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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
Association of maternal and paternal perinatal depression and anxiety with infant development: A longitudinal study
Alana M Rogers1, George J Youssef1, Samantha Teague2
1Deakin University, Centre for Social and Early Emotional Development, School of Psychology, Faculty of Health, Geelong, Victoria, Australia.
Insights
Maternal perinatal depression and anxiety symptoms, but not clinical diagnoses or paternal mental health, were linked to minor adverse effects on infant development. Early screening and intervention are crucial for maternal mental health during pregnancy and postpartum.
Area of Science:
- Perinatal mental health
- Infant development
- Parental mental health
Background:
- Maternal and paternal perinatal depression and anxiety are theorized to impact infant development.
- Limited research has examined both symptoms and diagnoses in parents concurrently.
- Paternal mental health in the perinatal period is under-researched.
Purpose of the Study:
- To investigate the association between maternal and paternal perinatal depression and anxiety symptoms and diagnoses with infant development.
- To assess the impact of parental mental health on infant social-emotional, language, and overall development.
Main Methods:
- Utilized data from the Triple B Pregnancy Cohort Study (1539 mothers, 793 partners).
- Assessed depressive and anxiety symptoms using the Edinburgh Postnatal Depression Scale and Depression Anxiety Stress Scales.
- Diagnosed major depressive disorder, generalized anxiety disorder, social anxiety disorder, panic disorder, and agoraphobia using the Composite International Diagnostic Interview; assessed infant development at 12 months with Bayley Scales.
Main Results:
- Antepartum maternal depressive and anxiety symptoms were associated with poorer infant social-emotional and language development.
- Postpartum maternal anxiety symptoms correlated with poorer overall infant development at 8 weeks.
- No significant associations were found for maternal clinical diagnoses or any paternal mental health measures, though trends suggested potential adverse effects.
Conclusions:
- Maternal perinatal depression and anxiety symptoms show a small adverse impact on infant development.
- Findings highlight the importance of prevention, early screening, and intervention for maternal perinatal mental health.
- Further research should consider other risk factors during critical early developmental periods.
Background:
Maternal and paternal perinatal depression and anxiety are theorised to adversely impact infant development. Yet, few studies have assessed both mental health symptoms and clinical diagnoses within the one study. Moreover, research on fathers is limited. This study therefore aimed to examine the association between symptoms and diagnoses of maternal and paternal perinatal depression and anxiety with infant development.
Method:
Data were from the Triple B Pregnancy Cohort Study. Participants included 1539 mothers and 793 partners. Depressive and anxiety symptoms were assessed using the Edinburgh Postnatal Depression Scale and Depression Anxiety Stress Scales. Major depressive disorder, generalized anxiety disorder, social anxiety disorder, panic disorder, and agoraphobia were assessed using the Composite International Diagnostic Interview in trimester three. Infant development was assessed at 12-months using the Bayley Scales of Infant and Toddler Development.
Results:
Antepartum, maternal depressive and anxiety symptoms were associated with poorer infant social-emotional (d = -0.11, p = .025) and language development (d = -0.16, p = .001). At 8-weeks postpartum, maternal anxiety symptoms were associated with poorer overall development (d = -0.11, p = .030). No association was observed for clinical diagnoses in mothers, nor paternal depressive and anxiety symptoms or clinical diagnoses; albeit risk estimates were largely in the expected direction of adverse effects on infant development.
Conclusions:
Evidence suggests that maternal perinatal depression and anxiety symptoms may adversely impact infant development. Effects were small but findings underscore the importance of prevention, early screening and intervention, alongside consideration of other risk factors during early critical periods.
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