Anxiety disorders before birth and self-perceived distress during pregnancy: Associations with maternal depression and obstetric, neonatal and early childhood outcomes
Open accessAbstract
Background Maternal perinatal mental health has been shown to be associated with adverse consequences for the mother and the child. However, studies considering the effect of DSM-IV anxiety disorders beyond maternal self-perceived distress during pregnancy and its timing are lacking.Aims To examine the role of maternal anxiety disorders with an onset before birth and self-perceived distress during pregnancy for unfavourable maternal, obstetric, neonatal and childhood outcomes.Study design DSM-IV mental disorders and self-perceived distress of 992 mothers as well as obstetric, neonatal and childhood outcomes of their offspring were assessed in a cohort sampled from the community using the Munich-Composite International Diagnostic Interview. Logistic regression analyses revealed associations (odds ratios) between maternal anxiety disorders and self-perceived distress during pregnancy with maternal depression after birth and a range of obstetric, neonatal and childhood psychopathological outcomes.Results Lifetime maternal anxiety disorders were related to offspring anxiety disorders, but not to offspring externalizing disorders. Analyses focussing on maternal DSM-IV anxiety disorders before birth yielded associations with incident depression after birth. In addition, self-perceived distress during pregnancy was associated with maternal depression after birth, preterm delivery, caesarean section, separation anxiety disorder, ADHD, and conduct disorder in offspring.Conclusion Findings confirm the transmission of anxiety disorders from mother to offspring. Apart from maternal anxiety, self-perceived distress during pregnancy also emerged as a putative risk factor for adverse outcomes. The finding that maternal anxiety disorders before birth yielded less consistent associations, suggests that self-perceived distress during pregnancy might be seen as a putative moderator/mediator in the familial transmission of anxiety.
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Stress and anxiety experienced during the perinatal period are likely to impact on the relationship between the mother and her infant.
“This is of particular interest as stress and anxiety experienced during this period are likely to affect the mother’s mental health [1–3] and impact on the relationship between the mother and her infant [4, 5].”
From Effects of an antenatal mindfulness-based childbirth and parenting programme on the postpartum experiences of mothers: a qualitative interview study. (2017) · cites this paper as [5]
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- Authors
- Martini, J., Knappe, S., Beesdo-Baum, K., Lieb, R., & Wittchen, H.-U.
- Affiliations
- Technische Universität Dresden (DE)
- Max Planck Society (DE)
- Venue
- Early Human Development
- Publisher
- Elsevier BV
- Published
- 2010-05
- Volume
- 86
- Issue
- 5
- Pages
- 305-310
- ISSN
- 0378-3782 (ISSN-L)
- OpenAlex
- W1984912908
- Cited by
- 236
- References
- 61
- Citations by year
- 2026: 10 · 2025: 9 · 2024: 5 · 2023: 11 · 2022: 18 · 2021: 16 · 2020: 11 · 2019: 19 · 2018: 14 · 2017: 23 · 2016: 17 · 2015: 17 · 2014: 19 · 2013: 22 · 2012: 13
- FWCI
- 14.57
- Type
- journal article
- Language
- en
- Open access
- green
- tud.qucosa.de
- Licence
- Locations
- Early Human Development (publishedVersion)
- PubMed (publishedVersion)
- Max Planck Institute for Plasma Physics (submittedVersion)
- Qucosa (Saxon State and University Library Dresden) (submittedVersion, other-oa)
- Funders
- Deutsche Forschungsgemeinschaft (LA1148/1-1, WI 709/7-1, WI 709/8-1, WI2246/1-1)
- Bundesministerium für Bildung und Forschung (01EB 9901/6, 01EB0140, 01EB0440, 01EB9405/6, EB01016200)
- 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 › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
- Keywords
- maternal anxiety disorders, prenatal anxiety, maternal depression, preterm birth, cesarean section, separation anxiety disorder, attention deficit hyperactivity disorder, conduct disorder, neonatal outcomes, obstetric outcomes, early childhood psychopathology
- MeSH terms
- Adolescent, Adult, Anxiety Disorders, Apgar Score, Child, Developmental Disabilities, Child, Preschool, Depression, Female, Humans, Infant, Newborn, Infant, Newborn, Diseases, Obstetric Labor Complications, Middle Aged, Pregnancy, Pregnancy Complications, Pregnancy Outcome, Prenatal Exposure Delayed Effects, Risk Factors, Self Concept, Stress, Psychological
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