Peer Review History
| Original SubmissionDecember 2, 2020 |
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PONE-D-20-37926 Exploring the relationship between maternal prenatal stress and structural brain development in premature neonates PLOS ONE Dear Dr. Lautarescu, Thank you for submitting your manuscript to PLOS ONE. After careful consideration, we feel that it has merit but does not fully meet PLOS ONE’s publication criteria as it currently stands. Therefore, we invite you to submit a revised version of the manuscript that addresses the points raised during the review process. Please submit your revised manuscript by Feb 28 2021 11:59PM. If you will need more time than this to complete your revisions, please reply to this message or contact the journal office at plosone@plos.org. When you're ready to submit your revision, log on to https://www.editorialmanager.com/pone/ and select the 'Submissions Needing Revision' folder to locate your manuscript file. Please include the following items when submitting your revised manuscript:
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In your revised cover letter, please address the following prompts: a) If there are ethical or legal restrictions on sharing a de-identified data set, please explain them in detail (e.g., data contain potentially identifying or sensitive patient information) and who has imposed them (e.g., an ethics committee). Please also provide contact information for a data access committee, ethics committee, or other institutional body to which data requests may be sent. b) If there are no restrictions, please upload the minimal anonymized data set necessary to replicate your study findings as either Supporting Information files or to a stable, public repository and provide us with the relevant URLs, DOIs, or accession numbers. Please see http://www.bmj.com/content/340/bmj.c181.long for guidelines on how to de-identify and prepare clinical data for publication. For a list of acceptable repositories, please see http://journals.plos.org/plosone/s/data-availability#loc-recommended-repositories. We will update your Data Availability statement on your behalf to reflect the information you provide. 4. Please include captions for your Supporting Information files at the end of your manuscript, and update any in-text citations to match accordingly. Please see our Supporting Information guidelines for more information: http://journals.plos.org/plosone/s/supporting-information. [Note: HTML markup is below. Please do not edit.] Reviewers' comments: Reviewer's Responses to Questions Comments to the Author 1. Is the manuscript technically sound, and do the data support the conclusions? The manuscript must describe a technically sound piece of scientific research with data that supports the conclusions. Experiments must have been conducted rigorously, with appropriate controls, replication, and sample sizes. The conclusions must be drawn appropriately based on the data presented. Reviewer #1: Yes Reviewer #2: Yes ********** 2. Has the statistical analysis been performed appropriately and rigorously? Reviewer #1: Yes Reviewer #2: Yes ********** 3. Have the authors made all data underlying the findings in their manuscript fully available? The PLOS Data policy requires authors to make all data underlying the findings described in their manuscript fully available without restriction, with rare exception (please refer to the Data Availability Statement in the manuscript PDF file). The data should be provided as part of the manuscript or its supporting information, or deposited to a public repository. For example, in addition to summary statistics, the data points behind means, medians and variance measures should be available. If there are restrictions on publicly sharing data—e.g. participant privacy or use of data from a third party—those must be specified. Reviewer #1: Yes Reviewer #2: No ********** 4. Is the manuscript presented in an intelligible fashion and written in standard English? PLOS ONE does not copyedit accepted manuscripts, so the language in submitted articles must be clear, correct, and unambiguous. Any typographical or grammatical errors should be corrected at revision, so please note any specific errors here. Reviewer #1: Yes Reviewer #2: Yes ********** 5. Review Comments to the Author Please use the space provided to explain your answers to the questions above. You may also include additional comments for the author, including concerns about dual publication, research ethics, or publication ethics. (Please upload your review as an attachment if it exceeds 20,000 characters) Reviewer #1: In this study the authors aim to find an association between maternal stress and brain volumes in areas adjacent to the uncinate fasciculus tract. They found no evidence that maternal prenatal stressful life events or trait anxiety influence volumes in the hippocampus, amygdala, thalamus, frontal grey matter or temporal grey matter volume. The study is well designed and even if complex to understand it is well written and it is interesting to the field. This reviewer would want to raise some concerns: The authors would maybe want to discuss a bit further how studying trait anxiety instead of state anxiety could have driven the findings of non-association. While the authors acknowledge this in the discussion (page 17, lines 424) the first line of the introduction talks about poor maternal health during pregnancy and could prone the reader, non-expert in STAI, to confusion. Based on the number of days on parenteral nutrition being correlated with the number of days on mechanical ventilation the authors exclude the latter which is surprising for this reviewer , as based on the theoretical background and the literature on the impact of duration of mechanical ventilation and bronchopulmonary dysplasia on cognitive outcomes one might speculate that duration on mechanical ventilation would have a bigger effect size on brain volumes than that of duration of parenteral nutrition. The argument the authors describe as to exclude this “both provide information on the health status of the infant” seems to reflect an arbitrary decision instead of a decision based on some preliminary analysis of the effect of both variables. Maternal education is excluded but SES is included in the models. The authors should explain how maternal SES was measured and classified. Reviewer #2: PONE-D-20-37926 This study examines the associations between maternal stress and brain volumes in a group of 221 premature-born infants scanned around term age. They find weak associations between stressful life events and hippocampal volume, but these do not survive multiple comparison correction. An exploratory tensor-based morphometry analysis of the whole brain showed similar findings, suggesting no meaningful relationship between maternal stress and brain volumes in premature infants. Strengths of this study include the large sample and the two types of analysis to help confirm findings. The manuscript is well-written, and I think this study provides a valuable contribution to the literature to help understand the relationships between maternal stress and infant/child brain outcomes. I do have a few (mostly minor) suggestions to improve the manuscript. 1. The title of the manuscript refers to “structural brain development”, and this language appears elsewhere in the paper (e.g., p. 17 “associated with changes in brain volume”). However, this was a cross-sectional study that examined brain volumes at a single time point and did not measure changes over time, so I’d suggest the authors refer instead to “brain structure” or “brain volume” rather than brain development. 2. The stress and anxiety measures were administered after the child’s birth. While the authors do point to the stability of these reports over time, more information would be useful. Can you provide some citations for the stability of trait anxiety during pregnancy and the postpartum period? Having a preterm baby would be quite stressful; does this influence retrospective reports? It would be valuable to have more information about the stressful life events measure. Was the time period of reporting restricted to pregnancy, or did it include the time before pregnancy? What is the full range of possible scores for this stressful life events measure? Finally, it would be useful to briefly describe what you mean by “maternal anxiety/stress” in the abstract. 3. Why was the study-specific template for analysis based on 161 infants instead of the full sample? Note that I’m not suggesting you need to redo this, but some rationale would be helpful. 4. Women who disclosed alcohol and/or drug abuse were excluded. Were women excluded for any use at all? (in which case, should say “use” instead of “abuse”) If not, please define what you mean by alcohol/drug abuse, and what the cutoffs were. 5. Please define units in Table 1 (e.g., for maternal education, birthweight, GA, PMA, OFC). 6. Preterm infants have brain differences from full-term infants, and it is possible that associations between maternal stress/anxiety and brain volumes are masked by differences caused by preterm birth. Therefore, while this study represents an important contribution to the literature, the findings cannot necessarily be generalized to full-term born children. I think the differences between preterm infant brains and term-born infant brains, and the implications for these findings merits some discussion. 7. It is disappointing that the data is not publicly available. Ethics constraints may restrict data sharing, but directing inquiries to your local ethics board is not helpful. Perhaps interested parties could contact the authors instead? 8. Typo/word errors: a. In the methods, “we inputted missing values”; do you mean imputed? b. P. 9, line 202 should likely say “constraints” instead of “restraints” c. P. 4, line 98 “women disclosed alcohol” needs “who” inserted ********** 6. PLOS authors have the option to publish the peer review history of their article (what does this mean?). If published, this will include your full peer review and any attached files. If you choose “no”, your identity will remain anonymous but your review may still be made public. Do you want your identity to be public for this peer review? For information about this choice, including consent withdrawal, please see our Privacy Policy. Reviewer #1: No Reviewer #2: No [NOTE: If reviewer comments were submitted as an attachment file, they will be attached to this email and accessible via the submission site. Please log into your account, locate the manuscript record, and check for the action link "View Attachments". If this link does not appear, there are no attachment files.] While revising your submission, please upload your figure files to the Preflight Analysis and Conversion Engine (PACE) digital diagnostic tool, https://pacev2.apexcovantage.com/. PACE helps ensure that figures meet PLOS requirements. To use PACE, you must first register as a user. Registration is free. Then, login and navigate to the UPLOAD tab, where you will find detailed instructions on how to use the tool. If you encounter any issues or have any questions when using PACE, please email PLOS at figures@plos.org. Please note that Supporting Information files do not need this step. |
| Revision 1 |
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Exploring the relationship between maternal prenatal stress and brain structure in premature neonates PONE-D-20-37926R1 Dear Dr. Lautarescu, We’re pleased to inform you that your manuscript has been judged scientifically suitable for publication and will be formally accepted for publication once it meets all outstanding technical requirements. Within one week, you’ll receive an e-mail detailing the required amendments. When these have been addressed, you’ll receive a formal acceptance letter and your manuscript will be scheduled for publication. An invoice for payment will follow shortly after the formal acceptance. To ensure an efficient process, please log into Editorial Manager at http://www.editorialmanager.com/pone/, click the 'Update My Information' link at the top of the page, and double check that your user information is up-to-date. If you have any billing related questions, please contact our Author Billing department directly at authorbilling@plos.org. If your institution or institutions have a press office, please notify them about your upcoming paper to help maximize its impact. If they’ll be preparing press materials, please inform our press team as soon as possible -- no later than 48 hours after receiving the formal acceptance. Your manuscript will remain under strict press embargo until 2 pm Eastern Time on the date of publication. For more information, please contact onepress@plos.org. Kind regards, Emma Duerden Academic Editor PLOS ONE Reviewers' comments: Reviewer's Responses to Questions Comments to the Author 1. If the authors have adequately addressed your comments raised in a previous round of review and you feel that this manuscript is now acceptable for publication, you may indicate that here to bypass the “Comments to the Author” section, enter your conflict of interest statement in the “Confidential to Editor” section, and submit your "Accept" recommendation. Reviewer #1: All comments have been addressed Reviewer #2: All comments have been addressed ********** 2. Is the manuscript technically sound, and do the data support the conclusions? The manuscript must describe a technically sound piece of scientific research with data that supports the conclusions. Experiments must have been conducted rigorously, with appropriate controls, replication, and sample sizes. The conclusions must be drawn appropriately based on the data presented. Reviewer #1: Yes Reviewer #2: Yes ********** 3. Has the statistical analysis been performed appropriately and rigorously? Reviewer #1: Yes Reviewer #2: Yes ********** 4. Have the authors made all data underlying the findings in their manuscript fully available? The PLOS Data policy requires authors to make all data underlying the findings described in their manuscript fully available without restriction, with rare exception (please refer to the Data Availability Statement in the manuscript PDF file). The data should be provided as part of the manuscript or its supporting information, or deposited to a public repository. For example, in addition to summary statistics, the data points behind means, medians and variance measures should be available. If there are restrictions on publicly sharing data—e.g. participant privacy or use of data from a third party—those must be specified. Reviewer #1: Yes Reviewer #2: No ********** 5. Is the manuscript presented in an intelligible fashion and written in standard English? PLOS ONE does not copyedit accepted manuscripts, so the language in submitted articles must be clear, correct, and unambiguous. Any typographical or grammatical errors should be corrected at revision, so please note any specific errors here. Reviewer #1: Yes Reviewer #2: Yes ********** 6. Review Comments to the Author Please use the space provided to explain your answers to the questions above. You may also include additional comments for the author, including concerns about dual publication, research ethics, or publication ethics. (Please upload your review as an attachment if it exceeds 20,000 characters) Reviewer #1: (No Response) Reviewer #2: The authors have addressed all of my comments. This is a topic area of great importance, and I look forward to more work by this team. ********** 7. PLOS authors have the option to publish the peer review history of their article (what does this mean?). If published, this will include your full peer review and any attached files. If you choose “no”, your identity will remain anonymous but your review may still be made public. Do you want your identity to be public for this peer review? For information about this choice, including consent withdrawal, please see our Privacy Policy. Reviewer #1: Yes: Isabel Benavente-Fernandez Reviewer #2: No |
| Formally Accepted |
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PONE-D-20-37926R1 Exploring the relationship between maternal prenatal stress and brain structure in premature neonates Dear Dr. Lautarescu: I'm pleased to inform you that your manuscript has been deemed suitable for publication in PLOS ONE. Congratulations! Your manuscript is now with our production department. If your institution or institutions have a press office, please let them know about your upcoming paper now to help maximize its impact. If they'll be preparing press materials, please inform our press team within the next 48 hours. Your manuscript will remain under strict press embargo until 2 pm Eastern Time on the date of publication. For more information please contact onepress@plos.org. If we can help with anything else, please email us at plosone@plos.org. Thank you for submitting your work to PLOS ONE and supporting open access. Kind regards, PLOS ONE Editorial Office Staff on behalf of Dr. Emma Duerden Academic Editor PLOS ONE |
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