Early life programming as a target for prevention of child and adolescent mental disorders

Andrew James Lewis1, Megan Galbally, Tara Gannon

  • 1School of Psychology, Faculty of Health, Deakin University, Melbourne, Australia. andrew.lewis@deakin.edu.au.

BMC Medicine
|February 25, 2014
PubMed

Insights

Focusing on fetal and early life programming, this review highlights the perinatal period as a critical window for preventing child and adolescent mental disorders. Evidence-based interventions during this time can promote lifelong mental health.

Area of Science:

  • Developmental psychology
  • Neuroscience
  • Public health

Background:

  • Maternal mental health, lifestyle, and environmental exposures during pregnancy impact child neurodevelopment.
  • Child and adolescent mental disorders, including hyperactive, behavioral, and emotional issues, have significant public health implications.
  • Fetal and early life programming research provides insights into the origins of these disorders.

Purpose of the Study:

  • To review current research on fetal and early life exposures and their effects on child mental health.
  • To inform future policy development and research programs for mental disorder prevention.
  • To identify the perinatal period as a key target for intervention strategies.

Main Methods:

  • Literature review of studies examining pregnancy exposures and child outcomes.
  • Analysis of research on maternal factors (mental health, lifestyle) and teratogenic/neurotoxic exposures.
  • Synthesis of findings related to common child and adolescent mental disorders.

Main Results:

  • Pregnancy exposures significantly influence the risk of developing mental disorders in offspring.
  • The preconception and perinatal periods are crucial for preventing adverse fetal exposures.
  • Early life interventions show potential for lifelong positive mental health impacts.

Conclusions:

  • The perinatal period represents a critical opportunity for mental health prevention efforts.
  • Developing evidence-based public health, universal, and targeted interventions for the perinatal period is essential.
  • Interventions during this sensitive window can lead to lasting improvements in mental well-being.

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