Perinatal depression and child development: exploring the economic consequences from a South London cohort
Open accessAbstract
Background: Depression in mothers during pregnancy and in the postnatal period has been recognized to have wide-ranging adverse impacts on offspring. Our study examines some of the outcomes and long-term economic implications experienced by offspring who have been exposed to perinatal depression. Method: We analysed the effects of perinatal depression on child development outcomes of children at ages 11 and 16 years from the community-based South London Child Development Study. Economic consequences were attached to those outcomes through simple decision-analytic techniques, building on evidence from studies of epidemiology, health-related quality of life, public sector costs and employment. The economic analysis takes a life-course perspective from the viewpoints of the public sector, individual and society. Results: Additional risks that children exposed to perinatal depression develop emotional, behavioural or cognitive problems ranged from 5% to 21%. In addition, there was a high risk (24%) that children would have special educational needs. We present results in the form of cost consequences attached to adverse child outcomes. For each child exposed to perinatal depression, public sector costs exceeded £3030, costs due to reduced earnings were £1400 and health-related quality of life loss was valued at £3760. Conclusions: Action to prevent or treat mothers' depression during pregnancy and after birth is likely to reduce public sector costs, increase earnings and improve quality of life for children who were exposed to the condition.
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Community surveys examining the comparative effects of diverse diseases on various aspects of role functioning typically show that musculoskeletal disorders and depression are associated with the highest levels of disability among all commonly occurring disorders.
“Community surveys examining the comparative effects of diverse diseases on various aspects of role functioning 218,219 typically show that musculoskeletal disorders and depression are associated with the highest levels of disability among all commonly occurring disorders.”
From Time for united action on depression: a Lancet–World Psychiatric Association Commission (2022) · cites this paper as [218]
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- Authors
- Bauer, A., Pawlby, S., Plant, D. T., King, D., Pariante, C. M., & Knapp, M.
- Affiliations
- London School of Economics and Political Science (GB)
- King's College London (GB)
- Corresponding author
- Bauer, A.
- Venue
- Psychological Medicine
- Publisher
- Cambridge University Press (CUP)
- Published
- 2014-06-20
- Volume
- 45
- Issue
- 1
- Pages
- 51-61
- ISSN
- 0033-2917 (ISSN-L)
- 1469-8978
- PMC
- PMC4341975
- OpenAlex
- W2128496959
- Cited by
- 87
- References
- 47
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 11 · 2023: 4 · 2022: 9 · 2021: 8 · 2020: 13 · 2019: 9 · 2018: 6 · 2017: 6 · 2016: 7 · 2015: 7 · 2014: 3
- FWCI
- 7.63
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Psychological Medicine (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- London School of Economics and Political Science Theses Online (London School of Economics and Political Science) (submittedVersion)
- Research Portal (King's College London) (submittedVersion)
- Funders
- National Institute on Aging (R01AG040640)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
- Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
- Keywords
- perinatal depression, maternal depression, child development, economic impact, public sector costs, health-related quality of life, special educational needs, earnings losses, life course perspective
- MeSH terms
- Adolescent, Adult, Anxiety Disorders, Child, Child Behavior Disorders, Child Development, Costs and Cost Analysis, Depressive Disorder, Female, Humans, London, Male, Mothers, Pregnancy, Psychiatric Status Rating Scales, Quality of Life, Cohort Studies, Logistic Models, Perinatal Care, Young Adult
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