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      Maternal antenatal anxiety and children's behavioural/emotional problems at 4 years

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          Abstract

          Background

          Animal experiments suggest that maternal stress and anxiety during pregnancy have long-term effects on the behaviour of the off spring.

          Aims

          To test the hypothesis that antenatal maternal anxiety predicts behavioural problems at age 4 years.

          Method

          Data were collected on multiple antenatal and postnatal assessments of maternal anxiety and depression, antenatal and obstetric risks, psychosocial risks and children's behavioural/emotional problems (n=7448).

          Results

          Antenatal maternal anxiety predicted behavioural/emotional problems in boys (OR=2.14,95% CI 1.48−3.10) and girls (OR=1.88,95% CI 1.3–2.69) after accounting for covariates. When covarying maternal anxiety up to 33 months postnatally, antenatal anxiety continued to predict total problems in boys (OR=1.56,95% CI 1.02–2.41) and girls (OR=1.5l, 95% CI 1.22–2.81).

          Conclusions

          There could be a direct effect of maternal mood on foetal brain development, which affects the behavioural development of the child.

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          Most cited references19

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          The Concepts of Stress and Stress System Disorders

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            The validation of the Edinburgh Post-natal Depression Scale on a community sample.

            The Edinburgh Post-natal Depression Scale (EPDS) was validated on a community sample of 702 women at six weeks post-partum using Research Diagnostic Criteria for depression. The estimates of sensitivity, specificity and positive predictive value, being based on a large random sample, offer improved guidelines for the use of the EPDS by the primary care team.
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              Variations in maternal care in infancy regulate the development of stress reactivity.

              Naturally occurring variations in maternal care in early postnatal life are associated with the development of individual differences in behavioral and hypothalamic-pituitary-adrenal responses to stress in the rat. These effects appear to be mediated by the influence of maternal licking/grooming on the development of central systems that serve to activate (corticotropin-releasing factor) or inhibit (gamma-aminobutyric acid) the expression of behavioral and endocrine responses to stress through effects on forebrain noradrenergic systems. Importantly, individual differences in maternal care are transmitted from mother to daughter, providing a mechanism for the behavioral transmission of individual differences in stress reactivity across generations.
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                Author and article information

                Journal
                applab
                British Journal of Psychiatry
                Br J Psychiatry
                Royal College of Psychiatrists
                0007-1250
                1472-1465
                June 2002
                January 2 2018
                June 2002
                : 180
                : 06
                : 502-508
                Article
                10.1192/bjp.180.6.502
                64abc31b-a605-4a4f-8117-3dd7d645d06e
                © 2002
                History

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