Examining implications of the developmental timing of maternal trauma for prenatal and newborn outcomes.

Autor: Kaliush PR; Department of Psychology, University of Utah, USA. Electronic address: parisa.kaliush@psych.utah.edu., Kerig PK; Department of Psychology, University of Utah, USA., Raby KL; Department of Psychology, University of Utah, USA., Maylott SE; Department of Psychology, University of Utah, USA., Neff D; Department of Psychology, University of Utah, USA., Speck B; Department of Psychology, University of Utah, USA., Molina NC; Department of Psychology, University of Utah, USA., Pappal AE; Department of Psychology, University of Utah, USA., Parameswaran UD; Department of Psychology, University of Utah, USA., Conradt E; Department of Psychiatry and Behavioral Sciences, Duke University, USA., Crowell SE; Department of Psychology, University of Utah, USA; Department of Obstetrics and Gynecology, University of Utah, USA; Department of Psychiatry, University of Utah, USA.
Jazyk: angličtina
Zdroj: Infant behavior & development [Infant Behav Dev] 2023 Aug; Vol. 72, pp. 101861. Date of Electronic Publication: 2023 Jul 01.
DOI: 10.1016/j.infbeh.2023.101861
Abstrakt: Separate literatures have demonstrated that mothers' experiences with trauma during childhood or pregnancy are associated with maternal prenatal health risks, adverse childbirth outcomes, and offspring internalizing and externalizing disorders. These literatures largely align with the intergenerational transmission or fetal programming frameworks, respectively. However, few studies have tested the effects of maternal childhood and prenatal trauma simultaneously on mothers' and infants' health outcomes, and no studies have examined these effects on newborn neurobehavioral outcomes. Thus, in the present study, we examined how the developmental timing of pregnant women's traumatic life experiences associated with their physical health and psychopathology (Aim 1) as well as their newborns' birth and neurodevelopmental outcomes (Aim 2; for pre-registered aims and hypotheses, see https://osf.io/ygnre/?view_only=cbe17d0ac7f24af5a4d3e37e24eebead). One hundred and fifty-two 3rd trimester pregnant women (M age = 29 years; 17.1% Hispanic/Latina) completed measures of trauma history and psychopathology. Then, 24-48 h after birth, trained clinicians conducted newborn neurobehavioral exams (n = 118 newborns; 52.6% female). Results indicated that lifetime traumatic experiences associated with multiple prenatal maternal health outcomes, including depression, anxiety, emotion dysregulation, and pregnancy complications. Pregnant women's experiences with childhood trauma, but not adulthood or prenatal trauma, predicted higher neurobehavioral attention scores among female newborns. Our discussion highlights the importance of considering the developmental timing of maternal trauma on perinatal outcomes and contextualizes our findings within the intergenerational transmission and fetal programming literatures. DATA AVAILABILITY: Data pertaining to R01MH119070 (MPIs Crowell & Conradt) and that support these findings are uploaded to the NIMH repository.
Competing Interests: Declaration of Competing Interest The authors have no relevant financial or non-financial interests to disclose.
(Copyright © 2023 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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