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Prenatal Maternal Stress Associated with ADHD and Autistic Traits in early Childhood
Angelica Ronald1, Craig E Pennell, Andrew J O Whitehouse
1Department of Psychological Sciences, Centre for Brain and Cognitive Development, Birkbeck, University of London London, UK.
Insights
Maternal stress during pregnancy is linked to neurodevelopmental issues. This study found prenatal maternal stress (PNMS) is associated with autistic traits and ADHD behaviors in 2-year-olds, even after controlling for other factors.
Area of Science:
- Neuroscience
- Developmental Psychology
- Public Health
Background:
- Prenatal maternal stress (PNMS) is a potential risk factor for neurodevelopmental disorders.
- Previous studies lacked control for confounding factors.
- No prior research examined PNMS as a risk factor for early childhood autistic traits and ADHD behaviors.
Purpose of the Study:
- To investigate the association between PNMS and behaviors characteristic of autism and ADHD in early childhood.
- To prospectively assess the impact of stressful life events during pregnancy on offspring neurobehavioral development.
- To control for confounding variables in the relationship between PNMS and child behaviors.
Main Methods:
- Prospective cohort study of 2900 pregnant women recruited before 18 weeks gestation.
- Assessment of maternal stressful life events during pregnancy.
- Child Behavior Checklist completed by mothers when offspring were 2 years old.
- Multiple regression analysis to identify significant predictors of ADHD behaviors and autistic traits, controlling for covariates.
Main Results:
- Maternal stressful events during pregnancy significantly predicted ADHD behaviors in both male and female offspring (p < 0.05).
- Stressful events during pregnancy also significantly predicted autistic traits in male offspring (p < 0.05), after controlling for ADHD behaviors.
- PNMS showed a small but significant independent association with both autistic traits and ADHD behaviors at age 2.
Conclusions:
- Prenatal maternal stress, including common life events, is associated with autistic traits and ADHD behaviors in early childhood.
- Findings support further research into causal mechanisms, including epigenetic and gene-environment interaction studies.
- This research highlights the importance of maternal well-being during pregnancy for offspring neurodevelopment.
Abstract:
Research suggests that offspring of mothers who experience high levels of stress during pregnancy are more likely to have problems in neurobehavioral development. There is preliminary evidence that prenatal maternal stress (PNMS) is a risk factor for both autism and attention deficit hyperactivity disorder (ADHD), however most studies do not control for confounding factors and no study has investigated PNMS as a risk factor for behaviors characteristic of these disorders in early childhood. A population cohort of 2900 pregnant women were recruited before their 18th week of pregnancy and investigated prospectively. Maternal experience of stressful life events was assessed during pregnancy. When offspring were age 2 years, mothers completed the child behavior checklist. Multiple regression showed that maternal stressful events during pregnancy significantly predicted ADHD behaviors in offspring, after controlling for autistic traits and other confounding variables, in both males (p = 0.03) and females (p = 0.01). Similarly, stressful events during pregnancy significantly predicted autistic traits in the offspring after controlling for ADHD behaviors and confounding variables, in males only (p = 0.04). In conclusion, this study suggests that PNMS, in the form of typical stressful life events such as divorce or a residential move, show a small but significant association with both autistic traits and ADHD behaviors independently, in offspring at age 2 years, after controlling for multiple antenatal, obstetric, postnatal, and sociodemographic covariates. This finding supports future research using epigenetic, cross-fostering, and gene-environment interaction designs to identify the causal processes underlying this association.
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