Effects of perinatal mental disorders on the fetus and child.

Perinatal mental disorders are associated with increased risk of psychological and developmental disturbances in children. However, these disturbances are not inevitable. In this Series paper, we summarise evidence for associations between parental disorders and offspring outcomes from fetal develop...

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Main Authors: Stein, A, Pearson, R, Goodman, S, Rapa, E, Rahman, A, McCallum, M, Howard, L, Pariante, C
Format: Journal article
Language:English
Published: Lancet 2014
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author Stein, A
Pearson, R
Goodman, S
Rapa, E
Rahman, A
McCallum, M
Howard, L
Pariante, C
author_facet Stein, A
Pearson, R
Goodman, S
Rapa, E
Rahman, A
McCallum, M
Howard, L
Pariante, C
author_sort Stein, A
collection OXFORD
description Perinatal mental disorders are associated with increased risk of psychological and developmental disturbances in children. However, these disturbances are not inevitable. In this Series paper, we summarise evidence for associations between parental disorders and offspring outcomes from fetal development to adolescence in high-income, middle-income, and low-income countries. We assess evidence for mechanisms underlying transmission of disturbance, the role of mediating variables (underlying links between parent psychopathology and offspring outcomes) and possible moderators (which change the strength of any association), and focus on factors that are potentially modifiable, including parenting quality, social (including partner) and material support, and duration of the parental disorder. We review research of interventions, which are mostly about maternal depression, and emphasise the need to both treat the parent's disorder and help with associated caregiving difficulties. We conclude with policy implications and underline the need for early identification of those parents at high risk and for more early interventions and prevention research, especially in socioeconomically disadvantaged populations and low-income countries.
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spelling oxford-uuid:75fa8993-7b8f-4d27-8d70-ddb8458ddc232022-03-26T20:12:44ZEffects of perinatal mental disorders on the fetus and child.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:75fa8993-7b8f-4d27-8d70-ddb8458ddc23EnglishSymplectic Elements at OxfordLancet2014Stein, APearson, RGoodman, SRapa, ERahman, AMcCallum, MHoward, LPariante, CPerinatal mental disorders are associated with increased risk of psychological and developmental disturbances in children. However, these disturbances are not inevitable. In this Series paper, we summarise evidence for associations between parental disorders and offspring outcomes from fetal development to adolescence in high-income, middle-income, and low-income countries. We assess evidence for mechanisms underlying transmission of disturbance, the role of mediating variables (underlying links between parent psychopathology and offspring outcomes) and possible moderators (which change the strength of any association), and focus on factors that are potentially modifiable, including parenting quality, social (including partner) and material support, and duration of the parental disorder. We review research of interventions, which are mostly about maternal depression, and emphasise the need to both treat the parent's disorder and help with associated caregiving difficulties. We conclude with policy implications and underline the need for early identification of those parents at high risk and for more early interventions and prevention research, especially in socioeconomically disadvantaged populations and low-income countries.
spellingShingle Stein, A
Pearson, R
Goodman, S
Rapa, E
Rahman, A
McCallum, M
Howard, L
Pariante, C
Effects of perinatal mental disorders on the fetus and child.
title Effects of perinatal mental disorders on the fetus and child.
title_full Effects of perinatal mental disorders on the fetus and child.
title_fullStr Effects of perinatal mental disorders on the fetus and child.
title_full_unstemmed Effects of perinatal mental disorders on the fetus and child.
title_short Effects of perinatal mental disorders on the fetus and child.
title_sort effects of perinatal mental disorders on the fetus and child
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