Review of Prenatal Maternal Mental Health and the Development of Infant Temperament
Abstract
Objective To present a systematic review of literature and evaluate effects of prenatal maternal depression and anxiety on the development of infant temperament.Data sources A literature search for studies published between January 1981 and January 2017 was undertaken using the electronic databases PsycINFO and PubMed, as well as reference lists from select resources. Search terms included variations on infant temperament, prenatal/pregnancy, depression, mood, and anxiety.Study selection Studies were included if researchers measured psychological distress during pregnancy as indicated by maternal depression, anxiety, pregnancy-specific anxiety, or a combination of these factors in relation to the development of infant temperament (i.e., parent report or laboratory observations of temperament from 1 to 12 months). In total, 34 articles met inclusion criteria.Data extraction Authors, year of publication, country of origin, sample information, methods, timing, and applicable results were summarized and compared across studies.Data synthesis No standardized data analysis was conducted because of methodologic differences across the identified studies. Of the 34 identified studies, 22 included an indicator of depression (11 with significant results), 26 included an indicator of anxiety (14 with significant results), and 9 included an indicator of pregnancy-specific anxiety (7 with significant results).Conclusion Overall research outcomes were equivocal. Across studies on symptoms of depression and anxiety, findings related to the potential effect on infant temperament were mixed. Nonetheless, support for the role of prenatal psychological factors in the development of infant temperament emerged in a subset of population-based studies, including research to target the effects of pregnancy-specific anxiety. Future research is needed with greater consistency across studies with respect to methods (e.g., timing and assessment tools). Specific recommendations for nurses and providers include more routine screening and psychoeducation for expectant mothers about prenatal symptoms of depression and anxiety and about pregnancy-specific anxiety in particular.
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Pregnancy-specific anxiety-including fear of birth-is associated with impaired neuro-emotional development in newborns caused by high levels of maternal cortisol.
“and pregnancy specific anxiety—including fear of birth—is associated with impaired neuro‐emotional development in newborns caused by high levels of maternal cortisol. 22 , 23”
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Prenatal anxiety during the pandemic context is related to neurodevelopment of 6-month-old babiesPreprint
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- Authors
- Erickson, N. L., Gartstein, M. A., & Dotson, J. A. W.
- Corresponding author
- Erickson, Nora L.
- Venue
- Journal of Obstetric, Gynecologic & Neonatal Nursing
- Publisher
- Elsevier BV
- Published
- 2017-07
- Volume
- 46
- Issue
- 4
- Pages
- 588-600
- ISSN
- 0090-0311 (ISSN-L)
- 0884-2175
- OpenAlex
- W2618672608
- Cited by
- 60
- References
- 93
- Citations by year
- 2026: 4 · 2025: 3 · 2024: 11 · 2023: 11 · 2022: 11 · 2021: 5 · 2020: 9 · 2019: 3 · 2018: 1
- FWCI
- 0.58
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Obstetric, Gynecologic & Neonatal Nursing (publishedVersion)
- PubMed (publishedVersion)
- 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 › Pharmacy › Infant Health and Development
- Keywords
- antenatal depression, pregnancy-specific anxiety, infant temperament, maternal mental health, prenatal screening, pregnant women, psychoeducation
- MeSH terms
- Maternal Health, Anxiety, Female, Humans, Infant, Newborn, Pregnancy, Pregnancy Complications, Stress, Psychological, Temperament, Infant Behavior
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