Academic Journal

Maternal migration, prenatal stress and child autistic traits: insights from a population-based cohort study

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Title: Maternal migration, prenatal stress and child autistic traits: insights from a population-based cohort study
Authors: Leeuw, A.E. de, Ester, W.A., Bolhuis, K., Hoek, H.W., Jansen, P.W.
Source: Journal of the American Academy of Child & Adolescent Psychiatry
Publication Year: 2025
Collection: Leiden Repository (Leiden University)
Subject Terms: autism spectrum disorder, migrant, ethnic minority, discrimination, prenatal stress
Description: Objective There is emerging evidence for an increased prevalence of autism in children of mothers with a migration background. To date, the mechanisms underlying this relationship are poorly understood. We investigated whether prenatal stress exposure mediates the association between maternal migration and child autistic traits, assessing first- and second-generation migrant mothers in the Netherlands and their children. Method The study was embedded in the prospective population-based Generation R cohort. Of the 4,727 participants, 1,773 mothers (38%) had a migration background. Prenatal stress was assessed using questionnaires related to stressful life events , family functioning , self-esteem, long-lasting difficulties, symptoms of psychopathology, social support, and perceived discrimination. Autistic traits were measured at age 6 years with the parent-reported Social Responsiveness Scale exclusively. Longitudinal multiple mediation analyses were performed. Analyses were stratified by migration origin (Europe and outside Europe) because of differences in migration characteristics. Results Maternal migration background was associated with more experienced stress and with higher child autistic trait scores (Europe: mean = 0.42, SD = 0.25; outside Europe: mean = 0.50, SD = 0.24) compared to no migration background (Netherlands: mean = 0.38, SD = 0.23; both p < .01). Prenatal stress, especially perceived discrimination and maternal psychopathology, accounted for up to half of the total effect of maternal migration, which remained after adjusting for sociodemographic factors (B indirect = 0.035, 95% CI = 0.027, 0.043, B total = 0.074). Conclusion Stress during pregnancy mediated the association between maternal migration status and child autistic traits. Future research should focus on early interventions to assess whether reducing prenatal stress exposure among women with a migration background can result in lower offspring autistic traits. ; New methods for child psychiatric diagnosis and treatment outcome ...
Document Type: article in journal/newspaper
File Description: application/pdf
Language: English
Relation: https://www.sciencedirect.com/science/article/pii/S0890856724001837?via%3Dihub; https://hdl.handle.net/1887/4284050
DOI: 10.1016/j.jaac.2024.04.004
Availability: https://hdl.handle.net/1887/4284050
https://www.sciencedirect.com/science/article/pii/S0890856724001837?via%3Dihub
https://doi.org/10.1016/j.jaac.2024.04.004
Accession Number: edsbas.91F5283F
Database: BASE
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  Data: Maternal migration, prenatal stress and child autistic traits: insights from a population-based cohort study
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Leeuw%2C+A%2EE%2E+de%22&quot;&gt;Leeuw, A.E. de&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Ester%2C+W%2EA%2E%22&quot;&gt;Ester, W.A.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Bolhuis%2C+K%2E%22&quot;&gt;Bolhuis, K.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Hoek%2C+H%2EW%2E%22&quot;&gt;Hoek, H.W.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Jansen%2C+P%2EW%2E%22&quot;&gt;Jansen, P.W.&lt;/searchLink&gt;
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  Data: Journal of the American Academy of Child &amp; Adolescent Psychiatry
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  Data: 2025
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  Data: Leiden Repository (Leiden University)
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  Data: Objective There is emerging evidence for an increased prevalence of autism in children of mothers with a migration background. To date, the mechanisms underlying this relationship are poorly understood. We investigated whether prenatal stress exposure mediates the association between maternal migration and child autistic traits, assessing first- and second-generation migrant mothers in the Netherlands and their children. Method The study was embedded in the prospective population-based Generation R cohort. Of the 4,727 participants, 1,773 mothers (38%) had a migration background. Prenatal stress was assessed using questionnaires related to stressful life events , family functioning , self-esteem, long-lasting difficulties, symptoms of psychopathology, social support, and perceived discrimination. Autistic traits were measured at age 6 years with the parent-reported Social Responsiveness Scale exclusively. Longitudinal multiple mediation analyses were performed. Analyses were stratified by migration origin (Europe and outside Europe) because of differences in migration characteristics. Results Maternal migration background was associated with more experienced stress and with higher child autistic trait scores (Europe: mean = 0.42, SD = 0.25; outside Europe: mean = 0.50, SD = 0.24) compared to no migration background (Netherlands: mean = 0.38, SD = 0.23; both p &lt; .01). Prenatal stress, especially perceived discrimination and maternal psychopathology, accounted for up to half of the total effect of maternal migration, which remained after adjusting for sociodemographic factors (B indirect = 0.035, 95% CI = 0.027, 0.043, B total = 0.074). Conclusion Stress during pregnancy mediated the association between maternal migration status and child autistic traits. Future research should focus on early interventions to assess whether reducing prenatal stress exposure among women with a migration background can result in lower offspring autistic traits. ; New methods for child psychiatric diagnosis and treatment outcome ...
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