Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions
Disaster-Related Trauma’s Effect on Maternal Stress
J Affect Disord; ePub 2018 Mar 17; Zhang, et al
A recent study investigated prenatal maternal stress (PNMS) related to Superstorm Sandy, a hurricane that struck the New York metropolitan area in October 2012, in terms of objective exposure during pregnancy, subjective stress reaction as assessed by maternal symptoms of post-traumatic stress, and their impact on the developmental changes in temperament during early childhood. Findings suggest that both objective stress exposure and subjective stress reaction in-utero predict developmental trajectories of temperament in early childhood. A subsample of 318 mother-child dyads was drawn from the Stress in Pregnancy Study. Temperament was measured at 6, 12, 18, and 24 months of age. Investigators found:
- Objective exposure was associated with greater High-Intensity Pleasure, Approach, Perceptual Sensitivity and Fearfulness, but lower Cuddliness and Duration of Orientation at 6 months.
- Objective exposure and its interaction with subjective stress reaction predicted developmental changes in temperament.
- In particular, objective exposure was linked to greater increases in Activity Level but decreases in High-Intensity Pleasure, Approach, and Fearfulness.
- The combination of objective exposure and subjective stress reaction was also associated with greater increases in Activity Level.
Zhang W, Rajendran K, Ham J, et al. Prenatal exposure to disaster-related traumatic stress and developmental trajectories of temperament in early childhood: Superstorm Sandy pregnancy study. [Published online ahead of print March 17, 2018]. J Affect Disord. doi:10.1016/j.jad.2018.02.067.