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Published in: Social Psychiatry and Psychiatric Epidemiology 8/2013

01-08-2013 | Original Paper

Antenatal and postnatal maternal mental health as determinants of infant neurodevelopment at 18 months of age in a mother–child cohort (Rhea Study) in Crete, Greece

Authors: Katerina Koutra, Leda Chatzi, Manolis Bagkeris, Maria Vassilaki, Panos Bitsios, Manolis Kogevinas

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 8/2013

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Abstract

Purpose

A growing body of evidence links poor maternal mental health with negative outcomes on early child development. We examined the effect of antenatal and postnatal maternal mental health on infant neurodevelopment at age 18 months in a population-based mother–child cohort (Rhea Study) in Crete, Greece.

Methods

Self-reported measures of maternal depression (EPDS), trait anxiety (STAI-Trait) and personality traits (EPQ-R) were assessed in a sample of women during pregnancy and at 8 weeks postpartum (n = 223). An additional sample of 247 mothers also completed the EPDS scale at 8 weeks postpartum (n = 470). Neurodevelopment at 18 months was assessed with the use of Bayley Scales of Infant and Toddler Development (3rd edition).

Results

Multivariable linear regression models adjusted for confounders revealed that antenatal depressive symptoms (EPDS ≥ 13) were associated with decrease in cognitive development independently of postnatal depression. High trait anxiety and extraversion were associated with decrease and increase, respectively, in social–emotional development. Also, high trait anxiety and neuroticism had a positive effect on infants’ expressive communication. Finally, postpartum depressive symptoms (EPDS ≥ 13) were associated with decrease in cognitive and fine motor development independently of antenatal depression.

Conclusions

These findings suggest that antenatal and postnatal maternal psychological well-being has important consequences on early child neurodevelopment.
Literature
1.
go back to reference Field T (2011) Prenatal depression effects on early development: a review. Infant Behav Dev 34(1):1–14PubMedCrossRef Field T (2011) Prenatal depression effects on early development: a review. Infant Behav Dev 34(1):1–14PubMedCrossRef
2.
go back to reference Bergman K, Sarkar P, Glover V, O’Connor TG (2010) Maternal prenatal cortisol and infant cognitive development: moderation by infant-mother attachment. Biol Psychiatry 67(11):1026–1032PubMedCrossRef Bergman K, Sarkar P, Glover V, O’Connor TG (2010) Maternal prenatal cortisol and infant cognitive development: moderation by infant-mother attachment. Biol Psychiatry 67(11):1026–1032PubMedCrossRef
3.
go back to reference Davis EP, Sandman CA (2010) The timing of prenatal exposure to maternal cortisol and psychosocial stress is associated with human infant cognitive development. Child Dev 81(1):131–148PubMedCrossRef Davis EP, Sandman CA (2010) The timing of prenatal exposure to maternal cortisol and psychosocial stress is associated with human infant cognitive development. Child Dev 81(1):131–148PubMedCrossRef
4.
go back to reference O’Donnell K, O’Connor TG, Glover V (2009) Prenatal stress and neurodevelopment of the child: focus on the HPA axis and role of the placenta. Dev Neurosci 31(4):285–292PubMedCrossRef O’Donnell K, O’Connor TG, Glover V (2009) Prenatal stress and neurodevelopment of the child: focus on the HPA axis and role of the placenta. Dev Neurosci 31(4):285–292PubMedCrossRef
5.
go back to reference O’Connor TG, Heron J, Golding J, Beveridge M, Glover V (2002) Maternal antenatal anxiety and children’s behavioural/emotional problems at 4 years: report from the Avon longitudinal study of parents and children. Br J Psychiatry 180:502–508PubMedCrossRef O’Connor TG, Heron J, Golding J, Beveridge M, Glover V (2002) Maternal antenatal anxiety and children’s behavioural/emotional problems at 4 years: report from the Avon longitudinal study of parents and children. Br J Psychiatry 180:502–508PubMedCrossRef
6.
go back to reference Evans J, Heron J, Francomb H, Oke S, Golding J (2001) Cohort study of depressed mood during pregnancy and after childbirth. BMJ 323(7307):257–260PubMedCrossRef Evans J, Heron J, Francomb H, Oke S, Golding J (2001) Cohort study of depressed mood during pregnancy and after childbirth. BMJ 323(7307):257–260PubMedCrossRef
7.
go back to reference Murray L, Hipwell A, Hooper R, Stein A, Cooper P (1996) The cognitive development of 5-year-old children of postnatally depressed mothers. J Child Psychol Psychiatry 37(8):927–935PubMedCrossRef Murray L, Hipwell A, Hooper R, Stein A, Cooper P (1996) The cognitive development of 5-year-old children of postnatally depressed mothers. J Child Psychol Psychiatry 37(8):927–935PubMedCrossRef
8.
go back to reference Grace SL, Evindar A, Stewart DE (2003) The effect of postpartum depression on child cognitive development and behavior: a review and critical analysis of the literature. Arch Womens Ment Health 6(4):263–274PubMedCrossRef Grace SL, Evindar A, Stewart DE (2003) The effect of postpartum depression on child cognitive development and behavior: a review and critical analysis of the literature. Arch Womens Ment Health 6(4):263–274PubMedCrossRef
9.
go back to reference McMahon C, Trapolini T, Barnett B (2008) Maternal state of mind regarding attachment predicts persistence of postnatal depression in the preschool years. J Affect Disord 107(1–3):199–203PubMedCrossRef McMahon C, Trapolini T, Barnett B (2008) Maternal state of mind regarding attachment predicts persistence of postnatal depression in the preschool years. J Affect Disord 107(1–3):199–203PubMedCrossRef
10.
go back to reference Hay DF, Pawlby S, Sharp D, Asten P, Mills A, Kumar R (2001) Intellectual problems shown by 11-year-old children whose mothers had postnatal depression. J Child Psychol Psychiatry 42(7):871–889PubMedCrossRef Hay DF, Pawlby S, Sharp D, Asten P, Mills A, Kumar R (2001) Intellectual problems shown by 11-year-old children whose mothers had postnatal depression. J Child Psychol Psychiatry 42(7):871–889PubMedCrossRef
11.
go back to reference Brennan PA, Hammen C, Andersen MJ, Bor W, Najman JM, Williams GM (2000) Chronicity, severity, and timing of maternal depressive symptoms: relationships with child outcomes at age 5. Dev Psychol 36(6):759–766PubMedCrossRef Brennan PA, Hammen C, Andersen MJ, Bor W, Najman JM, Williams GM (2000) Chronicity, severity, and timing of maternal depressive symptoms: relationships with child outcomes at age 5. Dev Psychol 36(6):759–766PubMedCrossRef
12.
go back to reference Cornish AM, McMahon CA, Ungerer JA, Barnett B, Kowalenko N, Tennant C (2005) Postnatal depression and infant cognitive and motor development in the second postnatal year: the impact of depression chronicity and infant gender. Infant Behav Dev 28(4):407–417CrossRef Cornish AM, McMahon CA, Ungerer JA, Barnett B, Kowalenko N, Tennant C (2005) Postnatal depression and infant cognitive and motor development in the second postnatal year: the impact of depression chronicity and infant gender. Infant Behav Dev 28(4):407–417CrossRef
13.
go back to reference Evans J, Melotti R, Heron J, Ramchandani P, Wiles N, Murray L, Stein A (2012) The timing of maternal depressive symptoms and child cognitive development: a longitudinal study. J Child Psychol Psychiatry 53(6):632–640PubMedCrossRef Evans J, Melotti R, Heron J, Ramchandani P, Wiles N, Murray L, Stein A (2012) The timing of maternal depressive symptoms and child cognitive development: a longitudinal study. J Child Psychol Psychiatry 53(6):632–640PubMedCrossRef
14.
go back to reference Deave T, Heron J, Evans J, Emond A (2008) The impact of maternal depression in pregnancy on early child development. BJOG 115(8):1043–1051PubMedCrossRef Deave T, Heron J, Evans J, Emond A (2008) The impact of maternal depression in pregnancy on early child development. BJOG 115(8):1043–1051PubMedCrossRef
15.
go back to reference Hay DF, Pawlby S, Waters CS, Perra O, Sharp D (2010) Mothers’ antenatal depression and their children’s antisocial outcomes. Child Dev 81(1):149–165PubMedCrossRef Hay DF, Pawlby S, Waters CS, Perra O, Sharp D (2010) Mothers’ antenatal depression and their children’s antisocial outcomes. Child Dev 81(1):149–165PubMedCrossRef
16.
go back to reference Huizink AC, Robles de Medina PG, Mulder EJ, Visser GH, Buitelaar JK (2003) Stress during pregnancy is associated with developmental outcome in infancy. J Child Psychol Psychiatry 44(6):810–818PubMedCrossRef Huizink AC, Robles de Medina PG, Mulder EJ, Visser GH, Buitelaar JK (2003) Stress during pregnancy is associated with developmental outcome in infancy. J Child Psychol Psychiatry 44(6):810–818PubMedCrossRef
17.
go back to reference DiPietro JA, Novak MF, Costigan KA, Atella LD, Reusing SP (2006) Maternal psychological distress during pregnancy in relation to child development at age two. Child Dev 77(3):573–587PubMedCrossRef DiPietro JA, Novak MF, Costigan KA, Atella LD, Reusing SP (2006) Maternal psychological distress during pregnancy in relation to child development at age two. Child Dev 77(3):573–587PubMedCrossRef
18.
go back to reference Chatzi L, Plana E, Daraki V, Karakosta P, Alegkakis D, Tsatsanis C, Kafatos A, Koutis A, Kogevinas M (2009) Metabolic syndrome in early pregnancy and risk of preterm birth. Am J Epidemiol 170(7):829–836PubMedCrossRef Chatzi L, Plana E, Daraki V, Karakosta P, Alegkakis D, Tsatsanis C, Kafatos A, Koutis A, Kogevinas M (2009) Metabolic syndrome in early pregnancy and risk of preterm birth. Am J Epidemiol 170(7):829–836PubMedCrossRef
19.
go back to reference Koutra K, Chatzi L, Roumeliotaki T, Vassilaki M, Giannakopoulou E, Batsos C, Koutis A, Kogevinas M (2012) Socio-demographic determinants of infant neurodevelopment at 18 months of age: mother-child cohort (Rhea Study) in Crete. Greece. Infant Behav Dev 35(1):48–59CrossRef Koutra K, Chatzi L, Roumeliotaki T, Vassilaki M, Giannakopoulou E, Batsos C, Koutis A, Kogevinas M (2012) Socio-demographic determinants of infant neurodevelopment at 18 months of age: mother-child cohort (Rhea Study) in Crete. Greece. Infant Behav Dev 35(1):48–59CrossRef
20.
go back to reference Spielberger C, Gorsuch R, Lushene R, Vagg P, Jacobs G (1970) Manual for the state: trait anxiety inventory. Consulting Psychologists Press, Palo Alto Spielberger C, Gorsuch R, Lushene R, Vagg P, Jacobs G (1970) Manual for the state: trait anxiety inventory. Consulting Psychologists Press, Palo Alto
21.
go back to reference Liakos A, Yannitsi S (1984) Reliability and validity of the modified Greek version of the Spielberger state: Trait Anxiety Inventory. Encephalos 21:71–76 Liakos A, Yannitsi S (1984) Reliability and validity of the modified Greek version of the Spielberger state: Trait Anxiety Inventory. Encephalos 21:71–76
22.
go back to reference Cox JL, Holden JM, Sagovsky R (1987) Detection of postnatal depression: development of the 10-item edinburgh postnatal depression scale. Br J Psychiatry 150:782–786PubMedCrossRef Cox JL, Holden JM, Sagovsky R (1987) Detection of postnatal depression: development of the 10-item edinburgh postnatal depression scale. Br J Psychiatry 150:782–786PubMedCrossRef
23.
go back to reference Murray L, Carothers AD (1990) The validation of the EPDS on a community sample. Br J Psychiatry 157:288–290PubMedCrossRef Murray L, Carothers AD (1990) The validation of the EPDS on a community sample. Br J Psychiatry 157:288–290PubMedCrossRef
24.
go back to reference Leonardou AA, Zervas YM, Papageorgiou CC, Marks MN, Tsartsara EC, Antsaklis A, Christodoulou GN, Soldatos CR (2009) Validation of the Edinburgh postnatal depression scale and prevalence of postnatal depression at 2 months postpartum in a sample of Greek mothers. J Reprod Infant Psyc 27(1):28–39CrossRef Leonardou AA, Zervas YM, Papageorgiou CC, Marks MN, Tsartsara EC, Antsaklis A, Christodoulou GN, Soldatos CR (2009) Validation of the Edinburgh postnatal depression scale and prevalence of postnatal depression at 2 months postpartum in a sample of Greek mothers. J Reprod Infant Psyc 27(1):28–39CrossRef
25.
go back to reference Vivilaki VG, Dafermos V, Kogevinas M, Bitsios P, Lionis C (2009) The Edinburgh postnatal depression scale: translation and validation for a greek sample. BMC Public Health 9:329PubMedCrossRef Vivilaki VG, Dafermos V, Kogevinas M, Bitsios P, Lionis C (2009) The Edinburgh postnatal depression scale: translation and validation for a greek sample. BMC Public Health 9:329PubMedCrossRef
26.
go back to reference Chatzi L, Melaki V, Sarri K, Apostolaki I, Roumeliotaki T, Georgiou V, Vassilaki M, Koutis A, Bitsios P, Kogevinas M (2011) Dietary patterns during pregnancy and the risk of postpartum depression: the mother-child ‘Rhea’ cohort in Crete, Greece. Public Health Nutr 14(9):1663–1670PubMedCrossRef Chatzi L, Melaki V, Sarri K, Apostolaki I, Roumeliotaki T, Georgiou V, Vassilaki M, Koutis A, Bitsios P, Kogevinas M (2011) Dietary patterns during pregnancy and the risk of postpartum depression: the mother-child ‘Rhea’ cohort in Crete, Greece. Public Health Nutr 14(9):1663–1670PubMedCrossRef
27.
go back to reference Eysenck HJ, Eysenck SBG (1991) Manual of the Eysenck personality scales. Hodder & Stoughton, London Eysenck HJ, Eysenck SBG (1991) Manual of the Eysenck personality scales. Hodder & Stoughton, London
28.
go back to reference Bayley N (2006) Bayley scales of infant and toddler development, 3rd edn. PsychCorp Harcourt Assessment Inc, San Antonio Bayley N (2006) Bayley scales of infant and toddler development, 3rd edn. PsychCorp Harcourt Assessment Inc, San Antonio
29.
go back to reference Royston P, Wright E (1998) A method for estimating age-specific reference intervals (‘normal ranges’) based on fractional polynomials and exponential transformation. J R Stat Soc Series A Stat Soc 161(1):79–101CrossRef Royston P, Wright E (1998) A method for estimating age-specific reference intervals (‘normal ranges’) based on fractional polynomials and exponential transformation. J R Stat Soc Series A Stat Soc 161(1):79–101CrossRef
30.
go back to reference Papaioannou A, Patelarou E, Chatzi L, Koutis A, Kafatos A, Kogevinas M (2008) Use of healthcare services and risk factors among pregnant women in Crete. Int J Gynaecol Obstet 103(3):253–255PubMedCrossRef Papaioannou A, Patelarou E, Chatzi L, Koutis A, Kafatos A, Kogevinas M (2008) Use of healthcare services and risk factors among pregnant women in Crete. Int J Gynaecol Obstet 103(3):253–255PubMedCrossRef
31.
go back to reference Dinas K, Mavromatidis G, Dovas D, Giannoulis C, Tantanasis T, Loufopoulos A, Tzafettas J (2008) Current caesarean delivery rates and indications in a major public hospital in northern Greece. Aust N Z J Obstet Gynaecol 48(2):142–146PubMedCrossRef Dinas K, Mavromatidis G, Dovas D, Giannoulis C, Tantanasis T, Loufopoulos A, Tzafettas J (2008) Current caesarean delivery rates and indications in a major public hospital in northern Greece. Aust N Z J Obstet Gynaecol 48(2):142–146PubMedCrossRef
32.
go back to reference Sutter-Dallay AL, Murray L, Dequae-Merchadou L, Glatigny-Dallay E, Bourgeois ML, Verdoux H (2011) A prospective longitudinal study of the impact of early postnatal versus chronic maternal depressive symptoms on child development. Eur Psychiatry 26(8):484–489PubMedCrossRef Sutter-Dallay AL, Murray L, Dequae-Merchadou L, Glatigny-Dallay E, Bourgeois ML, Verdoux H (2011) A prospective longitudinal study of the impact of early postnatal versus chronic maternal depressive symptoms on child development. Eur Psychiatry 26(8):484–489PubMedCrossRef
33.
go back to reference Rich-Edwards JW, Mohllajee AP, Kleinman K, Hacker MR, Majzoub J, Wright RJ, Gillman MW (2008) Elevated midpregnancy corticotropin-releasing hormone is associated with prenatal, but not postpartum, maternal depression. J Clin Endocrinol Metab 93(5):1946–1951PubMedCrossRef Rich-Edwards JW, Mohllajee AP, Kleinman K, Hacker MR, Majzoub J, Wright RJ, Gillman MW (2008) Elevated midpregnancy corticotropin-releasing hormone is associated with prenatal, but not postpartum, maternal depression. J Clin Endocrinol Metab 93(5):1946–1951PubMedCrossRef
34.
go back to reference Mulder EJ, Robles de Medina PG, Huizink AC, Van den Bergh BR, Buitelaar JK, Visser GH (2002) Prenatal maternal stress: effects on pregnancy and the (unborn) child. Early Hum Dev 70(1–2):3–14PubMedCrossRef Mulder EJ, Robles de Medina PG, Huizink AC, Van den Bergh BR, Buitelaar JK, Visser GH (2002) Prenatal maternal stress: effects on pregnancy and the (unborn) child. Early Hum Dev 70(1–2):3–14PubMedCrossRef
35.
go back to reference Ronsaville DS, Municchi G, Laney C, Cizza G, Meyer SE, Haim A, Radke-Yarrow M, Chrousos G, Gold PW, Martinez PE (2006) Maternal and environmental factors influence the hypothalamic-pituitary-adrenal axis response to corticotropin-releasing hormone infusion in offspring of mothers with or without mood disorders. Dev Psychopathol 18(1):173–194PubMedCrossRef Ronsaville DS, Municchi G, Laney C, Cizza G, Meyer SE, Haim A, Radke-Yarrow M, Chrousos G, Gold PW, Martinez PE (2006) Maternal and environmental factors influence the hypothalamic-pituitary-adrenal axis response to corticotropin-releasing hormone infusion in offspring of mothers with or without mood disorders. Dev Psychopathol 18(1):173–194PubMedCrossRef
36.
go back to reference Pajulo M, Savonlahti E, Sourander A, Helenius H, Piha J (2001) Antenatal depression, substance dependency and social support. J Affect Disord 65(1):9–17PubMedCrossRef Pajulo M, Savonlahti E, Sourander A, Helenius H, Piha J (2001) Antenatal depression, substance dependency and social support. J Affect Disord 65(1):9–17PubMedCrossRef
37.
38.
go back to reference Conroy S, Marks MN, Schacht R, Davies HA, Moran P (2010) The impact of maternal depression and personality disorder on early infant care. Soc Psychiatry Psychiatr Epidemiol 45(3):285–292PubMedCrossRef Conroy S, Marks MN, Schacht R, Davies HA, Moran P (2010) The impact of maternal depression and personality disorder on early infant care. Soc Psychiatry Psychiatr Epidemiol 45(3):285–292PubMedCrossRef
39.
go back to reference Kurstjens S, Wolke D (2001) Effects of maternal depression on cognitive development of children over the first 7 years of life. J Child Psychol Psychiatry 42(5):623–636PubMedCrossRef Kurstjens S, Wolke D (2001) Effects of maternal depression on cognitive development of children over the first 7 years of life. J Child Psychol Psychiatry 42(5):623–636PubMedCrossRef
40.
go back to reference Mensah FK, Kiernan KE (2010) Parents’ mental health and children’s cognitive and social development: families in England in the Millennium Cohort Study. Soc Psychiatry Psychiatr Epidemiol 45(11):1023–1035PubMedCrossRef Mensah FK, Kiernan KE (2010) Parents’ mental health and children’s cognitive and social development: families in England in the Millennium Cohort Study. Soc Psychiatry Psychiatr Epidemiol 45(11):1023–1035PubMedCrossRef
41.
go back to reference Austin MP, Hadzi-Pavlovic D, Leader L, Saint K, Parker G (2005) Maternal trait anxiety, depression and life event stress in pregnancy: relationships with infant temperament. Early Hum Dev 81(2):183–190PubMedCrossRef Austin MP, Hadzi-Pavlovic D, Leader L, Saint K, Parker G (2005) Maternal trait anxiety, depression and life event stress in pregnancy: relationships with infant temperament. Early Hum Dev 81(2):183–190PubMedCrossRef
42.
go back to reference Gutteling BM, de Weerth C, Willemsen-Swinkels SH, Huizink AC, Mulder EJ, Visser GH, Buitelaar JK (2005) The effects of prenatal stress on temperament and problem behavior of 27-month-old toddlers. Eur Child Adolesc Psychiatry 14(1):41–51PubMedCrossRef Gutteling BM, de Weerth C, Willemsen-Swinkels SH, Huizink AC, Mulder EJ, Visser GH, Buitelaar JK (2005) The effects of prenatal stress on temperament and problem behavior of 27-month-old toddlers. Eur Child Adolesc Psychiatry 14(1):41–51PubMedCrossRef
43.
go back to reference Laible D (2006) Maternal emotional expressiveness and attachment security: links to representations of relationships and social behavior. Merrill-Palmer Q 52:645–670CrossRef Laible D (2006) Maternal emotional expressiveness and attachment security: links to representations of relationships and social behavior. Merrill-Palmer Q 52:645–670CrossRef
44.
go back to reference Costa PT, McCrae RR (1980) Influence of extraversion and neuroticism on subjective well-being: happy and unhappy people. J Pers Soc Psychol 38(4):668–678PubMedCrossRef Costa PT, McCrae RR (1980) Influence of extraversion and neuroticism on subjective well-being: happy and unhappy people. J Pers Soc Psychol 38(4):668–678PubMedCrossRef
45.
go back to reference Goldberg D (2001) Vulnerability factors for common mental illnesses. Brit J Psychiat 178:S69–S71CrossRef Goldberg D (2001) Vulnerability factors for common mental illnesses. Brit J Psychiat 178:S69–S71CrossRef
46.
go back to reference Jacobs N, van Os J, Derom C, Thiery E, Delespaul P, Wichers M (2011) Neuroticism explained? From a non-informative vulnerability marker to informative person-context interactions in the realm of daily life. Br J Clin Psychol 50(1):19–32PubMedCrossRef Jacobs N, van Os J, Derom C, Thiery E, Delespaul P, Wichers M (2011) Neuroticism explained? From a non-informative vulnerability marker to informative person-context interactions in the realm of daily life. Br J Clin Psychol 50(1):19–32PubMedCrossRef
47.
go back to reference Chatzi L, Koutra K, Vassilaki M, Vardiampasis A, Georgiou V, Koutis A, Lionis C, Bitsios P, Kogevinas M (2012) Maternal personality traits and risk of preterm birth and fetal growth restriction. Eur Psychiatry. doi:10.1016/j.eurpsy.2011.11.006 Chatzi L, Koutra K, Vassilaki M, Vardiampasis A, Georgiou V, Koutis A, Lionis C, Bitsios P, Kogevinas M (2012) Maternal personality traits and risk of preterm birth and fetal growth restriction. Eur Psychiatry. doi:10.​1016/​j.​eurpsy.​2011.​11.​006
48.
go back to reference Caspi A, Roberts BW, Shiner RL (2005) Personality development: stability and change. Annu Rev Psychol 56:453–484PubMedCrossRef Caspi A, Roberts BW, Shiner RL (2005) Personality development: stability and change. Annu Rev Psychol 56:453–484PubMedCrossRef
49.
go back to reference Pluess M, Bolten M, Pirke KM, Hellhammer D (2010) Maternal trait anxiety, emotional distress, and salivary cortisol in pregnancy. Biol Psychol 83(3):169–175PubMedCrossRef Pluess M, Bolten M, Pirke KM, Hellhammer D (2010) Maternal trait anxiety, emotional distress, and salivary cortisol in pregnancy. Biol Psychol 83(3):169–175PubMedCrossRef
50.
go back to reference Guxens M, Mendez MA, Molto-Puigmarti C, Julvez J, Garcia-Esteban R, Forns J, Ferrer M, Vrijheid M, Lopez-Sabater MC, Sunyer J (2011) Breastfeeding, long-chain polyunsaturated fatty acids in colostrum, and infant mental development. Pediatrics 128(4):880–889CrossRef Guxens M, Mendez MA, Molto-Puigmarti C, Julvez J, Garcia-Esteban R, Forns J, Ferrer M, Vrijheid M, Lopez-Sabater MC, Sunyer J (2011) Breastfeeding, long-chain polyunsaturated fatty acids in colostrum, and infant mental development. Pediatrics 128(4):880–889CrossRef
51.
go back to reference Thompson WM, Harris B, Lazarus J, Richards C (1998) A comparison of the performance of rating scales used in the diagnosis of postnatal depression. Acta Psychiatr Scand 98(3):224–227PubMedCrossRef Thompson WM, Harris B, Lazarus J, Richards C (1998) A comparison of the performance of rating scales used in the diagnosis of postnatal depression. Acta Psychiatr Scand 98(3):224–227PubMedCrossRef
Metadata
Title
Antenatal and postnatal maternal mental health as determinants of infant neurodevelopment at 18 months of age in a mother–child cohort (Rhea Study) in Crete, Greece
Authors
Katerina Koutra
Leda Chatzi
Manolis Bagkeris
Maria Vassilaki
Panos Bitsios
Manolis Kogevinas
Publication date
01-08-2013
Publisher
Springer Berlin Heidelberg
Published in
Social Psychiatry and Psychiatric Epidemiology / Issue 8/2013
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-012-0636-0

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