Current perspectives on perinatal mental health and neurobehavioral development: focus on regulation, coregulation and self-regulation.

Journal: Current opinion in psychiatry

Volume: 37

Issue: 3

Year of Publication: 2024

Affiliated Institutions:  Research Group Health Psychology, KU Leuven (University of Leuven), Leuven, Belgium. Laboratorio de Programación Perinatal del Neurodesarrollo, Instituto de Biología Celular y Neurociencias "Prof.E. De Robertis", Facultad de Medicina. Universidad de Buenos Aires, Buenos Aires, Argentina. South African Medical Research Council Unit on Risk and Resilience in Mental Disorders, Department of Psychiatry, University of Cape Town, Cape Town, South Africa.

Abstract summary 

Perinatal mental health research provides an important perspective on neurobehavioral development. Here, we aim to review the association of maternal perinatal health with offspring neurodevelopment, providing an update on (self-)regulation problems, hypothesized mechanistic pathways, progress and challenges, and implications for mental health.(1) Meta-analyses confirm that maternal perinatal mental distress is associated with (self-)regulation problems which constitute cognitive, behavioral, and affective social-emotional problems, while exposure to positive parental mental health has a positive impact. However, effect sizes are small. (2) Hypothesized mechanistic pathways underlying this association are complex. Interactive and compensatory mechanisms across developmental time are neglected topics. (3) Progress has been made in multiexposure studies. However, challenges remain and these are shared by clinical, translational and public health sciences. (4) From a mental healthcare perspective, a multidisciplinary and system level approach employing developmentally-sensitive measures and timely treatment of (self-)regulation and coregulation problems in a dyadic caregiver-child and family level approach seems needed. The existing evidence-base is sparse.During the perinatal period, addressing vulnerable contexts and building resilient systems may promote neurobehavioral development. A pluralistic approach to research, taking a multidisciplinary approach to theoretical models and empirical investigation needs to be fostered.

Authors & Co-authors:  Van den Bergh Bea R H BRH Antonelli Marta C MC Stein Dan J DJ

Study Outcome 

Source Link: Visit source

Statistics
Citations :  McGrath JJ, Al-Hamzawi A, Alonso J, et al. Age of onset and cumulative risk of mental disorders: a cross-national analysis of population surveys from 29 countries. Lancet Psychiatry 2023; 10:668–681.
Authors :  3
Identifiers
Doi : 10.1097/YCO.0000000000000932
SSN : 1473-6578
Study Population
Male,Female
Mesh Terms
Pregnancy
Other Terms
Study Design
Cross Sectional Study
Study Approach
Country of Study
Publication Country
United States