Abstract

Pre-natal exposure to acute maternal trauma or chronic maternal distress can confer increased risk for psychiatric disorders in later life. Acute maternal trauma is the result of unforeseen environmental or personal catastrophes, while chronic maternal distress is associated with anxiety or depression. Animal studies investigating the effects of pre-natal stress have largely used brief stress exposures during pregnancy to identify critical periods of fetal vulnerability, a paradigm which holds face validity to acute maternal trauma in humans. While understanding these effects is undoubtably important, the literature suggests maternal stress in humans is typically chronic and persistent from pre-conception through gestation. In this review, we provide evidence to this effect and suggest a realignment of current animal models to recapitulate this chronicity. We also consider candidate mediators, moderators and mechanisms of maternal distress, and suggest a wider breadth of research is needed, along with the incorporation of advanced -omics technologies, in order to understand the neurodevelopmental etiology of psychiatric risk.

Highlights

  • Studies using model systems inspired by associations observed in humans between the various measures of chronic maternal distress and the risk for affective disorders in the offspring (i.e., “internalizing” forms of psychopathology) must consider the nature of the relevant maternal influence in humans

  • We suggest a more diverse investigation of the mechanisms involved in maternal distress, using advanced techniques, is necessary to understand this increased risk

  • A large proportion of individuals exposed to pre-natal maternal distress do not develop a psychiatric disorder

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Summary

SUMMARY AND PERSPECTIVE

A number of excellent reviews (e.g., Monk et al, 2013; Glover, 2014; O’Donnell et al, 2014; Bronson and Bale, 2016) underscore the importance of studies that use model systems in establishing the impact of pre-natal maternal health on offspring development. Studies using model systems inspired by associations observed in humans between the various measures of chronic maternal distress and the risk for affective disorders in the offspring (i.e., “internalizing” forms of psychopathology) must consider the nature of the relevant maternal influence in humans. A large proportion of individuals exposed to pre-natal maternal distress do not develop a psychiatric disorder This concept of resiliency is more commonly studied in non-pregnant adult animals (Russo et al, 2012) but it is unclear how well these findings relate to pregnancy considering the distinct social and physiological environments involved. Considering the routine use of MRI in human studies, MRI studies with mammalian model systems would provide an elegant comparison without the inevitable confounders associated with human studies

CONCLUSION
Findings
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