Early motor behavior of infants exposed to maternal mental health disorders - A South African perspective.

Journal: Early human development

Volume: 168

Issue: 

Year of Publication: 2022

Affiliated Institutions:  Physiotherapy Division, Department of Health and Rehabilitation Sciences, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, Western Cape, South Africa. Electronic address: mbu@sun.ac.za. Research Unit iDN - Interdisciplinary Developmental Neuroscience, Division of Phoniatrics, Medical University of Graz, Graz, Austria. Biostatistics Unit, South African Medical Research Council, Parow, South Africa; Statistics and Population Studies, University of the Western Cape, Cape Town, Western Cape, South Africa. Physiotherapy Division, Department of Health and Rehabilitation Sciences, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, Western Cape, South Africa. Department of Psychiatry, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, Western Cape, South Africa.

Abstract summary 

Over the past five decades the bulk of research on exposure to maternal mental health disorders and infant neurodevelopment has been generated in high-income countries. The current study included infants, residing in low-income communities in South Africa, born to mothers with a history of psychiatric disorders.To assess the motor behavior of 10- to 20-week-old infants exposed to maternal mental health disorders, and a subgroup of infants with prenatal psychotropic medication exposure.The present study is a cross-sectional descriptive study, with a longitudinal subgroup analysis. General Movement Assessment (GMA), including the Motor Optimality Score-Revised (MOS-R), was used at 10-20 weeks corrected age to assess infant motor behavior.The study included 112 infants. No significant difference (p = 0.523) was found on the MOS-R between infants exposed to maternal mental health disorders (n = 70) and the comparison group (n = 42). Both the exposed and comparison groups scored within the mildly reduced range on the MOS-R. No significant differences were found in a subgroup of infants with prenatal exposure to multi-class psychotropic medication (n = 17), mono-class psychotropic medication (n = 35) or valproate exposure (n = 10) (p > 0.1).No association was found between exposure to maternal mental health disorders or exposure to psychotropic medication and infant motor behavior at 10-20 weeks post-term age on the MOS-R. Future research should focus on the contribution of exposure to specific classes and types of psychotropic medication on neurodevelopmental outcome of infants in larger cohorts.

Authors & Co-authors:  Burger Marlette M Einspieler Christa C Jordaan Esme R ER Unger Marianne M Niehaus Dana J H DJH

Study Outcome 

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Citations : 
Authors :  5
Identifiers
Doi : 10.1016/j.earlhumdev.2022.105572
SSN : 1872-6232
Study Population
Mothers
Mesh Terms
Child Development
Other Terms
Early motor behavior;General Movement Assessment (GMA);Infants;Maternal mental health disorders;Motor Optimality Score-Revised (MOS-R);Psychotropic medication
Study Design
Descriptive Study,,Longitudinal Study,Cross Sectional Study
Study Approach
Country of Study
Mali
Publication Country
Ireland