Cited by 273Maternal Mental Health During Pregnancy and PostpartumBirth, Development, and HealthPrenatal Substance Exposure Effects

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Prenatal maternal stress, fetal programming, and mechanisms underlying later psychopathology—A global perspective

Glover, Vivette, O'Donnell, Kieran J, O'Connor, Thomas G, Fisher, Jane·2018·Development and Psychopathology

DOI 10.1017/s095457941800038x

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Abstract

There is clear evidence that the mother's stress, anxiety, or depression during pregnancy can alter the development of her fetus and her child, with an increased risk for later psychopathology. We are starting to understand some of the underlying mechanisms including the role of the placenta, gene-environment interactions, epigenetics, and specific systems including the hypothalamic-pituitary-adrenal axis and cytokines. In this review we also consider how these effects may be different, and potentially exacerbated, in different parts of the world. There can be many reasons for elevated prenatal stress, as in communities at war. There may be raised pregnancy-specific anxiety with high levels of maternal and infant death. There can be raised interpersonal violence (in Afghanistan 90.2% of women thought that "wife beating" was justified compared with 2.0% in Argentina). There may be interactions with nutritional deficiencies or with extremes of temperature. Prenatal stress alters the microbiome, and this can differ in different countries. Genetic differences in different ethnic groups may make some more vulnerable or more resilient to the effects of prenatal stress on child neurodevelopment. Most research on these questions has been in predominantly Caucasian samples from high-income countries. It is now time to understand more about prenatal stress and psychopathology, and the role of both social and biological differences, in the rest of the world.

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Authors: Glover, V., O'Donnell, K. J., O'Connor, T. G., & Fisher, J.
Affiliations: Imperial College London (GB)
Monash University (AU)
Corresponding author: Glover, Vivette
ORCID: Glover, Vivette
Fisher, Jane
Venue: Development and Psychopathology
Publisher: Cambridge University Press (CUP)
Published: 2018-08
Volume: 30
Issue: 3
Pages: 843-854
ISSN: 0954-5794 (ISSN-L)
1469-2198
DOI: 10.1017/s095457941800038x
OpenAlex: W2885071751
Cited by: 271
References: 141
Citations by year: 2026: 27 · 2025: 32 · 2024: 39 · 2023: 51 · 2022: 38 · 2021: 39 · 2020: 27 · 2019: 15 · 2018: 3
FWCI: 20.00
Type: journal article
Language: en
Open access: closed
Licence: www.cambridge.org/core/terms (unspecified, 1 d)
Locations: Development and Psychopathology (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Birth, Development, and Health
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Prenatal Substance Exposure Effects
Keywords: prenatal stress, maternal depression, maternal anxiety, fetal programming, psychopathology, placenta, gene-environment interaction, epigenetics, hypothalamic-pituitary-adrenal axis, cytokines, interpersonal violence, war, nutritional deficiency, temperature extremes, microbiome, ethnic differences, child neurodevelopment, cross-cultural comparison
MeSH terms: Anxiety Disorders, Mental Disorders, Brain, Child, Cross-Cultural Comparison, Depressive Disorder, Developing Countries, Female, Humans, Hypothalamo-Hypophyseal System, Infant, Pituitary-Adrenal System, Pregnancy, Prenatal Exposure Delayed Effects, Psychopathology, Psychosocial Deprivation, Risk Factors, Social Environment, Stress, Psychological, Fetal Development

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Prenatal maternal stress, fetal programming, and mechanisms underlying later psychopathology—A global perspective

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