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A systematic review of the effects of postnatal maternal anxiety on children

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Abstract

Several decades of research have focused on the impact of exposure to postnatal depression on children, while anxiety has been largely overlooked. Estimates of the prevalence of postnatal maternal anxiety (PMA) range from 3% to 43%, suggesting PMA may be an important risk factor for adverse outcomes in children. This review summarizes what is known about the effects of PMA exposure on children and makes recommendations for future research. A systematic search of Ovid MEDLINE® and PsychINFO® through 2008 identified 18 studies that evaluated child outcomes associated with PMA exposure. Identified studies covered three domains: somatic, developmental, and psychological outcomes. The strongest evidence for an adverse effect of PMA exposure is in somatic and psychological outcomes; the evidence for an effect of PMA on child development is inconclusive. Methodological differences among the studies make comparisons difficult and there are a number of common limitations that challenge the validity of these studies.

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References

  • Achenbach TM (1991a) Manual for the Child Behavior Checklist 4–18 and 1991 profile. University of Vermont, Department of Psychiatry, Burlington

    Google Scholar 

  • Achenbach TM (1991b) Manual for the Teacher’s Report Form and 1991 profile. University of Vermont, Department of Psychiatry, Burlington

    Google Scholar 

  • Akman I, Kuscu K, Ozdemir N, Yurdakul Z, Solakoglu M, Orhan L et al (2006) Mothers’ postpartum psychological adjustment and infantile colic. Arch Dis Child 91(5):417–419

    Article  CAS  PubMed  Google Scholar 

  • Andrews G, Sanderson K, Slade T, Issakidis C (2000) Why does the burden of disease persist? Relating the burden of anxiety and depression to effectiveness of treatment. Bull World Health Organ 78(4):446–454

    CAS  PubMed  Google Scholar 

  • Ayers S (2001) Assessing psychopathology in pregnancy and postpartum. J Psychosom Obstet Gynaecol 22(2):91–102

    Article  CAS  PubMed  Google Scholar 

  • Barnes LB, Harp D, Jung WS (2002) Reliability generalization of scores on the Spielberger State–Trait Anxiety Inventory. Educ Psychol Measur 62(4):603–618

    Article  Google Scholar 

  • Barnett B, Parker G (1986) Possible determinants, correlates and consequences of high levels of anxiety in primiparous mothers. Psychol Med 16(1):177–185

    Article  CAS  PubMed  Google Scholar 

  • Barnett B, Schaafsma MF, Guzman AM, Parker GB (1991) Maternal anxiety: a 5-year review of an intervention study. J Child Psychol Psychiatry 32(3):423–438

    Article  CAS  PubMed  Google Scholar 

  • Bates JE, Freeland CA, Lounsbury ML (1979) Measurement of infant difficultness. Child Dev 50(3):794–803

    Article  CAS  PubMed  Google Scholar 

  • Birtchnell J, Evans C, Kennard J (1988) The total score of the Crown-Crisp Experiential Index: a useful and valid measure of psychoneurotic pathology. Br J Med Psychol 61(Pt 3):255–266

    PubMed  Google Scholar 

  • Brouwers EP, van Baar AL, Pop VJ (2001) Does the Edinburgh Postnatal Depression Scale measure anxiety? J Psychosom Res 51(5):659–663

    Article  CAS  PubMed  Google Scholar 

  • Carey WB (1963) Maternal anxiety and infantile colic. Is there a relationship? Clin Pediatr 7(10):590–595

    Article  Google Scholar 

  • Carey WB, McDevitt SC (1978) Revision of the Infant Temperament Questionnaire. Pediatrics 61(5):735–739

    CAS  PubMed  Google Scholar 

  • Cohen S, Kamarck T, Mermelstein R (1983) A global measure of perceived stress. J Health Soc Behav 24(4):385–396

    Article  CAS  PubMed  Google Scholar 

  • Coplan R, O’Neil K, Arbeau KA (2005) Maternal anxiety during and after pregnancy and infant temperament at three months of age. J Prenat Perinat Psychol Health 19(3):199–215

    Google Scholar 

  • Coulthard H, Harris G (2003) Early food refusal: the role of maternal mood. J Reprod Infant Psychol 21(4):335–345

    Article  Google Scholar 

  • Cox JL, Holden JM, Sagovsky R (1987) Detection of postnatal depression. Development of the 10-item Edinburgh Postnatal Depression Scale. Br J Psychiatry 150:782–786

    Article  CAS  PubMed  Google Scholar 

  • Davis E, Snidman N, Wadhwa P, Glynn L, Schetter C, Sandman C (2004) Prenatal maternal anxiety and depression predict negative behavioral reactivity in infancy. Infancy 6(3):319–331

    Article  Google Scholar 

  • Dawson G, Ashman SB, Carver LJ (2000) The role of early experience in shaping behavioral and brain development and its implications for social policy. Dev Psychopathol 12(4):695–712

    Article  CAS  PubMed  Google Scholar 

  • de Weerth C, Buitelaar JK (2005) Physiological stress reactivity in human pregnancy—a review. Neurosci Biobehav Rev 29(2):295–312

    Article  PubMed  Google Scholar 

  • Diener M, Goldstein L, Mangelsdorf S (1995) The role of prenatal expectations in parent’s reports of infant temperament. Merill-Palmer Quarterly 41(2):172–190

    Google Scholar 

  • Frankenburg WK, Fandal AW, Thornton SM (1987) Revision of Denver Prescreening Developmental Questionnaire. J Pediatr 110:653–657

    Article  CAS  PubMed  Google Scholar 

  • Galler JR, Harrison RH, Ramsey F, Forde V, Butler SC (2000) Maternal depressive symptoms affect infant cognitive development in Barbados. J Child Psychol Psychiatry 41(6):747–757

    Article  CAS  PubMed  Google Scholar 

  • Galler JR, Harrison RH, Ramsey F, Butler S, Forde V (2004a) Postpartum maternal mood, feeding practices, and infant temperament in Barbados. Infant Behav Dev 27(3):267–287

    Article  Google Scholar 

  • Galler JR, Ramsey FC, Harrison RH, Taylor J, Cumberbatch G, Forde V (2004b) Postpartum maternal moods and infant size predict performance on a national high school entrance examination. J Child Psychol Psychiatry 45(6):1064–1075

    Article  PubMed  Google Scholar 

  • Goodman R, Scott S (1999) Comparing the Strengths and Difficulties Questionnaire and the Child Behavior Checklist: is small beautiful? J Abnorm Child Psychol 27(1):17–24

    Article  CAS  PubMed  Google Scholar 

  • Griffiths R (1954) The abilities of babies. University of London Press, London

    Google Scholar 

  • Heron J, O’Connor TG, Evans J, Golding J, Glover V (2004) The course of anxiety and depression through pregnancy and the postpartum in a community sample. J Affect Disord 80(1):65–73

    Article  PubMed  Google Scholar 

  • Kabir K, Sheeder J, Kelly LS (2008) Identifying postpartum depression: are 3 questions as good as 10? Pediatrics 122(3):e696–e702

    Article  PubMed  Google Scholar 

  • Kagan J, Snidman N (1991) Temperamental factors in human development. Am Psychol 46(8):856–862

    Article  CAS  PubMed  Google Scholar 

  • Kuo WH, Wilson TE, Holman S, Fuentes-Afflick E, O’Sullivan MJ, Minkoff H (2004) Depressive symptoms in the immediate postpartum period among Hispanic women in three U.S. cities. J Immigr Health 6(4):145–153

    Article  PubMed  Google Scholar 

  • Masi G, Millepiedi S, Mucci M, Poli P, Bertini N, Milantoni L (2004) Generalized anxiety disorder in referred children and adolescents. J Am Acad Child Adolesc Psychiatry 43(6):752–760

    Article  PubMed  Google Scholar 

  • Matthey S, Barnett B, Howie P, Kavanagh DJ (2003) Diagnosing postpartum depression in mothers and fathers: whatever happened to anxiety? J Affect Disord 74(2):139–147

    Article  PubMed  Google Scholar 

  • McMahon C, Barnett B, Kowalenko N, Tennant C, Don N (2001) Postnatal depression, anxiety and unsettled infant behaviour. Aust NZ J Psychiatry 35(5):581–588

    Article  CAS  Google Scholar 

  • Morissette SB, Tull MT, Gulliver SB, Kamholz BW, Zimering RT (2007) Anxiety, anxiety disorders, tobacco use, and nicotine: a critical review of interrelationships. Psychol Bull 133(2):245–272

    Article  PubMed  Google Scholar 

  • Muthén B (2004) Latent variable analysis: growth mixture modeling and related techniques for longitudinal data. In: Kaplan D (ed) Handbook of quantitative methodology for the social sciences. Sage, Newbury Park, pp 345–368

    Google Scholar 

  • Nagin DS (1999) Analyzing developmental trajectories: a semiparametric, group-based approach. Psychol Methods 4(2):139–157

    Article  Google Scholar 

  • Nicol-Harper R, Harvey AG, Stein A (2007) Interactions between mothers and infants: impact of maternal anxiety. Infant Behav Dev 30(1):161–167

    Article  PubMed  Google Scholar 

  • Oberklaid F, Sanson AV, Prior M (1986) The development of Australian normative data for infant temperament. Aust Paediatr J 22(3):185–187

    CAS  PubMed  Google Scholar 

  • 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 180:502–508

    Article  PubMed  Google Scholar 

  • O’Connor TG, Heron J, Golding J, Glover V (2003) Maternal antenatal anxiety and behavioural/emotional problems in children: a test of a programming hypothesis. J Child Psychol Psychiatry 44(7):1025–1036

    Article  PubMed  Google Scholar 

  • Pesonen A, Raikkonen K, Strandberg T, Jarvenpaa A (2005) Continuity of maternal stress from the pre- to postnatal period: association with infant’s positive, negative, and overall temperamental reactivity. Infant Behav Dev 28:36–47

    Article  Google Scholar 

  • Ramchandani PG, Stein A, Hotopf M, Wiles NJ (2006) Early parental and child predictors of recurrent abdominal pain at school age: results of a large population-based study. J Am Acad Child Adolesc Psychiatry 45(6):729–736

    Article  PubMed  Google Scholar 

  • Rothbart M (1981) Measurement of temperament in infancy. Child Dev 52:569–578

    Article  Google Scholar 

  • Rothbart MK, Ahadi SA, Hershey KL, Fisher P (2001) Investigations of temperament at three to seven years: the Children’s Behavior Questionnaire. Child Dev 72(5):1394–1408

    Article  CAS  PubMed  Google Scholar 

  • Seckl JR, Holmes MC (2007) Mechanisms of disease: glucocorticoids, their placental metabolism and fetal ‘programming’ of adult pathophysiology. Nat Clin Pract Endocrinol Metab 3(6):479–488

    Article  CAS  PubMed  Google Scholar 

  • Slykerman RF, Thompson JM, Clark PM, Becroft DM, Robinson E, Pryor JE et al (2007) Determinants of developmental delay in infants aged 12 months. Paediatr Perinat Epidemiol 21(2):121–128

    Article  PubMed  Google Scholar 

  • Speilberger CD (1977) State–Trait Anxiety Inventory: self-evaluation questionnaire. Consulting Psychologists, Palo Alto

    Google Scholar 

  • Spielberger C, Gorsuch R, Lushene R, Vagg P, Jacobs G (1983) Manual for the State–Trait Anxiety Inventory: STAI. Mindgarden, San Diego

    Google Scholar 

  • Susman EJ, Schmeelk KH, Ponirakis A, Gariepy JL (2001) Maternal prenatal, postpartum, and concurrent stressors and temperament in 3-year-olds: a person and variable analysis. Dev Psychopathol 13(3):629–652

    Article  CAS  PubMed  Google Scholar 

  • Watson D, O’Hara MW, Simms LJ, Kotov R, Chmielewski M, McDade-Montez EA et al (2007) Development and validation of the Inventory of Depression and Anxiety Symptoms (IDAS). Psychol Assess 19(3):253–268

    Article  PubMed  Google Scholar 

  • Wenzel A, Haugen EN, Jackson LC, Robinson K (2003) Prevalence of generalized anxiety at eight weeks postpartum. Arch Womens Ment Health 6(1):43–49

    Article  CAS  PubMed  Google Scholar 

  • Zung WW (1971) A rating instrument for anxiety disorders. Psychosomatics 12(6):371–379

    CAS  PubMed  Google Scholar 

Download references

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Authors and Affiliations

  1. University of Pittsburgh, Pittsburgh, PA, USA

    Cristie Glasheen, Gale A. Richardson & Anthony Fabio

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  1. Cristie Glasheen
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  2. Gale A. Richardson
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  3. Anthony Fabio
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Correspondence to Cristie Glasheen.

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Glasheen, C., Richardson, G.A. & Fabio, A. A systematic review of the effects of postnatal maternal anxiety on children. Arch Womens Ment Health 13, 61–74 (2010). https://doi.org/10.1007/s00737-009-0109-y

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  • DOI: https://doi.org/10.1007/s00737-009-0109-y

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