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Updated: May 14, 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
Parental psychological distress during pregnancy and childhood cardiovascular development. The Generation R Study
H Rob Taal1, Layla L de Jonge, Henning Tiemeier
1The Generation R Study Group, Erasmus Medical Center, Rotterdam, The Netherlands.
Insights
Parental psychological distress during pregnancy did not significantly impact children's blood pressure or arterial stiffness. However, maternal distress was linked to lower left ventricular mass in children, suggesting potential environmental influences.
Area of Science:
- Developmental origins of health and disease
- Cardiovascular health
- Psychological well-being
Background:
- Maternal psychological distress during pregnancy may influence fetal development via cortisol exposure.
- This can lead to cardiovascular adaptations and dysfunction later in life.
Purpose of the Study:
- To investigate the association between maternal and paternal psychological distress and cardiovascular outcomes in school-aged children.
Main Methods:
- Population-based prospective cohort study of 4831 children.
- Maternal and paternal psychological distress assessed via questionnaire during pregnancy.
- Cardiovascular outcomes measured at age six, including blood pressure, pulse wave velocity, and cardiac structure/function.
Main Results:
- No significant associations found between parental psychological distress and childhood blood pressure or carotid-femoral pulse wave velocity.
- Maternal psychological distress was associated with lower childhood left ventricular mass.
- Paternal psychological distress showed a similar, though not statistically significant, trend with left ventricular mass.
Conclusions:
- The study does not support the hypothesis that maternal psychological distress directly impacts early-life cardiovascular development.
- Observed associations with left ventricular mass may be influenced by unmeasured social and environmental factors rather than direct intrauterine effects.
Background:
Maternal psychological distress during pregnancy might lead to higher fetal cortisol exposure, which subsequently leads to fetal cardiovascular developmental adaptations and cardiovascular dysfunction in later life.
Aims:
We examined whether maternal and paternal psychological distress was associated with the cardiovascular outcome measurements in school age children.
Study Design And Subjects:
In a population-based prospective cohort study among 4831 children, we assessed maternal and paternal psychological distress during pregnancy by questionnaire, using the Brief Symptom Inventory (see Fig. 1).
Outcome Measures:
At the child age of six years, we performed blood pressure and carotid-femoral pulse wave velocity measurements, and M-mode measurements of left cardiac structures and fractional shortening.
Results:
We did not observe associations of high maternal and paternal psychological symptom scores with childhood blood pressure and carotid-femoral pulse wave velocity after adjustment for potential confounders. Maternal overall psychological symptoms were associated with a lower childhood left ventricular mass (difference -1.10 g (95% confidence interval -2.13 to -0.07) between mothers with high scores and normal scores), but not with other cardiac structures and fractional shortening. Paternal overall psychological symptoms showed a similar association with childhood left ventricular mass (difference -1.34 grams (95% confidence interval -3.69 to 1.02) between fathers with high scores and normal scores).
Conclusions:
Our results do not support the hypothesis that maternal psychological distress affects cardiovascular development in early life. Similar associations of maternal and paternal psychological distress with left ventricular mass suggest that these associations could be due to unmeasured social and environmental factors, rather than direct intra-uterine effects.
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