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Published on: June 13, 2021
Biological rhythms disruption mediates the association between mother's diagnosis of bipolar disorder and offspring's
Karen Jansen1, Mateus Grellert2, Adile Nexha3
1Health and Behavior Department, Catholic University of Pelotas, Brazil; Cogniciência, Pelotas, RS, Brazil.
Insights
Mothers with Bipolar Disorder (BD) can impact their children
Area of Science:
- Child Psychology
- Neuroscience
- Genetics
Background:
- Maternal Bipolar Disorder (BD) is a significant concern for offspring mental health.
- Understanding the pathways linking maternal BD to child emotional and behavioral problems (EBP) is crucial for early intervention.
Purpose of the Study:
- To investigate if disruptions in children's biological rhythms mediate the association between maternal Bipolar Disorder (BD) and offspring emotional and behavioral problems (EBP).
Main Methods:
- Assessed 492 children (ages 7-8) for biological rhythms disruption and EBP.
- Mothers' mental health, including Bipolar Disorder (BD) diagnosis, was clinically evaluated.
- Mediation analysis examined the role of offspring biological rhythms in the BD-EBP link.
Main Results:
- Offspring of mothers with Bipolar Disorder (BD) exhibited more biological rhythms disruption and higher EBP prevalence.
- Biological rhythms disruption accounted for 75% of the effect of maternal BD on offspring EBP.
Conclusions:
- Disruption in children's biological rhythms fully mediates the impact of maternal Bipolar Disorder (BD) on their emotional and behavioral problems (EBP).
- Findings support the development of interventions targeting biological rhythms in children of mothers with BD.
Objective:
The current study assesses whether the association between diagnosis of Bipolar Disorder (BD) in mothers and emotional and behavioral problems (EBP) in their offspring is mediated by a disruption in the offspring's biological rhythms.
Methods:
A probabilistic sample of 492 public school children (ages 7-8, 48 % female) were assessed for biological rhythms disruption and EBP using the Biological Rhythms Interview for Assessment in Neuropsychiatry for Kids and the Strengths and Difficulties Questionnaire, respectively. Mothers' mental health (BD = 64) was evaluated using a standardized clinical interview. A mediation analysis was conducted to assess the effect of the mother's diagnosis of BD on the EBP of their offspring in relation to the offspring's biological rhythms disruptions.
Results:
When compared to offspring of mothers without BD, offspring of mothers with BD showed greater difficulty in maintaining biological rhythms and higher prevalence of EBP. Using the presence of EBP as the outcome, 75 % of the effect of mother's BD diagnosis was mediated by offspring's biological rhythms disruption.
Conclusions:
Biological rhythms disruption in children fully mediates the effect of the mother's diagnosis of BD on the child's EBP. These data encourage the development of further studies to find effective strategies to prevent and treat biological rhythms disruption in offspring of mothers with BD.
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