Affecttive Development of Children Due to Anxiety During Pregnancy : A Literature Review
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Given its potential to affect the growing fetus, maternal mental health during pregnancy is essential. Anxiety during pregnancy is associated with the socio-emotional development of the child, potentially resulting in behavioral and emotional issues in the future. Children of mothers who experience anxiety during pregnancy are predicted to experience poorer growth and development in infancy and preschool age. This study aims to determine the effects of anxiety during pregnancy. This study used a literature review approach from 8 relevant articles from the online databases Scopus, PubMed, Google Scholar, and Garuda. The inclusion criteria of this study were original research in Indonesian or English, respondents measured anxiety during pregnancy, and measurement of infant/child affective patterns, which were fully accessible. The findings indicated that a child’s affective development and anxiety during pregnancy are significantly correlated. It can be characterised by decreased attention to facial expressions in infants crying, sleeping, and feeding. In addition, the child may experience impaired socio-individual neurodevelopment, fine motor and emotional development, and poorer language. This can lead to negative behavioral development, such as hyperactivity and emotional disturbances, from preschool to adulthood. The more often and longer the mother experiences anxiety, the more likely the child is to have emotional and behavioral disorders.
Yuksel F, Akin S, Durna Z. Prenatal distress in Turkish pregnant women and factors associated with maternal prenatal distress. Journal of Clinical Nursing 2014; 23: 54–64. DOI: 10.1111/j.1365-2702.2012.04283.x
Zhou J, Zhang S, Teng Y, et al. Maternal pregnancy-related anxiety and children’s physical growth: the Ma’anshan birth cohort study. BMC Pregnancy Childbirth 2023; 23: 384. DOI: 10.1186/s12884-023-05711-5
Santos AMD, Benute GRG, Santos NOD, et al. Presence of eating disorders and its relationship to anxiety and depression in pregnant women. Midwifery 2017; 51: 12–15. DOI: 10.1016/j.midw.2017.05.005
Skouteris H, Wertheim EH, Rallis S, et al. Depression and anxiety through pregnancy and the early postpartum: An examination of prospective relationships. Journal of Affective Disorders 2009; 113: 303–308. DOI: 10.1016/j.jad.2008.06.002
Çolak S, Gürlek B, Önal Ö, et al. The level of depression, anxiety, and sleep quality in pregnancy during coronavirus disease 2019 pandemic. J of Obstet and Gynaecol 2021; 47:2666–2676. DOI: 10.1111/jog.14872
Enătescu I, Craina M, Gluhovschi A, et al. The role of personality dimensions and trait anxiety in increasing the likelihood of suicide ideation in women during the perinatal period. Journal of Psychosomatic Obstetrics & Gynecology 2021; 42: 242–252. DOI: 10.1080/0167482X.2020.1734790
Hakanen H, Flykt M, Sinervä E, et al. How maternal pre- and postnatal symptoms of depression and anxiety affect early mother-infant interaction? Journal of Affective Disorders 2019; 257: 83-90. DOI: 10.1016/j.jad.2019.06.048
Zhang F, Zhou J, Zhang S, et al. Impact of pregnancy-related anxiety on preschoolers’ emotional and behavioral development: Gender specificity, critical time windows and cumulative effect. Journal of Affective Disorders 2023; 323: 176–184. DOI: 10.1016/j.jad.2022.11.085
Saputri IS, Yudianti I. Tingkat Kecemasan Ibu Hamil Trimester Iii Berdasarkan Kelompok Faktor Resiko Kehamilan. JMU 2020; 2: 16. DOI: https://doi.org/10.32807/jmu.v2i1.72
Hastanti H, Budiono B, Febriyana N. Primigravida Memiliki Kecemasan Yang Lebih Saat Kehamilan. IMHSJ 2021; 3: 167–178. DOI : 10.20473/imhsj.v3i2.2019.167-178
Szekely E, Neumann A, Sallis H, et al. Maternal Prenatal Mood, Pregnancy- Specific Worries, and Early Child Psychopathology: Findings From the DREAM BIG Consortium. Journal of the American Academy of Child & Adolescent Psychiatry 2021; 60: 186–197. DOI: 10.1016/j.jaac.2020.02.017
Dunkel Schetter C, Tanner L. Anxiety, depression and stress in pregnancy: implications for mothers, children, research, and practice. Current Opinion in Psychiatry 2012; 25: 141–148. DOI: 10.1097/YCO.0b013e3283503680
Rejnö G, Lundholm C, Öberg S, et al. Maternal anxiety, depression and asthma and adverse pregnancy outcomes – a population based study. Sci Rep 2019; 9: 13101. DOI: 10.1038/s41598-019-49508-z
Rosa MJ, Lee AG, Wright RJ. Evidence establishing a link between prenatal and early-life stress and asthma development. Current Opinion in Allergy & Clinical Immunology 2018; 18: 148–158. DOI: 10.1097/ACI.0000000000000421
Van Der Leek AP, Bahreinian S, Chartier M, et al. Maternal Distress During Pregnancy and Recurrence in Early Childhood Predicts Atopic Dermatitis and Asthma in Childhood. Chest 2020; 158: 57–67. DOI: 10.1016/j.chest.2020.01.052
Zhou J, Guo Y, Teng Y, et al. Maternal anxiety during pregnancy and children’s asthma in preschool age: The Ma’anshan birth cohort study. Journal of Affective Disorders 2023; 340: 312–320. DOI: 10.1016/j.jad.2023.08.037
Farewell CV, Thayer ZM, Puma JE, et al. Exploring the timing and duration of maternal stress exposure: Impacts on early childhood BMI. Early Human Development 2018; 117: 15–19. DOI: 10.1016/j.earlhumdev.2017.12.001
O’Donnell KJ, Glover V, Lahti J, et al. Maternal prenatal anxiety and child COMT genotype predict working memory and symptoms of ADHD. PLoS ONE 2017; 12: e0177506. DOI: 10.1371/journal.pone.0177506
Graham RM, Jiang L, McCorkle G, et al. Maternal Anxiety and Depression during Late Pregnancy and Newborn Brain White Matter Development. AJNR Am J Neuroradiol 2020; 41: 1908–1915. DOI: 10.3174/ajnr.A6759
Blair MM, Glynn LM, Sandman CA, et al. Prenatal maternal anxiety and early childhood temperament. Stress 2011; 14: 644–651. DOI: 10.3109/10253890.2011.594121
Buss C, Davis EP, Hobel CJ, et al. Maternal pregnancy-specific anxiety is associated with child executive function at 6–9 years age. Stress 2011; 14: 665–676. DOI: 10.3109/10253890.2011.623250
Schwarze CE, Von Der Heiden S, Wallwiener S, et al. The role of perinatal maternal symptoms of depression, anxiety for infant’s self-regulation: A prospective longitudinal study. Journal of Affective Disorders 2024; 346: 144-153. DOI: 10.1016/j.jad.2023.10.035
Van Den Heuvel MI, Johannes MA, Henrichs J, et al. Maternal mindfulness during pregnancy and infant socio- emotional development and temperament: The mediating role of maternal anxiety. Early Human Development 2015; 91: 103–108. DOI: 10.1016/j.earlhumdev.2014.12.003
Glover V. Maternal depression, anxiety and stress during pregnancy and child outcome; what needs to be done. Best Practice & Research Clinical Obstetrics & Gynaecology 2014; 28: 25–35. DOI: 10.1016/j.bpobgyn.2013.08.017
Rogers AM, Youssef GJ, Teague S, et al. Association of maternal and paternal perinatal depression and anxiety with infant development: A longitudinal study. Journal of Affective Disorders 2023; 338: 278–288. DOI: 10.1016/j.jad.2023.06.020
López-Morales H, Canet-Juric L, del- Valle MV, et al. Prenatal anxiety during the pandemic context is related to neurodevelopment of 6-month-old babies. Eur J Pediatr 2023; 182: 4213-4226. DOI: 10.1007/s00431-023-05112-y
McGuinn LA, Tamayo-Ortiz M, Rosa MJ, et al. The influence of maternal anxiety and cortisol during pregnancy on childhood anxiety symptoms. Psychoneuroendocrinology 2022; 139:105704. DOI: 10.1016/j.psyneuen.2022.105704
Wang X, Xie J, Wu Y, et al. Gender- specific effect of pregnancy-related anxiety on preschooler’s emotional and behavioral development: A population-based cohort study. Journal of Affective Disorders 2021; 279: 368-376. DOI: 10.1016/j.jad.2020.10.014
Thiel F, Iffland L, Drozd F, et al. Specific relations of dimensional anxiety and manifest anxiety disorders during pregnancy with difficult early infant temperament: a longitudinal cohort study. Arch Womens Ment Health 2020; 23: 535-546. DOI: 10.1007/s00737-019-01015-w
Porter E, Lewis AJ, Watson SJ, et al. Perinatal maternal mental health and infant socio-emotional development: A growth curve analysis using the MPEWS cohort. Infant Behavior and Development 2019; 57: 101336. DOI: 10.1016/j.infbeh.2019.101336
Mughal MK, Giallo R, Arnold P, et al. Trajectories of maternal stress and anxiety from pregnancy to three years and child development at 3 years of age: Findings from the All Our Families (AOF) pregnancy cohort. Journal of Affective Disorders 2018; 234: 318–326. DOI: 10.1016/j.jad.2018.02.095
World Health Organization. WHO recommendations on antenatal care for a positive pregnancy experience. Geneva: World Health Organization, https://www.who.int/publications/i/item/9789241549912 (2016, accessed 4 January 2024).
Sayal K, Heron J, Maughan B, et al. Infant temperament and childhood psychiatric disorder: longitudinal study. Child 2014; 40: 292–297. DOI: 10.1111/cch.12054
Liu Y-W, Liu H, Huang K, et al. The association between pregnancy-related anxiety and behavioral development in 18-month-old children: The mediating effects of parenting styles and breastfeeding methods. Journal of Affective Disorders 2023; 333: 392-402. DOI: 10.1016/j.jad.2023.04.014
Farber MJ, Kim MJ, Knodt AR, et al. Maternal overprotection in childhood is associated with amygdala reactivity and structural connectivity in adulthood. Developmental Cognitive Neuroscience 2019; 40: 100711. DOI: 10.1016/j.dcn.2019.100711
Pozzi E, Simmons JG, Bousman CA, et al. The Influence of Maternal Parenting Style on the Neural Correlates of Emotion Processing in Children. Journal of the American Academy of Child & Adolescent Psychiatry 2020; 59: 274–282. DOI: 10.1016/j.jaac.2019.01.018
Dégeilh F, Bernier A, Leblanc É, et al. Quality of maternal behaviour during infancy predicts functional connectivity between default mode network and salience network 9 years later. Developmental Cognitive Neuroscience 2018; 34: 53–62. DOI: 10.1016/j.dcn.2018.06.003
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