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Published in: Current Psychiatry Reports 3/2016

01-03-2016 | Women’s Mental Health (CN Epperson, Section Editor)

Maternal Affective Illness in the Perinatal Period and Child Development: Findings on Developmental Timing, Mechanisms, and Intervention

Authors: Thomas G. O’Connor, Catherine Monk, Anne S. Burke

Published in: Current Psychiatry Reports | Issue 3/2016

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Abstract

Maternal mental illness is one of the most reliable risks for clinically significant child adjustment difficulties. The research literature in this area is very large and broad and dates back decades. In this review, we consider recent research findings on maternal mental illness and child development by focusing particularly on affective illness the perinatal period. We do this because maternal affective illness in the perinatal period is common; recent evidence suggests that pre- and postpartum maternal depression may have lasting effects on child behavioral and somatic health; research in the perinatal period raises acute and compelling questions about mechanisms of transmission and effect; and perinatal-focused interventions may offer distinct advantages for benefitting mother and child and gaining insights into developmental mechanisms. Throughout the review, we attend to the increasing integration of psychological and biological models and the trans-disciplinary approach now required for clinical investigation.
Literature
1.
go back to reference Goodman SH, Gotlib IH. Risk for psychopathology in the children of depressed mothers: a developmental model for understanding mechanisms of transmission. Psychol Rev. 1999;106(3):458–90.CrossRefPubMed Goodman SH, Gotlib IH. Risk for psychopathology in the children of depressed mothers: a developmental model for understanding mechanisms of transmission. Psychol Rev. 1999;106(3):458–90.CrossRefPubMed
2.
go back to reference Tronick EZ, Field T. Maternal depression and infant disturbance. San Francisco: Jossey-Bass; 1986. Tronick EZ, Field T. Maternal depression and infant disturbance. San Francisco: Jossey-Bass; 1986.
3.
go back to reference Cogill SR et al. Impact of maternal postnatal depression on cognitive development of young children. Br Med J (Clin Res Ed). 1986;292(6529):1165–7.CrossRef Cogill SR et al. Impact of maternal postnatal depression on cognitive development of young children. Br Med J (Clin Res Ed). 1986;292(6529):1165–7.CrossRef
4.
go back to reference Gluckman P, Hanson M. The fetal matrix: evolution, development, and disease. Cambridge: Cambridge University Press; 2005. Gluckman P, Hanson M. The fetal matrix: evolution, development, and disease. Cambridge: Cambridge University Press; 2005.
5.••
go back to reference Dantzer B et al. Density triggers maternal hormones that increase adaptive offspring growth in a wild mammal. Science. 2013;340(6137):1215–7. An impressive demonstration, in a naturalistic setting, of how prenatal stress alters maternal hormonal mileau with implications for reproduction. CrossRefPubMed Dantzer B et al. Density triggers maternal hormones that increase adaptive offspring growth in a wild mammal. Science. 2013;340(6137):1215–7. An impressive demonstration, in a naturalistic setting, of how prenatal stress alters maternal hormonal mileau with implications for reproduction. CrossRefPubMed
6.
go back to reference O'Hara MW, Swain A. Rates and risk of postpartum depression—a meta-analysis. Int Rev Psychiatry. 1996;8:37–54.CrossRef O'Hara MW, Swain A. Rates and risk of postpartum depression—a meta-analysis. Int Rev Psychiatry. 1996;8:37–54.CrossRef
7.
go back to reference Gavin NI et al. Perinatal depression: a systematic review of prevalence and incidence. Obstet Gynecol. 2005;106(5 Pt 1):1071–83.CrossRefPubMed Gavin NI et al. Perinatal depression: a systematic review of prevalence and incidence. Obstet Gynecol. 2005;106(5 Pt 1):1071–83.CrossRefPubMed
8.
go back to reference Robertson E et al. Antenatal risk factors for postpartum depression: a synthesis of recent literature. Gen Hosp Psychiatry. 2004;26(4):289–95.CrossRefPubMed Robertson E et al. Antenatal risk factors for postpartum depression: a synthesis of recent literature. Gen Hosp Psychiatry. 2004;26(4):289–95.CrossRefPubMed
9.
go back to reference Mehta D. et al. Early predictive biomarkers for postpartum depression point to a role for estrogen receptor signaling. Psychol Med. 2014:1–14. Mehta D. et al. Early predictive biomarkers for postpartum depression point to a role for estrogen receptor signaling. Psychol Med. 2014:1–14.
10.••
go back to reference Schiller CE, Meltzer-Brody S, Rubinow DR. The role of reproductive hormones in postpartum depression. CNS Spectr. 2015;20(1):48–59. A consideration of some of the classic findings on mechanisms of postpartum depression associated with estrogen and other leading candidates. PubMedCentralCrossRefPubMed Schiller CE, Meltzer-Brody S, Rubinow DR. The role of reproductive hormones in postpartum depression. CNS Spectr. 2015;20(1):48–59. A consideration of some of the classic findings on mechanisms of postpartum depression associated with estrogen and other leading candidates. PubMedCentralCrossRefPubMed
11.
go back to reference Molyneaux E et al. Obesity and mental disorders during pregnancy and postpartum: a systematic review and meta-analysis. Obstet Gynecol. 2014;123(4):857–67.PubMedCentralCrossRefPubMed Molyneaux E et al. Obesity and mental disorders during pregnancy and postpartum: a systematic review and meta-analysis. Obstet Gynecol. 2014;123(4):857–67.PubMedCentralCrossRefPubMed
12.
go back to reference Ovesen P, Rasmussen S, Kesmodel U. Effect of prepregnancy maternal overweight and obesity on pregnancy outcome. Obstet Gynecol. 2011;118(2 Pt 1):305–12.CrossRefPubMed Ovesen P, Rasmussen S, Kesmodel U. Effect of prepregnancy maternal overweight and obesity on pregnancy outcome. Obstet Gynecol. 2011;118(2 Pt 1):305–12.CrossRefPubMed
13.
go back to reference Sebire NJ et al. Maternal obesity and pregnancy outcome: a study of 287,213 pregnancies in London. Int J Obes Relat Metab Disord. 2001;25(8):1175–82.CrossRefPubMed Sebire NJ et al. Maternal obesity and pregnancy outcome: a study of 287,213 pregnancies in London. Int J Obes Relat Metab Disord. 2001;25(8):1175–82.CrossRefPubMed
14.
go back to reference Gademan MG et al. Maternal prepregnancy BMI and lipid profile during early pregnancy are independently associated with offspring’s body composition at age 5–6 years: the ABCD study. PLoS One. 2014;9(4):e94594.PubMedCentralCrossRefPubMed Gademan MG et al. Maternal prepregnancy BMI and lipid profile during early pregnancy are independently associated with offspring’s body composition at age 5–6 years: the ABCD study. PLoS One. 2014;9(4):e94594.PubMedCentralCrossRefPubMed
15.
16.•
go back to reference Murray L et al. Maternal postnatal depression and the development of depression in offspring up to 16 years of age. J Am Acad Child Adolesc Psychiatry. 2011;50(5):460–70. A longer-term extension of one of the leading studies of maternal postpartum depression and child development. CrossRefPubMed Murray L et al. Maternal postnatal depression and the development of depression in offspring up to 16 years of age. J Am Acad Child Adolesc Psychiatry. 2011;50(5):460–70. A longer-term extension of one of the leading studies of maternal postpartum depression and child development. CrossRefPubMed
17.
go back to reference Bagner DM et al. Effect of maternal depression on child behavior: a sensitive period? J Am Acad Child Adolesc Psychiatry. 2010;49(7):699–707.PubMedCentralPubMed Bagner DM et al. Effect of maternal depression on child behavior: a sensitive period? J Am Acad Child Adolesc Psychiatry. 2010;49(7):699–707.PubMedCentralPubMed
18.
go back to reference Naicker K, Wickham M, Colman I. Timing of first exposure to maternal depression and adolescent emotional disorder in a national Canadian cohort. PLoS One. 2012;7(3):e33422.PubMedCentralCrossRefPubMed Naicker K, Wickham M, Colman I. Timing of first exposure to maternal depression and adolescent emotional disorder in a national Canadian cohort. PLoS One. 2012;7(3):e33422.PubMedCentralCrossRefPubMed
19.
go back to reference Kurstjens S, Wolke D. Effects of maternal depression on cognitive development of children over the first 7 years of life. J Child Psychol Psychiatry. 2001;42(5):623–36.CrossRefPubMed Kurstjens S, Wolke D. Effects of maternal depression on cognitive development of children over the first 7 years of life. J Child Psychol Psychiatry. 2001;42(5):623–36.CrossRefPubMed
20.
go back to reference Copher DE, Huber CP. Heart rate response of the human fetus to induced maternal hypoxia. Am J Obstet Gynecol. 1967;98(3):320–35.PubMed Copher DE, Huber CP. Heart rate response of the human fetus to induced maternal hypoxia. Am J Obstet Gynecol. 1967;98(3):320–35.PubMed
22.
go back to reference DiPietro JA et al. Developmental of fetal movement—fetal heart rate coupling from 20 weeks through term. Early Hum Dev. 1996;44:139–51.CrossRefPubMed DiPietro JA et al. Developmental of fetal movement—fetal heart rate coupling from 20 weeks through term. Early Hum Dev. 1996;44:139–51.CrossRefPubMed
23.
go back to reference Conde A et al. Mother’s anxiety and depression and associated risk factors during early pregnancy: effects on fetal growth and activity at 20–22 weeks of gestation. J Psychosom Obstet Gynaecol. 2010;31(2):70–82.CrossRefPubMed Conde A et al. Mother’s anxiety and depression and associated risk factors during early pregnancy: effects on fetal growth and activity at 20–22 weeks of gestation. J Psychosom Obstet Gynaecol. 2010;31(2):70–82.CrossRefPubMed
24.
go back to reference Emory EK, Dieter JN. Maternal depression and psychotropic medication effects on the human fetus. Ann N Y Acad Sci. 2006;1094:287–91.CrossRefPubMed Emory EK, Dieter JN. Maternal depression and psychotropic medication effects on the human fetus. Ann N Y Acad Sci. 2006;1094:287–91.CrossRefPubMed
25.
go back to reference Monk C. et al. Effects of maternal breathing rate, psychiatric status, and cortisol on fetal heart rate. Dev Psychobiol. 2010:p. n-a-n/a. Monk C. et al. Effects of maternal breathing rate, psychiatric status, and cortisol on fetal heart rate. Dev Psychobiol. 2010:p. n-a-n/a.
26.
go back to reference DiPietro JA et al. Fetal heart rate and variability: stability and prediction to developmental outcomes in early childhood. Child Dev. 2007;78(6):1788–98.PubMedCentralCrossRefPubMed DiPietro JA et al. Fetal heart rate and variability: stability and prediction to developmental outcomes in early childhood. Child Dev. 2007;78(6):1788–98.PubMedCentralCrossRefPubMed
28.
29.
go back to reference Sandman CA et al. Corticotrophin-releasing hormone and fetal responses in human pregnancy. Ann N Y Acad Sci. 1999;897:66–75.CrossRefPubMed Sandman CA et al. Corticotrophin-releasing hormone and fetal responses in human pregnancy. Ann N Y Acad Sci. 1999;897:66–75.CrossRefPubMed
30.
go back to reference Monk C et al. The effects of women’s stress-elicited physiological activity and chronic anxiety on fetal heart rate. Dev Behav Pediatr. 2003;24(1):32–8.CrossRef Monk C et al. The effects of women’s stress-elicited physiological activity and chronic anxiety on fetal heart rate. Dev Behav Pediatr. 2003;24(1):32–8.CrossRef
31.•
go back to reference O'Donnell KJ et al. Maternal prenatal anxiety and downregulation of placental 11beta-HSD2. Psychoneuroendocrinology. 2012;37(6):818–26. Some of the only human evidence that maternal anxiety may alter specific placental mechanisms relevant for fetal programming. CrossRefPubMed O'Donnell KJ et al. Maternal prenatal anxiety and downregulation of placental 11beta-HSD2. Psychoneuroendocrinology. 2012;37(6):818–26. Some of the only human evidence that maternal anxiety may alter specific placental mechanisms relevant for fetal programming. CrossRefPubMed
32.
go back to reference Van den Bergh BR, Marcoen A. High antenatal maternal anxiety is related to ADHD symptoms, externalizing problems, and anxiety in 8- and 9-year-olds. Child Dev. 2004;75(4):1085–97.CrossRefPubMed Van den Bergh BR, Marcoen A. High antenatal maternal anxiety is related to ADHD symptoms, externalizing problems, and anxiety in 8- and 9-year-olds. Child Dev. 2004;75(4):1085–97.CrossRefPubMed
33.
go back to reference O'Donnell KJ et al. The persisting effect of maternal mood in pregnancy on childhood psychopathology. Dev Psychopathol. 2014;26(2):393–403.CrossRefPubMed O'Donnell KJ et al. The persisting effect of maternal mood in pregnancy on childhood psychopathology. Dev Psychopathol. 2014;26(2):393–403.CrossRefPubMed
34.
36.
go back to reference O'Donnell KJ et al. Maternal prenatal anxiety and child brain-derived neurotrophic factor (BDNF) genotype: effects on internalizing symptoms from 4 to 15 years of age. Dev Psychopathol. 2014;26(4 Pt 2):1255–66.CrossRefPubMed O'Donnell KJ et al. Maternal prenatal anxiety and child brain-derived neurotrophic factor (BDNF) genotype: effects on internalizing symptoms from 4 to 15 years of age. Dev Psychopathol. 2014;26(4 Pt 2):1255–66.CrossRefPubMed
37.
go back to reference Gustafson KM et al. Fetal cardiac autonomic control during breathing and non-breathing epochs: the effect of maternal exercise. Early Hum Dev. 2012;88(7):539–46.PubMedCentralCrossRefPubMed Gustafson KM et al. Fetal cardiac autonomic control during breathing and non-breathing epochs: the effect of maternal exercise. Early Hum Dev. 2012;88(7):539–46.PubMedCentralCrossRefPubMed
38.
go back to reference O'Connor TG, Monk C, Fitelson EM. Practitioner review: maternal mood in pregnancy and child development—implications for child psychology and psychiatry. J Child Psychol Psychiatry. 2014;55(2):99–111.PubMedCentralCrossRefPubMed O'Connor TG, Monk C, Fitelson EM. Practitioner review: maternal mood in pregnancy and child development—implications for child psychology and psychiatry. J Child Psychol Psychiatry. 2014;55(2):99–111.PubMedCentralCrossRefPubMed
39.
go back to reference Dennis CL, Creedy D. Psychosocial and psychological interventions for preventing postpartum depression. Cochrane Database Syst Rev. 2004;4:CD001134.PubMed Dennis CL, Creedy D. Psychosocial and psychological interventions for preventing postpartum depression. Cochrane Database Syst Rev. 2004;4:CD001134.PubMed
40.
go back to reference Dennis CL, Dowswell T. Psychosocial and psychological interventions for preventing postpartum depression. Cochrane Database Syst Rev. 2013;2:CD001134.PubMed Dennis CL, Dowswell T. Psychosocial and psychological interventions for preventing postpartum depression. Cochrane Database Syst Rev. 2013;2:CD001134.PubMed
41.
go back to reference Stuart S, Koleva H. Psychological treatments for perinatal depression. Best Pract Res Clin Obstet Gynaecol. 2014;28(1):61–70.CrossRefPubMed Stuart S, Koleva H. Psychological treatments for perinatal depression. Best Pract Res Clin Obstet Gynaecol. 2014;28(1):61–70.CrossRefPubMed
42.
go back to reference Forman DR. Effective treatment for postpartum depression is not sufficient to improve the developing mother-child relationship. Dev Psychopathol. 2007;19(2):585–602.CrossRefPubMed Forman DR. Effective treatment for postpartum depression is not sufficient to improve the developing mother-child relationship. Dev Psychopathol. 2007;19(2):585–602.CrossRefPubMed
43.
go back to reference Gunlicks ML, Weissman MM. Change in child psychopathology with improvement in parental depression: a systematic review. J Am Acad Child Adolesc Psychiatry. 2008;47(4):379–89.CrossRefPubMed Gunlicks ML, Weissman MM. Change in child psychopathology with improvement in parental depression: a systematic review. J Am Acad Child Adolesc Psychiatry. 2008;47(4):379–89.CrossRefPubMed
44.
go back to reference Bergman K et al. Maternal prenatal cortisol and infant cognitive development: moderation by infant-mother attachment. Biol Psychiatry. 2010;67(11):1026–32.PubMedCentralCrossRefPubMed Bergman K et al. Maternal prenatal cortisol and infant cognitive development: moderation by infant-mother attachment. Biol Psychiatry. 2010;67(11):1026–32.PubMedCentralCrossRefPubMed
Metadata
Title
Maternal Affective Illness in the Perinatal Period and Child Development: Findings on Developmental Timing, Mechanisms, and Intervention
Authors
Thomas G. O’Connor
Catherine Monk
Anne S. Burke
Publication date
01-03-2016
Publisher
Springer US
Published in
Current Psychiatry Reports / Issue 3/2016
Print ISSN: 1523-3812
Electronic ISSN: 1535-1645
DOI
https://doi.org/10.1007/s11920-016-0660-y

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