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Published on: June 13, 2021
Parsing the relations between SES and stress reactivity: examining individual differences in neonatal stress response
Kate Keenan1, Dana Gunthorpe, Desia Grace
1Department of Psychiatry (MC 3077), University of Chicago, 5841 South Maryland Avenue, Chicago, IL 60637-1470, United States. kkeenan@yoda.bsd.uchicago.edu
Insights
Perinatal risks, including socioeconomic factors and maternal stress, impact infant stress responses. Greater risk was linked to both heightened and blunted neonatal stress reactivity, particularly in low-income settings.
Area of Science:
- Developmental Psychology
- Neonatal Health
- Stress Physiology
Background:
- Socioeconomic status (SES) is linked to children's stress reactivity.
- Perinatal experiences may influence early life stress responses.
Purpose of the Study:
- To examine associations between perinatal risk factors and neonatal stress reactivity.
- To investigate the impact of socio-demographic, obstetrical, and maternal psychological factors on infant stress responses.
Main Methods:
- Studied 100 healthy African American neonates from low-income families.
- Assessed behavioral and cortisol reactivity using the Neonatal Behavioral Assessment Scale (NBAS) and heel stick procedures.
- Measured risk across socio-demographic, obstetrical, and maternal psychological domains.
Main Results:
- Significant associations found between perinatal risk factors and neonatal stress reactivity on the NBAS.
- Few associations observed with heel stick stressor.
- Higher perinatal risk correlated with both increased and decreased neonatal stress reactivity.
Conclusions:
- Perinatal experiences significantly affect human neonatal stress reactivity, especially in poverty contexts.
- Findings support the hypothesis of prenatal stress programming the fetal/neonatal stress response system.
- Preliminary data highlight specific perinatal factors influencing infant stress regulation.
Abstract:
In an effort to further delineate the reported relations between socioeconomic status (SES) and stress reactivity in children, associations between three domains of perinatal risk: socio-demographic, obstetrical complications, and maternal psychological factors during the perinatal period, and cortisol and behavioral reactivity were examined in 100 healthy African American neonates whose families resided in low-income environments. Behavioral and cortisol response to a heel stick and the Neonatal Behavioral Assessment Scale (NBAS) was measured within the first 2 days of life. Significant associations were found between socio-demographic risk, obstetrical complications, and maternal psychological factors and neonatal behavior and cortisol in the context of the NBAS; few significant associations were found in the context of the heel stick. Greater magnitude of perinatal risk was associated with both higher and lower than average neonatal stress reactivity. The results provide preliminary data on the types of perinatal experiences that may have significant effects on stress reactivity in humans, especially in the context of families living in poverty. Application of these data to the hypothesis that prenatal stress results in programming of the fetal/neonatal stress response system is discussed.
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