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.

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