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Updated: Jun 6, 2026

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
Prenatal stress: course and interrelation of emotional and physiological stress measures
Steffi E Rothenberger1, Eva Moehler, Corinna Reck
1Clinic for Child and Adolescent Psychiatry, University of Heidelberg, Heidelberg, Germany. steffi.rothenberger@med.uni-heidelberg.de
Insights
Prenatal stress impacts development, but measurement methods lack consensus. This study found subjective stress and cortisol levels correlate only in early pregnancy, suggesting timing is crucial for understanding prenatal stress effects.
Area of Science:
- Reproductive Health
- Developmental Psychology
- Endocrinology
Background:
- Prenatal stress is a known risk factor for developmental issues lasting into adolescence.
- Current research lacks consensus on measuring prenatal stress, optimal study trimesters, and subjective stress-hormone associations.
- A prospective longitudinal study addressed these gaps in pregnant women.
Purpose of the Study:
- To investigate the relationship between subjective stress measures and physiological stress markers (salivary cortisol) during pregnancy.
- To determine if perceived stress and critical life events correlate with cortisol levels across different trimesters.
- To explore changes in pregnancy-related anxiety and marital satisfaction throughout gestation.
Main Methods:
- 108 pregnant women participated in a prospective longitudinal study.
- Participants completed questionnaires on anxiety, perceived stress, marital satisfaction, and life events.
- Salivary cortisol samples were collected in each trimester.
Main Results:
- Perceived stress correlated with cortisol in the first and second trimesters (r = 0.18, p < 0.10).
- Critical life events were associated with higher cortisol in early pregnancy (r = 0.28, p < 0.01).
- Fear of childbirth increased, while marital satisfaction peaked towards the end of pregnancy.
Conclusions:
- Prenatal stress can be assessed using subjective and physiological measures.
- Subjective stress and physiological stress markers are associated primarily in the first half of pregnancy.
- The findings highlight the importance of considering the timing of stress assessment during pregnancy.
Background:
Prenatal stress is known to be a potential risk factor for cognitive, behavioural and motor development that even last until adolescence. A consensus of how 'prenatal stress' can be measured, in which trimester of pregnancy women should be studied and whether subjective feelings of being stressed are associated with a hormonal response is still lacking. To close this gap, a prospective longitudinal study was conducted in pregnant women.
Sampling And Methods:
108 subjects were asked to fill out questionnaires concerning pregnancy-related anxiety, perceived stress, marital satisfaction, critical life events and to collect salivary cortisol in each trimester of pregnancy.
Results:
Fear of giving birth increases until the end of pregnancy, and marital satisfaction is highest at the end of pregnancy. Perceived stress is related to a hormonal response in cortisol only in the first (r = 0.18, p < 0.10) and second (r = 0.18, p < 0.10) trimesters of pregnancy. Critical life events are linked to raised cortisol levels in early pregnancy only (r = 0.28, p < 0.01).
Conclusion:
Prenatal stress can be operationalized by using different subjective as well as physiological stress measures. Only in the first half of pregnancy self-report and physiological stress measures seem to be associated.
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