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Updated: Aug 19, 2026

Using a Murine Model of Psychosocial Stress in Pregnancy as a Translationally Relevant Paradigm for Psychiatric Disorders in Mothers and Infants
Published on: June 13, 2021
The effects of prenatal stress on temperament and problem behavior of 27-month-old toddlers
Barbara M Gutteling1, Carolina de Weerth, Sophie H N Willemsen-Swinkels
1Dept. of Child and Adolescent Psychiatry, Utrecht University Medical Center and the Rudolf Magnus Institute of Neuroscience, Utrecht, The Netherlands.
Insights
Maternal prenatal stress is linked to infant temperament and behavioral issues. Higher stress during pregnancy predicted more behavioral problems and less regulated temperaments in toddlers.
Area of Science:
- Developmental Psychology
- Maternal Health
- Child Psychology
Background:
- Prenatal stress exposure is a growing concern in developmental research.
- Understanding its impact on infant development is crucial for early intervention.
- Existing research has explored various maternal stressors during pregnancy.
Purpose of the Study:
- To prospectively investigate the association between prenatal stress and infant temperament.
- To examine the influence of maternal stress on toddler problem behaviors.
- To identify specific aspects of prenatal stress that affect child development.
Main Methods:
- Prospective study design involving nulliparous women during pregnancy.
- Collection of maternal self-report data on stress and anxiety, and salivary cortisol levels.
- Assessment of infant temperament and behavior at 27 months using parent reports and direct observation.
Main Results:
- Perceived prenatal stress predicted lower restless/disruptive temperament and increased total and externalizing behavioral problems in toddlers.
- Fear of bearing a handicapped child was associated with higher restless/disruptive temperament and attention regulation problems.
- Analyses adjusted for prenatal, perinatal, and postnatal confounders.
Conclusions:
- Elevated maternal prenatal stress is significantly associated with temperamental and behavioral challenges in toddlers.
- Specific maternal stressors during pregnancy may have distinct impacts on child development.
- Findings highlight the importance of addressing maternal stress for positive child outcomes.
Aim:
To examine, in a prospective study, the influence of prenatal stress on infant temperament and problem behavior.
Method:
Self-report data on stress and anxiety, and levels of cortisol in saliva were collected from nulli-parous women during pregnancy. Temperament of the child was measured at 27 months by parent report on the Infant Characteristics Questionnaire. Behavior of the child was assessed by direct observation during the administration of the Bayley Scales of Development 2-30, and by parent report on the Child Behavior Checklist 2-3.
Results:
Complete data were available for 103 healthy toddlers. Logistic regression analyses were performed and results were adjusted for possible prenatal, perinatal and postnatal confounders. Perceived stress during pregnancy was a predictor of lower levels of restless/disruptive temperament (OR=0.77), more total behavioral problems (OR=1.17), and more externalizing behavioral problems (OR=1.12) in 2-year-olds. Fear of bearing a handicapped child was a predictor of higher levels of restless/disruptive temperament (OR=1.39) and more attention regulation problems in toddlers (OR=1.46).
Conclusions:
Increased levels of maternal prenatal stress appear to be associated with temperamental and behavioral problems in toddlers.
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