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Updated: Sep 16, 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
Epiphenomena in psychosis: how perinatal stressful events shape long-term outcomes
Clemente Garcia-Rizo1,2,3,4, Byron K Y Bitanihirwe5
1Barcelona Clinic Schizophrenia Unit, Neuroscience Institute, Hospital Clinic, Barcelona, Spain. cgarcia3@clinic.cat.
Insights
Perinatal stress increases the risk of psychosis and related issues like metabolic problems and brain changes in offspring. This research explores how these early life events contribute to psychosis development and its long-term health impacts.
Area of Science:
- Neuroscience
- Psychiatry
- Developmental Psychology
Background:
- Perinatal stress is linked to increased risk of mental health issues, including psychosis.
- Offspring exposed to maternal stress during pregnancy may develop neurodevelopmental disorders.
- Epiphenomena such as metabolic disturbances, brain abnormalities, and cognitive impairment are associated with perinatal stress and psychosis.
Purpose of the Study:
- To discuss clinical features of psychosis from a translational perspective, linking them to perinatal stress.
- To elaborate a hypothetical model explaining metabolic manifestations in adulthood due to perinatal events.
- To provide a framework for understanding the long-term 'scars' of perinatal stress in psychosis for public health.
Main Methods:
- Translational research approach linking perinatal stress to psychosis.
- Development of a hypothetical model for metabolic manifestations.
- Review and synthesis of clinical features, brain abnormalities, and cognitive impairment.
Main Results:
- Perinatal stress is associated with a higher risk of psychosis and diverse epiphenomena.
- A model is proposed to explain adult metabolic issues stemming from perinatal events.
- The study framework connects perinatal stress 'scars' to psychosis and public health concerns.
Conclusions:
- Perinatal stress is a significant factor in the development of psychosis and associated health problems.
- Understanding the link between perinatal stress and psychosis is crucial for public health strategies.
- Further research into the proposed metabolic model can elucidate psychosis morbidity and mortality.
Abstract:
Exposure to perinatal stress has been linked to the later emergence of mental health problems including neurodevelopmental disorders such as psychosis. Recent research highlights not only an increased risk of psychotic illness in offspring following perinatal maternal life events but also the future manifestation of diverse epiphenomena. These epiphenomena include metabolic disturbances, structural brain abnormalities, and cognitive impairment in addition to distinct psychopathological profiles involving motor and physical anomalies. Our aim here lies in discussing the different clinical features of psychosis as they emerge at onset and during the evolution of the disease-from a translational perspective-in terms of perinatal stressful experiences. A hypothetical model of metabolic manifestations that are present in adulthood stemming from perinatal events will be elaborated to provide a partial explanation of the increased morbidity and early mortality observed in patients who develop psychosis. This model will encompass aspects related to brain structural abnormalities, clinical psychopathological characteristics and the cognitive impairment typically observed in individuals with psychotic disorders. We also put forward a framework that encapsulates the 'scars' of perinatal stressful experiences associated with psychosis in terms of a public health agenda.
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