Cohort profile: the U-BIRTH study on peripartum depression and child development in Sweden.


Journal

BMJ open
ISSN: 2044-6055
Titre abrégé: BMJ Open
Pays: England
ID NLM: 101552874

Informations de publication

Date de publication:
10 11 2023
Historique:
medline: 13 11 2023
pubmed: 11 11 2023
entrez: 10 11 2023
Statut: epublish

Résumé

The current U-BIRTH cohort (Uppsala Birth Cohort) extends our previous cohort Biology, Affect, Stress, Imaging and Cognition (BASIC), assessing the development of children up to 11 years after birth. The U-BIRTH study aims to (1) assess the impact of exposure to peripartum mental illness on the children's development taking into account biological and environmental factors during intrauterine life and childhood; (2) identify early predictors of child neurodevelopmental and psychological problems using biophysiological, psychosocial and environmental variables available during pregnancy and early post partum. All mothers participating in the previous BASIC cohort are invited, and mother-child dyads recruited in the U-BIRTH study are consecutively invited to questionnaire assessments and biological sampling when the child is 18 months, 6 years and 11 years old. Data collection at 18 months (n=2882) has been completed. Consent for participation has been obtained from 1946 families of children having reached age 6 and from 698 families of children having reached age 11 years. Based on the complete data from pregnancy to 18 months post partum, peripartum mental health was significantly associated with the development of attentional control and gaze-following behaviours, which are critical to cognitive and social learning later in life. Moreover, infants of depressed mothers had an elevated risk of difficult temperament and behavioural problems compared with infants of non-depressed mothers. Analyses of biological samples showed that peripartum depression and anxiety were related to DNA methylation differences in infants. However, there were no methylation differences in relation to infants' behavioural problems at 18 months of age. Given that the data collection at 18 months is complete, analyses are now being undertaken. Currently, assessments for children reaching 6 and 11 years are ongoing.

Identifiants

pubmed: 37949626
pii: bmjopen-2023-072839
doi: 10.1136/bmjopen-2023-072839
pmc: PMC10649626
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

e072839

Informations de copyright

© Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY. Published by BMJ.

Déclaration de conflit d'intérêts

Competing interests: None declared.

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Auteurs

Hsing-Fen Tu (HF)

Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.
Department of Psychology, Uppsala University, Uppsala, Sweden.

Emma Fransson (E)

Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.
Centre for Translational Microbiome Research, Department of Microbiology, Tumor and Cell Biology, Karolinska Institutet, Stockholm, Sweden.

Theodora Kunovac Kallak (T)

Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.

Ulf Elofsson (U)

Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.

Mia Ramklint (M)

Department of Medical Sciences, Uppsala University, Uppsala, Sweden.

Alkistis Skalkidou (A)

Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden Alkistis.Skalkidou@kbh.uu.se.

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