Parental psychological distress during pregnancy and wheezing in preschool children: The Generation R Study

Background Maternal psychological distress during pregnancy might affect fetal lung development and subsequently predispose children to childhood asthma. Objective We sought to assess the associations of maternal psychological distress during pregnancy with early childhood wheezing. Methods We perfo...

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Veröffentlicht in:Journal of allergy and clinical immunology 2014-01, Vol.133 (1), p.59-67.e12
Hauptverfasser: Guxens, Mònica, MD, MPH, PhD, Sonnenschein–van der Voort, Agnes M.M., MSc, Tiemeier, Henning, MD, PhD, Hofman, Albert, MD, PhD, Sunyer, Jordi, MD, PhD, de Jongste, Johan C., MD, PhD, Jaddoe, Vincent W.V., MD, PhD, Duijts, Liesbeth, MD, PhD
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container_issue 1
container_start_page 59
container_title Journal of allergy and clinical immunology
container_volume 133
creator Guxens, Mònica, MD, MPH, PhD
Sonnenschein–van der Voort, Agnes M.M., MSc
Tiemeier, Henning, MD, PhD
Hofman, Albert, MD, PhD
Sunyer, Jordi, MD, PhD
de Jongste, Johan C., MD, PhD
Jaddoe, Vincent W.V., MD, PhD
Duijts, Liesbeth, MD, PhD
description Background Maternal psychological distress during pregnancy might affect fetal lung development and subsequently predispose children to childhood asthma. Objective We sought to assess the associations of maternal psychological distress during pregnancy with early childhood wheezing. Methods We performed a population-based prospective cohort study among 4848 children. We assessed maternal and paternal psychological distress at the second trimester of gestation and 3 years after delivery and maternal psychological distress at 2 and 6 months after delivery by using the Brief Symptom Inventory questionnaire. Wheezing in the children was annually examined by using questionnaires from 1 to 4 years. Physician-diagnosed ever asthma was reported at 6 years. Results Mothers with psychological distress during pregnancy had increased odds of wheezing in their children from 1 to 4 years of life (overall distress: odds ratio [OR], 1.60 [95% CI, 1.32-1.93]; depression: OR, 1.46 [95% CI, 1.20-1.77]; and anxiety: OR, 1.39 [95% CI, 1.15-1.67]). We observed similar positive associations with the number of wheezing episodes, wheezing patterns, and physician-diagnosed asthma at 6 years. Paternal distress during pregnancy and maternal and paternal distress after delivery did not affect these results and were not associated with childhood wheezing. Conclusion Maternal psychological distress during pregnancy is associated with increased odds of wheezing in their children during the first 6 years of life independent of paternal psychological distress during pregnancy and maternal and paternal psychological distress after delivery. These results suggest a possible intrauterine programming effect of maternal psychological distress leading to respiratory morbidity.
doi_str_mv 10.1016/j.jaci.2013.04.044
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Objective We sought to assess the associations of maternal psychological distress during pregnancy with early childhood wheezing. Methods We performed a population-based prospective cohort study among 4848 children. We assessed maternal and paternal psychological distress at the second trimester of gestation and 3 years after delivery and maternal psychological distress at 2 and 6 months after delivery by using the Brief Symptom Inventory questionnaire. Wheezing in the children was annually examined by using questionnaires from 1 to 4 years. Physician-diagnosed ever asthma was reported at 6 years. Results Mothers with psychological distress during pregnancy had increased odds of wheezing in their children from 1 to 4 years of life (overall distress: odds ratio [OR], 1.60 [95% CI, 1.32-1.93]; depression: OR, 1.46 [95% CI, 1.20-1.77]; and anxiety: OR, 1.39 [95% CI, 1.15-1.67]). We observed similar positive associations with the number of wheezing episodes, wheezing patterns, and physician-diagnosed asthma at 6 years. Paternal distress during pregnancy and maternal and paternal distress after delivery did not affect these results and were not associated with childhood wheezing. Conclusion Maternal psychological distress during pregnancy is associated with increased odds of wheezing in their children during the first 6 years of life independent of paternal psychological distress during pregnancy and maternal and paternal psychological distress after delivery. These results suggest a possible intrauterine programming effect of maternal psychological distress leading to respiratory morbidity.</description><identifier>ISSN: 0091-6749</identifier><identifier>EISSN: 1097-6825</identifier><identifier>DOI: 10.1016/j.jaci.2013.04.044</identifier><identifier>PMID: 23777854</identifier><identifier>CODEN: JACIBY</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adult and adolescent clinical studies ; Age ; Allergy and Immunology ; Anxiety ; Asthma ; Biological and medical sciences ; Body mass index ; Breastfeeding &amp; lactation ; Child ; child development ; Child, Preschool ; Cohort Studies ; depression ; Ethnicity ; Female ; Follow-Up Studies ; Fundamental and applied biological sciences. Psychology ; Fundamental immunology ; Humans ; Immunopathology ; Infant ; Infant, Newborn ; Inventory ; Male ; Maternal Exposure - adverse effects ; Medical sciences ; Miscellaneous ; Mothers ; Mothers - psychology ; Paternal Exposure - adverse effects ; Pregnancy ; Pregnancy Complications - epidemiology ; Prenatal Exposure Delayed Effects - epidemiology ; preschool ; Prospective Studies ; psychological ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Questionnaires ; Respiratory Sounds ; Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis ; Stress ; Stress, Psychological - epidemiology ; Tobacco smoke</subject><ispartof>Journal of allergy and clinical immunology, 2014-01, Vol.133 (1), p.59-67.e12</ispartof><rights>American Academy of Allergy, Asthma &amp; Immunology</rights><rights>2013 American Academy of Allergy, Asthma &amp; Immunology</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2013 American Academy of Allergy, Asthma &amp; Immunology. Published by Mosby, Inc. All rights reserved.</rights><rights>Copyright Elsevier Limited Jan 2014</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c502t-98db2e8457d7ca2d01d8933090dd6955c9f11711639a11c93fc9bd0859041eed3</citedby><cites>FETCH-LOGICAL-c502t-98db2e8457d7ca2d01d8933090dd6955c9f11711639a11c93fc9bd0859041eed3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S009167491300691X$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=28145560$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23777854$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Guxens, Mònica, MD, MPH, PhD</creatorcontrib><creatorcontrib>Sonnenschein–van der Voort, Agnes M.M., MSc</creatorcontrib><creatorcontrib>Tiemeier, Henning, MD, PhD</creatorcontrib><creatorcontrib>Hofman, Albert, MD, PhD</creatorcontrib><creatorcontrib>Sunyer, Jordi, MD, PhD</creatorcontrib><creatorcontrib>de Jongste, Johan C., MD, PhD</creatorcontrib><creatorcontrib>Jaddoe, Vincent W.V., MD, PhD</creatorcontrib><creatorcontrib>Duijts, Liesbeth, MD, PhD</creatorcontrib><title>Parental psychological distress during pregnancy and wheezing in preschool children: The Generation R Study</title><title>Journal of allergy and clinical immunology</title><addtitle>J Allergy Clin Immunol</addtitle><description>Background Maternal psychological distress during pregnancy might affect fetal lung development and subsequently predispose children to childhood asthma. Objective We sought to assess the associations of maternal psychological distress during pregnancy with early childhood wheezing. Methods We performed a population-based prospective cohort study among 4848 children. We assessed maternal and paternal psychological distress at the second trimester of gestation and 3 years after delivery and maternal psychological distress at 2 and 6 months after delivery by using the Brief Symptom Inventory questionnaire. Wheezing in the children was annually examined by using questionnaires from 1 to 4 years. Physician-diagnosed ever asthma was reported at 6 years. Results Mothers with psychological distress during pregnancy had increased odds of wheezing in their children from 1 to 4 years of life (overall distress: odds ratio [OR], 1.60 [95% CI, 1.32-1.93]; depression: OR, 1.46 [95% CI, 1.20-1.77]; and anxiety: OR, 1.39 [95% CI, 1.15-1.67]). We observed similar positive associations with the number of wheezing episodes, wheezing patterns, and physician-diagnosed asthma at 6 years. Paternal distress during pregnancy and maternal and paternal distress after delivery did not affect these results and were not associated with childhood wheezing. Conclusion Maternal psychological distress during pregnancy is associated with increased odds of wheezing in their children during the first 6 years of life independent of paternal psychological distress during pregnancy and maternal and paternal psychological distress after delivery. These results suggest a possible intrauterine programming effect of maternal psychological distress leading to respiratory morbidity.</description><subject>Adult and adolescent clinical studies</subject><subject>Age</subject><subject>Allergy and Immunology</subject><subject>Anxiety</subject><subject>Asthma</subject><subject>Biological and medical sciences</subject><subject>Body mass index</subject><subject>Breastfeeding &amp; lactation</subject><subject>Child</subject><subject>child development</subject><subject>Child, Preschool</subject><subject>Cohort Studies</subject><subject>depression</subject><subject>Ethnicity</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Fundamental immunology</subject><subject>Humans</subject><subject>Immunopathology</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Inventory</subject><subject>Male</subject><subject>Maternal Exposure - adverse effects</subject><subject>Medical sciences</subject><subject>Miscellaneous</subject><subject>Mothers</subject><subject>Mothers - psychology</subject><subject>Paternal Exposure - adverse effects</subject><subject>Pregnancy</subject><subject>Pregnancy Complications - epidemiology</subject><subject>Prenatal Exposure Delayed Effects - epidemiology</subject><subject>preschool</subject><subject>Prospective Studies</subject><subject>psychological</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Questionnaires</subject><subject>Respiratory Sounds</subject><subject>Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. 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Psychology</topic><topic>Fundamental immunology</topic><topic>Humans</topic><topic>Immunopathology</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Inventory</topic><topic>Male</topic><topic>Maternal Exposure - adverse effects</topic><topic>Medical sciences</topic><topic>Miscellaneous</topic><topic>Mothers</topic><topic>Mothers - psychology</topic><topic>Paternal Exposure - adverse effects</topic><topic>Pregnancy</topic><topic>Pregnancy Complications - epidemiology</topic><topic>Prenatal Exposure Delayed Effects - epidemiology</topic><topic>preschool</topic><topic>Prospective Studies</topic><topic>psychological</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Questionnaires</topic><topic>Respiratory Sounds</topic><topic>Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis</topic><topic>Stress</topic><topic>Stress, Psychological - epidemiology</topic><topic>Tobacco smoke</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Guxens, Mònica, MD, MPH, PhD</creatorcontrib><creatorcontrib>Sonnenschein–van der Voort, Agnes M.M., MSc</creatorcontrib><creatorcontrib>Tiemeier, Henning, MD, PhD</creatorcontrib><creatorcontrib>Hofman, Albert, MD, PhD</creatorcontrib><creatorcontrib>Sunyer, Jordi, MD, PhD</creatorcontrib><creatorcontrib>de Jongste, Johan C., MD, PhD</creatorcontrib><creatorcontrib>Jaddoe, Vincent W.V., MD, PhD</creatorcontrib><creatorcontrib>Duijts, Liesbeth, MD, PhD</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Entomology Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of allergy and clinical immunology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Guxens, Mònica, MD, MPH, PhD</au><au>Sonnenschein–van der Voort, Agnes M.M., MSc</au><au>Tiemeier, Henning, MD, PhD</au><au>Hofman, Albert, MD, PhD</au><au>Sunyer, Jordi, MD, PhD</au><au>de Jongste, Johan C., MD, PhD</au><au>Jaddoe, Vincent W.V., MD, PhD</au><au>Duijts, Liesbeth, MD, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Parental psychological distress during pregnancy and wheezing in preschool children: The Generation R Study</atitle><jtitle>Journal of allergy and clinical immunology</jtitle><addtitle>J Allergy Clin Immunol</addtitle><date>2014-01-01</date><risdate>2014</risdate><volume>133</volume><issue>1</issue><spage>59</spage><epage>67.e12</epage><pages>59-67.e12</pages><issn>0091-6749</issn><eissn>1097-6825</eissn><coden>JACIBY</coden><abstract>Background Maternal psychological distress during pregnancy might affect fetal lung development and subsequently predispose children to childhood asthma. Objective We sought to assess the associations of maternal psychological distress during pregnancy with early childhood wheezing. Methods We performed a population-based prospective cohort study among 4848 children. We assessed maternal and paternal psychological distress at the second trimester of gestation and 3 years after delivery and maternal psychological distress at 2 and 6 months after delivery by using the Brief Symptom Inventory questionnaire. Wheezing in the children was annually examined by using questionnaires from 1 to 4 years. Physician-diagnosed ever asthma was reported at 6 years. Results Mothers with psychological distress during pregnancy had increased odds of wheezing in their children from 1 to 4 years of life (overall distress: odds ratio [OR], 1.60 [95% CI, 1.32-1.93]; depression: OR, 1.46 [95% CI, 1.20-1.77]; and anxiety: OR, 1.39 [95% CI, 1.15-1.67]). We observed similar positive associations with the number of wheezing episodes, wheezing patterns, and physician-diagnosed asthma at 6 years. Paternal distress during pregnancy and maternal and paternal distress after delivery did not affect these results and were not associated with childhood wheezing. Conclusion Maternal psychological distress during pregnancy is associated with increased odds of wheezing in their children during the first 6 years of life independent of paternal psychological distress during pregnancy and maternal and paternal psychological distress after delivery. These results suggest a possible intrauterine programming effect of maternal psychological distress leading to respiratory morbidity.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>23777854</pmid><doi>10.1016/j.jaci.2013.04.044</doi><tpages>9</tpages></addata></record>
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subjects Adult and adolescent clinical studies
Age
Allergy and Immunology
Anxiety
Asthma
Biological and medical sciences
Body mass index
Breastfeeding & lactation
Child
child development
Child, Preschool
Cohort Studies
depression
Ethnicity
Female
Follow-Up Studies
Fundamental and applied biological sciences. Psychology
Fundamental immunology
Humans
Immunopathology
Infant
Infant, Newborn
Inventory
Male
Maternal Exposure - adverse effects
Medical sciences
Miscellaneous
Mothers
Mothers - psychology
Paternal Exposure - adverse effects
Pregnancy
Pregnancy Complications - epidemiology
Prenatal Exposure Delayed Effects - epidemiology
preschool
Prospective Studies
psychological
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Questionnaires
Respiratory Sounds
Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis
Stress
Stress, Psychological - epidemiology
Tobacco smoke
title Parental psychological distress during pregnancy and wheezing in preschool children: The Generation R Study
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