Life course pathways to prenatal maternal stress
Abstract
Objective To evaluate the impact of childhood stressors, recalled childhood stress, and stressors in adulthood on perceived stress in pregnancy.Design Prospective cohort study.Setting Pregnant women were recruited from pre-birth clinics in two communities.Participants Four-hundred and twenty-one pregnant women.Results Perceived prenatal maternal stress was the main outcome measure. Recalled childhood stress was positively associated with prenatal stress (β = .54) after adjusting for other child and adult factors. Low family cohesion during childhood was indirectly associated with prenatal stress through its effects on recalled childhood stress, current family cohesion, and current subjective socioeconomic position (SEP). Low levels of adult subjective SEP (β = -.44) and family cohesion (β = -.25) were directly associated with prenatal stress. Perceived social support during childhood was indirectly associated with prenatal stress through its effect on recalled childhood stress and perceived social support in adulthood. Childhood subjective SEP indirectly influenced prenatal stress through its effect on adult subjective SEP and recalled childhood stress.Conclusions Prenatal stress is a result of the interplay between factors from childhood and adulthood. The study findings can be used to inform psychosocial risk assessment and interventions across the lifespan to decrease prenatal stress and its adverse outcomes.
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Childhood stress and adulthood stress covary, as also observed in this sample.
“Given that childhood stress and stress in adulthood exhibit covariation (Kingston et al., 2012), which we also witnessed in our sample”
From Childhood stress and birth timing among African American women: cortisol as biological mediator (2017) · cites this paper as Kingston et al., 2012
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Kozieł, S. M., Chakraborty, R., Bose, K., Ignasiak, Z., Gomuła, A., & Nowak‐Szczepanska, N. (2021) · Scientific Reports · doi:10.1038/s41598-021-86845-4 · Cited by 8 · see citing works
Place Knowing of Persons and Populations
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Lequertier, B. (2018) · The University of Queensland · doi:10.14264/uql.2018.826 · Cited by 2 · see citing works
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Association between early natural disaster exposure and temperament among Indian preadolescents
Cieślik, A. I., Chakraborty, R., Gomuła, A., Nowak‐Szczepanska, N., & Kozieł, S. M. (2026) · Early Human Development · doi:10.1016/j.earlhumdev.2026.106624
- Authors
- Kingston, D., Sword, W., Krueger, P., Hanna, S., & Markle‐Reid, M.
- Affiliations
- University of Alberta (CA)
- McMaster University (CA)
- University of Toronto (CA)
- Corresponding author
- Kingston, Dawn
- Venue
- Journal of Obstetric, Gynecologic & Neonatal Nursing
- Publisher
- Elsevier BV
- Published
- 2012-09
- Volume
- 41
- Issue
- 5
- Pages
- 609-626
- ISSN
- 0090-0311 (ISSN-L)
- 0884-2175
- OpenAlex
- W1530433813
- Cited by
- 26
- References
- 88
- Citations by year
- 2026: 1 · 2022: 2 · 2021: 3 · 2019: 4 · 2018: 3 · 2017: 2 · 2016: 4 · 2015: 1 · 2014: 1 · 2013: 4
- FWCI
- 1.85
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Obstetric, Gynecologic & Neonatal Nursing (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Canadian Institutes of Health Research
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
- Keywords
- prenatal stress, childhood stress, life course, family cohesion, social support, psychosocial risk factors
- MeSH terms
- Adult, Age Factors, Child, Child Development, Child, Preschool, Female, Humans, Life Change Events, Male, Maternal Welfare, Mother-Child Relations, Pregnancy, Prenatal Diagnosis, Prospective Studies, Severity of Illness Index, Sex Factors, Socioeconomic Factors, Stress, Psychological, Cohort Studies, Young Adult
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