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Effects of Maternal Psychopathology and Education Level on Neurocognitive Development in Infants of Adolescent Mothers Living in Poverty in Brazil.
Shephard, Elizabeth; Fatori, Daniel; Mauro, Larissa Rezende; de Medeiros Filho, Mauro V; Hoexter, Marcelo Q; Chiesa, Anna M; Fracolli, Lislaine A; Brentani, Helena; Ferraro, Alexandre A; Nelson, Charles A; Miguel, Euripedes C; Polanczyk, Guilherme V.
Afiliação
  • Shephard E; Department of Psychiatry, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil; Institute of Psychiatry, Psychology, and Neuroscience, King's College London, London, United Kingdom. Electronic address: elizabeth.1.shephard@kcl.ac.uk.
  • Fatori D; Department of Psychiatry, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil.
  • Mauro LR; Department of Psychiatry, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil.
  • de Medeiros Filho MV; Department of Psychiatry, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil.
  • Hoexter MQ; Department of Psychiatry, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil.
  • Chiesa AM; School of Nursing, Universidade de São Paulo, São Paulo, Brazil.
  • Fracolli LA; School of Nursing, Universidade de São Paulo, São Paulo, Brazil.
  • Brentani H; Department of Psychiatry, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil.
  • Ferraro AA; Department of Psychiatry, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil.
  • Nelson CA; Laboratories of Cognitive Neuroscience, Division of Developmental Medicine, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts; Graduate School of Education, Harvard University, Cambridge, Massachusetts.
  • Miguel EC; Department of Psychiatry, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil.
  • Polanczyk GV; Department of Psychiatry, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil. Electronic address: gvp@usp.br.
Article em En | MEDLINE | ID: mdl-31345780
BACKGROUND: Adolescent motherhood remains common in developing countries and is associated with risk factors that adversely impact infant neurodevelopment, including poverty, low maternal education, and increased maternal psychopathology. Yet, no published work has assessed how these factors affect early brain development in developing countries. METHODS: This pilot study examined effects of maternal psychopathology and education on early neurocognitive development in a sample of adolescent mothers (N = 50, final n = 31) and their infants living in poverty in São Paulo, Brazil. Maternal symptoms of anxiety, depression, and attention-deficit/hyperactivity disorder and education level were assessed during pregnancy. Infant neurocognitive development was assessed at 6 months of age, with oscillatory power and functional connectivity in the theta (4-6 Hz), alpha (6-9 Hz), and gamma (30-50 Hz) frequencies derived from resting-state electroencephalography; temperament (negative affect, attention, and regulation); and cognitive, language, and motor skills. Cluster-based permutation testing and graph-theoretical methods were used to identify alterations in oscillatory power and connectivity that were associated with maternal psychopathology and education. Correlations between power and connectivity alterations were examined in relation to infants' overt cognitive behavioral abilities. RESULTS: Increased maternal anxiety and lower maternal education were associated with weaker oscillatory connectivity in alpha-range networks. Infants with the weakest connectivity in the alpha network associated with maternal anxiety also showed the lowest cognitive ability. Greater maternal anxiety and attention-deficit/hyperactivity disorder were associated with increased absolute and relative theta power. CONCLUSIONS: Our findings highlight the importance of addressing maternal psychopathology and improving education in poor adolescent mothers to prevent negative effects on infant neurodevelopment.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Ansiedade / Transtornos de Ansiedade / Depressão / Transtorno Depressivo / Mães Tipo de estudo: Prognostic_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude Limite: Adolescent / Adult / Female / Humans / Infant País/Região como assunto: America do sul / Brasil Idioma: En Revista: Biol Psychiatry Cogn Neurosci Neuroimaging Ano de publicação: 2019 Tipo de documento: Article País de publicação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Ansiedade / Transtornos de Ansiedade / Depressão / Transtorno Depressivo / Mães Tipo de estudo: Prognostic_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude Limite: Adolescent / Adult / Female / Humans / Infant País/Região como assunto: America do sul / Brasil Idioma: En Revista: Biol Psychiatry Cogn Neurosci Neuroimaging Ano de publicação: 2019 Tipo de documento: Article País de publicação: Estados Unidos