Nicole Racine1,2, Andre Plamondon3, Sheri Madigan4,2, Sheila McDonald5, Suzanne Tough2,5,6. 1. Department of Psychology, Faculty of Arts, and. 2. Alberta Children's Hospital Research Institute, Calgary, Alberta, Canada; and. 3. Département des fondements et pratiques en éducation, Université Laval, Quebec City, Quebec, Canada. 4. Department of Psychology, Faculty of Arts, and sheri.madigan@ucalgary.ca. 5. Departments of Pediatrics and. 6. Community Health Sciences, University of Calgary, Calgary, Canada.
Abstract
OBJECTIVES: To examine the prenatal and postnatal mechanisms by which maternal adverse childhood experiences (ACEs) predict the early development of their offspring, specifically via biological (maternal health risk in pregnancy, infant health risk at birth) and psychosocial risk (maternal stress during and after pregnancy, as well as hostile behavior in early infancy). METHODS: Participants were 1994 women (mean age = 31 years) and their infants, who were recruited in pregnancy as part of a prospective longitudinal cohort from 2008 to 2010. Pregnant women completed self-report questionnaires in pregnancy and postpartum related to psychosocial risk and a questionnaire about hostile behavior when their infant was 4 months of age. Health risk in pregnancy and infant health risk at birth were obtained from health records. Mothers completed the Ages and Stages Questionnaire when infants were 12 months of age. RESULTS: Path analysis revealed that the association between maternal ACEs and infant development outcomes at 12 months operated through 2 indirect pathways: biological health risk (pregnancy health risk and infant health risk at birth) and psychosocial risk (maternal psychosocial risk in pregnancy and maternal hostile behavior in infancy). CONCLUSIONS: Psychosocial risks in pregnancy, but not in early infancy, contribute to the transmission of vulnerability from maternal ACEs to child development outcomes in infancy via maternal behavior. Maternal health risk in pregnancy indirectly confers risk from maternal ACEs to child development outcomes at 12 months of age through infant health risk. Maternal health and psychosocial well-being in pregnancy may be key targets for intervention.
OBJECTIVES: To examine the prenatal and postnatal mechanisms by which maternal adverse childhood experiences (ACEs) predict the early development of their offspring, specifically via biological (maternal health risk in pregnancy, infant health risk at birth) and psychosocial risk (maternal stress during and after pregnancy, as well as hostile behavior in early infancy). METHODS:Participants were 1994 women (mean age = 31 years) and their infants, who were recruited in pregnancy as part of a prospective longitudinal cohort from 2008 to 2010. Pregnant women completed self-report questionnaires in pregnancy and postpartum related to psychosocial risk and a questionnaire about hostile behavior when their infant was 4 months of age. Health risk in pregnancy and infant health risk at birth were obtained from health records. Mothers completed the Ages and Stages Questionnaire when infants were 12 months of age. RESULTS: Path analysis revealed that the association between maternal ACEs and infant development outcomes at 12 months operated through 2 indirect pathways: biological health risk (pregnancy health risk and infant health risk at birth) and psychosocial risk (maternal psychosocial risk in pregnancy and maternal hostile behavior in infancy). CONCLUSIONS:Psychosocial risks in pregnancy, but not in early infancy, contribute to the transmission of vulnerability from maternal ACEs to child development outcomes in infancy via maternal behavior. Maternal health risk in pregnancy indirectly confers risk from maternal ACEs to child development outcomes at 12 months of age through infant health risk. Maternal health and psychosocial well-being in pregnancy may be key targets for intervention.
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Authors: Emily W Harville; Gita D Mishra; Edwina Yeung; Sunni L Mumford; Enrique F Schisterman; Anne Marie Jukic; Elizabeth E Hatch; Ellen M Mikkelsen; Hong Jiang; Deborah B Ehrenthal; Christina A Porucznik; Joseph B Stanford; Shi-Wu Wen; Alysha Harvey; Danielle Symons Downs; Chittaranjan Yajnik; Donna Santillan; Mark Santillan; Thomas F McElrath; Jessica G Woo; Elaine M Urbina; Jorge E Chavarro; Daniela Sotres-Alvarez; Lydia Bazzano; Jun Zhang; Anne Steiner; Erica P Gunderson; Lauren A Wise Journal: Paediatr Perinat Epidemiol Date: 2019-10-28 Impact factor: 3.980