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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
Childhood adversity, prenatal depression, and maternal inflammation across pregnancy
Margaret H Bublitz1,2,3, Taylor Freeburg2, Meghan Sharp1,3
1Department of Psychiatry and Human Behavior, The Warren Alpert Medical School of Brown University, Providence, RI, USA.
Insights
Childhood sexual abuse may increase systemic inflammation markers during pregnancy. The neutrophil-lymphocyte ratio, a marker of inflammation, increased more in pregnant women with a history of childhood sexual abuse.
Area of Science:
- Obstetrics and Gynecology
- Immunology
- Psychiatry
Background:
- The neutrophil-lymphocyte ratio (NLR) is a marker of systemic inflammation.
- Childhood adversity and prenatal depression are potential factors influencing maternal health during pregnancy.
Purpose of the Study:
- To investigate if changes in NLR during pregnancy differ based on childhood adversity and prenatal depression.
Main Methods:
- Secondary analysis of data from 98 pregnant women.
- NLR calculated from complete blood counts in the first and third trimesters.
- Childhood adversity assessed using the Adverse Childhood Experiences scale.
- Depression assessed using the Patient Health Questionnaire-9.
Main Results:
- Women with a history of childhood sexual abuse showed a greater increase in NLR over pregnancy compared to those without.
- No significant difference in NLR change across pregnancy was observed based on prenatal depression levels.
Conclusions:
- Childhood sexual abuse experiences may be associated with increased markers of systemic inflammation during pregnancy.
- Prenatal depression did not appear to influence the change in NLR during pregnancy in this cohort.
Background:
To examine whether change in neutrophil-lymphocyte ratio, a marker of systemic inflammation, differs by childhood adversity and prenatal depression.
Methods:
Prenatal complete blood count data were used to calculate neutrophil-lymphocyte ratio in first and third trimesters. The Adverse Childhood Experiences scale measured childhood adversity, and the Patient Health Questionnaire-9 measured depression. This is a secondary analysis of a study of predictors of risk for sleep-disordered breathing.
Results:
Participants were 98 pregnant women, mean age 30 years (SD = 5), mean body mass index of 35 kg/m2 (SD = 7), 61% identified as white, and 28% identified as Hispanic. Women who reported childhood sexual abuse history displayed greater increase in neutrophil-lymphocyte ratio over pregnancy relative to women without childhood sexual abuse. Change in neutrophil-lymphocyte ratio across pregnancy did not differ by prenatal depression.
Conclusion:
Experiences of sexual abuse in childhood may impact markers of systemic inflammation in pregnancy.
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