Using Natural Disasters to Study the Effects of Prenatal Maternal Stress on Child Health and Development

被引:167
|
作者
King, Suzanne [1 ,2 ]
Dancause, Kelsey [1 ,2 ]
Turcotte-Tremblay, Anne-Marie [3 ]
Veru, Franz
Laplante, David P.
机构
[1] Douglas Mental Hlth Univ Inst, Douglas Hosp Res Ctr, Psychosocial Res Unit, Psychosocial Res Div, Verdun, PQ H4H 1R3, Canada
[2] McGill Univ, Dept Psychiat, Montreal, PQ, Canada
[3] Univ Montreal, Hosp Res Ctr CRCHUM, Global Hlth Res Capac Strengthening Program, Montreal, PQ, Canada
基金
加拿大健康研究院; 美国国家卫生研究院;
关键词
prenatal maternal stress; disaster research; newborn and child outcomes; SPONTANEOUS PRETERM BIRTH; ALTERS IMMUNE FUNCTION; GLUCOCORTICOID EXPOSURE; PSYCHOLOGICAL DISTRESS; NEUROMOTOR DEVELOPMENT; FLUCTUATING ASYMMETRY; COGNITIVE-DEVELOPMENT; GLUCOSE-INTOLERANCE; PSYCHOSOCIAL STRESS; GROWTH RESTRICTION;
D O I
10.1002/bdrc.21026
中图分类号
Q [生物科学];
学科分类号
07 ; 0710 ; 09 ;
摘要
Research on the developmental origins of health and disease highlights the plasticity of the human fetus to a host of potential teratogens. Experimental research on laboratory animals has demonstrated a variety of physical and behavioral effects among offspring exposed to prenatal maternal stress (PNMS). However, these studies cannot elucidate the relative effects of the objective stress exposure and the subjective distress in a way that would parallel the stress experience in humans. PNMS research with humans is also limited because there are ethical challenges to designing studies that involve the random assignment of pregnant women to varying levels of independent stressors. Natural disasters present opportunities for natural experiments of the effects of pregnant women's exposure to stress on child development. In this review, we present an overview of the human and animal research on PNMS, and highlight the results of Project Ice Storm which has been following the cognitive, behavioral, motor and physical development of children exposed in utero to the January 1998 Quebec Ice Storm. We have found that both objective degree of exposure to the storm and the mothers' subjective distress have strong and persistent effects on child development, and that these effects are often moderated by the timing of the ice storm in pregnancy and by the child's sex. Birth Defects Research (Part C) 96:273288, 2012. (c) 2013 Wiley Periodicals, Inc.
引用
收藏
页码:273 / 288
页数:16
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