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Prenatal psychosocial stress and children's sleep problems: Evidence from the ELSPAC-CZ study
Gabriela Ksinan Jiskrova1, Hynek Pikhart1,2, Martin Bobák1,2
1RECETOX, Faculty of Science, Masaryk University, Brno, Czech Republic.
Insights
Maternal stress during pregnancy (prenatal stressful life events) is linked to more childhood sleep problems. These issues can persist longer into childhood, suggesting prenatal stress may predispose children to chronic sleep difficulties.
Area of Science:
- Developmental Psychology
- Public Health
- Pediatrics
Background:
- Prenatal exposure to maternal stress is a potential risk factor for adverse child outcomes.
- Childhood sleep problems are common and can impact development and well-being.
Purpose of the Study:
- To investigate the association between prenatal stressful life events (PSLE) and the trajectory of sleep problems in children.
- To determine if PSLE influence the onset and persistence of childhood sleep issues.
Main Methods:
- Utilized data from 4,371 children in the Czech Republic (ELSPAC-CZ).
- Mothers reported PSLE and child sleep problems at ages 1.5, 3, 5, 7, and 11 years.
- Analyzed data using a Poisson latent growth model, controlling for covariates.
Main Results:
- Childhood sleep problems were prevalent at 1.5 years and generally decreased over time.
- Higher PSLE were associated with a greater rate of sleep problems at 1.5 years.
- Increased PSLE predicted a slower rate of decrease in sleep problems, indicating chronicity.
Conclusions:
- Prenatal exposure to maternal stress is associated with both the initial occurrence and the persistence of childhood sleep problems.
- Maternal stress during pregnancy may create a predisposition for long-term sleep difficulties in offspring.
- Findings highlight the importance of mitigating maternal stress during pregnancy for child sleep health.
Abstract:
Prenatal exposure to maternal stress may increase the risk of developing sleep problems in childhood. This study examined the association between prenatal stressful life events (PSLE) and children's sleep problems, taking into consideration their trajectory over time. Data were obtained from the Czech portion of the European Longitudinal Cohort Study of Pregnancy and Childhood (ELSPAC-CZ; N = 4,371 children). Mothers reported PSLE using an inventory of 42 life events and child sleep problems at five time-points (child age of 1.5, 3, 5, 7, and 11 years). The association was tested by a Poisson latent growth model, controlling for maternal and family demographics, birth characteristics, maternal depression, and alcohol use in pregnancy. The average rate of sleep problems was 2.06 (p < 0.001) at the age of 1.5 years and the rate of sleep problems decreased in a linear fashion over time (estimate = -0.118; p < 0.001). A higher number of PSLE was associated with a higher rate of sleep problems at the age of 1.5 years (incidence rate ratio [IRR] per interquartile range = 1.08, 95% confidence interval [CI] 1.05-1.12, p < 0.001) and with a reduced rate of decrease in sleep problems between the ages of 1.5 and 11 years (p < 0.001). Thus, PSLE were associated with chronicity of sleep problems in addition to their amount during early childhood. Prenatal exposure to stress may predispose individuals to the development of sleep problems in later life.
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