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Maternal Psychological Distress, Prenatal Cortisol, and Fetal Weight
Abstract
Objective: The objective of this study was to examine the effects of maternal psychological distress on estimated fetal weight during midgestation and explore the maternal hypothalamic–pituitary axis and sympathoadrenal dysregulation as potential risk factors for these effects. Methods: Fetal ultrasound biometry measurements and maternal sociodemographic characteristics, emotional distress symptoms, and first morning urine samples were collected during a clinical ultrasound examination for a cross-sectional sample of 98 women who were between 16 and 29 weeks pregnant. Fetal weight was estimated from ultrasound biometry measurements; maternal emotional distress was assessed using the daily hassles (stress), Center for Epidemiologic Studies–Depression (depression), and State-Trait Anxiety Inventory (anxiety) scales; and urine samples were assayed for cortisol and norepinephrine levels. Results: Correlation analyses revealed that both maternal psychological (daily hassles, depression, and anxiety) and biochemical (cortisol and norepinephrine) variables were negatively related to fetal biometry measurements and estimated fetal weight. A structural equation model further revealed that when the independent variance of maternal sociodemographic, psychological distress, and biochemistry measures were accounted for, prenatal cortisol was the only significant predictor of fetal weight. Conclusions: Women exhibiting psychological distress during pregnancy exhibit elevated cortisol levels during midgestation that are in turn related to lower fetal weight. CRH = corticotropin-releasing hormone; HPA = hypothalamic–pituitary axis; IGFBP1 = insulin-like growth factor binding protein 1; eFW = estimated fetal weight; BPD = biparietal diameter; AC = abdominal circumference; FL = femur length; HC = head circumference; SES = socioeconomic status; SEM = structural equation model; CFI = comparative fit index; RMSEA = root mean square error of approximation.
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“Along with hypermethylation of stress-related genes, maternal stress and ELS are associated with decreases in birth weight35, 36 and litter size37, and increases in maternal cannibalism of pups38, 39.”
From Maternal and Early-Life Circadian Disruption Have Long-Lasting Negative Consequences on Offspring Development and Adult Behavior in Mice (2017) · cites this paper as [35]
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Metadata
- Authors
- Diego, M. A., Jones, N. A., Field, T., Hernandez-Reif, M., Schanberg, S., Kuhn, C., & Gonzalez-Garcia, A.
- Affiliations
- University of Miami (US)
- Corresponding author
- Diego, Miguel A.
- Venue
- Psychosomatic Medicine
- Published
- 2006-09
- Volume
- 68
- Issue
- 5
- Pages
- 747-753
- ISSN
- 0033-3174 (ISSN-L)
- OpenAlex
- W1965189371
- Cited by
- 302
- References
- 53
- Citations by year
- 2026: 9 · 2025: 9 · 2024: 23 · 2023: 10 · 2022: 16 · 2021: 14 · 2020: 10 · 2019: 6 · 2018: 14 · 2017: 13 · 2016: 14 · 2015: 18 · 2014: 15 · 2013: 17 · 2012: 24
- FWCI
- 14.98
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychosomatic Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Mental Health (MH#46586, MH-00331, R37MH046586)
- National Center for Complementary and Integrative Health (AT 01585, K05AT001585)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Birth, Development, and Health
- Keywords
- maternal distress, fetal weight, midgestation, hypothalamic-pituitary-adrenal axis, maternal depression, maternal anxiety, daily hassles, norepinephrine, ultrasound fetal biometry, socioeconomic status
- MeSH terms
- Adult, Anthropometry, Anxiety, Cross-Sectional Studies, Depression, Emotions, Female, Fetus, Florida, Gestational Age, Humans, Hydrocortisone, Hypothalamo-Hypophyseal System, Norepinephrine, Pituitary-Adrenal System, Pregnancy, Pregnancy Complications, Pregnancy Trimester, Second, Psychological Tests, Surveys and Questionnaires, Severity of Illness Index, Stress, Psychological, Ultrasonography, Prenatal, Fetal Development
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