Early adversity and psychiatric symptoms - a prospective study on Ethiopian mothers and their children.

Journal: BMC psychiatry

Volume: 17

Issue: 1

Year of Publication: 2018

Affiliated Institutions:  Department of Neuroscience, Child and Adolescent Psychiatry Unit, Uppsala University, Uppsala, Sweden. johan.isaksson@neuro.uu.se. Department of Preventive Medicine, School of Public Health, Addis Ababa University, Addis Ababa, Ethiopia. Addis Continental Institute of Public Health, Addis Ababa, Ethiopia. Department of Women's and children's health, Uppsala University, Uppsala, Sweden.

Abstract summary 

Maternal exposure to adversity during the perinatal period has been associated with increased susceptibility for psychiatric symptoms in the offspring. The aim of this study was to investigate a possible developmental effect of maternal perinatal stressors on emotional and behavioural symptoms in the offspring in a developing country.We followed an Ethiopian birth cohort (N = 358), assessing intimate partner violence (IPV) and maternal psychiatric symptoms during the perinatal period and at follow-up 10 years later, as a proxy for adversity, and maternal ratings on the Child Behavior Checklist (CBCL) 10 years later as the outcome.Among the women, exposure to IPV was common (60.6%) during the perinatal period and predicted IPV (29.9% of the mothers) at follow-up (ρ = 0.132; p = 0.012). There was also an association between maternal psychiatric symptoms at the two time points (ρ = 0.136; p = 0.010) and between maternal symptoms and IPV. Current maternal symptoms of anxiety and depression (β = 0.057; p < 0.001), but not during the perinatal period, were associated with child CBCL-scores.Our findings do not support the hypothesis that early adversity increase susceptibility for psychiatric symptoms. However, the findings emphasize the public health problem of IPV in this population, adding to the women's mental health problem.

Authors & Co-authors:  Isaksson Johan J Deyessa Negussie N Berhane Yemane Y Högberg Ulf U

Study Outcome 

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Citations :  Beijers R, Buitelaar JK, de Weerth C. Mechanisms underlying the effects of prenatal psychosocial stress on child outcomes: beyond the HPA axis. Eur Child Adolesc Psychiatry. 2014;23(10):943–956. doi: 10.1007/s00787-014-0566-3.
Authors :  4
Identifiers
Doi : 344
SSN : 1471-244X
Study Population
Mothers
Mesh Terms
Adult
Other Terms
Child psychiatric symptoms;Intimate partner violence;Maternal distress;Perinatal;Programming theory
Study Design
Cohort Study,Cross Sectional Study
Study Approach
Country of Study
Ethiopia
Publication Country
England