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Prenatal Distress and Neurobehavior in Infancy and Early Childhood: Testing Putative Biological Mechanisms

Wed, April 7, 1:10 to 2:40pm EDT (1:10 to 2:40pm EDT), Virtual

Session Type: Paper Symposium

Abstract

Recent years have seen increasing appreciation for the role of prenatal conditions in shaping children’s developmental trajectories. One of the most commonly studied prenatal risk factors is maternal distress. While prenatal distress is a robust predictor of child neurodevelopmental and mental health outcomes (van den Bergh, 2017), the mechanisms underlying these associations are unclear. Several biological mechanisms have been hypothesized, including inflammatory, neural, and epigenetic processes. The proposed symposium is comprised of three papers that empirically test these putative biological mechanisms. Strengths of these papers include their prospective, longitudinal designs, inclusion of children at different developmental time periods, and racially and ethnically diverse samples. Additionally, all three papers operationalize prenatal distress similarly, as some combination of maternal perceived stress, stressful life events, and psychopathology experienced during pregnancy.

Paper #1 explores prenatal distress, neonatal white and gray matter volumes, and infant sleep, a novel endophenotype that has received little attention in the prenatal literature. Paper #2 tests the associations among prenatal distress, infant neural noise (a component of electroencephalogram (EEG) activity), and infant behavior problems. Paper #3 considers elevated maternal inflammation as a mechanism linking prenatal distress to infant negative affect and downstream ADHD symptoms. Of the three putative mechanisms tested, only inflammation was found to significantly mediate the relationship between prenatal distress and child outcomes. Together, this group of papers suggests that additional research is needed to rigorously evaluate purported biological mechanisms that may be responsible for the harmful impact of prenatal distress on infant and child neurodevelopment.

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