Mechanisms underlying the effects of prenatal psychosocial stress on child outcomes: beyond the HPA axis
Accumulating evidence from preclinical and clinical studies indicates that maternal psychosocial stress and anxiety during pregnancy adversely affect child outcomes. However, knowledge on the possible mechanisms underlying these relations is limited. In the present paper, we review the most often pr...
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| Published in | European child & adolescent psychiatry Vol. 23; no. 10; pp. 943 - 956 |
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| Main Authors | , , |
| Format | Journal Article |
| Language | English |
| Published |
Berlin/Heidelberg
Springer Berlin Heidelberg
01.10.2014
Springer Nature B.V |
| Subjects | |
| Online Access | Get full text |
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| Abstract | Accumulating evidence from preclinical and clinical studies indicates that maternal psychosocial stress and anxiety during pregnancy adversely affect child outcomes. However, knowledge on the possible mechanisms underlying these relations is limited. In the present paper, we review the most often proposed mechanism, namely that involving the HPA axis and cortisol, as well as other less well-studied but possibly relevant and complementary mechanisms. We present evidence for a role of the following mechanisms: compromised placental functioning, including the 11β-HSD2 enzyme, increased catecholamines, compromised maternal immune system and intestinal microbiota, and altered health behaviors including eating, sleep, and exercise. The roles of (epi)genetics, the postnatal environment and the fetus are also discussed. We conclude that maternal prenatal psychosocial stress is a complex phenomenon that affects maternal emotions, behavior and physiology in many ways, and may influence the physiology and functioning of the fetus through a network of different pathways. The review concludes with recommendations for future research that helps our understanding of the mechanisms by which maternal prenatal stress exerts its effect on the fetus. |
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| AbstractList | Issue Title: Prenatal risk factors and postnatal central nervous system function Accumulating evidence from preclinical and clinical studies indicates that maternal psychosocial stress and anxiety during pregnancy adversely affect child outcomes. However, knowledge on the possible mechanisms underlying these relations is limited. In the present paper, we review the most often proposed mechanism, namely that involving the HPA axis and cortisol, as well as other less well-studied but possibly relevant and complementary mechanisms. We present evidence for a role of the following mechanisms: compromised placental functioning, including the 11[beta]-HSD2 enzyme, increased catecholamines, compromised maternal immune system and intestinal microbiota, and altered health behaviors including eating, sleep, and exercise. The roles of (epi)genetics, the postnatal environment and the fetus are also discussed. We conclude that maternal prenatal psychosocial stress is a complex phenomenon that affects maternal emotions, behavior and physiology in many ways, and may influence the physiology and functioning of the fetus through a network of different pathways. The review concludes with recommendations for future research that helps our understanding of the mechanisms by which maternal prenatal stress exerts its effect on the fetus.[PUBLICATION ABSTRACT] Accumulating evidence from preclinical and clinical studies indicates that maternal psychosocial stress and anxiety during pregnancy adversely affect child outcomes. However, knowledge on the possible mechanisms underlying these relations is limited. In the present paper, we review the most often proposed mechanism, namely that involving the HPA axis and cortisol, as well as other less well-studied but possibly relevant and complementary mechanisms. We present evidence for a role of the following mechanisms: compromised placental functioning, including the 11β-HSD2 enzyme, increased catecholamines, compromised maternal immune system and intestinal microbiota, and altered health behaviors including eating, sleep, and exercise. The roles of (epi)genetics, the postnatal environment and the fetus are also discussed. We conclude that maternal prenatal psychosocial stress is a complex phenomenon that affects maternal emotions, behavior and physiology in many ways, and may influence the physiology and functioning of the fetus through a network of different pathways. The review concludes with recommendations for future research that helps our understanding of the mechanisms by which maternal prenatal stress exerts its effect on the fetus. |
| Author | de Weerth, Carolina Buitelaar, Jan K. Beijers, Roseriet |
| Author_xml | – sequence: 1 givenname: Roseriet surname: Beijers fullname: Beijers, Roseriet organization: Department of Developmental Psychology, Behavioral Science Institute, Radboud University Nijmegen – sequence: 2 givenname: Jan K. surname: Buitelaar fullname: Buitelaar, Jan K. email: jan.buitelaar@radboudumc.nl organization: Department of Cognitive Neuroscience, Radboud University Medical Centre, Donders Institute for Brain, Cognition and Behavior, Karakter Child and Adolescent Psychiatry University Centre – sequence: 3 givenname: Carolina surname: de Weerth fullname: de Weerth, Carolina organization: Department of Developmental Psychology, Behavioral Science Institute, Radboud University Nijmegen |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/24875898$$D View this record in MEDLINE/PubMed |
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| IngestDate | Fri Oct 25 01:41:46 EDT 2024 Thu Oct 10 16:59:22 EDT 2024 Thu Nov 21 23:43:57 EST 2024 Tue Oct 15 23:51:27 EDT 2024 Sat Dec 16 12:11:10 EST 2023 |
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| Issue | 10 |
| Keywords | Mechanisms Anxiety HPA axis Child outcomes Prenatal stress |
| Language | English |
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| PublicationDate | 2014-10-01 |
| PublicationDateYYYYMMDD | 2014-10-01 |
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| PublicationPlace | Berlin/Heidelberg |
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| PublicationTitle | European child & adolescent psychiatry |
| PublicationTitleAbbrev | Eur Child Adolesc Psychiatry |
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| PublicationYear | 2014 |
| Publisher | Springer Berlin Heidelberg Springer Nature B.V |
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| Title | Mechanisms underlying the effects of prenatal psychosocial stress on child outcomes: beyond the HPA axis |
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