Psychosocial distress during pregnancy and the risk of infantile colic: a follow-up study

Søndergaard, Charlotte; Olsen, Jørn; Friis-Hasché, E; Dirdal, M; Thrane, Nana; Sørensen, Henrik Toft

doi:10.1080/08035250310003857

Cited by 14 publications

(9 citation statements)

References 28 publications

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“…We obtained information on maternal stress from a telephone interview taken around 30 weeks of gestation. We studied two a priori –defined types of stress—emotional stress and life stress—as used in previous studies (Sondergaard et al 2003; Tegethoff et al 2010a, 2010b). The separation of these two types of maternal stress is theoretically based on the well-described stressor specificity of biological responses, which may differentially affect the fetus (Pacak and Palkovits 2001; Richardson et al 2006).…”

Section: Methodsmentioning

confidence: 99%

Stress during Pregnancy and Offspring Pediatric Disease: A National Cohort Study

Tegethoff

Greene

Olsen

et al. 2011

Environ Health Perspect

112

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Background: Identifying risk factors for adverse health outcomes in children is important. The intrauterine environment plays a pivotal role for health and disease across life.Objectives: We conducted a comprehensive study to determine whether common psychosocial stress during pregnancy is a risk factor for a wide spectrum of pediatric diseases in the offspring.Methods: The study was conducted using prospective data in a population-based sample of mothers with live singleton births (n = 66,203; 71.4% of those eligible) from the Danish National Birth Cohort. We estimated the association between maternal stress during pregnancy (classified based on two a priori–defined indicators of common stress forms, life stress and emotional stress) and offspring diseases during childhood (grouped into 16 categories of diagnoses from the International Classification of Diseases, 10th Revision, based on data from national registries), controlling for maternal stress after pregnancy.Results: Median age at end of follow-up was 6.2 (range, 3.6–8.9) years. Life stress (highest compared with lowest quartile) was associated with an increased risk of conditions originating in the perinatal period [odds ratio (OR) = 1.13; 95% confidence interval (CI): 1.06, 1.21] and congenital malformations (OR=1.17; CI: 1.06, 1.28) and of the first diagnosis of infection [hazard ratio (HR) = 1.28; CI: 1.17, 1.39], mental disorders (age 0–2.5 years: HR = 2.03; CI: 1.32, 3.14), and eye (age 0–4.5 years: HR = 1.27; CI: 1.06, 1.53), ear (HR = 1.36; CI: 1.23, 1.51), respiratory (HR = 1.27; CI; 1.19, 1.35), digestive (HR = 1.23; CI: 1.11, 1.37), skin (HR = 1.24; CI: 1.09, 1.43), musculoskeletal (HR = 1.15; CI: 1.01–1.30), and genitourinary diseases (HR = 1.25; CI; 1.08, 1.45). Emotional stress was associated with an increased risk for the first diagnosis of infection (HR = 1.09; CI: 1.01, 1.18) and a decreased risk for the first diagnosis of endocrine (HR = 0.81; CI; 0.67, 0.99), eye (HR = 0.84; CI; 0.71, 0.99), and circulatory diseases (age 0–3 years: HR = 0.63; CI: 0.42, 0.95).Conclusions: Maternal life stress during pregnancy may be a common risk factor for impaired child health. The results suggest new approaches to reduce childhood diseases.

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Section: Methodsmentioning

confidence: 99%

Stress during Pregnancy and Offspring Pediatric Disease: A National Cohort Study

Tegethoff

Greene

Olsen

et al. 2011

Environ Health Perspect

112

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“…We obtained information on maternal stress during pregnancy from a computer-assisted interview taken around 30 weeks gestation. We defined life stress and emotional symptoms as previously described [8], [14]: The applied inventory on emotional symptoms during pregnancy is a modified version of the short version of the Symptom Checklist (SCL)-8d [15] and covers self-reported maternal feelings (e.g. anxiety, nervousness, for detailed description of items, see Table 1).…”

Section: Methodsmentioning

confidence: 99%

“…We a priori defined two common forms of maternal stress, self-reported life stress in terms of burdens in major areas of life, and emotional symptoms [8]. The separation of these two major subtypes of maternal stress is based on their possible differential effects on the fetus [9] and the stressor-specificity of biological responses [10], [11], which may differentially affect the placenta via different biological pathways [12].…”

Section: Introductionmentioning

confidence: 99%

Maternal Psychosocial Stress during Pregnancy and Placenta Weight: Evidence from a National Cohort Study

et al. 2010

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BackgroundTo study in a large-scale cohort with prospective data the associations between psychosocial stress during pregnancy and placenta weight at birth. Animal data suggest that the placenta is involved in stress-related fetal programming.Methodology/Principal FindingsWe defined a priori two types of psychosocial stress during pregnancy, life stress (perceived burdens in major areas of life) and emotional symptoms (e.g. anxiety). We estimated the associations of maternal stress during pregnancy with placenta weight at birth, controlled for length of gestation, by predicting gestational age- and sex-specific z-scores of placenta weight through multiple regression analysis, adjusted for potential confounders (N = 78017 singleton pregnancies). Life stress (per increase in stress score by 1, range: 0–18) during pregnancy was associated with increased placenta weight at birth (z-score, reported in 10−3; B, 14.33; CI, 10.12–18.54). In contrast, emotional symptoms during pregnancy were not associated with placenta weight at birth.Conclusions/SignificanceMaternal life stress but not emotional symptoms during pregnancy was associated with increased placenta weight at birth; yet, the association-estimate was rather small. Our results may contribute to a better understanding of the role of the placenta in the regulation of intrauterine processes in response to maternal stress.

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“…Maternal depression during early pregnancy has been clearly linked to subsequent infantile colic. 31,32 In one study, there was a threefold increased risk of infantile colic in mothers who reported distress during pregnancy. 32 Interestingly, after adjustment for maternal depressive symptoms, paternal depression has also been associated with colic, as suggested by a prospective population-based study in 4426 2-month-old infants by van den Berg.…”

Section: Etiologymentioning

confidence: 99%

Infantile Colic

Mai

Fatheree

Gleason

et al. 2018

Gastroenterology Clinics of North America

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Psychosocial distress during pregnancy and the risk of infantile colic: a follow-up study

Abstract: The results indicate that general distress during pregnancy influences the risk of infantile colic. Whether or not this relationship is causal requires further investigations.

Cited by 14 publications

References 28 publications

Stress during Pregnancy and Offspring Pediatric Disease: A National Cohort Study

Stress during Pregnancy and Offspring Pediatric Disease: A National Cohort Study

Maternal Psychosocial Stress during Pregnancy and Placenta Weight: Evidence from a National Cohort Study

Infantile Colic

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