Maternal affective and stress-related factors during pregnancy affect the occurrence of childhood allergic diseases: A Shanghai MCPC study

Shi, Yuyang; Qian, Wei; Ma, Xuemei; Zhang, Yunhui; Shi, Huijing

doi:10.1016/j.jpsychores.2022.111142

Cited by 7 publications

(10 citation statements)

References 52 publications

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“…Among these, the pooled point prevalence was 23.9% (95% CI, 20.5%-27.4%; n = 149 485). The prevalence was significantly lower post partum (16.2%; 95% CI, 12.5%-20.3%; 32 studies; n = 17 960; P = .02). Nine studies measured the prevalence of pregnant and postpartum women, with combined results showing a prevalence of 16.4% (95% CI, 5.9%-30.6%; n = 6108).…”

Section: Resultsmentioning

confidence: 91%

“…This subgroup included only 9 studies, all of which were performed in Turkey. The lowest prevalence was found in East Asia and the Pacific (12.7%; 95% CI, 10.5%-15.1%; 61 studies; n = 103 180). Of the studies conducted in East Asia and the Pacific, 53 (86.9%) were conducted in China (eFigure 7 in Supplement 1).…”

Section: Resultsmentioning

confidence: 92%

“…While investigating generalized anxiety by country income status, we found a higher prevalence among studies performed in lower-middle–income countries (27.6%; 95% CI, 21.6%-33.9%; 59 studies; n = 25 109) compared with low-income countries (24.0%; 95% CI, 15.3%-33.8%; 11 studies; n = 4961). Upper-middle–income countries had the lowest prevalence (19.1%; 95% CI, 16.0%-22.4%; 110 studies; n = 138 496).…”

Section: Resultsmentioning

confidence: 99%

“…Generalized anxiety disorder (including anxiety not specified) was the most commonly reported anxiety disorder, examined by 184 of 203 studies (90.6%) . The pooled point prevalence for generalized anxiety disorder was 22.2% (95% CI, 19.4%-25.0%; n = 173 553).…”

Section: Resultsmentioning

confidence: 99%

“…Our search identified 10 617 studies; 1231 full texts were reviewed, and of these, 203 studies were included (Figure 1; eTable 2 in Supplement 1). Cumulatively, outcomes were reported for 212 318 perinatal women (from conception to 12 months post birth) from 33 LMICs. The prevalence estimates of 6 anxiety and related disorders were reported: generalized anxiety disorder, social anxiety disorder, posttraumatic stress disorder, obsessive-compulsive disorder, panic disorder, and adjustment disorder.…”

Section: Resultsmentioning

confidence: 99%

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Prevalence of Perinatal Anxiety and Related Disorders in Low- and Middle-Income Countries

Roddy Mitchell,

Gordon,

Atkinson

et al. 2023

JAMA Netw Open

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ImportanceAnxiety disorders are associated with poor maternal and neonatal outcomes. Women in low- and middle-income countries (LMICs) are thought to be disproportionally burdened by these disorders, yet their prevalence is unclear.ObjectiveTo conduct a systematic review and meta-analysis to determine the prevalence of 6 anxiety and related disorders among perinatal women in LMICs.Data SourcesEmbase, MEDLINE, PsycINFO, Cochrane Library, CINAHL, and Web of Science databases were searched from inception until September 7, 2023.Study SelectionStudies conducted in World Bank–defined LMICs and reporting prevalence of generalized anxiety disorder, obsessive-compulsive disorder, social anxiety disorder, posttraumatic stress disorder, panic disorder, or adjustment disorder during the perinatal period (conception to 12 months post partum) using a validated method were included.Data Extraction and SynthesisThis study followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses reporting guideline. Study eligibility, extracted data, and risk of bias of included studies were assessed by 2 independent reviewers. Random-effects meta-analysis was used to estimate pooled point prevalence. Subgroup analyses were performed by specific anxiety disorder.Main Outcomes and MeasuresMain outcomes were prevalence estimates of each anxiety disorder, measured as percentage point estimates and corresponding 95% CIs.ResultsAt total of 10 617 studies were identified, 203 of which met the inclusion criteria and reported the outcomes of 212 318 women from 33 LMICs. Generalized anxiety disorder was the most reported (184 studies [90.6%]) and most prevalent disorder at 22.2% (95% CI, 19.4%-25.0%; n = 173 553). Posttraumatic stress disorder was the second most prevalent (8.3%; 95% CI, 5.0%-12.2%; 33 studies; n = 22 452). Adjustment disorder was least prevalent (2.9%; 95% CI, 0.0%-14.1%; 2 studies; n = 475). The prevalence of generalized anxiety varied by country income status, with the highest prevalence among lower-middle–income countries (27.6%; 95% CI, 21.6%-33.9%; 59 studies; n = 25 109), followed by low-income (24.0%; 95% CI, 15.3%-33.8%; 11 studies; n = 4961) and upper-middle–income (19.1%; 95% CI, 16.0%-22.4%; 110 studies; n = 138 496) countries.Conclusions and RelevanceThese findings suggest that 1 in 5 women living in LMICs experience anxiety disorders during pregnancy and post partum. Targeted action is needed to reduce this high burden.

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Section: Resultsmentioning

confidence: 91%

Section: Resultsmentioning

confidence: 92%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Prevalence of Perinatal Anxiety and Related Disorders in Low- and Middle-Income Countries

Roddy Mitchell,

Gordon,

Atkinson

et al. 2023

JAMA Netw Open

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Early exposure to maternal stress and risk for atopic dermatitis in children: A systematic review and meta‐analysis

Ai,

Huang,

Zhu

2024

Clinical & Translational All

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BackgroundThe incidence of atopic dermatitis (AD) in children is increasing. Early exposure to stress factors may be associated with the AD development. This study aimed to summarize studies that reported an association between stress exposure and AD development in later life.Methods and findingsA comprehensive literature search was performed using online databases (PubMed, EMBASE, PsycINFO, and Web of Science) for articles published up to May 1, 2023. Eligible studies were screened and selected based on the inclusion criteria. We incorporated cohort or case‐control studies published in English which explored the relationship between stress experienced by parents or children and AD. The pooled odds ratio (OR) was calculated according to the type of stress using a random‐effects model. Twenty‐two studies were included. AD was related to maternal distress (OR 1.29, 95% Confidence Interval [CI]: 1.13–1.47), maternal anxiety (OR 1.31, 95% CI: 1.18–1.46), and negative life events (OR 2.00, 95% CI: 1.46–2.76). Maternal depression during pregnancy was associated with AD (OR 1.21, 95% CI: 1.09–1.33), whereas no significant association was found for postpartum depression. Research on stress experienced by paternal or children is scare.ConclusionsEarly maternal stress may potentially elevate the risk of AD in their offspring. Importantly, rigorously designed studies are required to corroborate the link between maternal stress and AD in children. These studies should aim to gather insights about the impact of stress during specific trimesters of pregnancy, postnatal stress, and paternal stress, and to identify potential prevention strategies.

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Prospective Intergenerational Consequences of Paternal Stress Experiences on Offspring Immune Health

Guerrin,

Trompke,

Pang

2024

Epigenetics in Biological Communication

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Maternal affective and stress-related factors during pregnancy affect the occurrence of childhood allergic diseases: A Shanghai MCPC study

Cited by 7 publications

References 52 publications

Prevalence of Perinatal Anxiety and Related Disorders in Low- and Middle-Income Countries

Prevalence of Perinatal Anxiety and Related Disorders in Low- and Middle-Income Countries

Early exposure to maternal stress and risk for atopic dermatitis in children: A systematic review and meta‐analysis

Prospective Intergenerational Consequences of Paternal Stress Experiences on Offspring Immune Health

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