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Updated: Jun 29, 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
"Association between perinatal mood disorders of parents and child health outcomes"
Erika Obikane1,2, Hayato Yamana3,4, Sachiko Ono5
1Department of Mental Health, Graduate School of Medicine, The University of Tokyo, Bunkyo, Japan. obikane-e@ncchd.go.jp.
Insights
Maternal perinatal mood disorders are linked to adverse child development, including developmental delays and behavioral issues. Paternal mood disorders showed no significant association with negative pediatric outcomes in this Japanese study.
Area of Science:
- Perinatal mental health research
- Child development studies
- Epidemiology of parental mental illness
Background:
- Perinatal mood disorders impact parents and children.
- Limited understanding of parental perinatal mood disorders and pediatric outcomes in Japan.
- Need to consider covariates like parental age and antidepressant use.
Purpose of the Study:
- Investigate the association between paternal and maternal perinatal mood disorders and child outcomes up to 36 months.
- Adjust for covariates: child's sex, parental age, other parent's mood disorder, and perinatal antidepressant use.
- Examine physical and psychological child outcomes.
Main Methods:
- Utilized the JMDC Claims Database in Japan (2012-2020).
- Defined perinatal mood disorders using ICD-10 codes and psychiatric treatment codes.
- Employed Cox proportional hazard models for association analysis.
Main Results:
- Analyzed 116,423 father-mother-child triads.
- Paternal perinatal mood disorders showed no significant association with adverse child outcomes.
- Maternal perinatal mood disorders linked to delayed motor development, language disorders, autism spectrum disorders, and behavioral/emotional disorders.
Conclusions:
- Paternal perinatal mood disorders were not associated with adverse child outcomes in this cohort.
- Maternal perinatal mood disorders demonstrated significant associations with multiple adverse child outcomes.
Purpose:
Perinatal mood disorders affect both parents, impacting their children negatively. Little is known on the association between parental perinatal mood disorders and pediatric outcomes in Japan considering relevant covariates. Our objective was to investigate the association between paternal and maternal perinatal mood disorders and adverse physical and psychological child outcomes by the age of 36 months, adjusting for covariates such as the child's sex, age of parent at child's birth, perinatal mood disorders of the other parent, and perinatal antidepressant use.
Methods:
We identified parents in the JMDC Claims Database in Japan from 2012 to 2020. Perinatal mood disorders were defined using International Classification of Diseases, 10th codes for mood disorders during the perinatal period combined with psychiatric treatment codes. We evaluated the association between parental perinatal mood disorders and pediatric adverse outcomes by the age of 36 months using Cox proportional hazard models adjusted for the covariates.
Results:
Of the 116,423 father-mother-child triads, 2.8% of fathers and 2.3% of mothers had perinatal mood disorders. Paternal perinatal mood disorders were not significantly associated with adverse child outcomes. After adjusting for paternal perinatal mood disorders and antidepressant use, maternal perinatal mood disorders were associated with delayed motor development, language development disorders, autism spectrum disorders, and behavioral and emotional disorders (adjusted hazard ratio [95% confidence interval]: 1.65 [1.01-2.69], 2.26 [1.36-3.75], 4.16 [2.64-6.55], and 6.12 [1.35-27.81], respectively).
Conclusions:
Paternal perinatal mood disorders were not associated with adverse child outcomes in this population. Maternal perinatal mood disorders were associated with multiple child outcomes.
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