Perinatal maternal mental health and offspring internalizing and externalizing difficulties from early childhood through adolescence: Rhea mother—child cohort in Crete, Greece.

Longitudinal research assessing childhood mental health is limited, particularly in terms of tracking how early-life factors influence the development of emotional and behavioral disorders over time. The present study aimed to examine the influence of both antenatal and postnatal maternal mental hea...

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Publicado en:European Child & Adolescent Psychiatry Vol. 34; no. 10; pp. 3261 - 3275
Autores principales: Koutra, Katerina, Mouatsou, Chrysi, Margetaki, Katerina, Roumeliotaki, Theano, Mavroeides, Georgios, Psoma, Sofia, Kampouri, Mariza, Karachaliou, Marianna, Kogevinas, Manolis, Chatzi, Lida
Formato: research tables/charts Journal Article
Publicado: Springer Nature Oct2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2025
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00787-025-02746-1
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        atl: Perinatal maternal mental health and offspring internalizing and externalizing difficulties from early childhood through adolescence: Rhea mother—child cohort in Crete, Greece.
      aug:
        au:
          Koutra, Katerina
          Mouatsou, Chrysi
          Margetaki, Katerina
          Roumeliotaki, Theano
          Mavroeides, Georgios
          Psoma, Sofia
          Kampouri, Mariza
          Karachaliou, Marianna
          Kogevinas, Manolis
          Chatzi, Lida
        affil: https://ror.org/00dr28g20 Department of Psychology, School of Social Sciences, University of Crete, Gallos Campus, 74100, Rethymno, Crete, Greece
      sug:
        subj:
          Mothers Psychosocial Factors
          Perinatal Period
          Mental Health Evaluation
          Child Behavior
          Child Development
          Internalizing Behavior
          Externalizing Behavior
          Attention Deficit Hyperactivity Disorder Risk Factors
          Attention Deficit Hyperactivity Disorder Risk Factors
          Risk Assessment
          Human
          Male
          Female
          Infant
          Child
          Adolescence
          Prospective Studies
          Repeated Measures
          Regression
          Self Report
          Bivariate Statistics
          Mann-Whitney U Test
          Kruskal-Wallis Test
          Spearman's Rank Correlation Coefficient
          Multivariate Statistics
          Edinburgh Postnatal Depression Scale
          Descriptive Statistics
          Data Analysis Software
          State-Trait Anxiety Inventory
          Child Behavior Checklist
          Scales
          Psychological Tests
          Questionnaires
          Checklists
          Infant: 1-23 months
          Child: 6-12 years
          Adolescent: 13-18 years
          Male
          Female
      ab: Longitudinal research assessing childhood mental health is limited, particularly in terms of tracking how early-life factors influence the development of emotional and behavioral disorders over time. The present study aimed to examine the influence of both antenatal and postnatal maternal mental health on children's emotional and behavioral development, with a focus on the trajectory of internalizing, externalizing and attention deficit hyperactivity disorder (ADHD) symptoms from early childhood through adolescence. The present study included 434 mother–child pairs of the Rhea mother–child cohort in Crete, Greece. Maternal depressive symptoms (EPDS), trait anxiety (STAI-Trait), and personality traits (EPQ-R) were assessed during the third trimester of pregnancy, while postnatal depressive symptoms (EPDS) were evaluated 8–10 weeks after childbirth. Children's internalizing, externalizing and ADHD-related symptoms were assessed at ages 4 (using the SDQ and ADHDT, respectively), and at ages 6, 11, and 15 (using the CBCL and CPRS-R:S, respectively). Multivariate mixed regression models, incorporating a random intercept for each child and a random slope for age at follow-up, were used to analyze the trajectories of symptoms from ages 4 to 15. Significant long-term associations were found between maternal mental health and child outcomes between the ages of 4 and 15. Specifically, higher levels of maternal trait anxiety and neuroticism were associated with an increase in children's internalizing, externalizing, and ADHD symptoms. Both antenatal and postnatal maternal depressive symptoms were linked to a greater likelihood of internalizing and externalizing symptoms over time, but only postnatal depression was related to a rise in ADHD symptoms. The findings emphasize the importance of perinatal maternal mental health in children's emotional and behavioral development and suggest the need for prevention and early intervention programs to support the mental health of both mothers and children.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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