Hypertensive disorders of pregnancy and emotional and behavioural problems in children: a longitudinal

Berihun Assefa Dachew1,2, James G Scott3,4,5, Abdullah Mamun6

  • 1Institute for Social Science Research, The University of Queensland, 80 Meiers Road, Indooroopilly, Brisbane, QLD, 4068, Australia. b.dachew@uqconnect.edu.au.

Insights

Children born to mothers with preeclampsia face higher risks of behavioral and emotional issues, particularly when reported by teachers. Parent reports did not show the same associations, highlighting the need for multiple perspectives.

Area of Science:

  • Obstetrics and Gynecology
  • Child Psychology
  • Epidemiology

Background:

  • Hypertensive disorders of pregnancy (HDP) are linked to adverse offspring health outcomes.
  • Understanding the long-term effects of maternal HDP on child development is crucial.

Purpose of the Study:

  • To investigate the association between maternal hypertensive disorders of pregnancy (HDP) and emotional and behavioral problems in offspring at age 11.
  • To compare teacher and parent reports of these problems.

Main Methods:

  • Utilized data from the Avon Longitudinal Study of Parents and Children (ALSPAC).
  • Assessed emotional and behavioral problems using the Strengths and Difficulties Questionnaire (SDQ) completed by parents and teachers.
  • Analyzed data from 7196 parents and 7411 teachers.

Main Results:

  • Maternal preeclampsia was associated with increased teacher-reported behavioral difficulties (RR=1.62) and internalizing problems, including peer and emotional problems.
  • No significant associations were found between preeclampsia or gestational hypertension and parent-reported problems.
  • Teacher reports indicated a higher risk of behavioral and internalizing issues in children exposed to preeclampsia.

Conclusions:

  • Preeclampsia exposure in mothers is linked to a greater risk of behavioral and emotional difficulties in children, as perceived by teachers.
  • The discrepancy between teacher and parent reports underscores the importance of multi-informant assessments for child behavioral problems.
  • Findings suggest that the manifestation of these difficulties may vary depending on the reporting context.

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