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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Current perspectives on perinatal mental health and neurobehavioral development: focus on regulation, coregulation
Bea R H Van den Bergh1, Marta C Antonelli2,3, Dan J Stein4
1Research Group Health Psychology, KU Leuven (University of Leuven), Leuven, Belgium.
Insights
Maternal perinatal mental health impacts offspring neurodevelopment, linked to self-regulation issues. Addressing these requires a multidisciplinary, system-level approach for caregiver-child and family well-being.
Area of Science:
- Neurobehavioral development research.
- Perinatal mental health studies.
Background:
- Maternal perinatal mental distress is linked to offspring self-regulation problems (cognitive, behavioral, affective).
- Positive parental mental health shows a beneficial impact, though effect sizes are small.
- Mechanistic pathways are complex, with interactive and compensatory mechanisms across development understudied.
Approach:
- Review of meta-analyses and multiexposure studies.
- Exploration of hypothesized mechanistic pathways.
- Identification of progress and challenges in the field.
Key Points:
- Maternal mental health significantly influences infant neurodevelopment and self-regulation.
- Complex, interactive, and compensatory mechanisms require further investigation.
- Multidisciplinary and system-level approaches are crucial for effective intervention.
Conclusions:
- Promoting neurobehavioral development necessitates addressing vulnerable contexts and building resilient systems during the perinatal period.
- A pluralistic research approach, integrating multidisciplinary theoretical models and empirical investigation, is essential.
- Sparse evidence highlights the need for more research on caregiver-child and family-level interventions.
Purpose Of Review:
Perinatal mental health research provides an important perspective on neurobehavioral development. Here, we aim to review the association of maternal perinatal health with offspring neurodevelopment, providing an update on (self-)regulation problems, hypothesized mechanistic pathways, progress and challenges, and implications for mental health.
Recent Findings:
(1) Meta-analyses confirm that maternal perinatal mental distress is associated with (self-)regulation problems which constitute cognitive, behavioral, and affective social-emotional problems, while exposure to positive parental mental health has a positive impact. However, effect sizes are small. (2) Hypothesized mechanistic pathways underlying this association are complex. Interactive and compensatory mechanisms across developmental time are neglected topics. (3) Progress has been made in multiexposure studies. However, challenges remain and these are shared by clinical, translational and public health sciences. (4) From a mental healthcare perspective, a multidisciplinary and system level approach employing developmentally-sensitive measures and timely treatment of (self-)regulation and coregulation problems in a dyadic caregiver-child and family level approach seems needed. The existing evidence-base is sparse.
Summary:
During the perinatal period, addressing vulnerable contexts and building resilient systems may promote neurobehavioral development. A pluralistic approach to research, taking a multidisciplinary approach to theoretical models and empirical investigation needs to be fostered.
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