Fetal heart rate variability mediates prenatal depression effects on neonatal neurobehavioral maturity

Figueiredo, Bárbara; Pinto, Tiago Miguel; Pacheco, Alexandra P.; Field, Tiffany

doi:10.1016/j.biopsycho.2016.10.013

Cited by 28 publications

(24 citation statements)

References 52 publications

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“…Infants who were high on arousal showed a pattern of physiological instability, motor agitation, and irritability, which is consistent with research examining effects of prenatal depression on fetal and newborn neurobehavioral maturity (Figueiredo, Pinto, Pacheco, & Field, 2017;Van den Berg et al, 2005). For instance, Figueiredo et al found that fetuses whose mothers reported high depressive symptoms while pregnant had lower fetal heart rate variability.…”

Section: Discussionsupporting

confidence: 84%

Intergenerational transmission of emotion dysregulation: Part II. Developmental origins of newborn neurobehavior

et al. 2019

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We investigated whether neurobehavioral markers of risk for emotion dysregulation were evident among newborns, as well as whether the identified markers were associated with prenatal exposure to maternal emotion dysregulation. Pregnant women (N = 162) reported on their emotion dysregulation prior to a laboratory assessment. The women were then invited to the laboratory to assess baseline respiratory sinus arrhythmia (RSA) and RSA in response to an infant cry. Newborns were assessed after birth via the NICU Network Neurobehavioral Scale. We identified two newborn neurobehavioral factors—arousal and attention—via exploratory factor analysis. Low arousal was characterized by less irritability, excitability, and motor agitation, while low attention was related to a lower threshold for auditory and visual stimulation, less sustained attention, and poorer visual tracking abilities. Pregnant women who reported higher levels of emotion dysregulation had newborns with low arousal levels and less attention. Larger decreases in maternal RSA in response to cry were also related to lower newborn arousal. We provide the first evidence that a woman’s emotion dysregulation while pregnant is associated with risks for dysregulation in her newborn. Implications for intergenerational transmission of emotion dysregulation are discussed.

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Section: Discussionsupporting

confidence: 84%

Intergenerational transmission of emotion dysregulation: Part II. Developmental origins of newborn neurobehavior

et al. 2019

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“…According to the study conducted by Figueiredo et al on 104 pregnant women, thehe fetuses of non-depressed pregnant women showed higher HR variability than the fetuses of depressed pregnant women in response to speech stimuli, and later as neonates they performed more optimally on the Neonatal Behavioral Assessment Scale (on autonomic stability and total scores) [21]. In this study, the education of attachment skills reduced maternal anxiety and improved motor development in infants.…”

Section: Discussionsupporting

confidence: 46%

A study of the effect of training pregnant women about attachment skills on infants’ motor development indices at birth to four months

Dokuhaki¹,

Akbarzadeh²,

Pishva³

et al. 2017

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Background. During pregnancy fetus-maternal attachment can improve maternal-fetal attachment, and have positive effects on the infant's growth and development. Objectives. This study aimed to investigate the effect of training pregnant mothers about attachment skills on infants' motor development indices at birth to four months. Material and methods. This study is a clinical trial with convenient sampling on 190 pregnant women in hafez hospital. They were randomly divided into two groups: intervention and control. There were 94 and 96 patients in the control and intervention groups, respectively. In the intervention group, 6 sessions of 90-minute educational classes were held. After birth, the infants were compared, in both groups, in terms of motor status using the Denver questionnaire at birth to the age of 4 months. Results. In the intervention group, educating the women on fetal-maternal attachment skills was associated with infants' earlier achievement age in terms of some gross motor, all fields of speech-language, and one item of fine-adaptive motor realms. In addition, the infants' age was significantly reduced in achieving some personal-social items, as well as gross-fine scope at one and three months. Conclusions. Training the mothers in attachment skills increased fetal-maternal attachment and improved the motor development indicators in infants aged up to four months. Therefore, training in attachment skills is recommended to be given as a component of routine pregnancy care.

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“…This result reinforced the major role of mother's prenatal depression symptoms on the emergence of further infant's sleep problems (Field et al., 2007; Gerardin et al., 2011; Nevarez et al., 2010). Also, this study adds to previous research on the adverse effects of mother's prenatal depression on infant development (e.g., Figueiredo, Pinto, Pacheco, & Field, 2017; Gentile, 2017; Stein et al., 2014), by reporting the adverse effects on infant's sleep problems. In their turn, infant's sleep problems may contribute to the emergence of mother's postpartum anxiety and depression symptoms (Ystrom, Nilsen, Hysing, Sivertsen, & Ystrom, 2017), which may help to explain the association between mother's prenatal and postpartum depression.…”

Section: Discussionmentioning

confidence: 74%

Mother's prenatal and postpartum depression symptoms and infant's sleep problems at 6 months

Dias

Figueiredo

2020

Infant Mental Health Journal

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Mother's prenatal and postpartum depression have been associated with infant's sleep problems. This study aimed to analyze (a) the effects of mother's prenatal and postpartum depression symptoms, including the effects of prenatal and postpartum anxiety and depression scores of the Edinburgh Postnatal Depression Scale (EPDS), on infant's sleep problems at 6 months, and (b) the interaction effect between mother's prenatal and postpartum depression symptoms and infant's sex on infant's sleep problems at 6 months. The sample was comprised of 164 mother-infant dyads whose mothers completed measures of depression at the third trimester of pregnancy, 2 weeks, 3 and 6 months postpartum and a measure of infant's sleep problems at 6 months (CSHQ-I). Mother's prenatal depression symptoms, specifically depression scores of the EPDS, predicted more infant's sleep anxiety and daytime sleepiness, while mother's depression symptoms at 2 weeks postpartum, specifically anxiety scores of the EPDS, predicted more bedtime resistance and CSHQ-I total scores at 6 months. Boys of mothers with more prenatal depression symptoms presented more sleep anxiety at 6 months. Both mother's prenatal and early postpartum depression symptoms have a negative effect on the emergence of infant's sleep problems. Additionally, boys seem more vulnerable to mother's prenatal depression symptoms.

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Fetal heart rate variability mediates prenatal depression effects on neonatal neurobehavioral maturity

Cited by 28 publications

References 52 publications

Intergenerational transmission of emotion dysregulation: Part II. Developmental origins of newborn neurobehavior

Intergenerational transmission of emotion dysregulation: Part II. Developmental origins of newborn neurobehavior

A study of the effect of training pregnant women about attachment skills on infants’ motor development indices at birth to four months

Mother's prenatal and postpartum depression symptoms and infant's sleep problems at 6 months

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