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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.
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.
Abstract:
This paper concerns future policy development and programs of research for the prevention of mental disorders based on research emerging from fetal and early life programming. The current review offers an overview of findings on pregnancy exposures such as maternal mental health, lifestyle factors, and potential teratogenic and neurotoxic exposures on child outcomes. Outcomes of interest are common child and adolescent mental disorders including hyperactive, behavioral and emotional disorders. This literature suggests that the preconception and perinatal periods offer important opportunities for the prevention of deleterious fetal exposures. As such, the perinatal period is a critical period where future mental health prevention efforts should be focused and prevention models developed. Interventions grounded in evidence-based recommendations for the perinatal period could take the form of public health, universal and more targeted interventions. If successful, such interventions are likely to have lifelong effects on (mental) health.
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