Perinatal maternal mental health and infant socio-emotional development: A growth curve analysis using the MPEWS cohort |
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| Affiliation: | 1. School of Psychology and Exercise Science, Murdoch University, Australia;2. School of Medicine, University of Notre Dame, Australia;3. King Edward Memorial Hospital, Australia;4. Human Development and Family Studies, The Pennsylvania State University, USA;1. General Systems Division, Centre for Addiction and Mental Health, University of Toronto, 33 Russel St., room 1071, Toronto ON M5S 2S1, Canada;2. Geriatric Psychiatry Division, Centre for Addiction and Mental Health, 80 Workman Way, 6th Floor, Toronto ON M6J 1H4, Canada;3. Office Room BF12, Oakfield House, Oakfield Grove, Clifton BS8 2BN, Bristol, UK;4. Developmental Psychology, School of Social and Community Medicine, University of Bristol, Oakfield House, Oakfield Grove, Clifton, Bristol BS8 2BN,UK;5. Psychiatric Epidemiology, Office BF11, Oakfield House, Oakfield Grove, Clifton, Bristol BS8 2BN, UK;6. Division of Psychiatry, University College London, London W1T 7NF, UK Department of Psychiatry, University of Ioannina School of Medicine, Ioannina 45110, Greece;7. Centre for Child and Adolescent Health, School of Social and Community Medicine, University of Bristol, Office Room BG6a, Oakfield House, Oakfield Grove, Clifton, Bristol BS8 2BN, UK;1. Trinity College Institute of Neuroscience, Trinity College Dublin, Ireland;2. Paediatrics, Trinity College Dublin, Ireland;3. UCD Perinatal Research Centre, School of Medicine, University College Dublin, National Maternity Hospital, Dublin, Ireland;4. School of Psychology, Trinity College Dublin, Ireland |
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| Abstract: | Pregnancy and the early post partum period are widely understood as a critical period for the infant’s emotional development and the earliest influence shaping social interaction. The present study aims to understand the potential influence of both antenatal and postnatal maternal anxiety and depressive symptoms on socio-emotional outcomes in offspring aged 12 months. The study used longitudinal data from a prospective cohort study on Australian pregnant women and their children. Data were available for 282 mothers and their children. Maternal depressive and anxiety symptoms were measured in early pregnancy, trimester three of pregnancy, six and 12 months postpartum. Social and emotional development in children was measured using the Brief Infant and Toddler Social Emotional Assessment (BITSEA) at 12 months. Using growth curve analysis of 4 waves of repeated measurement to examine intercept and slope, we found that both initial maternal depression and anxiety symptom levels, and the growth of these symptoms over time, predicted more problems with children’s social and emotional development. In the final model anxiety accounted for 19% of the variance in child socio-emotional problems and depression 23% of variance. The results emphasise the importance of perinatal maternal mental health as a potential risk factor for child development. This carries important implications for policy development, such as the need to build early identification and early intervention models in to the current clinical practice for perinatal care, specifically, to develop targeted screening, assessment and interventions to address maternal mental health issues for at-risk parents during pregnancy, and continuing monitoring of young children whose mothers have experienced perinatal mental health difficulties. |
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| Keywords: | Perinatal depression Pregnancy Anxiety Socio-emotional child outcomes |
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