Fetal programming of neuropsychiatric disorders by maternal pregnancy depression: a systematic mini review

Pediatr Res. 2019 Jan;85(2):134-145. doi: 10.1038/s41390-018-0173-y. Epub 2018 Sep 18.

Abstract

Background: Maternal depression complicates a large proportion of pregnancies. Current evidence shows numerous harmful effects on the offspring. Reviews, which include depression, concluded that stress has harmful effects on the offspring's outcomes neuro-cognitive development, temperament traits, and mental disorders.

Objective: This mini review of recent studies, sought to narrow the scope of exposure and identify studies specifically assessing prenatal depression and offspring neuropsychiatric outcomes.

Study eligibility criteria: The review included longitudinal, cohort, cross-sectional, clinical, quasi-experimental, epidemiological, or intervention study designs published in English from 2014 to 2018.

Participants: Study populations included mother-child dyads, mother-father-child triads, mother-alternative caregiver-child triads, and family studies utilizing sibling comparisons.

Methods: We searched PubMED and Web of Science. Study inclusion and data extraction were based on standardized templates. The quality of evidence was assessed using the Newcastle-Ottawa Scale (NOS).

Results: Thirteen studies examining neuropsychiatric outcomes were included. We judged the evidence to be moderate to high quality.

Conclusions: Our review supports that maternal prenatal depression is associated with neuropsychiatric adversities in children.

Implications: Future investigations should unravel the biological underpinnings and target timely interventions as early in pregnancy as possible to prevent offspring neuropsychiatric harms.

Publication types

  • Research Support, Non-U.S. Gov't
  • Systematic Review

MeSH terms

  • Depression / complications*
  • Female
  • Fetal Development*
  • Humans
  • Mental Disorders / etiology*
  • Nervous System Diseases / etiology*
  • Pregnancy
  • Pregnancy Complications / physiopathology*