{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T08:42:46Z","timestamp":1785400966673,"version":"3.56.0"},"reference-count":79,"publisher":"Royal College of Psychiatrists","issue":"4","license":[{"start":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T00:00:00Z","timestamp":1784851200000},"content-version":"unspecified","delay-in-days":23,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["BJPsych open"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:sec id=\"S2056472426120511_as1\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Pre-existing cardiovascular disease (CVD) affects 1\u20134% of pregnancies in the USA and is associated with maternal morbidity. High-risk pregnancies with increased medical supervision are\u00a0associated with poor postpartum mental health, although the prevalence in those with CVD is unclear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2056472426120511_as2\">\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>This scoping review aimed to synthesise estimates of post-pregnancy mental health outcomes among people with pre-existing CVD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2056472426120511_as3\">\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Cochrane Library, Ovid Medline, Ovid EMBASE, Scopus, Google Scholar and Web of Science Core Collection were searched to identify relevant published literature, using controlled vocabulary and keywords for post-pregnancy mental health and CVD in pregnancy. The search was not limited by publication type, year or study design. Studies that included an assessment of post-pregnancy depression, anxiety or post-traumatic stress disorder (PTSD) symptoms after a pregnancy complicated by pre-existing CVD were included.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2056472426120511_as4\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of the 1591 studies screened, 7 met the inclusion criteria. In patients with pre-existing CVD, 4 studies assessed depressive symptoms and found a prevalence of 10.4\u201332.2%; 2 studies assessed anxiety symptoms and found a prevalence of 22.0\u201328.5%; and 1 study assessed PTSD and found a prevalence of 26.4% for mild symptoms and 18.2% for moderate symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2056472426120511_as5\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The prevalence of post-pregnancy depression, anxiety and PTSD symptoms among people with pre-existing CVD may be similar to, or higher than, estimates from the general population. However, there was high heterogeneity in the included studies. More research is needed to determine if there is an increased risk of postpartum mental health disorders for pregnant people with pre-existing CVD.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1192\/bjo.2026.12051","type":"journal-article","created":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T09:58:22Z","timestamp":1784887102000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Mental health symptoms following a pregnancy complicated by cardiovascular disease: scoping review"],"prefix":"10.1192","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0682-3713","authenticated-orcid":false,"given":"Iris","family":"Becene","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03v76x132","id-type":"ROR","asserted-by":"publisher"}],"name":"Yale School of Medicine, Yale University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie","family":"Vartany","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03v76x132","id-type":"ROR","asserted-by":"publisher"}],"name":"Yale School of Medicine, Yale University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alyssa","family":"Grimshaw","sequence":"additional","affiliation":[{"name":"Yale University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sona","family":"Jasani","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03v76x132","id-type":"ROR","asserted-by":"publisher"}],"name":"Yale School of Medicine, Yale University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"170","published-online":{"date-parts":[[2026,7,24]]},"reference":[{"key":"S2056472426120511_ref21","first-page":"9601476","article-title":"Development of postpartum depression in pregnant women with preeclampsia: a retrospective study","volume":"2019","author":"Chen","year":"2019","journal-title":"BioMed Res Int"},{"key":"S2056472426120511_ref44","doi-asserted-by":"publisher","DOI":"10.1002\/jts.22591"},{"key":"S2056472426120511_ref17","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2025.1675680"},{"key":"S2056472426120511_ref40","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291715001385"},{"key":"S2056472426120511_ref54","first-page":"25","article-title":"Clinical factors associated with a positive postpartum depression screen in people with cardiac disease during pregnancy","volume":"2","author":"Panelli","year":"2022","journal-title":"Curr Res Psychiatry"},{"key":"S2056472426120511_ref38","doi-asserted-by":"publisher","DOI":"10.1159\/000534340"},{"key":"S2056472426120511_ref55","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(20)31241-9"},{"key":"S2056472426120511_ref60","doi-asserted-by":"publisher","DOI":"10.1177\/1753495X211012502"},{"key":"S2056472426120511_ref9","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000582"},{"key":"S2056472426120511_ref2","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000558"},{"key":"S2056472426120511_ref7","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.110.968792"},{"key":"S2056472426120511_ref26","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.116.187179"},{"key":"S2056472426120511_ref29","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMcp1607649"},{"key":"S2056472426120511_ref41","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2023.102011"},{"key":"S2056472426120511_ref33","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000001124"},{"key":"S2056472426120511_ref63","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-022-03994-0"},{"key":"S2056472426120511_ref56","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2014.4824"},{"key":"S2056472426120511_ref59","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-022-05123-x"},{"key":"S2056472426120511_ref5","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.114.009029"},{"key":"S2056472426120511_ref61","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-011-0385-5"},{"key":"S2056472426120511_ref27","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000006220"},{"key":"S2056472426120511_ref22","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2010.2584"},{"key":"S2056472426120511_ref19","doi-asserted-by":"publisher","DOI":"10.1155\/2013\/695925"},{"key":"S2056472426120511_ref20","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.v69n0417"},{"key":"S2056472426120511_ref51","unstructured":"51 Haddaway, NR , Grainger, MJ , Gray, CT. citationchaser: An R Package and Shiny App for Forward and Backward Citations Chasing in Academic Searching . 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