Maternal perinatal depression and child executive function: A systematic review and meta-analysis.

Child Depression / epidemiology Depressive Disorder Executive Function Female Humans Parturition Postpartum Period Pregnancy
Executive function Neurodevelopment Perinatal depression

Journal

Journal of affective disorders
ISSN: 1573-2517
Titre abrégé: J Affect Disord
Pays: Netherlands
ID NLM: 7906073

Informations de publication

Date de publication:
01 08 2021
Historique:
received: 08 03 2021
revised: 27 04 2021
accepted: 05 05 2021
pubmed: 29 5 2021
medline: 9 7 2021
entrez: 28 5 2021
Statut: ppublish

Résumé

Maternal depression during the perinatal period predicts adverse developmental outcomes for children, via poorly understood mechanisms. One plausible pathway may involve child executive function, a suite of cognitive capacities associated with social, emotional and educational outcomes. Systematic review and meta-analysis are applied to evaluate evidence of association between maternal perinatal depression and child executive function. Medline, Embase, PubMed, PsycInfo, and SCOPUS were searched for relevant articles to August 2020, with hand-search of relevant bibliographies. Original research published in English measuring maternal depressive symptoms during pregnancy and the first year postpartum, and child executive function outcomes at any age was included. 27 studies met criteria for review. 16 studies reporting raw data of the association between depressive symptoms and executive function were used for meta-analysis. Our systematic review identified inadequate assessment of maternal depression, and unreliable measures of executive function in many studies. Assessment of confounders was also inconsistent. Our meta-analysis identified a small, statistically significant relationship between perinatal depression and child executive function (effect size r = 0.07; 95% CI 0.03-0.10); equivalent to Cohen's d = 0.14. Variable quality of available studies leads to cautious interpretation of results. This meta-analysis is consistent with the hypothesis that maternal perinatal depression does have an impact on executive function in offspring. Future studies must use robust measurement of depression and executive function, and account for the chronicity of maternal depression, and developmental context to produce meaningful results.

Sections du résumé

BACKGROUND
Maternal depression during the perinatal period predicts adverse developmental outcomes for children, via poorly understood mechanisms. One plausible pathway may involve child executive function, a suite of cognitive capacities associated with social, emotional and educational outcomes. Systematic review and meta-analysis are applied to evaluate evidence of association between maternal perinatal depression and child executive function.
METHODS
Medline, Embase, PubMed, PsycInfo, and SCOPUS were searched for relevant articles to August 2020, with hand-search of relevant bibliographies. Original research published in English measuring maternal depressive symptoms during pregnancy and the first year postpartum, and child executive function outcomes at any age was included. 27 studies met criteria for review. 16 studies reporting raw data of the association between depressive symptoms and executive function were used for meta-analysis.
RESULTS
Our systematic review identified inadequate assessment of maternal depression, and unreliable measures of executive function in many studies. Assessment of confounders was also inconsistent. Our meta-analysis identified a small, statistically significant relationship between perinatal depression and child executive function (effect size r = 0.07; 95% CI 0.03-0.10); equivalent to Cohen's d = 0.14.
LIMITATIONS
Variable quality of available studies leads to cautious interpretation of results.
CONCLUSIONS
This meta-analysis is consistent with the hypothesis that maternal perinatal depression does have an impact on executive function in offspring. Future studies must use robust measurement of depression and executive function, and account for the chronicity of maternal depression, and developmental context to produce meaningful results.

Identifiants

DOI: 10.1016/j.jad.2021.05.003 PMID: 34049191
pubmed: 34049191
pii: S0165-0327(21)00441-9
doi: 10.1016/j.jad.2021.05.003
pii:
doi:

Types de publication

Journal Article Meta-Analysis Review Systematic Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

218-234

Informations de copyright

Copyright © 2021. Published by Elsevier B.V.

Auteurs

Josephine Power (J)

University of Notre Dame, Fremantle, Australia; Mercy Hospital for Women, Melbourne, Victoria; Austin Health, Melbourne, Victoria. Electronic address: JPower@mercy.com.au.

Marinus van IJzendoorn (M)

Department of Psychology, Education and Child Studies, Erasmus University Rotterdam, the Netherlands.

Andrew J Lewis (AJ)

Murdoch University, Discipline of Psychology, Perth, Australia.

Wai Chen (W)

University of Notre Dame, Fremantle, Australia; Murdoch University, Discipline of Psychology, Perth, Australia; Mental Health Service, Fiona Stanley Hospital, Australia; CAMHS, Pilbara Mental Health, Australia; Postgraduate School of Education, University of Western Australia, Australia.

Megan Galbally (M)

University of Notre Dame, Fremantle, Australia; Mercy Hospital for Women, Melbourne, Victoria; Murdoch University, Discipline of Psychology, Perth, Australia.

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Classifications MeSH

questionsmedicales.fr › Personnes › Tranches d'âge › Enfant › Maternal perinatal depression and child...
questionsmedicales.fr › Comportement et mécanismes comportementaux › Émotions › Dépression › Maternal perinatal depression and child...
questionsmedicales.fr › Troubles mentaux › Troubles de l'humeur › Trouble dépressif › Maternal perinatal depression and child...
questionsmedicales.fr › Phénomènes psychologiques › Processus mentaux › Fonction exécutive › Maternal perinatal depression and child...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Maternal perinatal depression and child...
questionsmedicales.fr › Phénomènes physiologiques des appareils urinaire et reproducteur › Phénomènes physiologiques de la reproduction › Reproduction › Grossesse › Parturition › Maternal perinatal depression and child...
questionsmedicales.fr › Phénomènes physiologiques des appareils urinaire et reproducteur › Phénomènes physiologiques de la reproduction › Période du postpartum › Maternal perinatal depression and child...
questionsmedicales.fr › Phénomènes physiologiques des appareils urinaire et reproducteur › Phénomènes physiologiques de la reproduction › Reproduction › Grossesse › Maternal perinatal depression and child...