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Updated: Apr 24, 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
Exposure to stressful life events during pregnancy predicts psychotic experiences via behaviour problems in childhood
Kim S Betts1, Gail M Williams1, Jakob M Najman2
1School of Population Health, University of Queensland, Brisbane, Australia.
Insights
Prenatal stress increases the risk of psychotic experiences in offspring, particularly through behavioral problems in early childhood. This highlights the critical role of early development in understanding psychosis risk.
Area of Science:
- Psychiatry
- Developmental Psychology
- Neuroscience
Background:
- Prenatal stress is linked to schizophrenia in offspring.
- Neurodevelopmental abnormalities in childhood may increase psychosis risk.
- This study investigates the interplay between prenatal stress, childhood neurodevelopment, and later psychotic experiences.
Purpose of the Study:
- To examine the association between prenatal stressful life events and psychotic experiences in adulthood.
- To explore the mediating role of childhood behavior problems and cognitive ability.
- To investigate potential moderation effects on the pathway to psychosis.
Main Methods:
- Utilized data from the Mater University Study of Pregnancy (MUSP), an Australian birth cohort.
- Assessed lifetime DSM-IV positive psychotic experiences at age 21 using a semi-structured interview (n=2227).
- Employed structural equation modeling to analyze the relationships between prenatal stress, childhood factors, and psychotic experiences.
Main Results:
- Prenatal stressful life events indirectly predicted psychotic experiences via behavior problems at age 5.
- This indirect effect was not confounded by maternal stressful life events.
- No statistical evidence supported an interaction between prenatal stress and behavior problems or cognitive ability.
Conclusions:
- The impact of prenatal stress on later psychotic experiences is mediated by behavioral problems evident by age 5.
- Early abnormal behavioral development serves as a key intermediary, confirming prenatal stress's role in later psychotic disorders.
Background:
Exposure to stressful life events during pregnancy has been associated with later schizophrenia in offspring. We explore how prenatal stress and neurodevelopmental abnormalities in childhood associate to increase the risk of later psychotic experiences.
Methods:
Participants from the Mater University Study of Pregnancy (MUSP), an Australian based, pre-birth cohort study were examined for lifetime DSM-IV positive psychotic experiences at 21 years by a semi-structured interview (n = 2227). Structural equation modelling suggested psychotic experiences were best represented with a bifactor model including a general psychosis factor and two group factors. We tested for an association between prenatal stressful life events with the psychotic experiences, and examined for potential moderation and mediation by behaviour problems and cognitive ability in childhood.
Results:
Prenatal stressful life events predicted psychotic experiences indirectly via behaviour problems at child age five years, and this relationship was not confounded by maternal stressful life events at child age five. We found no statistical evidence for an interaction between prenatal stressful life events and behaviour problems or cognitive ability.
Conclusion:
The measurable effect of prenatal stressful life events on later psychotic experiences in offspring manifested as behaviour problems by age 5. By identifying early abnormal behavioural development as an intermediary, this finding further confirms the role of prenatal stress to later psychotic disorders.
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