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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
Depression during pregnancy: is the developmental impact earlier in boys? A prospective case-control study
Priscille Gerardin1, Jaqueline Wendland, Nicolas Bodeau
1CHU-Hôpitaux de Rouen, Département de Pédiatrie Médicale, Psychiatrie de l'Enfant et de l'Adolescent, 1 Rue de Germont, 76031 Rouen Cedex, France. priscille.gerardin@chu-rouen.fr
Insights
Prenatal depression impacts infant development differently in males and females. Male newborns showed motor and regulation deficits, while 1-year-olds experienced increased anxiety, impulsivity, and sleep issues, particularly males.
Area of Science:
- Developmental Psychology
- Perinatal Mental Health
- Child Psychiatry
Background:
- Prenatal maternal stress affects offspring development, with observed sex differences in animal models.
- Understanding the impact of prenatal depression on infant development is crucial for early intervention.
Purpose of the Study:
- To assess the gender-specific effects of prenatal depression on newborn and 1-year-old infant characteristics.
- To control for confounding variables in the relationship between prenatal depression and infant outcomes.
Main Methods:
- Prospective case-control study screening 205 pregnant women for depressive symptoms.
- Inclusion criteria based on DSM-IV criteria for major depressive episode; exclusion of postnatal depression.
- Infant assessments included the Neonatal Behavioral Assessment Scale (NBAS) and Infant-Toddler Social and Emotional Assessment.
Main Results:
- Prenatal depression correlated with maternal anxiety and stress.
- Male newborns of depressed mothers had lower NBAS scores in motor skills and regulation.
- One-year-olds exposed to prenatal depression showed higher generalized anxiety (especially males), activity/impulsivity, and sleep problems.
Conclusions:
- Prenatal depression influences infant development in a gender-related manner, mirroring animal study findings.
- Observed early gender differences linked to prenatal depression may explain higher male prevalence of child psychiatric disorders.
Objective:
Animal studies have shown sex differences in the impact of prenatal maternal stress on the offspring. The aim of this prospective case-control study was to assess the effect of prenatal depression on newborn and 1-year-old infant characteristics as related to gender, controlling for confounding variables.
Method:
We screened 205 pregnant women from April 2004 to November 2006 for depressive symptoms. Inclusion in the prenatal depression group (n = 34) was based on meeting DSM-IV criteria for major depressive episode. We excluded postnatal depression from the control group (n = 79) by routine screening at 2 and 6 months. Newborn and 1-year-old infant characteristics were evaluated with the Neonatal Behavioral Assessment Scale (NBAS) and the Infant-Toddler Social and Emotional Assessment, respectively.
Results:
Despite our use of numerous exclusion criteria (eg, at-risk pregnancy, preterm delivery), prenatal depression highly correlated with anxiety and stress scores. Male newborns of mothers with prenatal depression had lower scores than controls on the motor skills and regulation of states NBAS clusters (P = .03 and P = .026, respectively). At 1 year, infants of prenatally depressed mothers presented higher scores on generalized anxiety (P = .002), particularly in males (P = .009); activity/impulsivity (P = .042); and sleep problems (P = .023) than controls.
Conclusions:
As in animal studies, depression during pregnancy may affect infant development in a way that is related to gender. Early gender differences observed to be associated with depression, stress, and anxiety during pregnancy may be a key to understanding the higher prevalence in males of child psychiatric disorders.
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