Cited by 76Maternal Mental Health During Pregnancy and PostpartumFunctional Brain Connectivity StudiesSleep and Wakefulness Research

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Maternal stress during pregnancy alters fetal cortico-cerebellar connectivity in utero and increases child sleep problems after birth

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van den Heuvel, Marion I., Hect, Jasmine L., Smarr, Benjamin L., Qawasmeh, Tamara, Kriegsfeld, Lance J., Barcelona, Jeanne, Hijazi, Kowsar E., Thomason, Moriah E.·2021·Scientific Reports

Abstract

Child sleep disorders are increasingly prevalent and understanding early predictors of sleep problems, starting in utero, may meaningfully guide future prevention efforts. Here, we investigated whether prenatal exposure to maternal psychological stress is associated with increased sleep problems in toddlers. We also examined whether fetal brain connectivity has direct or indirect influence on this putative association. Pregnant women underwent fetal resting-state functional connectivity MRI and completed questionnaires on stress, worry, and negative affect. At 3-year follow-up, 64 mothers reported on child sleep problems, and in the subset that have reached 5-year follow-up, actigraphy data (N = 25) has also been obtained. We observe that higher maternal prenatal stress is associated with increased toddler sleep concerns, with actigraphy sleep metrics, and with decreased fetal cerebellar-insular connectivity. Specific mediating effects were not identified for the fetal brain regions examined. The search for underlying mechanisms of the link between maternal prenatal stress and child sleep problems should be continued and extended to other brain areas.

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References 88 · Cited by 76

Research works printed but not linked: 4

  1. Spielberger, C. D. State-Trait Anxiety Inventory: A Comprehensive Bibliography (Consulting Psychologists Press, Palo Alto, 1984).
  2. Achenbach, T. M. & Rescorla, L. A. Manual for the ASEBA School-Age Forms & Profiles: An Integrated System of Mult-informant Assessment (University of Vermont, Research Center for Children, Youth & Families, Burlington, 2001).
  3. van Heuvel, M. I. et al. Hubs in the human fetal brain network. Dev. Cogn. Neurosci. 30, 108–115. https://doi.org/10.1016/j.dcn.2018.02.001 (2018). · DOI · Paper page
  4. Thomason, M. E. et al. Intrinsic functional brain architecture derived from graph theoretical analysis in the human fetus. PLoS ONE 9, 10. https://doi.org/10.1371/journal.pone.0094423 (2014). · DOI · Paper page

Metadata

Authors
van den Heuvel, M. I., Hect, J. L., Smarr, B. L., Qawasmeh, T., Kriegsfeld, L. J., Barcelona, J., Hijazi, K. E., & Thomason, M. E.
Affiliations
  • Wayne State University (US)
  • University of California San Diego (US)
  • University of California, Berkeley (US)
  • NYU Langone Health (US)
Venue
Scientific Reports
Published
2021-01-26
Volume
11
Issue
1
Pages
2228-2228
ISSN
2045-2322 (ISSN-L)
OpenAlex
W3121208659
Cited by
76
References
88
Citations by year
2026: 6 · 2025: 5 · 2024: 21 · 2023: 12 · 2022: 25 · 2021: 7
FWCI
14.06
Type
journal article
Language
en
Open access
Locations
  • Scientific Reports (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, other-oa)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Research portal (Tilburg University) (submittedVersion, cc-by)
  • Data Archiving and Networked Services (DANS) (submittedVersion, cc-by)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • eScholarship (California Digital Library) (submittedVersion, cc-by)
Funders
  • Nederlandse Organisatie voor Wetenschappelijk Onderzoek (Veni.VI.191G.025)
  • National Institutes of Health (MH110793)
  • Brain Research Foundation
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Functional Brain Connectivity Studies
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
Keywords
prenatal stress, cortico-cerebellar connectivity, child sleep problems, toddler sleep, actigraphy, mediating effect
MeSH terms
Adolescent, Adult, Anxiety, Brain, Female, Humans, Magnetic Resonance Imaging, Male, Mothers, Pregnancy, Surveys and Questionnaires, Sleep Wake Disorders, Stress, Psychological, Young Adult

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