A critical need for the concept of matrescence in perinatal psychiatry
Open accessAbstract
The concept of matrescence, akin to adolescence but for mothers, has gained increasing attention in perinatal psychiatry, marking a paradigm shift towards understanding the holistic development of mothers. Matrescence encompasses the myriad psychological, social, cultural, and existential changes which occur as women transition into motherhood. Despite advances in maternal mental health, a bias towards pathologizing maternal experiences persists in research and practice. This commentary advocates for the integration of matrescence into perinatal psychiatry, drawing from the work of Dana Raphael and contemporary scholarship. Matrescence offers a strengths-based framework that acknowledges both the challenges and opportunities of motherhood, emphasizing the normative aspects of a mother’s self-development. By adopting matrescence terminology and nosology, clinicians and researchers can enhance traditional psychiatric classifications. Additionally, matrescence underscores the importance of considering ecological systems and historical factors in maternal well-being, highlighting the need for comprehensive and compassionate healthcare services. Embracing matrescence as a fundamental concept in perinatal psychiatry holds promise for improving maternal mental health outcomes and promoting the flourishing of mothers worldwide.
AI snapshot
Written from the paper’s full text.
TL;DR
This commentary argues that perinatal psychiatry needs the concept of matrescence—motherhood as a lifespan developmental transformation—to counter a persistent bias toward pathologizing maternal experience. It proposes matrescence terminology, nosology, and strengths-based assessment as ways to better recognize both distress and growth in mothers.
Key findings
- The paper reports that vulnerability in motherhood is ubiquitous, with estimates between 15% to 21% of the general population experiencing depression and up to 80% of mothers reporting distress of some kind.
- It argues that despite advances in maternal mental health, a deeply rooted biomedical “psychiatry bias” remains, and that a strengths-based framework is needed to study normative maternal self-development and flourishing.
- Matrescence was first introduced in the 1970s by Dana Raphael and is revived here as a lifespan developmental transformation that is “biological, neurological, psychological, social, cultural, economic, political, moral, ecological, existential, and spiritual in nature.”
- The commentary calls for standardized matrescence terminology and nosology, including classification of developmental challenges and opportunities, and for assessment tools that probe positive strengths alongside vulnerability and symptoms.
Methods
- Design: conceptual commentary, not an empirical study.
- Data or sample: no empirical sample or dataset is reported; the paper draws on Raphael’s work and contemporary scholarship.
- Main analysis: argumentative synthesis proposing matrescence as an organizing concept for perinatal psychiatry, including an updated definition and a proposed nosology across conventional bio-psycho-social and expanded ideological domains.
Limitations
- Stated: the comparison to adolescence is “imperfect”; many questions remain unanswered about whether matrescence is a discrete transition or life-long experience, its developmental tasks, and its lifespan effects.
- Stated: the exact length of matrescence is individual, recurs with each child, and may last a lifetime with no clear endpoint.
- Evident from the text: as a commentary, it provides no empirical validation, systematic review, or tested assessment tool; the proposed nosology and self-assessment innovation are conceptual rather than evaluated.
Model-written summary. Check it against the paper before relying on it.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
6 of 42 cited sources checked · 1 supported · 0 flagged · accuracy not yet measured
- Premisecitation
Intolerance for one-sided pathologizing of maternal experiences is gaining momentum as more mothers publicly share their stories and global public health initiatives increasingly use empowering and destigmatizing language.
“Intolerance for this one-sidedness is gaining momentum as more mothers publicly share their stories and global public health initiatives such as Maternal Mental Health awareness campaigns increasingly use empowering and destigmatizing language (5).”
Quote in the paperNot a substantial claim1 of 1 sources checked- cites [5] Elliott, 2020, The utilization of cultural movements to overcome stigma in narrative of postnatal depression, Front Psychiatry source
The Introduction (page not specified) describes women sharing accounts of postnatal mental illness and challenging stigma; the Abstract says women became more empowered to speak of maternal distress. These passages support the claim about public storytelling, but the paper does not establish that global public-health initiatives or Maternal Mental Health awareness campaigns increasingly use empowering, destigmatizing language. (LLM, conf=0.84)
Experimental — accuracy not yet measured
- Premisecitation
A bias towards pathologizing maternal experiences persists in maternal mental health research and practice.
“Despite advances in maternal mental health, a bias towards pathologizing maternal experiences persists in research and practice.”
- Also stated in: § Introduction · plain
“Despite these notable advancements, it is imperative to acknowledge that a deeply rooted biomedical “psychiatry bias” in maternal mental health research and practice still remains, inviting critical reflection (13).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [13] Blehar, 2006, Women's mental health research: The emergence of a biomedical field, Annu Rev Clin Psychol source
- Also stated in: § Introduction · plain
- Premisecitation
Pregnancy, childbirth, and infant feeding involve intricate hormonal cascades that affect the brain and body much like puberty.
“Biological. Pregnancy, childbirth, and infant feeding involve intricate hormonal cascades (e.g., progesterone, estrogen, prolactin, relaxin, cortisol, and oxytocin) that affect the brain and body much like puberty.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [23] van Raalte, 2023, Examining changes in affection and “Feeling touched out” after the birth of a child, J Fam Commun source
- Premisecitation
Increased engagement with spiritual practices or religious faith may develop during matrescence, including transformative experiences like 'born again' events or transpersonal phenomena of indigenous traditions.
“Spiritual. An increased engagement with spiritual practices or religious faith may develop, including transformative experiences like”
Quote in the paperNot a substantial claim0 of 4 sources checked- cites [51] Athan, 2015, Spiritual beliefs of mothers with potentially distressing pregnancies, Spirituality Clin Practice source
- cites [52] Attard, 2023, Spirituality and spiritual care in the transition to motherhood source
- cites [53] Curtis, 2018, Mothers’ gardens in arid soil: A study of religious and spiritual coping among marginalized US mothers with depression, J Spirituality Ment Health source
- cites [54] Molina, 2016, The liminal space in motherhood: spiritual experiences of first-time mothers
Not checked in the free run.
- Interpretationcitation
The experiences of matrescence can be severely altered by how well or poorly a mother is socially or economically resourced, placing her on a vastly different trajectory in terms of her well-being.
“Just as with adolescence, the experiences of matrescence can be severely altered by how well or poorly a mother is socially or economically resourced, placing her on a vastly different trajectory in terms of her well-being (57).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [57] Bonnie, 2019, Fulfilling the promise of adolescence: realizing opportunity for all youth, J Adolesc Health source
- Premisecitation
Cross-cultural factors such as variations in the Value of Children (VOC) and postpartum practices can help or hinder maternal development.
“Cultural. Cross-cultural factors such as variations in the Value of Children (VOC) and postpartum practices, can help or hinder maternal development (33, 34).”
Quote in the paperNot a substantial claim0 of 2 sources checked
- Classified as probably not a substantial claim. 26
- May combine two claims. 12
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationVulnerability in motherhood is ubiquitous, with estimates between 15% and 21% of the general population experiencing depression and up to 80% of mothers reporting distress of some kind.
“Epidemiological data revealed that vulnerability in motherhood was ubiquitous with estimates between 15% to 21% of the general population experiencing depression, and up to 80% of mothers reporting distress of some kind (12).”
Quote in the paperNot a substantial claim1 of 1 sources checked- cites [12] Rohr, 2023, Reducing psychiatric illness in the perinatal period: A review and commentary, World J Psychiatry source
The Introduction (page unavailable) describes perinatal psychiatric illness and depression as common, supporting the broad point that maternal mental-health vulnerability is widespread. It gives different prevalence figures—about 25% for perinatal depression and 7%–15% or 19%–25% for perinatal psychiatric illness by country income group—not 15%–21% depression in the general population. Our copy does not report that up to 80% of mothers experience distress. (LLM, conf=0.82)
Experimental — accuracy not yet measured
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationSocial justice activism led to legislative actions mandating universal screening of new mothers for depression and their active participation in clinical research.
“This unfolded in parallel with social justice activism that ultimately led to legislative actions mandating the universal screening of new mothers for depression and their active participation in clinical research (5–8).”
Quote in the paperNot a substantial claim2 of 4 sources checked- cites [5] Elliott, 2020, The utilization of cultural movements to overcome stigma in narrative of postnatal depression, Front Psychiatry source
The Results section on the Prozac revolution (page unavailable) says that concerns raised by women were acknowledged in two government reports advocating women’s choice and involvement in childbirth. The paper does not say that activism led to legislation mandating universal depression screening or mothers’ active participation in clinical research. (LLM, conf=0.77)
Experimental — accuracy not yet measured - cites [6] Miller, 2019, Screening and treatment after implementation of a universal perinatal depression screening program, Obstet Gynecol source
- cites [7] Price, 2012, Perinatal depression screening and intervention: enhancing health provider involvement, J Womens Health source
- cites [8] Rhodes, 2013, Perinatal depression: a review of US legislation and law, Arch Womens Ment Health source
The State Legislative Initiatives section describes an advocated-for New Jersey law requiring depression screening of new mothers, and the Discussion says three states mandated maternal depression screening. The Federal Legislative Initiatives section describes funding and directives to expand postpartum-depression research, but does not say legislation mandated mothers’ active participation in clinical research. The paper identifies advocacy and awareness-raising as influences on legislation, without specifically characterizing them as social justice activism. (LLM, conf=0.88)
Experimental — accuracy not yet measured
May combine two claims.
PremisecitationChanges in the maternal brain's structure and function indicate another phase of human neuroplasticity, described as 'pruning and tuning,' which streamlines and optimizes the brain, making it more efficient, empathetic, attuned, and socio-emotionally intelligent.
“Neurological. Changes in the maternal brain’s structure and function indicate another phase of human neuroplasticity. Neuroscientists describe this as 'pruning and tuning,' a process that streamlines and optimizes the brain, making it more efficient, empathetic, attuned, and socio-emotionally intelligent (24).”
Quote in the paperNot a substantial claim1 of 1 sources checked- cites [24] Pawluski, 2022, Less can be more: Fine tuning the maternal brain, Neurosci Biobehav Rev source
Split into 2 atoms — 0 confirmed, 2 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.
Experimental — accuracy not yet measured
Probably not a substantial claim: may not pass S2 (checkable).
PremisecitationThe history of nonspecific constructs often used to describe maternal psychology such as "transition to motherhood", "becoming a mother", "maternal role attainment", or "maternal identity formation" is conceptually fuzzy.
“This conceptual “fuzziness” also extends into the history of nonspecific constructs often used to describe maternal psychology such as “transition to motherhood”, “becoming a mother”, “maternal role attainment”, or “maternal identity formation” (22).”
Quote in the paperNot a substantial claim1 of 1 sources checked- cites [22] Hwang, 2022, Concept analysis of transition to motherhood: a methodological study, Korean J Women Health nursing source
Probably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing). May combine two claims.
InterpretationcitationThe "benign neglect" of positive aspects of motherhood could be considered an ethical violation as the psychological and philosophical literature has validated a range of indicators for maternal subjective well-being and post-traumatic growth, and even the presence of perinatal flourishing.
“This”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [18] Athan, 2020, Reproductive identity: An emerging concept, Am Psychol source
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationThe arrival of children can prompt relationships to change considerably.
“Social. The arrival of children can prompt relationships to change considerably (e.g., divorce, losing/gaining friends, mending family ties) (27–31).”
Quote in the paperNot a substantial claim0 of 5 sources checked- cites [27] Cronin, 2015, ‘Domestic friends’: women's friendships, motherhood and inclusive intimacy, Sociol Rev source
- cites [28] Doss, 2017, The transition to parenthood: Impact on couples’ romantic relationships, Curr Opin Psychol source
- cites [29] Hartup, 1992, Friendships and their developmental significance
Not checked in the free run.
- cites [30] Kluwer, 2010, From partnership to parenthood: A review of marital change across the transition to parenthood, J Fam Theory Rev source
- cites [31] Leonhardt, 2022, Relationship satisfaction and commitment in the transition to parenthood: A couple-centered approach, J Marriage Fam source
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationThe WHO defined maternal well-being not merely as a reductionistic absence of mental illness, but as the capacity for flourishing.
“In 2018, the World Health Organization (WHO) underscored the mental health of mothers as a fundamental component of their overall health, defining maternal well-being not merely as a reductionistic absence of mental illness, but as the capacity for flourishing (14).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [14] 2018
Not checked in the free run.
Probably not a substantial claim: may not pass S2 (checkable), S4 (based).
Premisenone givenPeople who experience preconception, pregnancy, birth, surrogacy, adoption, and early parenting undergo alterations not only in the few domains Raphael initially proposed but across all of the domains of human existence.
“What has been evidenced to date is that people who experience preconception, pregnancy, birth, surrogacy, adoption, and early parenting, undergo alterations not only in the few domains Raphael initially proposed but across all of the domains of human existence.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S2 (checkable).
PremisecitationThe term "perinatal distress" often serves as a vague catch-all that may incorrectly suggest impending illness.
“For example, the term “perinatal distress” often serves as a vague catch-all that may incorrectly suggest impending illness (21).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [21] Rallis, 2014, The transition to motherhood: towards a broader understanding of perinatal distress, Women Birth source
Probably not a substantial claim: may not pass S2 (checkable), S4 (based).
Interpretationnone givenDistinguishing between psychiatric disorders and developmentally appropriate reactions can become challenging and potentially obscure the theoretical and practical boundaries between them.
“In such an acute time of flux, distinguishing between psychiatric disorders and developmentally appropriate reactions can become challenging and potentially obscure the theoretical and practical boundaries between them (see Figure 1 ).”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing), S4 (based). May combine two claims.
InterpretationreasoningThe exact length of matrescence is individual, recurs with each child, and may last a lifetime with no clear endpoint.
“The exact length of matrescence is therefore individual, recurs with each child, and may last a lifetime with no clear endpoint.”
Quote in the paperNot a substantial claim- Rests on an assumption: Precocious puberty and assisted reproductive technologies have widened the reproductive window and made it possible to become a mother even younger and older than previous generations.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationThe classification of PMADs is currently being subjected to greater scrutiny.
“It is also an opportune moment as the classification of PMADs is currently being subjected to greater scrutinty (1).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [1] Stowe, 2023, Perinatal mental health: advances and opportunities, Am J Psychiatry source
Probably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing), S4 (based).
InterpretationreasoningThe delayed explication of matrescence may be due in part to the lack of language available to describe new motherhood as a "life crisis" without cloaking it entirely in negative terminology.
“The delayed explication of matrescence may be due, in part, to the lack of language available to describe new motherhood as a “life crisis” without cloaking it entirely in negative terminology.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S2 (checkable), S4 (based).
InterpretationreasoningDenying the full range of maternal experience may have unforeseen consequences such as too many false positive diagnoses of depression in light of widespread screening.
“Denying the full range of maternal experience may have unforeseen consequences such as too many false positive diagnoses of depression in light of widespread screening.”
Quote in the paperNot a substantial claim- Rests on an assumption: Explicitly probing for the positive is not how mental health practitioners are commonly trained.
Probably not a substantial claim: may not pass S2 (checkable), S4 (based).
PremisereasoningThe more common terms postpartum or perinatal are borrowed from the obstetric establishment and form a natural pairing with words of infirmity.
“The more common terms of postpartum or perinatal are borrowed from the obstetric establishment and as such form a natural pairing with words of infirmity (e.g., postpartum depression).”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S2 (checkable), S4 (based).
InterpretationreasoningThere is a fundamental lack of understanding about what is normative during this life stage.
“This discrepancy highlights a fundamental lack of understanding about what is normative during this life stage.”
Quote in the paperNot a substantial claim- Rests on an assumption: Comparisons of postpartum depression to non-pathological human development remain curiously sparse.
May combine two claims.
PremisecitationMatrescence was largely neglected until half a century later when the author revived it to complement diagnostic views in maternal mental health and expanded its definition further.
“It was largely neglected until half a century later when the author revived it to complement diagnostic views in maternal mental health and expanded its definition further (15).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [15] Athan, 2016, Maternal psychology: Reflections on the 20th anniversary of Deconstructing Developmental Psychology source
Classified as probably not a substantial claim. May combine two claims.
PremisecitationThe study of maternal development has been saddled with a conceptual basis that has shaped it into a 'curative discipline' based on the medical model of disease, to which some argue it largely owes its transformation into the subfield of perinatal psychiatry.
“It illuminates how over time the study of maternal development has been saddled with a conceptual basis that has shaped it into a ‘curative discipline’ based on the medical model of disease, and to which some argue it largely owes its transformation into the subfield of perinatal psychiatry (17).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [17] Wood, 2010, Positive clinical psychology: A new vision and strategy for integrated research and practice, Clin Psychol Rev source
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationJohn Cox recommended that organizations such as the Marcé Scientific Society or Global Alliance for Maternal Mental Health create forums for thinking about new scale development.
“Such an innovation would also be in keeping with John Cox’s recommendation that organizations such as the Marcé Scientific Society or Global Alliance for Maternal Mental Health create forums for thinking about new scale development (56).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [56] Cox, 2019, Thirty years with the Edinburgh Postnatal Depression Scale: voices from the past and recommendations for the future, Br J Psychiatry source
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationThe concept of 'baby brain' is derogatory and mistakenly associated with cognitive decline.
“This challenges the derogatory concept of 'baby brain,' mistakenly associated with cognitive decline (25).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [25] McCormack, 2023, It’s time to rebrand “Mommy brain”, JAMA Neurol source
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationThe process of becoming a mother, or matrescence, was first introduced in the 1970s by Dana Raphael.
“The process of becoming a mother, or matrescence, was first introduced in the 1970s by Dana Raphael, Ph.D., a female medical anthropologist who studied birth and breastfeeding and also coined the word ‘doula’.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [15] Athan, 2016, Maternal psychology: Reflections on the 20th anniversary of Deconstructing Developmental Psychology source
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationIn the appendix of Cox's ten updated recommendations for the optimal administration of the EPDS are instructions on how to thoroughly ask and listen to answers.
“Interestingly, in the appendix of Cox’s ten updated recommendations for the optimal administration of the EPDS are instructions on how to thoroughly ask and listen to answers:”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [25] McCormack, 2023, It’s time to rebrand “Mommy brain”, JAMA Neurol source
Probably not a substantial claim: may not pass S2 (checkable), S4 (based). May combine two claims.
Interpretationnone givenFuture maternal functioning depends in part on past exposures, with each stage affecting the next and leading to a weathering effect of cumulative distress over time.
“Future maternal functioning depends in part on past exposures, with each stage affecting the next and leading to a weathering effect of cumulative distress over time.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationA maternal existential perspective sees self-realization as continuously evolving, not fixed.
“Existential. A maternal existential perspective sees self-realization as continuously evolving, not fixed (48, 49).”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [48] Arnold-Baker, 2020, The existential crisis of motherhood
Not checked in the free run.
- cites [49] Garland, 2020, Existential responsibility of motherhood source
May combine two claims.
PremisecitationMothers may face professional setbacks or unpaid labor due to their parental status, which exacerbates existing gender biases.
“Economic. Mothers may face professional setbacks or unpaid labor due to their parental status, which exacerbates existing gender biases (36–38).”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites [36] Cukrowska-Torzewska, 2020, The motherhood wage penalty: A meta-analysis, Soc Sci Res source
- cites [37] Delacruz, 2023, Maternal wall biases and the maybe baby effect, Ind Organ Psychol source
- cites [38] Williams, 2005, The glass ceiling and the maternal wall in academia, New Dir High Educ source
Probably not a substantial claim: may not pass S2 (checkable), S4 (based). May combine two claims.
Interpretationnone givenDevelopmental factors such as the timing of the first pregnancy or whether a mother has been given a proper 'head start' by equipping her with comprehensive matrescence education can profoundly impact the course of motherhood.
“Developmental factors such as the timing of the first pregnancy or whether a mother has been given a proper 'head start,' by equipping her with comprehensive matrescence education and not just childbirth preparation, can profoundly impact the course of motherhood.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationThe resurgence of matrescence has catalyzed fresh discoveries across various fields, from neuroscience to economics.
“Its resurgence has catalyzed fresh discoveries across various fields, from neuroscience to economics and has been embraced by contemporary scholars as a good fit for reframing their inquiries (58).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [58] Orchard, 2023, Matrescence: lifetime impact of motherhood on cognition and the brain, Trends Cognit Sci source
Probably not a substantial claim: may not pass S2 (checkable), S4 (based).
InterpretationreasoningThe resurgence of matrescence has led to fragmentation, with numerous disconnected discussions lacking a centralized platform for a more fruitful exchange of complementary perspectives.
“However, this has also led to fragmentation, with numerous disconnected discussions lacking a centralized platform for a more fruitful exchange of complementary perspectives.”
Quote in the paperNot a substantial claimMay combine two claims.
PremisecitationClimate change may drive mothers to adopt environmentally conscious behaviors and an attitudinal shift from anthropocentric to ecocentric.
“Ecological. Climate change may drive mothers to adopt environmentally conscious behaviors, ranging from recycling to engaging in political protests (44–46). They may also report an attitudinal shift, from anthropocentric to ecocentric, developing an aversion to overconsumption and a desire for a deeper connection with nature and all living beings in a reciprocal relationship (47).”
Quote in the paperNot a substantial claim0 of 4 sources checked- cites [44] Davis, 2023, Untangling the double bind of carework in green motherhood: An ecofeminist developmental path forward, Women's Stud Int Forum source
- cites [45] Logsdon-Conradsen, 2010, Motherhood and environmental activism: A developmental framework, Ecopsychology source
- cites [46] Shrum, 2023, A scoping review of the green parenthood effect on environmental and climate engagement, Wiley Interdiscip Reviews: Climate Change source
- cites [47] Davis, 2023, Ecopsychological development and maternal ecodistress during matrescence, Ecopsychology source
Probably not a substantial claim: may not pass S2 (checkable), S4 (based).
Interpretationnone givenThis stage of development is a critical window for establishing lifelong positive health behaviors.
“In conclusion, it is important to emphasize this stage of development as a critical window for establishing lifelong positive health behaviors.”
Quote in the paperNot a substantial claim
The paper relies on this without support.
Comparisons of postpartum depression to non-pathological human development remain curiously sparse.
“While more studies aim to distinguish conditions like postpartum depression from nonpuerperal major depression, comparisons to non-pathological human development remain curiously sparse.”
The paper relies on this without support.
Precocious puberty and assisted reproductive technologies have widened the reproductive window and made it possible to become a mother even younger and older than previous generations.
“In terms of its timing and scope, precocious puberty and assisted reproductive technologies have widened the reproductive window and made it possible to become a mother even younger and older than previous generations.”
The paper relies on this without support.
Perinatal patients often challenge clinical interpretations that solely pathologize their maternal experiences.
“Perinatal patients often challenge clinical interpretations that solely pathologize their maternal experiences.”
The paper relies on this without support.
Explicitly probing for the positive is not how mental health practitioners are commonly trained.
“Unfortunately, explicitly “probing for the positive” is not how mental health practitioners are commonly trained, and as such they likely miss accounting for the subtle psychological gains (e.g., tolerance for ambiguity) experienced by mothers alongside the more obvious losses (e.g., sleeplessness).”
The paper relies on this without support.
The private sector commercialization of matrescence has little ethical oversight.
“This trend has opened up avenues for its commercialization with little ethical oversight.”
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Our findings reinforce the importance of understanding matrescence as a critical life-course transition with direct implications for maternal mental health and reproductive wellbeing.
“Our findings thus reinforce the importance of understanding matrescence as a critical life-course transition with direct implications for maternal mental health and reproductive wellbeing (31, 60–62).”
Matrescence is a critical period in the life course, not only biologically, but also socially and psychologically.
“Matrescence is a critical period in the life course, not only biologically, but also socially and psychologically, and we recommend that it ought to be recognised as a key life course event and process when designing early life interventions.”
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Each contradiction between two passages listed here was confirmed by an independent check.
Cox quotation cites the wrong reference
MinorThe quotation attributed to Cox cites reference 25, but reference 25 is a paper by McCormack and colleagues on "Mommy brain." Cox's EPDS paper is reference 56, and its listed pages include page 128.
““When used to assess a mother in the community, the practitioner should discuss the responses with her, listen to her story, ascertain whether clinical depression or another mental disorder is present – and consider referral and/or further listening visits” (25, p.128).”
“25. McCormack C Callaghan BL Pawluski JL. It’s time to rebrand “Mommy brain”. JAMA Neurol. (2023) 80: 335–6.”
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The transition to motherhood: towards a broader understanding of perinatal distress
Rallis, S., Skouteris, H., McCabe, M., & Milgrom, J. (2014) · Women and Birth · doi:10.1016/j.wombi.2013.12.004 · Cited by 91 · see citing works
Less can be more: Fine tuning the maternal brain
Pawluski, J. L., Hoekzema, E., Leuner, B., & Lonstein, J. S. (2022) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2021.11.045 · Cited by 91 · see citing works
Perinatal depression: a review of US legislation and law
Rhodes, A. M., & Segre, L. S. (2013) · Archives of Women's Mental Health · doi:10.1007/s00737-013-0359-6 · Cited by 86 · cited 1× · see citing works
“This unfolded in parallel with social justice activism that ultimately led to legislative actions mandating the universal screening of new mothers for depression and their active participation in clinical research (5 – 8).”
BackgroundAre we overpathologising motherhood?
Matthey, S. (2010) · Journal of Affective Disorders · doi:10.1016/j.jad.2009.05.004 · Cited by 81 · see citing works
The Complexity of Transdisciplinary Literature Reviews
Montuori, A. A. (2013) · Complicity An International Journal of Complexity and Education · doi:10.29173/cmplct20399 · Cited by 71 · see citing works
Concept analysis of transition to motherhood: a methodological study
Hwang, W. Y., Choi, S. Y., & An, H. J. (2022) · Korean Journal of Women Health Nursing · doi:10.4069/kjwhn.2022.01.04 · Cited by 68 · see citing works
Fulfilling the promise of adolescence: realizing opportunity for all youth
Bonnie, R. J., Backes, E. P., Alegria, M., Diaz, A., & Brindis, C. D. (2019) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2019.07.018 · Cited by 59 · see citing works
A scoping review of the green parenthood effect on environmental and climate engagement
Shrum, T. R., Platt, N. S., Markowitz, E., & Syropoulos, S. (2023) · WIREs Climate Change · doi:10.1002/wcc.818 · Cited by 51 · see citing works
The Motherhood Wage Penalty and Female Entrepreneurship
Yang, T., Kacperczyk, A., & Naldi, L. (2023) · Organization science (Providence, R.I.) · doi:10.1287/orsc.2023.1657 · Cited by 49 · see citing works
Reproductive identity: an emerging concept
Athan, A. M. (2020) · American Psychologist · doi:10.1037/amp0000623 · Cited by 44 · see citing works
Self-citationPerinatal depression screening and intervention: enhancing health provider involvement
Price, S. K., Corder-Mabe, J., & Austin, K. (2012) · Journal of Women's Health · doi:10.1089/jwh.2011.3172 · Cited by 40 · see citing works
Relationship satisfaction and commitment in the transition to parenthood: A couple-centered approach
Leonhardt, N. D., Rosen, N. O., Dawson, S. J., Kim, J. J., Johnson, M. D., & Impett, E. A. (2022) · Journal of Marriage and Family · doi:10.1111/jomf.12785 · Cited by 39 · see citing works
Infant Mental Health: An Interdisciplinary Framework for Early Social and Emotional Development
Fitzgerald, H. E., Weatherston, D. J., & Mann, T. L. (2011) · Current problems in pediatric and adolescent health care · doi:10.1016/j.cppeds.2011.02.001 · Cited by 38 · see citing works
Women's mental health research: The emergence of a biomedical field
Blehar, M. C. (2006) · Annual Review of Clinical Psychology · doi:10.1146/annurev.clinpsy.2.022305.095344 · Cited by 36 · see citing works
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Reproductive Psychiatry Residency Training: A Survey of Psychiatric Residency Program Directors
Osborne, L. M., MacLean, J. V., Barzilay, E. M., Meltzer-Brody, S. E., Miller, L. J., & Nagle-Yang, S. M. (2017) · Academic Psychiatry · doi:10.1007/s40596-017-0672-x · Cited by 34 · see citing works
Athan, A., & Reel, H. L. (2015) · Feminism & Psychology · doi:10.1177/0959353514562804 · Cited by 32 · see citing works
Self-citationScreening and treatment after implementation of a universal perinatal depression screening program
Miller, E. S., Wisner, K. L., Gollan, J., Hamade, S., Gossett, D. R., & Grobman, W. A. (2019) · Obstetrics & Gynecology · doi:10.1097/aog.0000000000003369 · Cited by 31 · see citing works
It’s time to rebrand “Mommy brain”
McCormack, C., Callaghan, B. L., & Pawluski, J. L. (2023) · JAMA Neurology · doi:10.1001/jamaneurol.2022.5180 · Cited by 30 · see citing works
‘Domestic friends’: women's friendships, motherhood and inclusive intimacy
Cronin, A. M. (2015) · The Sociological Review · doi:10.1111/1467-954x.12255 · Cited by 24 · cited 1× · see citing works
“The arrival of children can prompt relationships to change considerably (e.g., divorce, losing/gaining friends, mending family ties) (27 – 31).”
BackgroundClinically and Culturally Competent Care for Transgender and Nonbinary People
Roosevelt, L. K., Pietzmeier, S., & Reed, R. (2021) · The Journal of Perinatal & Neonatal Nursing · doi:10.1097/jpn.0000000000000560 · Cited by 21 · see citing works
The Existential Crisis of Motherhood
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Erdly, C., Etyemez, S., Standeven, L. R., Nagle-Yang, S. M., & Osborne, L. M. (2022) · Academic Psychiatry · doi:10.1007/s40596-022-01663-8 · Cited by 18 · see citing works
Motherhood and environmental activism: A developmental framework
Logsdon-Conradsen, S. C., & Allred, S. L. (2010) · Ecopsychology · doi:10.1089/eco.2010.0027 · Cited by 17 · see citing works
Reproductive psychiatry: giving birth to a new subspecialty
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Maternal activism in comparative perspective: Past, present, and future
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Matrescence: lifetime impact of motherhood on cognition and the brain
Orchard, E. R., Rutherford, H. J. V., Holmes, A. J., & Jamadar, S. D. (2023) · Trends in Cognitive Sciences · doi:10.1016/j.tics.2023.06.002 · Cited by 16 · see citing works
Identity exploration during the transition to motherhood: facilitating factors and outcomes
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Perinatal mental health: advances and opportunities
Stowe, Z. N. (2023) · American Journal of Psychiatry · doi:10.1176/appi.ajp.20230822 · Cited by 13 · see citing works
Handbook of Perinatal Clinical Psychology
(2020) · Routledge eBooks · doi:10.4324/9780429351990 · Cited by 11 · see citing works
Reducing psychiatric illness in the perinatal period: A review and commentary
Rohr, J., Vahidy, F. S., Bartek, N., Bourassa, K. A., Nanavaty, N. R., Antosh, D. D., Harms, K. P., Stanley, J. L., & Madan, A. (2023) · World Journal of Psychiatry · doi:10.5498/wjp.v13.i4.149 · Cited by 11 · see citing works
Ecopsychological development and maternal ecodistress during matrescence
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Self-citationMaternal wall biases and the maybe baby effect
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The utilization of cultural movements to overcome stigma in narrative of postnatal depression
Elliott, G. K., Millard, C., & Sabroe, I. (2020) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2020.532600 · Cited by 9 · see citing works
Davis, A. C. (2023) · Women's Studies International Forum · doi:10.1016/j.wsif.2023.102730 · Cited by 9 · see citing works
The Faith Lives of Women and Girls
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Spiritual beliefs of mothers with potentially distressing pregnancies
Athan, A., Chung, S., & Sawyer Cohen, J. (2015) · Spirituality in Clinical Practice · doi:10.1037/scp0000069 · Cited by 7 · see citing works
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Perspectives on Midwifery and Parenthood
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Existential responsibility of motherhood
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“Physical challenges such as chronic bending, lifting, feeling "touched out," and sleep deprivation can also alter body appearance and self-perception (23).”
BackgroundThe History of Perinatal Psychiatry
Krohn, H., & Meltzer-Brody, S. E. (2021) · Springer eBooks · doi:10.1007/978-3-030-71497-0_1 · Cited by 3 · see citing works
Maternal Activism: Mothers Confronting Injustice
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Integrating Peripartum Mental Health Education into the Psychiatry Clerkship: a Multimodal Approach
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Spirituality and Spiritual Care in the Transition to Motherhood
Attard, J. (2022) · Perspectives on Midwifery and Parenthood · doi:10.1007/978-3-031-17285-4_14 · Cited by 2 · see citing works
Flagged first, then by citations
Research works printed but not linked: 6
- 2018, Strengthening resilience: A priority shared by Health 2020 and the sustainable development goals
- Brookfield, 2010, Theoretical frameworks for understanding the field
- Hartup, 1992, Friendships and their developmental significance, 175
- Berndt, 2016, Transitions in friendship and friends' influence, 57
- Molina, 2016, The liminal space in motherhood: spiritual experiences of first-time mothers
- Wilson, 2000, Consilience
Cited by
Sorted by citations
Torres, N. F., Watson, D., Mohlomi, L., Hlungwani, T., Gardiner, C. V., Muller-Kluits, N., Norris, S. A., Draper, C. E., & Pentecost, M. (2026) · Frontiers in Global Women's Health · doi:10.3389/fgwh.2026.1880613
- Authors
- Athan, A. M.
- Venue
- Frontiers in Psychiatry
- Publisher
- Frontiers Media SA
- Published
- 2024-06-10
- Volume
- 15
- Pages
- 1364845-1364845
- ISSN
- 1664-0640 (ISSN-L)
- PMC
- PMC11220490
- OpenAlex
- W4399522790
- Semantic Scholar
- e160f864586d8fa9583200672853220f64ee5999
- Cited by
- 32
- References
- 61
- Citations by year
- 2026: 19 · 2025: 11 · 2024: 2
- FWCI
- 12.02
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Frontiers in Psychiatry (publishedVersion, cc-by)
- PubMed (publishedVersion)
- PubMed Central (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Social Sciences › Psychology › Clinical Psychology › Psychology and Mental Health
- Keywords
- matrescence, perinatal psychiatry, maternal mental health, motherhood, strengths-based approach, disease classification, ecosystems
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Claims read by deepseek-v4.1-flash under definition version 3 (extract-v3) on 2026-10-20.
Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-10-20.
Cited sources are checked by gpt-6-sol.
Statistics and arithmetic are recomputed, not judged.
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