Evidence map›Paper›PMID 41986742›Full record

ArticleMolecular psychiatry2026

Postpartum psychosis is associated with elevated neuromelanin-MRI signal in the midbrain.

Faye McKenna, Louis N Vinke, McKain Williams, Margaret Gaw, Madison Dunk, Heidi Jacobs, Lee Cohen, Daphne J Holt

Abstract read
In one paragraph

Article in Molecular psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Transdiagnostic prevention in youth mental health, Part I: rationale, shared risk factors.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Faye McKennaDepartment of Psychiatry, Massachusetts General Hospital, Boston, MA, USA. fmckenna@mgh.harvard.edu.
Louis N VinkeDepartment of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.ORCID http://orcid.org/0000-0003-2424-5312
McKain WilliamsDepartment of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
Margaret GawDepartment of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
Madison DunkDepartment of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
Heidi JacobsHarvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0001-7620-3822
Lee Cohen *Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.ORCID http://orcid.org/0000-0003-0489-1093
Daphne J Holt *Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.

Funding

Project 4P41EB015896 · NIBIB · MASSACHUSETTS GENERAL HOSPITAL · PI ROSEN, BRUCE R · 2012 to 2018
$9.8M
U.S. Department of Health & Human Services | NIH | National Institute of Biomedical Imaging and Bioengineering (NIBIB) P41EB015896
6 · The paper itself

Abstract

objectivePostpartum psychosis (PP) is an uncommon psychiatric condition that, if untreated, can have devastating consequences. The underlying biology of PP remains poorly understood. To investigate the neurobiological mechanisms of PP, this study measured neuromelanin (NM)-sensitive magnetic resonance imaging (MRI) signal intensity, a marker of dopamine turnover, in the midbrain of women with a prior history of PP (n = 30) and a group of demographically-matched healthy control (HC) women (n = 24).

methodsNM-MRI signal intensity in dopamine-rich midbrain areas, the substantia nigra (SN) and ventral tegmentum area (VTA), as well as whole-brain resting-state functional connectivity of the bilateral SN, were measured and compared across the two groups.

resultsSignificantly elevated levels of NM-MRI signal in the SN and VTA were observed in the PP (vs. the HC) group, and these elevations were significantly correlated with levels of residual, subclinical psychotic symptoms within the PP group. Additionally, significant decreases were observed in the PP (vs HC) group in the functional connectivity of the bilateral SN to multiple subcortical regions; these decreases were associated with levels of SN NM-MRI signal and subclinical psychotic symptoms.

conclusionsThis study provides the first evidence for elevated midbrain NM-MRI signal in women with a history of PP. Also, this abnormality was linked to the presence of residual subclinical psychotic symptoms and altered connectivity of the SN. Future studies will determine whether NM-MRI can serve as a useful tool for screening women for risk for PP.

Indexed as

MelaninsMesencephalonPsychotic DisordersAdultBrain MappingCase-Control StudiesDopamineFemaleHumansMagnetic Resonance ImagingPostpartum PeriodSubstantia NigraYoung AdultDopamineMelaninsneuromelanin

Identifiers

PMID41986742
PMCPMC13190258

What Socratic holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.