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Updated: Jul 23, 2025

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
A Longitudinal Study of Stress During Pregnancy, Children's Sleep and Polygenic Risk for Poor Sleep in the General
Desana Kocevska1,2,3, Isabel K Schuurmans4,5, Charlotte A M Cecil6,4,5
1Department of Sleep and Cognition, Netherlands Institute for Neuroscience, Amsterdam, Netherlands. d.kocevska@erasmusmc.nl.
Insights
Prenatal stress is linked to persistent childhood sleep problems, especially in those with genetic risk for insomnia. These findings emphasize the prenatal environment's impact on sleep regulation.
Area of Science:
- Developmental Psychology
- Sleep Science
- Genetics
Background:
- Early life stress is a known factor impacting sleep throughout life.
- Emerging evidence suggests prenatal stress may initiate sleep disturbances in utero.
- Understanding the long-term effects of prenatal stress on child sleep is crucial.
Purpose of the Study:
- To investigate the longitudinal associations between prenatal psychosocial stress and sleep problems in children.
- To examine if genetic liability for poor sleep interacts with prenatal stress to affect sleep outcomes.
- To determine the persistence and nature of sleep disturbances from infancy through childhood.
Main Methods:
- Utilized data from the Generation R population-based birth cohort.
- Collected caregiver-reported data on prenatal psychosocial stress and child sleep at multiple time points (2 months to 6 years).
- Employed polygenic risk scores for sleep traits in a subset of the sample to assess genetic interactions.
Main Results:
- Prenatal stress showed consistent associations with increased sleep problems across all assessed ages, with effect sizes ranging from small to medium.
- Prenatal stress was linked to shorter sleep duration in infancy (2 months) and early childhood (2 years), but not at 3 years.
- A significant interaction was found between prenatal negative life events and polygenic risk for insomnia, exacerbating sleep problems by age 6.
Conclusions:
- Prenatal psychosocial stress negatively impacts children's sleep, with effects persisting throughout childhood.
- Genetic predisposition for insomnia can amplify the negative effects of prenatal stress on sleep.
- The prenatal environment plays a significant role in the development of sleep regulation, suggesting potential for early interventions in high-risk pregnancies.
Abstract:
Early life stress is robustly associated with poor sleep across life. Preliminary studies suggest that these associations may begin already in utero. Here, we study the longitudinal associations of prenatal psychosocial stress with sleep across childhood, and assess whether prenatal stress interacts with genetic liability for poor sleep.The study is embedded in the Generation R population-based birth cohort. Caregivers reported on prenatal psychosocial stress (life events, contextual, parental or interpersonal stressors) and on children's sleep at ages 2 months, 1.5, 2, 3 and 6 years. The study sample consisted of 4,930 children; polygenic risk scores for sleep traits were available in 2,063.Prenatal stress was consistently associated with more sleep problems across assessments. Effect sizes ranged from small (B = 0.21, 95%CI: 0.14;0.27) at 2 months to medium (B = 0.45, 95%CI: 0.38;0.53) at 2 years. Prenatal stress was moreover associated with shorter sleep duration at 2 months (Bhrs = -0.22, 95%CI: -0.32;-0.12) and at 2 years (Bhrs = -0.04, 95%CI -0.07; -0.001), but not at 3 years (Bhrs = 0.02, 95%CI: -0.02;0.06). Prenatal negative life events interacted with polygenic risk for insomnia to exacerbate sleep problems at 6 years (Binteraction = 0.07, 95%CI: 0.02;0.13).Psychosocial stress during pregnancy has negative associations with children's sleep that persist across childhood, and are exacerbated by genetic liability for insomnia. Associations with sleep duration were more pronounced in infancy and seem to attenuate with age. These findings highlight the role of the prenatal environment for developing sleep regulation, and could inform early intervention programs targeting sleep in children from high-risk pregnancies.
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