Prenatal exposure to disaster-related traumatic stress and developmental trajectories of temperament in early childhood: Superstorm Sandy pregnancy study

J Affect Disord. 2018 Jul:234:335-345. doi: 10.1016/j.jad.2018.02.067. Epub 2018 Mar 17.

Abstract

Background: Little is known about the impact of prenatal maternal stress (PNMS) on the developmental trajectory of temperament and few studies have been able to incorporate a natural disaster as a quasi-experimental stressor. The current study investigated PNMS related to Superstorm Sandy ('Sandy'), a hurricane that struck the New York metropolitan area in October 2012, in terms of objective exposure during pregnancy, subjective stress reaction as assessed by maternal symptoms of post-traumatic stress, and their impact on the developmental changes in temperament during early childhood.

Method: A subsample of 318 mother-child dyads was drawn from the Stress in Pregnancy Study. Temperament was measured at 6, 12, 18, and 24 months of age.

Results: Objective exposure was associated with greater High-Intensity Pleasure, Approach, Perceptual Sensitivity and Fearfulness, but lower Cuddliness and Duration of Orientation at 6 months. Objective exposure and its interaction with subjective stress reaction predicted developmental changes in temperament. In particular, objective exposure was linked to greater increases in Activity Level but decreases in High-Intensity Pleasure, Approach, and Fearfulness. The combination of objective exposure and subjective stress reaction was also associated with greater increases in Activity Level.

Limitations: Temperament was measured solely via maternal report. Trimester-specific effects of Sandy on temperament were not examined.

Conclusion: This is the first study to examine the effects of prenatal maternal exposure to a natural disaster on trajectories of early childhood temperament. Findings suggest that both objective stress exposure and subjective stress reaction in-utero predict developmental trajectories of temperament in early childhood.

Keywords: Longitudinal data; Natural disaster; Objective stress exposure; Prenatal maternal stress; Subjective stress reaction; Temperament.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Child, Preschool
  • Cyclonic Storms*
  • Disasters
  • Female
  • Humans
  • Infant
  • Male
  • Maternal Exposure*
  • New York City
  • Personality Development*
  • Pregnancy
  • Prenatal Exposure Delayed Effects / psychology*
  • Stress, Psychological / psychology*
  • Temperament*