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Maternal Prenatal Anxiety and Stress Predict Infant Illnesses and Health Complaints
Abstract
OBJECTIVES: Evidence from both animals and humans suggests that maternal prenatal anxiety and stress can have adverse consequences on the offspring's development. Animal models also show that prenatal stress has programming effects on the physical health of the offspring, such as immune functioning. In human studies, however, physical health outcomes are often restricted to birth complications; studies on the effects of acquiring illnesses are scarce. This study aimed to examine whether maternal prenatal anxiety and stress, measured both by self-report and by cortisol physiology, are related to more infant illnesses and antibiotic use during the first year of life. METHODS: Participants in the study were 174 mothers with normal pregnancies and term deliveries (71 firstborns; 91 boys). The mothers filled out third-trimester questionnaires on general and pregnancy-specific anxiety and stress and provided saliva samples for circadian cortisol. Information on infant illnesses and antibiotic use was obtained through monthly maternal interviews across the infant's first year of life. RESULTS: Hierarchical multiple regressions showed that, even after controlling for many relevant confounders, prenatal anxiety and stress predicted a considerable amount of variance in infant illnesses and antibiotic use: 9.3% for respiratory, 10.7% for general, 8.9% for skin, and 7.6% for antibiotic use. Digestive illnesses were not related to prenatal anxiety and stress. CONCLUSIONS: Although replication is warranted, to our knowledge, this is the first evidence linking maternal prenatal anxiety and stress to infant illnesses and antibiotic use early in life.
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“Pregnant Black women are also more affected by anxiety than women in the general population, and this can lead to poor maternal health and well-being outcomes, as well as adverse consequences for the health and development of their children [190,191,192,193].”
From A Comprehensive Review on Social Inequalities and Pregnancy Outcome—Identification of Relevant Pathways and Mechanisms (2022) · cites this paper as [193]
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Sapolsky, R. M., Romero, L. M., & Munck, A. U. (2000) · Endocrine Reviews · doi:10.1210/edrv.21.1.0389 · Cited by 7,541
Van den Bergh, B. R. H., Mulder, E. J. H., Mennes, M., & Glover, V. (2005) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2004.10.007 · Cited by 1,104
Maternal antenatal anxiety and children's behavioural/emotional problems at 4 years
O'Connor, T. G., Heron, J., Golding, J., Beveridge, M., & Glover, V. (2002) · British Journal of Psychiatry · doi:10.1192/bjp.180.6.502 · Cited by 1,070
Prenatal exposure to maternal depression and cortisol influences infant temperament
DAVIS, E. P., GLYNN, L. M., SCHETTER, C. D., HOBEL, C., CHICZ-DEMET, A., & SANDMAN, C. A. (2007) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/chi.0b013e318047b775 · Cited by 628
Pregnancy-specific stress, prenatal health behaviors, and birth outcomes.
Lobel, M., Cannella, D. L., Graham, J. E., DeVincent, C., Schneider, J., & Meyer, B. A. (2008) · Health Psychology · doi:10.1037/a0013242 · Cited by 587
Maternal stress and affect influence fetal neurobehavioral development
DiPietro, J. A., Hilton, S. C., Hawkins, M., Costigan, K. A., & Pressman, E. K. (2002) · Developmental Psychology · doi:10.1037/0012-1649.38.5.659 · Cited by 218
Measuring the ups and downs of pregnancy stress
DiPietro, J., Ghera, M., Costigan, K., & Hawkins, M. (2004) · Journal of Psychosomatic Obstetrics & Gynecology · doi:10.1080/01674820400017830 · Cited by 198
Kivlighan, K. T., DiPietro, J. A., Costigan, K. A., & Laudenslager, M. L. (2008) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2008.06.008 · Cited by 176
Research works printed but not linked: 42
- Fowden, 2006, Intrauterine programming of physiological systems: causes and consequences, Physiology, 21, 29, 10.1152/physiol.00050.2005 · DOI
- Huizink, 2004, Prenatal stress and risk for psychopathology: specific effects or induction of general susceptibility?, Psychol Bull, 130, 115, 10.1037/0033-2909.130.1.115 · DOI · Paper page
- de Weerth, 2005, Physiological stress reactivity in human pregnancy: a review, Neurosci Biobehav Rev, 29, 295, 10.1016/j.neubiorev.2004.10.005 · DOI
- Beydoun, 2008, Physical and mental health outcomes of prenatal maternal stress in human and animal studies: a review of recent evidence, Paediatr Perinat Epidemiol, 22, 438, 10.1111/j.1365-3016.2008.00951.x · DOI
- Merlot, 2008, Prenatal stress, fetal imprinting and immunity, Brain Behav Immun, 22, 42, 10.1016/j.bbi.2007.05.007 · DOI
- Stott, 1957, Physical and mental handicaps following a disturbed pregnancy, Lancet, 272, 1006, 10.1016/S0140-6736(57)91333-8 · DOI
- Stott, 1973, Follow-up study from birth of the effects of prenatal stresses, Dev Med Child Neurol, 15, 770, 10.1111/j.1469-8749.1973.tb04912.x · DOI
- Stott, 1976, Prenatal antecedents of child health, development, and behavior: an epidemiological report of incidence and association, J Am Acad Child Psychiatry, 15, 161, 10.1016/S0002-7138(09)62267-6 · DOI
- Cookson, 2009, Mothers' anxiety during pregnancy is associated with asthma in their children, J Allergy Clin Immunol, 123, 847, 10.1016/j.jaci.2009.01.042 · DOI
- Sausenthaler, 2009, Stress-related maternal factors during pregnancy in relation to childhood eczema: results from the LISA Study, J Investig Allergol Clin Immunol, 19, 481
- Ludvigsson, 2003, Stressful life events, social support and confidence in the pregnant woman and risk of celiac disease in the offspring, Scand J Gastroenterol, 38, 516
- O'Donnell, 2009, Prenatal stress and neurodevelopment of the child: focus on the HPA axis and role of the placenta, Dev Neurosci, 31, 285, 10.1159/000216539 · DOI
- Harville, 2009, Stress questionnaires and stress biomarkers during pregnancy, J Womens Health (Larchmt), 18, 1425, 10.1089/jwh.2008.1102 · DOI
- McCormick, 1989, Factors associated with maternal rating of infant health in central Harlem, J Dev Behav Pediatr, 10, 139, 10.1097/00004703-198906000-00004 · DOI
- Monette, 2007, Validation of a measure of maternal perception of the child's health status, Child Care Health Dev, 33, 472, 10.1111/j.1365-2214.2006.00713.x · DOI
- de Bruijn, 2009, Sex differences in the relation between prenatal maternal emotional complaints and child outcome, Early Hum Dev, 85, 319, 10.1016/j.earlhumdev.2008.12.009 · DOI
- Vingerhoets, 1989, The measurement of daily hassles and chronic stressors: the development of the everyday problem checklist (EPCL, Dutch - APL), Gedrag Gezond, 17, 10
- Huizink, 2003, Stress during pregnancy is associated with developmental outcome in infancy, J Child Psychol Psychiatry, 44, 810, 10.1111/1469-7610.00166 · DOI · Paper page
- Lamberts, 1987, ICPC: International Classification of Primary Care
- Soler, 2008, The coming of age of ICPC: celebrating the 21st birthday of the International Classification of Primary Care, Fam Pract, 25, 312, 10.1093/fampra/cmn028 · DOI
- Spielberger, 1983, Manual for the State-Trait Anxiety Inventory
- Van der Ploeg, 1981, Manual for the Self-Knowledge Questionnaire. [in Dutch]
- Huizink, 2004, Is pregnancy anxiety a distinctive syndrome?, Early Hum Dev, 79, 81, 10.1016/j.earlhumdev.2004.04.014 · DOI · Paper page
- Buitelaar, 2003, Prenatal stress and cognitive development and temperament in infants, Neurobiol Aging, S53, 10.1016/S0197-4580(03)00050-2 · DOI
- Pruessner, 2003, Two formulas for computation of the area under the curve represent measures of total hormone concentration versus time-dependent change, Psychoneuroendocrinology, 28, 916, 10.1016/S0306-4530(02)00108-7 · DOI · Paper page
- Goodyer, 2001, Possible role of cortisol and dehydroepiandrosterone in human development and psychopathology, Br J Psychiatry, 179, 243, 10.1192/bjp.179.3.243 · DOI
- Tabachnik, 2007, Using Multivariate Statistics: Pearson International Edition
- von Hertzen, 2002, Maternal stress and T-cell differentiation of the developing immune system: possible implications for the development of asthma and atopy, J Allergy Clin Immunol, 109, 923, 10.1067/mai.2002.124776 · DOI
- Knackstedt, 2005, Mothers in stress: consequences for the offspring, Am J Reprod Immunol, 54, 63, 10.1111/j.1600-0897.2005.00288.x · DOI
- Wadhwa, 2005, Psychoneuroendocrine processes in human pregnancy influence fetal development and health, Psychoneuroendocrinology, 30, 724, 10.1016/j.psyneuen.2005.02.004 · DOI · Paper page
- Benediktsson, 1997, Placental 11 beta-hydroxysteroid dehydrogenase: a key regulator of fetal glucocorticoid exposure, Clin Endocrinol (Oxf), 46, 161, 10.1046/j.1365-2265.1997.1230939.x · DOI · Paper page
- Glover, 2009, Association between maternal and amniotic fluid cortisol is moderated by maternal anxiety, Psychoneuroendocrinology, 34, 430, 10.1016/j.psyneuen.2008.10.005 · DOI · Paper page
- Entringer, 2008, Influence of prenatal psychological stress on cytokine production in adult women, Dev Psychobiol, 50, 579, 10.1002/dev.20316 · DOI · Paper page
- Lin, 2004, Are maternal psychological factors associated with cord immunoglobulin E in addition to family atopic history and mother immunoglobulin E?, Clin Exp Allergy, 34, 548, 10.1111/j.1365-2222.2004.1928.x · DOI
- Mattes, 2009, Maternal mood scores in mid-pregnancy are related to aspects of neonatal immune function, Brain Behav Immun, 23, 380, 10.1016/j.bbi.2008.12.004 · DOI
- Sternthal, 2009, Maternal interpersonal trauma and cord blood IgE levels in an inner-city cohort: a life-course perspective, J Allergy Clin Immunol, 124, 954, 10.1016/j.jaci.2009.07.030 · DOI
- Wright, 2007, Prenatal maternal stress and early caregiving experiences: implications for childhood asthma risk, Paediatr Perinat Epidemiol, 21, 8, 10.1111/j.1365-3016.2007.00879.x · DOI
- Baker, 2008, Effects of gestational stress: evaluation of maternal and juvenile offspring behavior, Brain Res, 1213, 98, 10.1016/j.brainres.2008.03.035 · DOI
- Fowles, 2009, Maternal predictors of toddler health status, J Spec Pediatr Nurs, 14, 33, 10.1111/j.1744-6155.2009.00172.x · DOI
- Harding, 2007, Impact of common genetic variation on neonatal disease and outcome, Arch Dis Child Fetal Neonatal Ed, 92, F408, 10.1136/adc.2006.108670 · DOI
- Coe, 1999, Prenatal stress and immune recognition of self and nonself in the primate neonate, Biol Neonate, 76, 301, 10.1159/000014172 · DOI
- Janicke, 2000, Determinants of children's primary health care use, J Clin Psychol Med Settings, 7, 29, 10.1023/A:1009593202834 · DOI
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Self-citation
Metadata
- Authors
- Beijers, R., Jansen, J., Riksen-Walraven, M., & de Weerth, C.
- Affiliations
- Department of Developmental Psychology, Behavioural Science Institute, Radboud University Nijmegen, Nijmegen, Netherlands
- Venue
- Pediatrics
- Publisher
- American Academy of Pediatrics (AAP)
- Published
- 2010-08-01
- Volume
- 126
- Issue
- 2
- Pages
- e401-e409
- ISSN
- 0031-4005
- 1098-4275
- Cited by
- 166
- References
- 8
- Language
- en
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