www.wikidata.org/wiki/Q202387","display_name":"Posttraumatic stress","level":2,"score":0.555400013923645},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.5537999868392944},{"id":"https://openalex.org/C142853389","wikidata":"https://www.wikidata.org/wiki/Q744778","display_name":"Association (psychology)","level":2,"score":0.5065000057220459},{"id":"https://openalex.org/C558461103","wikidata":"https://www.wikidata.org/wiki/Q154430","display_name":"Anxiety","level":2,"score":0.44760000705718994},{"id":"https://openalex.org/C2780262536","wikidata":"https://www.wikidata.org/wiki/Q2712836","display_name":"Postpartum depression","level":3,"score":0.4401000142097473},{"id":"https://openalex.org/C2779017400","wikidata":"https://www.wikidata.org/wiki/Q5433390","display_name":"Family support","level":2,"score":0.40799999237060547},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.4068000018596649},{"id":"https://openalex.org/C2776882568","wikidata":"https://www.wikidata.org/wiki/Q5338245","display_name":"Edinburgh Postnatal Depression Scale","level":4,"score":0.38999998569488525},{"id":"https://openalex.org/C2776867660","wikidata":"https://www.wikidata.org/wiki/Q1814941","display_name":"Depression (economics)","level":2,"score":0.37790000438690186},{"id":"https://openalex.org/C3019858935","wikidata":"https://www.wikidata.org/wiki/Q4340209","display_name":"Depressive symptoms","level":3,"score":0.3767000138759613},{"id":"https://openalex.org/C70727504","wikidata":"https://www.wikidata.org/wiki/Q1806878","display_name":"Latent class model","level":2,"score":0.3709999918937683},{"id":"https://openalex.org/C53811970","wikidata":"https://www.wikidata.org/wiki/Q5062194","display_name":"Centrality","level":2,"score":0.3707999885082245},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.31290000677108765},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.3061000108718872},{"id":"https://openalex.org/C71104824","wikidata":"https://www.wikidata.org/wiki/Q1476639","display_name":"Structural equation modeling","level":2,"score":0.3034000098705292},{"id":"https://openalex.org/C3018745865","wikidata":"https://www.wikidata.org/wiki/Q749115","display_name":"Postpartum period","level":3,"score":0.29760000109672546},{"id":"https://openalex.org/C40722632","wikidata":"https://www.wikidata.org/wiki/Q5160137","display_name":"Confirmatory factor analysis","level":3,"score":0.288100004196167},{"id":"https://openalex.org/C2779703513","wikidata":"https://www.wikidata.org/wiki/Q34581","display_name":"Childbirth","level":3,"score":0.28519999980926514},{"id":"https://openalex.org/C3020110884","wikidata":"https://www.wikidata.org/wiki/Q695416","display_name":"Outpatient clinic","level":2,"score":0.2847999930381775},{"id":"https://openalex.org/C2776674806","wikidata":"https://www.wikidata.org/wiki/Q12135","display_name":"Mental illness","level":3,"score":0.2773999869823456},{"id":"https://openalex.org/C83849319","wikidata":"https://www.wikidata.org/wiki/Q7295720","display_name":"Rating scale","level":2,"score":0.275299996137619},{"id":"https://openalex.org/C3017944768","wikidata":"https://www.wikidata.org/wiki/Q1450463","display_name":"Poison control","level":2,"score":0.27230000495910645},{"id":"https://openalex.org/C171606756","wikidata":"https://www.wikidata.org/wiki/Q506132","display_name":"Psychometrics","level":2,"score":0.2614000141620636}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.3389/fpsyt.2026.1927370","doi":"https://doi.org/10.3389/fpsyt.2026.1927370","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fpsyt.2026.1927370","pdf_url":"https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2026.1927370/pdf","source":{"id":"https://openalex.org/S92766711","display_name":"Frontiers in Psychiatry","issn_l":"1664-0640","issn":["1664-0640"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","ki-jl-1","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Psychiatry","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.3389/fpsyt.2026.1927370","doi":"https://doi.org/10.3389/fpsyt.2026.1927370","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fpsyt.2026.1927370","pdf_url":"https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2026.1927370/pdf","source":{"id":"https://openalex.org/S92766711","display_name":"Frontiers in Psychiatry","issn_l":"1664-0640","issn":["1664-0640"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","ki-jl-1","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Psychiatry","raw_type":"journal-article"},"sustainable_development_goals":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7225828762.pdf","grobid_xml":"https://content.openalex.org/works/W7225828762.grobid-xml"},"referenced_works_count":46,"referenced_works":["https://openalex.org/W1938696021","https://openalex.org/W2030863659","https://openalex.org/W2045046386","https://openalex.org/W2078226795","https://openalex.org/W2094246310","https://openalex.org/W2117314946","https://openalex.org/W2149264570","https://openalex.org/W2285271602","https://openalex.org/W2530237102","https://openalex.org/W2542924774","https://openalex.org/W2543011599","https://openalex.org/W2582550385","https://openalex.org/W2757519421","https://openalex.org/W2769921587","https://openalex.org/W2801359717","https://openalex.org/W2802792529","https://openalex.org/W2885511794","https://openalex.org/W2967775628","https://openalex.org/W3044051453","https://openalex.org/W3092266760","https://openalex.org/W3118306411","https://openalex.org/W3160955444","https://openalex.org/W3165685554","https://openalex.org/W3204783317","https://openalex.org/W4206992310","https://openalex.org/W4221052781","https://openalex.org/W4229074152","https://openalex.org/W4291618062","https://openalex.org/W4296016365","https://openalex.org/W4322485664","https://openalex.org/W4362612069","https://openalex.org/W4372271278","https://openalex.org/W4385172753","https://openalex.org/W4388019402","https://openalex.org/W4389896144","https://openalex.org/W4390244730","https://openalex.org/W4390769275","https://openalex.org/W4393004271","https://openalex.org/W4393097285","https://openalex.org/W4399097294","https://openalex.org/W4402326472","https://openalex.org/W4404428015","https://openalex.org/W4405858332","https://openalex.org/W4408868888","https://openalex.org/W4408943970","https://openalex.org/W4416337018"],"related_works":[],"abstract_inverted_index":{"Background":[0],"Postpartum":[1],"posttraumatic":[2,162,287],"stress":[3,78,163,288],"and":[4,16,60,82,102,124,135,164,218,254,262,289],"depressive":[5,80,165,290],"symptoms":[6,26,166,219,263,291],"often":[7],"co-occur,":[8],"but":[9,186,300],"whether":[10],"perceived":[11,83,293],"support":[12,85,122,142,154,170,217,258,280,294,316,342],"from":[13,65,246,271,295],"family,":[14],"friends,":[15],"significant":[17,298],"others":[18],"is":[19],"associated":[20,284],"with":[21,25,88,149,161,285],"particular":[22,28],"symptoms,":[23,79,81],"or":[24,297,341],"of":[27,106,146,209,233,257],"domains,":[29],"remains":[30],"unclear.":[31],"Methods":[32],"In":[33],"this":[34,207],"cross-sectional":[35,333],"study":[36],"at":[37,49],"an":[38],"obstetric":[39],"outpatient":[40],"clinic":[41,68],"in":[42,58,69,211,328],"Shanghai,":[43],"China,":[44,329],"1,135":[45],"women":[46,64],"were":[47,86,114,177,198,226,259,304,309],"recruited":[48],"routine":[50],"follow-up":[51],"visits":[52],"approximately":[53,201],"42":[54],"days":[55],"after":[56,128],"childbirth":[57,266],"2023,":[59],"a":[61,72,136,247,320,338,343],"further":[62],"510":[63],"the":[66,89,96,103,118,131,156,168,187,203,214,255,331],"same":[67],"2024":[70],"formed":[71],"temporal":[73],"within-site":[74],"replication":[75],"sample.":[76],"Posttraumatic":[77,91],"social":[84],"assessed":[87],"Perinatal":[90],"Stress":[92],"Disorder":[93],"Questionnaire":[94,196],"(PPQ),":[95],"Edinburgh":[97],"Postnatal":[98],"Depression":[99],"Scale":[100,105],"(EPDS),":[101],"Multidimensional":[104],"Perceived":[107,152,278,314],"Social":[108],"Support":[109],"(MSPSS).":[110],"Regularized":[111],"network":[112],"models":[113],"used":[115],"to":[116,265,274],"estimate":[117],"association":[119,160,215],"between":[120,184,194,216],"each":[121,125,141],"source":[123],"individual":[126,180],"symptom":[127,175,181,307],"accounting":[129],"for":[130,206,324],"other":[132],"variables":[133],"measured,":[134],"bridge":[137],"centrality":[138],"index":[139],"summarized":[140],"source\u2019s":[143],"overall":[144,158,188],"pattern":[145,189],"direct":[147],"associations":[148,182,303],"symptoms.":[150],"Results":[151],"family":[153,279,315],"showed":[155],"strongest":[157],"inverse":[159],"among":[167],"three":[169],"sources,":[171],"particularly":[172],"when":[173,224,306],"both":[174],"domains":[176],"examined":[178],"together;":[179],"varied":[183],"samples,":[185],"did":[190],"not":[191,260,268,336],"differ":[192],"statistically":[193],"them.":[195],"scores":[197],"treated":[199],"as":[200,230,311],"continuous,":[202],"standard":[204],"specification":[205],"class":[208],"model;":[210],"sensitivity":[212],"analyses,":[213],"was":[220,281],"no":[221,301],"longer":[222],"present":[223,332],"analyses":[225],"re-run,":[227],"treating":[228],"responses":[229,308],"categorical":[231],"instead":[232],"continuous.":[234],"Limitations":[235],"The":[236,243],"cross-sectional,":[237],"self-report":[238],"design":[239],"precludes":[240],"causal":[241,339],"inference.":[242],"sample":[244],"came":[245],"single,":[248],"relatively":[249],"homogeneous":[250],"hospital;":[251],"perinatal":[252],"anxiety":[253],"quality":[256],"measured;":[261],"related":[264,273],"could":[267],"be":[269,319],"distinguished":[270],"those":[272],"infant":[275],"hospitalization.":[276],"Conclusions":[277],"more":[282],"strongly":[283],"fewer":[286],"than":[292],"friends":[296],"others,":[299],"support-symptom":[302],"retained":[305],"analysed":[310],"ordered":[312],"categories.":[313],"may":[317],"therefore":[318],"useful":[321],"contextual":[322],"factor":[323],"future":[325],"longitudinal":[326],"research":[327],"although":[330],"findings":[334],"do":[335],"establish":[337],"effect":[340],"specific":[344],"intervention.":[345]},"counts_by_year":[],"updated_date":"2026-11-12T12:28:57.059296","created_date":"2026-11-12T00:00:00"}