Objective: This study examines the association between maternal anxiety from pregnancy to 5 years and child attention problems at 5 and 14 years. Method: Birth cohort of 3,982 individuals born in Brisbane between 1981 and 1983 are assessed. Self-reported measures of maternal anxiety are assessed at four time points. Maternal reports of child attention problems using Achenbach’s Child Behavior Checklist are assessed at 5 and 14 years. Results: Children of mothers experiencing anxiety during or after pregnancy are at greater risk of experiencing attention problems at 5 and 14 years. After adjusting for maternal age and child’s gender, antenatal anxiety is strongly associated with persistent attention problems (OR = 3.65, 95% CI = 2.19, 6.07). Children with chronically anxious mothers are 5.67 (95% CI = 3.56, 9.03) times more likely to have persistent attention problems. These associations remain consistent after adjusting for potential confounders. Conclusions: Maternal anxiety appears to increase the rate of child attention problems and identifies a need for treatment programs to have a dual focus—the mother and her child. (J. of Att. Dis. 2010; 13(6) 658-667)
Achenbach, T.M. ( 1991a). Integrative Guide for the 1991 CBCL/4-18, YSR and TRF profiles. Burlington: University of Vermont Department of Psychiatry.
2.
Achenbach, T.M. ( 1991b). Manual for the Child Behavior Checklist/4-18 and 1991 Profile. Burlington: University of Vermont Department of Psychiatry.
3.
Barkley, R.A. ( 1998). Etiologies. In Barkley. R. A. (Ed.), Attention-deficit hyperactivity disorder: A handbook for diagnosis and treatment (Vol. 2nd ed., pp. 164-185). New York: The Guilford.
4.
Bedford, A., & Deary, I.J. ( 1997). The Personal Disturbance Scale (DSSI/sAD): Development, use and structure. Personality and Individual Differences , 22, 493-510.
5.
Bedford, A., & Foulds, G.A. ( 1977). Validating the Delusions Symptoms States Inventory. British Journal of Medical Psychology, 50, 163-171.
6.
Bedford, A., & Foulds, G.A. ( 1978). Delusions Symptoms States Inventory: State of anxiety and depression (manual). Berkshire: NFER Publishing.
7.
Bor, W., Brennan, P.A., Williams, G.M., Najman, J.M., & O’Callaghan, M. (2003). A mother’s attitude towards her infant and child behavior five years later. Australian and New Zealand Journal of Psychiatry, 37, 748-755.
8.
Bor, W., Najman, J.M., Andersen, M.J., O’Callaghan, M.M., Williams, G.M., & Behrens, B.C. ( 1997). The relationship between low family income and psychological disturbance in young children: An Australian longitudinal study. Australian and New Zealand Journal of Psychiatry, 31, 664-675.
9.
Caspi, A., McClay, J., Moffitt, T.E., Mill, J., Martin, J., Craig, I.W., et al. (2002). Role of genotype in the cycle of violence in maltreated children. Science, 297, 752.
10.
Caspi, A., Moffitt, T.E., Cannon M., McClay, J., Murray, R., Harrington, H., et al. (2005). Moderation of the effect of adolescent-onset cannabis use by adult psychosis by a functional polymorphism in the catechol-O-methylstranferase gene: Longitudinal evidence of a gene X environment interaction. Biological Psychiatry, 57, 1117-1127.
11.
Caspi, A., Sugden, K., Moffitt, T.E., Taylor, A., Craig, I.W., Harrington, H., et al. (2003). Influence of life stress on depression: Moderation by a polymorphism of the 5-HTT gene. Science, 301, 291-293.
12.
Chilcoat, HD, & Breslau, N. ( 1997) Does psychiatric history bias mothers' reports? An application of a new analytic approach. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 971-979.
13.
Goedhart, G., van der Wal, M.F., Cuijpers, P., & Bonsel, G.J. ( 2009). Psychosocial problems and continued smoking during pregnancy . Addictive Behaviors, 34, 403-406.
14.
Hammen, C., & Brennan, P.A. ( 2003). Severity, chronicity and timing of maternal depression and risk for adolescent offspring diagnoses in a community sample. Archives of General Psychiatry, 60, 253-258.
15.
Hettema, J.M., Neale, M.C., & Kendler, K.S. ( 2001). A review and meta-analysis of the genetic epidemiology of anxiety disorders. American Journal of Psychiatry, 158, 1568-1578.
16.
Hogan, J.W., Roy, J., & Korkontzelou, C. (2004). Handling drop-out in longitudinal studies. Statistics in Medicine, 23, 1455-1497.
17.
Hudziak, J.J., Copeland, W., Stanger, C., & Wadsworth, M. ( 2004). Screening for DSM-IV externalizing disorders with the Child Behavior Checklist: A receiver-operating characteristic analysis. Journal of Child Psychology and Psychiatry, 45, 1299-1307.
18.
Kahn, R.S., Khoury, J., Nichols, W.C., & Lanphear, B.P. (2003). Role of dopamine transporter genotype and maternal prenatal smoking in childhood hyperactive-impulsive, inattentive and oppositional behaviours. Journal of Pediatrics , 43, 104-110.
19.
Najman, J.M., Aird, R., Bor, W., O’Callaghan, M., Williams, G.M., & Shuttlewood, G.J. (2004). The generational transmission of socioeconomic inequalities in child cognitive development and emotional health. Social Science and Medicine, 58, 1147-1158.
20.
Najman, J.M., Williams, G.M., Nikles, J., Spence, S., Bor, W., O’Callaghan, M., et al. (2000). Mothers’ mental illness and child behavior problems: Cause-effect association or observation bias?Journal of the American Academy of Child and Adolescent Psychiatry, 39, 592-602.
21.
Najman, J.M., Williams, G.M., Nikles, J., Spence, S., Bor, W., O’Callaghan, M., et al. (2001). Bias influencing maternal reports of child behavior and emotional state. Social Psychiatry and Psychiatric Epidemiology, 36, 186-194.
22.
O’Connor, T.G., Heron, J., Glover, V., & Alspac, S.T. ( 2002a). Antenatal anxiety predicts child behavioral/emotional problems independently of postnatal depression. Journal of the American Academy of Child and Adolescent Psychiatry, 41, 1470-1477.
23.
O’Connor, T.G., Heron, J., Golding, J., Beveridge, M., & Glover, V. ( 2002b). Maternal antenatal anxiety and children’s behavioral/emotional problems at 4 years: Report from the Avon longitudinal study of parents and children. British Journal of Psychiatry, 180, 502-508.
24.
O’Connor, T.G., Heron, J., Golding, J., Glover, V., & Team, T.A.S. ( 2003). Maternal antenatal anxiety and behavioral/emotional problems in children: A test of a programming hypothesis. Journal of Child Psychology and Psychiatry, 44, 1025-1036.
25.
Ross, L.E., & McLean, L.M. (2006). Anxiety disorders during pregnancy and the postpartum period: A systematic review. Journal of Clinical Psychiatry, 67, 1285-1298.
26.
Rubino, A., Pezzarossa, B., Zanna, V., & Ciani, N. ( 1997). Fould’s Hierarchy: Validation of predictors in psychiatric and dermatological patients. British Journal of Medical Psychology, 70, 395-402.
27.
Spanier, G.B. ( 1976). Measuring dyadic adjustment-New scales for assessing quality of mariage and similar dyads. Journal of Marriage and the Family, 38, 15-28.
28.
Stanger, C., Achenbach, T., & McConaughy S. ( 1993). Three-year course of behavioral/emotional problems in a national sample of 4-to 16-year olds: 3. Predictors of signs of disturbance. Journal of Consulting and Clinical Psychology, 61, 839-848.
29.
Talge, N.M., Neal, C., & Glover, V. ( 2007). Antenatal maternal stress and long-term effects on child neurodevelopment: How and why? Journal of Child Psychology and Psychiatry, 48, 245-261.
30.
Twenge, J.M. ( 2000). The age of anxiety? Birth cohort change in anxiety and neuroticism. Journal of Personality and Social Psychology , 79, 1007-1021.
31.
Van den Bergh, B.R.H., & Marcoen, A. ( 2004). High antenatal maternal anxiety is related to ADHD symptoms, externalizing problems and anxiety in 8- and 9-year-olds. Child Development, 75, 1085-1097.
32.
Van den Bergh, B.R.H., Mennes, M., Oosterlaan, J., Stevens, V., Stiers, P., Marcoen, A., et al. (2005). High antenatal maternal anxiety is related to impulsivity during performance on cognitive tasts in 14 and 15 year olds . Neuroscience and Biobehavioral Reviews, 29, 259-269.
33.
Van den Bergh, B.R.H., Mulder, E.J.H., Mennes, M., & Glover, V. ( 2005). Antenatal maternal anxiety and stress and the neurobehavioural development of the fetus and child: Links and possible mechanisms. A review . Neuroscience and Biobehavoral Review, 29, 237-258.
34.
Zagron, G., & Weinstock, M. ( 2006). Maternal adrenal hormone secretion mediates behavioural alterations induced by prenatal stress in male and female rats. Behavioral Brain Research, 175, 322-328.
