Cited by 620Maternal Mental Health During Pregnancy and PostpartumChild and Adolescent Psychosocial and Emotional DevelopmentInfant Development and Preterm Care

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Association Between Maternal Perinatal Depression and Anxiety and Child and Adolescent Development: A Meta-analysis

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Rogers, Alana, Obst, Shelley, Teague, Samantha J., Rossen, Larissa, Spry, Elizabeth A., Macdonald, Jacqui A., Sunderland, Matthew, Olsson, Craig A., Youssef, George, Hutchinson, Delyse·2020·JAMA Pediatrics

DOI 10.1001/jamapediatrics.2020.2910PMC PMC7490743

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Abstract

Importance: There is widespread interest in associations between maternal perinatal depression and anxiety and offspring development; however, to date, there has been no systematic, meta-analytic review on the long-term developmental outcomes spanning infancy through adolescence. Objective: To provide a comprehensive systematic review and meta-analysis of the extant literature on associations between maternal perinatal depression and anxiety and social-emotional, cognitive, language, motor, and adaptability outcomes in offspring during the first 18 years of life. Data Sources: Six databases were searched (CINAHL Complete, Cochrane Library, Embase, Informit, MEDLINE Complete, and PsycInfo) for all extant studies reporting associations between perinatal maternal mental health problems and offspring development to March 1, 2020. Study Selection: Studies were included if they were published in English; had a human sample, quantitative data, a longitudinal design, and measures of perinatal depression and/or anxiety and social-emotional, cognitive, language, motor, and/or adaptability development in offspring; and investigated an association between perinatal depression or anxiety and childhood development. Data Extraction and Synthesis: Of 27 212 articles identified, 191 were eligible for meta-analysis. Data were extracted by multiple independent observers and pooled using a fixed- or a random-effects model. A series of meta-regressions were also conducted. Data were analyzed from January 1, 2019, to March 15, 2020. Main Outcomes and Measures: Primary outcomes included social-emotional, cognitive, language, motor, and adaptability development in offspring during the first 18 years of life. Results: After screening, 191 unique studies were eligible for meta-analysis, with a combined sample of 195 751 unique mother-child dyads. Maternal perinatal depression and anxiety were associated with poorer offspring social-emotional (antenatal period, r = 0.21 [95% CI, 0.16-0.27]; postnatal period, r = 0.24 [95% CI, 0.19-0.28]), cognitive (antenatal period, r = -0.12 [95% CI, -0.19 to -0.05]; postnatal period, r = -0.25 [95% CI, -0.39 to -0.09]), language (antenatal period, r = -0.11 [95% CI, -0.20 to 0.02]; postnatal period, r = -0.22 [95% CI, -0.40 to 0.03]), motor (antenatal period, r = -0.07 [95% CI, -0.18 to 0.03]; postnatal period, r = -0.07 [95% CI, -0.16 to 0.03]), and adaptive behavior (antenatal period, r = -0.26 [95% CI, -0.39 to -0.12]) development. Findings extended beyond infancy, into childhood and adolescence. Meta-regressions confirmed the robustness of the results. Conclusions and Relevance: Evidence suggests that perinatal depression and anxiety in mothers are adversely associated with offspring development and therefore are important targets for prevention and early intervention to support mothers transitioning into parenthood and the health and well-being of next-generation offspring.

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“Untreated perinatal mental health conditions are also associated with adverse obstetric (fetal growth restriction, preterm birth, stillbirth) [6, 9, 10] and child (impaired neurodevelopment and behavior) [11, 12] outcomes, and they are estimated to cost the US $14.2 billion annually [13].”
Influential

Authors: Rogers, A., Obst, S., Teague, S. J., Rossen, L., Spry, E. A., Macdonald, J. A., Sunderland, M., Olsson, C. A., Youssef, G., & Hutchinson, D.
Affiliations: Deakin University (AU)
University of British Columbia (CA)
Royal Children's Hospital (AU)
The University of Sydney (AU)
Corresponding author: Hutchinson, Delyse
ORCID: Teague, Samantha J.
Rossen, Larissa
Spry, Elizabeth A.
Macdonald, Jacqui A.
Sunderland, Matthew
Olsson, Craig A.
Youssef, George
Hutchinson, Delyse
Venue: JAMA Pediatrics
Publisher: American Medical Association (AMA)
Published: 2020-11-01
Volume: 174
Issue: 11
Pages: 1082
ISSN: 1072-4710 (ISSN-L)
2168-6203
DOI: 10.1001/jamapediatrics.2020.2910
PMC: PMC7490743
OpenAlex: W3086442239
Cited by: 620
References: 77
Citations by year: 2026: 144 · 2025: 157 · 2024: 123 · 2023: 97 · 2022: 54 · 2021: 42 · 2020: 2
FWCI: 8.16
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: Archives of Pediatrics and Adolescent Medicine (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
ResearchOnline - JCU (James Cook University) (submittedVersion)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
Keywords: perinatal depression, offspring development, child development, adolescent development, social-emotional development, cognitive development, language development, motor development, adaptability, antenatal depression, postpartum depression, maternal mental health, mother-child dyads
MeSH terms: Correlation of Data, Adolescent, Anxiety, Child, Child Development, Child, Preschool, Depression, Female, Humans, Infant, Male, Pregnancy

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Association Between Maternal Perinatal Depression and Anxiety and Child and Adolescent Development: A Meta-analysis

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