Maternal pandemic-related stress during pregnancy associates with infants' socio-cognitive development at 12 months: A longitudinal multi-centric study.


Journal

PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081

Informations de publication

Date de publication:
2023
Historique:
received: 25 08 2022
accepted: 04 04 2023
medline: 19 4 2023
entrez: 17 4 2023
pubmed: 18 4 2023
Statut: epublish

Résumé

Prenatal maternal stress is a key risk factor for infants' development. Previous research has highlighted consequences for infants' socio-emotional and cognitive outcomes, but less is known for what regards socio-cognitive development. In this study, we report on the effects of maternal prenatal stress related to the COVID-19 pandemic on 12-month-old infants' behavioral markers of socio-cognitive development. Ninety infants and their mothers provided complete longitudinal data from birth to 12 months. At birth, mothers reported on pandemic-related stress during pregnancy. At infants' 12-month-age, a remote mother-infant interaction was videotaped: after an initial 2-min face-to-face episode, the experimenter remotely played a series of four auditory stimuli (2 human and 2 non-human sounds). The auditory stimuli sequence was counterbalanced among participants and each sound was repeated three times every 10 seconds (Exposure, 30 seconds) while mothers were instructed not to interact with their infants and to display a neutral still-face expression. Infants' orienting, communication, and pointing toward the auditory source was coded micro-analytically and a socio-cognitive score (SCS) was obtained by means of a principal component analysis. Infants equally oriented to human and non-human auditory stimuli. All infants oriented toward the sound during the Exposure episode, 80% exhibited any communication directed to the auditory source, and 48% showed at least one pointing toward the sound. Mothers who reported greater prenatal pandemic-related stress had infants with higher probability of showing no communication, t = 2.14 (p = .035), or pointing, t = 1.93 (p = .057). A significant and negative linear association was found between maternal prenatal pandemic-related stress and infants' SCS at 12 months, R2 = .07 (p = .010), while adjusting for potential confounders. This study suggests that prenatal maternal stress during the COVID-19 pandemic might have increased the risk of an altered socio-cognitive development in infants as assessed through an observational paradigm at 12 months. Special preventive attention should be devoted to infants born during the pandemic.

Sections du résumé

BACKGROUND
Prenatal maternal stress is a key risk factor for infants' development. Previous research has highlighted consequences for infants' socio-emotional and cognitive outcomes, but less is known for what regards socio-cognitive development. In this study, we report on the effects of maternal prenatal stress related to the COVID-19 pandemic on 12-month-old infants' behavioral markers of socio-cognitive development.
METHODS
Ninety infants and their mothers provided complete longitudinal data from birth to 12 months. At birth, mothers reported on pandemic-related stress during pregnancy. At infants' 12-month-age, a remote mother-infant interaction was videotaped: after an initial 2-min face-to-face episode, the experimenter remotely played a series of four auditory stimuli (2 human and 2 non-human sounds). The auditory stimuli sequence was counterbalanced among participants and each sound was repeated three times every 10 seconds (Exposure, 30 seconds) while mothers were instructed not to interact with their infants and to display a neutral still-face expression. Infants' orienting, communication, and pointing toward the auditory source was coded micro-analytically and a socio-cognitive score (SCS) was obtained by means of a principal component analysis.
RESULTS
Infants equally oriented to human and non-human auditory stimuli. All infants oriented toward the sound during the Exposure episode, 80% exhibited any communication directed to the auditory source, and 48% showed at least one pointing toward the sound. Mothers who reported greater prenatal pandemic-related stress had infants with higher probability of showing no communication, t = 2.14 (p = .035), or pointing, t = 1.93 (p = .057). A significant and negative linear association was found between maternal prenatal pandemic-related stress and infants' SCS at 12 months, R2 = .07 (p = .010), while adjusting for potential confounders.
CONCLUSIONS
This study suggests that prenatal maternal stress during the COVID-19 pandemic might have increased the risk of an altered socio-cognitive development in infants as assessed through an observational paradigm at 12 months. Special preventive attention should be devoted to infants born during the pandemic.

Identifiants

pubmed: 37068062
doi: 10.1371/journal.pone.0284578
pii: PONE-D-22-23782
pmc: PMC10109481
doi:

Types de publication

Observational Study Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

e0284578

Informations de copyright

Copyright: © 2023 Nazzari et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

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Auteurs

Sarah Nazzari (S)

Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy.

Serena Grumi (S)

Developmental Psychobiology, IRCCS Mondino Foundation, Pavia, Italy.

Giacomo Biasucci (G)

Pediatrics & Neonatology Unit, Ospedale Guglielmo da Saliceto, Piacenza, Italy.

Lidia Decembrino (L)

Pediatric and Neonatal Unit, ASST Pavia, Vigevano, Italy.

Elisa Fazzi (E)

Department of Clinical And Experimental Sciences, University of Brescia, Brescia, Italy.
Unit of Child and Adolescence Neuropsychiatry, Azienda Ospedaliera Spedali Civili of Brescia, Brescia, Italy.

Roberta Giacchero (R)

Department of Pediatrics, Ospedale Civile di Lodi, Lodi, Italy.

Maria Luisa Magnani (ML)

Pediatric and Neonatal Unit, ASST Pavia, Vigevano, Italy.

Renata Nacinovich (R)

Child and Adolescent Neuropsychiatry, Fondazione IRCCS San Gerardo dei Tintori Monza, Monza, Italy.
School of Medicine and Surgery and Milan Center for Neuroscience (NeuroMi), Università Bicocca, Milan, Italy.

Barbara Scelsa (B)

Unit of Pediatric Neurology, Buzzi Children's Hospital, Milan, Italy.

Arsenio Spinillo (A)

Department of Obstetrics and Gynecology, IRCCS Policlinico San Matteo, Pavia, Italy.

Elena Capelli (E)

Developmental Psychobiology, IRCCS Mondino Foundation, Pavia, Italy.

Elisa Roberti (E)

Developmental Psychobiology, IRCCS Mondino Foundation, Pavia, Italy.

Livio Provenzi (L)

Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy.
Developmental Psychobiology, IRCCS Mondino Foundation, Pavia, Italy.

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