Maternal psychological distress after severe pregnancy hypertension was associated with increased child behavioural problems at the age of 12

Fenny Beukers, Cornelieke S. H. Aarnoudse-Moens, Mirjam M. van Weissenbruch, Wessel Ganzevoort, Johannes B. van Goudoever, Aleid G. van Wassenaer-Leemhuis

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Aim: We examined the association between early maternal psychological distress after severe hypertensive disorders of pregnancy (HDP) and behavioural issues in their 12-year-old offspring. Methods: This secondary analyses of a prospective mother–child birth cohort focused on 95 women with severe HDP and their singleton offspring. The mothers were recruited during pregnancy from 2000 to 2003 in Amsterdam, the Netherlands. Maternal distress at child term age and three months post-term was measured using the Symptom Checklist-90. The Child Behaviour Checklist for six years to 18 years was used to quantify social and attention problems in their offspring at 12 years of age. Perinatal and neonatal risk factors were also analysed. Results: The children were born at a mean age of just under 32 weeks and 90% weighed below the 10th percentile. High psychological distress (score ≥133) affected 45% of the mothers at term age and 44% three months post-term. Child social problems were significantly associated with maternal distress at three months and were highest in cases of high maternal distress in combination with major neonatal morbidity. Child attention problems were associated with maternal anxiety at three months post-term. Conclusion: Early maternal psychological distress after severe maternal HDP was associated with childhood behavioural issues at the age of 12.
Original languageEnglish
JournalActa Paediatrica, International Journal of Paediatrics
DOIs
Publication statusE-pub ahead of print - 2019

Cite this

@article{bd7454d9bec645dc84662660db9d4d57,
title = "Maternal psychological distress after severe pregnancy hypertension was associated with increased child behavioural problems at the age of 12",
abstract = "Aim: We examined the association between early maternal psychological distress after severe hypertensive disorders of pregnancy (HDP) and behavioural issues in their 12-year-old offspring. Methods: This secondary analyses of a prospective mother–child birth cohort focused on 95 women with severe HDP and their singleton offspring. The mothers were recruited during pregnancy from 2000 to 2003 in Amsterdam, the Netherlands. Maternal distress at child term age and three months post-term was measured using the Symptom Checklist-90. The Child Behaviour Checklist for six years to 18 years was used to quantify social and attention problems in their offspring at 12 years of age. Perinatal and neonatal risk factors were also analysed. Results: The children were born at a mean age of just under 32 weeks and 90{\%} weighed below the 10th percentile. High psychological distress (score ≥133) affected 45{\%} of the mothers at term age and 44{\%} three months post-term. Child social problems were significantly associated with maternal distress at three months and were highest in cases of high maternal distress in combination with major neonatal morbidity. Child attention problems were associated with maternal anxiety at three months post-term. Conclusion: Early maternal psychological distress after severe maternal HDP was associated with childhood behavioural issues at the age of 12.",
author = "Fenny Beukers and Aarnoudse-Moens, {Cornelieke S. H.} and {van Weissenbruch}, {Mirjam M.} and Wessel Ganzevoort and {van Goudoever}, {Johannes B.} and {van Wassenaer-Leemhuis}, {Aleid G.}",
year = "2019",
doi = "10.1111/apa.14676",
language = "English",
journal = "Acta Paediatrica",
issn = "0803-5253",
publisher = "Wiley-Blackwell",

}

TY - JOUR

T1 - Maternal psychological distress after severe pregnancy hypertension was associated with increased child behavioural problems at the age of 12

AU - Beukers, Fenny

AU - Aarnoudse-Moens, Cornelieke S. H.

AU - van Weissenbruch, Mirjam M.

AU - Ganzevoort, Wessel

AU - van Goudoever, Johannes B.

AU - van Wassenaer-Leemhuis, Aleid G.

PY - 2019

Y1 - 2019

N2 - Aim: We examined the association between early maternal psychological distress after severe hypertensive disorders of pregnancy (HDP) and behavioural issues in their 12-year-old offspring. Methods: This secondary analyses of a prospective mother–child birth cohort focused on 95 women with severe HDP and their singleton offspring. The mothers were recruited during pregnancy from 2000 to 2003 in Amsterdam, the Netherlands. Maternal distress at child term age and three months post-term was measured using the Symptom Checklist-90. The Child Behaviour Checklist for six years to 18 years was used to quantify social and attention problems in their offspring at 12 years of age. Perinatal and neonatal risk factors were also analysed. Results: The children were born at a mean age of just under 32 weeks and 90% weighed below the 10th percentile. High psychological distress (score ≥133) affected 45% of the mothers at term age and 44% three months post-term. Child social problems were significantly associated with maternal distress at three months and were highest in cases of high maternal distress in combination with major neonatal morbidity. Child attention problems were associated with maternal anxiety at three months post-term. Conclusion: Early maternal psychological distress after severe maternal HDP was associated with childhood behavioural issues at the age of 12.

AB - Aim: We examined the association between early maternal psychological distress after severe hypertensive disorders of pregnancy (HDP) and behavioural issues in their 12-year-old offspring. Methods: This secondary analyses of a prospective mother–child birth cohort focused on 95 women with severe HDP and their singleton offspring. The mothers were recruited during pregnancy from 2000 to 2003 in Amsterdam, the Netherlands. Maternal distress at child term age and three months post-term was measured using the Symptom Checklist-90. The Child Behaviour Checklist for six years to 18 years was used to quantify social and attention problems in their offspring at 12 years of age. Perinatal and neonatal risk factors were also analysed. Results: The children were born at a mean age of just under 32 weeks and 90% weighed below the 10th percentile. High psychological distress (score ≥133) affected 45% of the mothers at term age and 44% three months post-term. Child social problems were significantly associated with maternal distress at three months and were highest in cases of high maternal distress in combination with major neonatal morbidity. Child attention problems were associated with maternal anxiety at three months post-term. Conclusion: Early maternal psychological distress after severe maternal HDP was associated with childhood behavioural issues at the age of 12.

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UR - https://www.ncbi.nlm.nih.gov/pubmed/30506609

U2 - 10.1111/apa.14676

DO - 10.1111/apa.14676

M3 - Article

JO - Acta Paediatrica

JF - Acta Paediatrica

SN - 0803-5253

ER -