Prenatal anxiety predicts individual differences in cortisol in pre-adolescent children
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Published on: July 10, 2017
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
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.
Background:
Animal studies suggest that prenatal stress is associated with long-term disturbance in hypothalamic-pituitary-adrenal (HPA) axis function, but evidence in humans is lacking. This study examined the long-term association between prenatal anxiety and measures of diurnal cortisol at age 10 years.
Methods:
Measures of cortisol were collected at awakening, 30 min after awakening, and at 4 pm and 9 pm on 3 consecutive days in a sample of 10-year-olds (n = 74) from the Avon Longitudinal Study of Parents and Children, a prospective longitudinal cohort study of mothers and children on whom measures of anxiety and depression were collected in pregnancy and the postpartum period. Analyses examined the links between symptoms of prenatal anxiety and multiple indicators of cortisol, an index of HPA axis functioning.
Results:
Prenatal anxiety was significantly associated with individual differences in awakening and afternoon cortisol after accounting for obstetric and sociodemographic risk (partial correlations were .32 and .25, p < .05). The effect for awakening cortisol remained significant after controlling for multiple postnatal assessments of maternal anxiety and depression.
Conclusions:
This study provides the first human evidence that prenatal anxiety might have lasting effects on HPA axis functioning in the child and that prenatal anxiety might constitute a mechanism for an increased vulnerability to psychopathology in children and adolescents.
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