The effects of childhood trauma may persist for decades, resurfacing during one of life's most demanding transitions: becoming a mother. A George Mason-led study found that women who had experienced multiple forms of adverse childhood experiences (ACEs) reported the highest levels of postpartum depressive symptoms. But despite those elevated risks, these women were no more likely to receive postpartum depression screening than their peers.

"The effects of ACEs may not fade simply because time has passed," said Sunny Shin, professor of social work at the George Mason College of Public Health and the study's lead author. "They may persist and resurface when women face the profound physical and emotional demands of motherhood."

The findings, published in The Journal of Childhood & Adolescent Trauma, suggest that asking women about childhood adversity in a sensitive and supportive way may help clinicians identify mothers who could benefit from more frequent depression screening and earlier support.

Why it matters

Postpartum depression affects millions of women worldwide and can have serious consequences, including disrupted maternal-child bonding and long-term cognitive, emotional and behavioral problems in children. Untreated perinatal mood and anxiety disorders also carry an estimated $14 billion economic burden during the first five years after childbirth.