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Updated: Feb 19, 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
Maternal Stress and Child Outcomes: Evidence from Siblings
Anna Aizer1, Laura Stroud2, Stephen Buka3
1Brown University and NBER.
Insights
Maternal stress, specifically elevated cortisol during pregnancy, harms offspring cognitive development, health, and education. This impact is more pronounced in mothers with lower human capital, potentially perpetuating poverty across generations.
Area of Science:
- Reproductive Medicine
- Developmental Psychology
- Public Health
Background:
- Maternal stress is a known factor influencing pregnancy outcomes.
- The specific mechanisms linking prenatal stress hormones to long-term offspring development require further elucidation.
- Intergenerational transmission of socioeconomic status is a complex phenomenon with multiple contributing factors.
Purpose of the Study:
- To investigate the impact of prenatal exposure to cortisol on offspring cognitive function, health, and educational attainment.
- To examine whether maternal human capital modifies the effects of prenatal cortisol exposure on offspring.
- To explore the role of maternal stress in the intergenerational persistence of poverty.
Main Methods:
- Sibling comparison design to control for unobserved maternal and household characteristics.
- Analysis of in-utero exposure to cortisol and its correlation with offspring outcomes.
- Assessment of maternal human capital as a potential moderating factor.
Main Results:
- Elevated prenatal cortisol levels are associated with negative outcomes in offspring cognition, health, and educational attainment.
- Mothers with lower human capital exhibit higher and more variable cortisol levels.
- The detrimental effects of elevated prenatal cortisol on offspring are amplified in mothers with lower human capital.
Conclusions:
- Prenatal exposure to maternal stress hormones like cortisol has significant negative consequences for offspring development.
- Maternal socioeconomic factors, such as human capital, play a crucial role in mediating the impact of stress during pregnancy.
- Maternal stress may be a key pathway contributing to the intergenerational cycle of poverty.
Abstract:
We study how maternal stress affects offspring outcomes. We find that in-utero exposure to elevated levels of the stress hormone cortisol negatively affects offspring cognition, health and educational attainment. These findings are based on comparisons between siblings which limits variation to short-lived shocks and controls for unobserved differences between mothers that could bias estimates. Our results are consistent with recent experimental results in the neurobiological literature linking exogenous exposure to stress hormones in-utero with declines in offspring cognitive, behavioral and motor development. Moreover, we find that not only are mothers with low levels of human capital characterized by higher and more variable cortisol levels, but that the negative impact of elevated cortisol on their offspring is greater. These results suggest that maternal stress may play a role in the intergenerational persistence of poverty.
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