Academic Journal
Maternal migration, prenatal stress and child autistic traits: insights from a population-based cohort study
| 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 |
| FullText | Text: Availability: 0 CustomLinks: – Url: https://hdl.handle.net/1887/4284050# Name: EDS - BASE (ns324271) Category: fullText Text: View record from BASE |
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| Header | DbId: edsbas DbLabel: BASE An: edsbas.91F5283F RelevancyScore: 908 AccessLevel: 3 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 907.8095703125 |
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| Items | – Name: Title Label: Title Group: Ti Data: Maternal migration, prenatal stress and child autistic traits: insights from a population-based cohort study – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Leeuw%2C+A%2EE%2E+de%22">Leeuw, A.E. de</searchLink><br /><searchLink fieldCode="AR" term="%22Ester%2C+W%2EA%2E%22">Ester, W.A.</searchLink><br /><searchLink fieldCode="AR" term="%22Bolhuis%2C+K%2E%22">Bolhuis, K.</searchLink><br /><searchLink fieldCode="AR" term="%22Hoek%2C+H%2EW%2E%22">Hoek, H.W.</searchLink><br /><searchLink fieldCode="AR" term="%22Jansen%2C+P%2EW%2E%22">Jansen, P.W.</searchLink> – Name: TitleSource Label: Source Group: Src Data: Journal of the American Academy of Child & Adolescent Psychiatry – Name: DatePubCY Label: Publication Year Group: Date Data: 2025 – Name: Subset Label: Collection Group: HoldingsInfo Data: Leiden Repository (Leiden University) – Name: Subject Label: Subject Terms Group: Su Data: <searchLink fieldCode="DE" term="%22autism+spectrum+disorder%22">autism spectrum disorder</searchLink><br /><searchLink fieldCode="DE" term="%22migrant%22">migrant</searchLink><br /><searchLink fieldCode="DE" term="%22ethnic+minority%22">ethnic minority</searchLink><br /><searchLink fieldCode="DE" term="%22discrimination%22">discrimination</searchLink><br /><searchLink fieldCode="DE" term="%22prenatal+stress%22">prenatal stress</searchLink> – Name: Abstract Label: Description Group: Ab 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 < .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 ... – Name: TypeDocument Label: Document Type Group: TypDoc Data: article in journal/newspaper – Name: Format Label: File Description Group: SrcInfo Data: application/pdf – Name: Language Label: Language Group: Lang Data: English – Name: NoteTitleSource Label: Relation Group: SrcInfo Data: https://www.sciencedirect.com/science/article/pii/S0890856724001837?via%3Dihub; https://hdl.handle.net/1887/4284050 – Name: DOI Label: DOI Group: ID Data: 10.1016/j.jaac.2024.04.004 – Name: URL Label: Availability Group: URL Data: https://hdl.handle.net/1887/4284050<br />https://www.sciencedirect.com/science/article/pii/S0890856724001837?via%3Dihub<br />https://doi.org/10.1016/j.jaac.2024.04.004 – Name: AN Label: Accession Number Group: ID Data: edsbas.91F5283F |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1016/j.jaac.2024.04.004 Languages: – Text: English Subjects: – SubjectFull: autism spectrum disorder Type: general – SubjectFull: migrant Type: general – SubjectFull: ethnic minority Type: general – SubjectFull: discrimination Type: general – SubjectFull: prenatal stress Type: general Titles: – TitleFull: Maternal migration, prenatal stress and child autistic traits: insights from a population-based cohort study Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Leeuw, A.E. de – PersonEntity: Name: NameFull: Ester, W.A. – PersonEntity: Name: NameFull: Bolhuis, K. – PersonEntity: Name: NameFull: Hoek, H.W. – PersonEntity: Name: NameFull: Jansen, P.W. IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 01 Type: published Y: 2025 Identifiers: – Type: issn-locals Value: edsbas Titles: – TitleFull: Journal of the American Academy of Child & Adolescent Psychiatry Type: main |
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