Impact of maternal prenatal and parental postnatal stress on 1-year-old child development: results from the OTIS antidepressants in pregnancy study

Karam, Fatiha; Sheehy, Odile; Huneau, Marie‐Claude; Chambers, Christina D.; Fraser, William D.; Johnson, Diana; Kao, Kelly; Martin, Brigitte; Riordan, Sara; Roth, Mark J.; St‐André, Martin; Lavigne, Sharon Voyer; Wolfe, L. S.; Bérard, Anick

doi:10.1007/s00737-016-0624-6

Cited by 35 publications

(39 citation statements)

References 62 publications

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“…As its effect reduced further after controlling for maternal depressive symptoms in the adjusted model, this may indicate a specific association of flood‐related PNMS with this outcome, beyond the influence of nonflood stressful life events during pregnancy. Although association of stress during pregnancy with aspects of child social functioning conflicts with some existing studies (Karam et al., ; Kvalevaag et al., ), the current results are consistent with delayed acquisition of social competencies in infants of mothers higher in prenatal trait anxiety (Koutra, ) and maternal subjective distress in the QF2011 cohort (Simcock, Kildea, et al., ; Simcock, Laplante, et al., ). Together, these findings lend support to an enduring effect of PNMS on offspring social–emotional development from early infancy to toddlerhood.…”

Section: Discussionsupporting

confidence: 84%

Infant Behavior and Competence Following Prenatal Exposure to a Natural Disaster: The QF2011 Queensland Flood Study

Lequertier

Simcock

Cobham

et al. 2019

Infancy

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This study utilized a natural disaster to investigate the effects of prenatal maternal stress (PNMS) arising from exposure to a severe flood on maternally reported infant social–emotional and behavioral outcomes at 16 months, along with potential moderation by infant sex and gestational timing of flood exposure. Women pregnant during the Queensland floods in January 2011 completed measures of flood‐related objective hardship and posttraumatic stress (PTS). At 16 months postpartum, mothers completed measures describing depressive symptoms and infant social–emotional and behavioral problems (n = 123) and competence (n = 125). Greater maternal PTS symptoms were associated with reduced infant competence. A sex difference in infant behavioral problems emerged at higher levels of maternal objective hardship and PTS; boys had significantly more behavioral problems than girls. Additionally, greater PTS was associated with more behavioral problems in boys; however, this effect was attenuated by adjustment for maternal depressive symptoms. No main effects or interactions with gestational timing were found. Findings highlight specificity in the relationships between PNMS components and infant outcomes and demonstrate that the effects of PNMS exposure on behavior may be evident as early as infancy. Implications for the support of families exposed to a natural disaster during pregnancy are discussed.

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Section: Discussionsupporting

confidence: 84%

Infant Behavior and Competence Following Prenatal Exposure to a Natural Disaster: The QF2011 Queensland Flood Study

Lequertier

Simcock

Cobham

et al. 2019

Infancy

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“…Assessing perinatal stress symptoms in the clinic setting is imperative, since stress at this time is highly correlated with depression symptoms. Further, research findings indicated that stress may contribute to adverse birth outcomes and impaired child development (D’Souza et al, 2016; Karam et al, 2016; Liou et al, 2016). Given the paucity of research regarding perceived stress during the perinatal period, our findings provide a more in-depth examination of how perception of stress changes from the antenatal to the early postpartum period in late adolescent and young adult mothers.…”

Section: Discussionmentioning

confidence: 99%

Patterns of Symptoms of Perinatal Depression and Stress in Late Adolescent and Young Adult Mothers

Torres¹,

Goyal²,

Burke-Aaronson³

et al. 2017

Journal of Obstetric, Gynecologic & Neonatal Nursing

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Objective To compare symptoms of depression, maternal adjustment, and perceived stress in late adolescent and young adult mothers and to examine the patterns of these symptoms during the first 3 months after birth. Design Secondary analysis of existing longitudinal data. Setting San Francisco Bay Area with participants in their home environment Participants Ethnically diverse women who were expecting their first infants were recruited during the third trimester from childbirth education classes and antenatal clinics. The final sample included thirty-four participants in the late adolescent group (18–20 years) and 48 participants in the young adult group (21–24 years). Methods The Center for Epidemiologic Studies Depression Scale was used to assess depression symptoms; the Maternal Adjustment and Maternal Attitudes Scale was used to assess maternal adjustment; and the 10-item Perceived Stress Scale was used to assess perceived stress. Repeated measures ANOVA were used to examine changes over time in depression, maternal adjustment, and perceived stress scores. Results Compared to young adult participants, late adolescent participants had higher mean depression scores (F(1, 61) = 8.02, p = 0.006) and perceived stress scores (F(1, 62) = 9.45, p = 0.003) at all time points. Scores for maternal adjustment could not be compared because of the low internal validity of the instrument. Conclusions Results indicate that late adolescent mothers may have more symptoms of depression and stress in late pregnancy and the early postpartum period than young adult mothers. Clinicians in maternity and pediatric settings should be vigilant in screening for depression and stress in this vulnerable population during their transition to motherhood.

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“…For maternally-reported infant social-emotional competence, greater PTS symptoms were associated with lower competence, with no moderation of effects by infant sex or timing for this outcome. Although this prenatal effect on social development conflicts with some existing studies (Karam et al, 2016;Kvalevaag et al, 2015), the current results are consistent with delayed acquisition of social competencies in infants of mothers higher in prenatal trait anxiety (Koutra, 2013) and maternal subjective distress in the QF2011 cohort s . Together, these findings lend support to a potential enduring effect of PNMS on offspring social-emotional development from early infancy to toddlerhood.…”

Section: Discussionsupporting

confidence: 71%

“…Conversely, Karam et al (2016) found that child functioning on the Bayley social-emotional scale was predicted by postnatal paternal perceived stress only, with no effects of maternal prenatal or postnatal perceived stress. Furthermore, while Ronald et al (2011) found an association of frequency of prenatal stressful life events and increased autistic traits assessed by maternal report on the CBCL in 2-year-old boys, these effects were significant only for nonsocial behaviours (e.g., repetitive behaviours), with no effects evident for social difficulties.…”

Section: Internalising Problems Internalising Behavioural Problems Rmentioning

confidence: 83%

Exposure to a natural disaster during pregnancy and young children’s behaviour: prenatal and postnatal pathways, and the role of maternal mind-mindedness

Lequertier¹

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Mothers experiencing symptoms of stress and distress are more likely to have children who exhibit behavioural problems, and there are a multitude of processes by which this vulnerability may be conferred. A number of environmental mechanisms may explain this intergenerational transmission of risk, including an impact of a mother's emotional state on the conditions of the prenatal and postnatal environment; however, disentangling these effects from genetic heritability and residual confounding constitutes a major methodological challenge. A natural disaster represents a natural experiment, enabling the investigation of the unique effects of an independent prenatal stressor on child development, whilst minimising the likelihood of these alternative explanations. This thesis investigates the prenatal and postnatal processes associated with individual differences in young children's behavioural problems following maternal exposure to a severe flooding event during pregnancy. Specifically, it examines the direct effects of exposure to flood-related objective hardship and maternal posttraumatic stress symptoms for infant socialemotional competence and behavioural problems at 16 months, as well as testing prenatal and postnatal pathways linking flood exposure to internalising and externalising behavioural problems at 30 months. A component of maternal caregiving, maternal mind-mindedness, is tested for its potential to moderate the direct prenatal or indirect postnatal effects of flood exposure during pregnancy on child outcomes. Finally, the predictors of individual differences in maternal mind-mindedness are investigated, including maternal stress during pregnancy, concurrent mental health, and attachment style. Mothers (N = 230) pregnant in January 2011, during the floods in Queensland, Australia, completed measures of their flood-related objective hardship and posttraumatic stress symptoms, as well as their adult attachment style. At 16 months, mothers and infants attended a laboratory visit where they engaged in a joint play interaction. Mothers completed measures of depression and anxiety symptoms and their infant's social-emotional and behavioural problems and competence. At 30 months, mothers completed measures of their own depression symptoms and their toddlers' internalising and externalising problems.Greater flood-related maternal PTS symptoms were associated with reduced maternallyreported infant competence at 16 months. A sex difference in mothers' reports of infant behaviour problems emerged at higher levels of maternal objective hardship. Additionally, iii greater PTS was associated with more maternally-reported behaviour problems at 16 months in boys; however, attenuation by concurrent maternal depressive symptoms suggested a postnatal risk pathway through worse maternal emotional functioning postnatally. Subsequent moderated serial mediation analyses testing this postnatal risk pathway found that increased flood-related objective hardship was indirectly associated with greater maternally-reported toddle...

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Impact of maternal prenatal and parental postnatal stress on 1-year-old child development: results from the OTIS antidepressants in pregnancy study

Cited by 35 publications

References 62 publications

Infant Behavior and Competence Following Prenatal Exposure to a Natural Disaster: The QF2011 Queensland Flood Study

Infant Behavior and Competence Following Prenatal Exposure to a Natural Disaster: The QF2011 Queensland Flood Study

Patterns of Symptoms of Perinatal Depression and Stress in Late Adolescent and Young Adult Mothers

Exposure to a natural disaster during pregnancy and young children’s behaviour: prenatal and postnatal pathways, and the role of maternal mind-mindedness

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