Prenatal anxiety predicts individual differences in cortisol in pre-adolescent children

Thomas G O'Connor1, Yoav Ben-Shlomo, Jon Heron

  • 1Department of Psychiatry, University of Rochester Medical Center, 300 Crittenden Boulevard, Rochester, NY 14642, USA. Tom_OConnor@URMC.Rochester.edu

Biological Psychiatry
|August 9, 2005
PubMed

Insights

Prenatal anxiety in mothers is linked to long-term changes in children's diurnal cortisol patterns, indicating potential lasting effects on the hypothalamic-pituitary-adrenal (HPA) axis. This early stress may increase vulnerability to later psychopathology.

Area of Science:

  • Developmental Psychology
  • Neuroendocrinology
  • Human Physiology

Background:

  • Animal models suggest prenatal stress disrupts the hypothalamic-pituitary-adrenal (HPA) axis.
  • Limited human evidence exists regarding the long-term impact of prenatal stress on HPA axis function.

Purpose of the Study:

  • To investigate the long-term association between maternal prenatal anxiety and diurnal cortisol levels in children at age 10.
  • To explore prenatal anxiety as a potential mechanism influencing HPA axis regulation.

Main Methods:

  • Utilized data from the Avon Longitudinal Study of Parents and Children.
  • Collected diurnal cortisol samples (awakening, 30 min, 4 pm, 9 pm) over 3 days in 74 10-year-olds.
  • Analyzed links between prenatal anxiety symptoms and cortisol indicators, controlling for confounding factors.

Main Results:

  • Prenatal anxiety significantly correlated with differences in awakening and afternoon cortisol levels.
  • These associations remained significant after adjusting for obstetric and sociodemographic risks.
  • The effect on awakening cortisol persisted even after accounting for postnatal maternal mental health.

Conclusions:

  • This study offers the first human evidence of lasting effects of prenatal anxiety on a child's HPA axis functioning.
  • Prenatal anxiety may be a mechanism contributing to increased vulnerability to psychopathology in children and adolescents.
Abstract

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