Maternal Consistency in Recalling Prenatal Experiences at 6 Months and 8 Years Postnatal

Ramos, Amanda M.; Marceau, Kristine; Neiderhiser, Jenaè M.; Araujo-Greecher, Marielena De; Natsuaki, Misaki N.; Leve, Leslie D.

doi:10.1097/dbp.0000000000000841

Cited by 25 publications

(29 citation statements)

References 37 publications

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“…Maternal history is notoriously unreliable in diagnosing prenatal drug exposure, especially in situations where there is no rapport with the clinicians [88] or if there are legal implications with drug-use disclosure [89]. Some women may have difficulties recalling precise drug use histories even if there is no risk of repercussions [90].…”

Section: Drug Screening and Testing To Diagnose Prenatal Ma Exposurementioning

confidence: 99%

Prenatal methamphetamine—impact on the mother and child—a review

et al. 2021

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Methamphetamine (MA) is the second most commonly used illicit drug in the world, after cannabis. There are limited data on the outcomes of pregnant MA users but there is rapidly emerging evidence to suggest that they are more vulnerable, marginalized and impoverished compared with other drug‐using mothers. MA use during pregnancy is associated with worse pregnancy outcomes and significantly higher rates of co‐existing health and psychosocial problems. Newborn infants exposed to MA are at increased risk of perinatal complications, present differently at birth to infants exposed to other drugs of dependency such as opioids and have poorer neurological adaptation and feeding difficulties. Sparse literature from neuroimaging and cohort studies suggests that the neurocognitive deficits in MA exposed children persist, even into adulthood. Current clinical practice guidelines for the care of substance exposed pregnant women are opioid‐centric with little attention paid to the consequences of prenatal MA exposure.

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Section: Drug Screening and Testing To Diagnose Prenatal Ma Exposurementioning

confidence: 99%

Prenatal methamphetamine—impact on the mother and child—a review

et al. 2021

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“…Affirmative responses were summed. Recent evaluations of retrospective report of adverse events found moderate agreement between retrospective and prospective measures (Ramos et al, 2020;Reuben et al, 2016), supporting the validity of this measurement timing.…”

Section: Methodsmentioning

confidence: 81%

“…However, the current study also had several limitations. First, although recent evaluations suggest that retrospective report of exposure to significant life events (such as the experiences of severe illness, death of a close relative, or relationship changes) provides a valid measure of these exposures (Ramos et al, 2020), it is possible that postnatal experiences could impact the way participants remember events from their pregnancy. In the current study, we asked women about their experiences of these events during pregnancy at their child's age 6 assessment, whereas the measure of distress was measured during pregnancy.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

Associations Between Maternal Stressful Life Events and Perceived Distress during Pregnancy and Child Mental Health at Age 4

Rudd

Cheng

Cordeiro

et al. 2022

Res Child Adolesc Psychopathol

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Accumulating evidence suggests that maternal exposure to objectively stressful events and subjective distress during pregnancy may have intergenerational impacts on children’s mental health, yet evidence is limited. In a multisite longitudinal cohort (N = 454), we used multi-variable linear regression models to evaluate the predictive value of exposure to stressful events and perceived distress in pregnancy for children’s internalizing problems, externalizing problems, and adaptive skills at age 4. We also explored two- and three-way interactions between stressful events, distress, and child sex. Both objective and subjective maternal stress independently predicted children’s behavior, with more stressful events and higher distress predicting more internalizing and externalizing problems and worse adaptability; stress types did not significantly interact. There was some evidence that more stressful events predicted higher externalizing behaviors only for girls. Three-way interactions were not significant. The current findings highlight the importance of considering the type of stress measurement being used (e.g., counts of objective event exposure or subjective perceptions), suggest prenatal stress effects may be transdiagnostic, and meet calls for rigor and reproducibility by confirming these independent main effects in a relatively large group of families across multiple U.S. regions. Results point to adversity prevention having a two-generation impact and that pre- and postnatal family-focused intervention targets may help curb the rising rates of children’s mental health problems.

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“…Third, women retrospectively reported on pSLE when their children were ~8 years old. Although this approach is commonly used and recent evidence further supports validity of its use (especially for more significant and memorable life events) ( 75 , 76 , 113 ), there is still a potential for event recall bias. In addition, women's pIPV was assessed in the third trimester of pregnancy, wherein women reported their experiences over the past year, leaving the possibility that some pIPV was experienced in the few months prior to pregnancy.…”

Section: Discussionmentioning

confidence: 99%

“…Women responded yes or no to each item; all responses were summed into a total count of different types of pSLE experienced (range 0–14). Given the magnitude and significance of these stressful life events, such measures are thought to have limited recall bias and be accurate over a span of years ( 75 , 76 ).…”

Section: Methodsmentioning

confidence: 99%

Intergenerational Transmission of Effects of Women's Stressors During Pregnancy: Child Psychopathology and the Protective Role of Parenting

et al. 2022

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ObjectiveExperiences of stress and adversity, such as intimate partner violence, confer risk for psychiatric problems across the life span. The effects of these risks are disproportionately borne by women and their offspring—particularly those from communities of color. The prenatal period is an especially vulnerable period of fetal development, during which time women's experiences of stress can have long-lasting implications for offspring mental health. Importantly, there is a lack of focus on women's capacity for resilience and potential postnatal protective factors that might mitigate these intergenerational risks and inform intervention efforts. The present study examined intergenerational associations between women's prenatal stressors and child executive functioning and externalizing problems, testing maternal parenting quality and child sex as moderators, using a large, prospective, sociodemographically diverse cohort.MethodsWe used data from 1,034 mother-child dyads (64% Black, 30% White) from the Conditions Affecting Neurocognitive Development and Learning in Early Childhood (CANDLE) pregnancy cohort within the ECHO PATHWAYS consortium. Women's prenatal stressors included stressful life events (pSLE) and intimate partner violence (pIPV). Measures of child psychopathology at age 4–6 included executive functioning and externalizing problems. Parenting behaviors were assessed by trained observers, averaged across two sessions of mother-child interactions. Linear regression models were used to estimate associations between women's prenatal stressors and child psychopathology, adjusting for confounders and assessing moderation effects by maternal parenting quality and child sex.ResultsWomen's exposures to pSLE and pIPV were independently associated with child executive functioning problems and externalizing problems in fully-adjusted models. Maternal parenting quality moderated associations between pSLE and both outcomes, such that higher parenting quality was protective for the associations between women's pSLE and child executive functioning and externalizing problems. No moderation by child sex was found.DiscussionFindings from this large, sociodemographically diverse cohort suggest women's exposures to interpersonal violence and major stressful events—common for women during pregnancy—may prenatally program her child's executive functioning and externalizing problems. Women's capacity to provide high quality parenting can buffer this intergenerational risk. Implications for universal and targeted prevention and early intervention efforts to support women's and children's wellbeing are discussed.

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Maternal Consistency in Recalling Prenatal Experiences at 6 Months and 8 Years Postnatal

Cited by 25 publications

References 37 publications

Prenatal methamphetamine—impact on the mother and child—a review

Prenatal methamphetamine—impact on the mother and child—a review

Associations Between Maternal Stressful Life Events and Perceived Distress during Pregnancy and Child Mental Health at Age 4

Intergenerational Transmission of Effects of Women's Stressors During Pregnancy: Child Psychopathology and the Protective Role of Parenting

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