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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
Maternal prenatal anxiety and stress predict infant illnesses and health complaints
Roseriet Beijers1, Jarno Jansen, Marianne Riksen-Walraven
1Department of Developmental Psychology, Behavioural Science Institute, Radboud University Nijmegen, Nijmegen, The Netherlands. r.beijers@psych.ru.nl
Insights
Maternal prenatal anxiety and stress are linked to increased infant illnesses and antibiotic use in the first year of life. This study provides early evidence of this connection, highlighting the importance of maternal mental health during pregnancy.
Area of Science:
- Developmental Psychology
- Maternal Health
- Pediatric Health
Background:
- Maternal prenatal anxiety and stress are known to impact offspring development.
- Animal models suggest prenatal stress programs offspring physical health, including immune function.
- Human studies often focus on birth complications, with limited research on infant illness acquisition.
Purpose of the Study:
- To investigate the relationship between maternal prenatal anxiety and stress and infant illnesses.
- To examine the association between maternal cortisol physiology during pregnancy and infant health outcomes.
- To determine if prenatal maternal stress predicts infant antibiotic use in the first year of life.
Main Methods:
- 174 mothers with normal pregnancies provided third-trimester saliva samples for cortisol analysis.
- Mothers completed questionnaires on general and pregnancy-specific anxiety and stress.
- Infant illnesses and antibiotic use were tracked via monthly maternal interviews for one year.
Main Results:
- Prenatal anxiety and stress significantly predicted infant illnesses: 9.3% for respiratory, 10.7% for general, and 8.9% for skin conditions.
- A significant association was found between prenatal maternal stress and infant antibiotic use (7.6%).
- No significant relationship was observed between prenatal maternal stress and digestive illnesses.
Conclusions:
- This study presents novel evidence linking maternal prenatal anxiety and stress to infant illnesses and antibiotic use.
- Findings suggest prenatal maternal mental health may influence infant susceptibility to common illnesses.
- Further research is needed to replicate these findings and explore underlying mechanisms.
Objectives:
Evidence from both animals and humans suggests that maternal prenatal anxiety and stress can have adverse consequences on the offspring's development. Animal models also show that prenatal stress has programming effects on the physical health of the offspring, such as immune functioning. In human studies, however, physical health outcomes are often restricted to birth complications; studies on the effects of acquiring illnesses are scarce. This study aimed to examine whether maternal prenatal anxiety and stress, measured both by self-report and by cortisol physiology, are related to more infant illnesses and antibiotic use during the first year of life.
Methods:
Participants in the study were 174 mothers with normal pregnancies and term deliveries (71 firstborns; 91 boys). The mothers filled out third-trimester questionnaires on general and pregnancy-specific anxiety and stress and provided saliva samples for circadian cortisol. Information on infant illnesses and antibiotic use was obtained through monthly maternal interviews across the infant's first year of life.
Results:
Hierarchical multiple regressions showed that, even after controlling for many relevant confounders, prenatal anxiety and stress predicted a considerable amount of variance in infant illnesses and antibiotic use: 9.3% for respiratory, 10.7% for general, 8.9% for skin, and 7.6% for antibiotic use. Digestive illnesses were not related to prenatal anxiety and stress.
Conclusions:
Although replication is warranted, to our knowledge, this is the first evidence linking maternal prenatal anxiety and stress to infant illnesses and antibiotic use early in life.
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