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Published on: June 13, 2021
A systematic review of the effects of postnatal maternal anxiety on children
Cristie Glasheen1, Gale A Richardson, Anthony Fabio
1University of Pittsburgh, Pittsburgh, PA, USA. glasheen.c@gmail.com
Insights
Postnatal maternal anxiety (PMA) significantly impacts children's somatic and psychological health. More research is needed to understand its effects on child development and address study limitations.
Area of Science:
- Child Psychology
- Maternal Mental Health
- Developmental Pediatrics
Background:
- Decades of research have focused on postnatal depression, overlooking maternal anxiety.
- Postnatal maternal anxiety (PMA) prevalence varies widely (3%-43%), indicating a potential risk factor for child outcomes.
- Existing literature on PMA's impact on children is limited and requires synthesis.
Purpose of the Study:
- To review existing research on the effects of postnatal maternal anxiety exposure on child outcomes.
- To identify research gaps and provide recommendations for future studies in this area.
Main Methods:
- A systematic literature search was conducted using Ovid MEDLINE and PsychINFO databases.
- Studies published up to 2008 evaluating child outcomes related to PMA exposure were included.
- Identified studies were categorized into somatic, developmental, and psychological outcome domains.
Main Results:
- Strong evidence indicates adverse effects of PMA exposure on children's somatic and psychological outcomes.
- The impact of PMA on child development remains inconclusive, with mixed findings.
- Methodological inconsistencies and limitations across studies hinder definitive conclusions.
Conclusions:
- Postnatal maternal anxiety is linked to adverse somatic and psychological outcomes in children.
- Further high-quality research is necessary to clarify the developmental effects of PMA and overcome current methodological challenges.
- Addressing limitations in study design and methodology is crucial for advancing our understanding of PMA's impact.
Abstract:
Several decades of research have focused on the impact of exposure to postnatal depression on children, while anxiety has been largely overlooked. Estimates of the prevalence of postnatal maternal anxiety (PMA) range from 3% to 43%, suggesting PMA may be an important risk factor for adverse outcomes in children. This review summarizes what is known about the effects of PMA exposure on children and makes recommendations for future research. A systematic search of Ovid MEDLINE and PsychINFO through 2008 identified 18 studies that evaluated child outcomes associated with PMA exposure. Identified studies covered three domains: somatic, developmental, and psychological outcomes. The strongest evidence for an adverse effect of PMA exposure is in somatic and psychological outcomes; the evidence for an effect of PMA on child development is inconclusive. Methodological differences among the studies make comparisons difficult and there are a number of common limitations that challenge the validity of these studies.
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