Annual Research Review: Prenatal opioid exposure - a two-generation approach to conceptualizing neurodevelopmental outcomes / Elisabeth CONRADT in Journal of Child Psychology and Psychiatry, 64-4 (April 2023)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 64-4 (April 2023) . - p.566-578 Titre : Annual Research Review: Prenatal opioid exposure - a two-generation approach to conceptualizing neurodevelopmental outcomes Type de document : Texte imprimé et/ou numérique Auteurs : Elisabeth CONRADT, Auteur ; Marie CAMEROTA, Auteur ; Sarah MAYLOTT, Auteur ; Barry M. LESTER, Auteur Article en page(s) : p.566-578 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : Opioid use during pregnancy impacts the health and well-being of two generations: the pregnant person and the child. The factors that increase risk for opioid use in the adult, as well as those that perpetuate risk for the caregiver and child, oftentimes replicate across generations and may be more likely to affect child neurodevelopment than the opioid exposure itself. In this article, we review the prenatal opioid exposure literature with the perspective that this is not a singular event but an intergenerational cascade of events. We highlight several mechanisms of transmission across generations: biological factors, including genetics and epigenetics and the gut-brain axis; parent-child mechanisms, such as prepregnancy experience of child maltreatment, quality of parenting, infant behaviors, neonatal opioid withdrawal diagnosis, and broader environmental contributors including poverty, violence exposure, stigma, and Child Protective Services involvement. We conclude by describing ways in which intergenerational transmission can be disrupted by early intervention. En ligne : https://doi.org/10.1111/jcpp.13761 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=501 [article] Annual Research Review: Prenatal opioid exposure - a two-generation approach to conceptualizing neurodevelopmental outcomes [Texte imprimé et/ou numérique] / Elisabeth CONRADT, Auteur ; Marie CAMEROTA, Auteur ; Sarah MAYLOTT, Auteur ; Barry M. LESTER, Auteur . - p.566-578. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 64-4 (April 2023) . - p.566-578 Index. décimale : PER Périodiques Résumé : Opioid use during pregnancy impacts the health and well-being of two generations: the pregnant person and the child. The factors that increase risk for opioid use in the adult, as well as those that perpetuate risk for the caregiver and child, oftentimes replicate across generations and may be more likely to affect child neurodevelopment than the opioid exposure itself. In this article, we review the prenatal opioid exposure literature with the perspective that this is not a singular event but an intergenerational cascade of events. We highlight several mechanisms of transmission across generations: biological factors, including genetics and epigenetics and the gut-brain axis; parent-child mechanisms, such as prepregnancy experience of child maltreatment, quality of parenting, infant behaviors, neonatal opioid withdrawal diagnosis, and broader environmental contributors including poverty, violence exposure, stigma, and Child Protective Services involvement. We conclude by describing ways in which intergenerational transmission can be disrupted by early intervention. En ligne : https://doi.org/10.1111/jcpp.13761 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=501

Intergenerational transmission of emotion dysregulation: Part I. Psychopathology, self-injury, and parasympathetic responsivity among pregnant women / Betty LIN in Development and Psychopathology, 31-3 (August 2019)  

Public ISBD [article]  inDevelopment and Psychopathology > 31-3 (August 2019) . - p.817-831 Titre : Intergenerational transmission of emotion dysregulation: Part I. Psychopathology, self-injury, and parasympathetic responsivity among pregnant women Type de document : Texte imprimé et/ou numérique Auteurs : Betty LIN, Auteur ; Parisa R. KALIUSH, Auteur ; Elisabeth CONRADT, Auteur ; Sarah TERRELL, Auteur ; Dylan NEFF, Auteur ; Ashley K. ALLEN, Auteur ; Marcela C. SMID, Auteur ; Catherine MONK, Auteur ; Sheila E. CROWELL, Auteur Article en page(s) : p.817-831 Langues : Anglais (eng) Mots-clés : emotion dysregulation  pregnancy  psychophysiology  self-injurious thoughts and behaviors  women's mental health Index. décimale : PER Périodiques Résumé : The World Health Organization recently reported that maternal mental health is a major public health concern. As many as one in four women suffer from psychiatric disorders at some point during pregnancy or the first postpartum year. Furthermore, self-injurious thoughts and behaviors (SITBs) represent one of the leading causes of death among women during this time. Thus, efforts to identify women at risk for serious forms of psychopathology and especially for SITBs are of utmost importance. Despite this urgency, current single-diagnostic approaches fail to recognize a significant subset of women who are vulnerable to perinatal stress and distress. The current study was among the first to investigate emotion dysregulation—a multilevel, transdiagnostic risk factor for psychopathology—and its associations with stress, distress, and SITBs in a sample of pregnant women (26–40 weeks gestation) recruited to reflect a range of emotion dysregulation. Both self-reported emotion dysregulation and respiratory sinus arrhythmia, a biomarker of emotion dysregulation, demonstrated expected associations with measures of mental health, including depression, anxiety, borderline personality pathology, and SITBs. In addition, self-reported emotion dysregulation was associated with blunted respiratory sinus arrhythmia responsivity to an ecologically valid infant cry task. Findings add to the literature considering transdiagnostic risk during pregnancy using a multiple-levels-of-analysis approach. En ligne : http://dx.doi.org/10.1017/S0954579419000336 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=403 [article] Intergenerational transmission of emotion dysregulation: Part I. Psychopathology, self-injury, and parasympathetic responsivity among pregnant women [Texte imprimé et/ou numérique] / Betty LIN, Auteur ; Parisa R. KALIUSH, Auteur ; Elisabeth CONRADT, Auteur ; Sarah TERRELL, Auteur ; Dylan NEFF, Auteur ; Ashley K. ALLEN, Auteur ; Marcela C. SMID, Auteur ; Catherine MONK, Auteur ; Sheila E. CROWELL, Auteur . - p.817-831. Langues : Anglais (eng) in Development and Psychopathology > 31-3 (August 2019) . - p.817-831 Mots-clés : emotion dysregulation  pregnancy  psychophysiology  self-injurious thoughts and behaviors  women's mental health Index. décimale : PER Périodiques Résumé : The World Health Organization recently reported that maternal mental health is a major public health concern. As many as one in four women suffer from psychiatric disorders at some point during pregnancy or the first postpartum year. Furthermore, self-injurious thoughts and behaviors (SITBs) represent one of the leading causes of death among women during this time. Thus, efforts to identify women at risk for serious forms of psychopathology and especially for SITBs are of utmost importance. Despite this urgency, current single-diagnostic approaches fail to recognize a significant subset of women who are vulnerable to perinatal stress and distress. The current study was among the first to investigate emotion dysregulation—a multilevel, transdiagnostic risk factor for psychopathology—and its associations with stress, distress, and SITBs in a sample of pregnant women (26–40 weeks gestation) recruited to reflect a range of emotion dysregulation. Both self-reported emotion dysregulation and respiratory sinus arrhythmia, a biomarker of emotion dysregulation, demonstrated expected associations with measures of mental health, including depression, anxiety, borderline personality pathology, and SITBs. In addition, self-reported emotion dysregulation was associated with blunted respiratory sinus arrhythmia responsivity to an ecologically valid infant cry task. Findings add to the literature considering transdiagnostic risk during pregnancy using a multiple-levels-of-analysis approach. En ligne : http://dx.doi.org/10.1017/S0954579419000336 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=403

Intergenerational transmission of emotion dysregulation: Part II. Developmental origins of newborn neurobehavior / Brendan D. OSTLUND in Development and Psychopathology, 31-3 (August 2019)  

Public ISBD [article]  inDevelopment and Psychopathology > 31-3 (August 2019) . - p.833-846 Titre : Intergenerational transmission of emotion dysregulation: Part II. Developmental origins of newborn neurobehavior Type de document : Texte imprimé et/ou numérique Auteurs : Brendan D. OSTLUND, Auteur ; Robert D. VLISIDES-HENRY, Auteur ; Sheila E. CROWELL, Auteur ; K. Lee RABY, Auteur ; Sarah TERRELL, Auteur ; Mindy A. BROWN, Auteur ; Ruben TINAJERO, Auteur ; Nila SHAKIBA, Auteur ; Catherine MONK, Auteur ; Julie H. SHAKIB, Auteur ; Karen F. BUCHI, Auteur ; Elisabeth CONRADT, Auteur Article en page(s) : p.833-846 Langues : Anglais (eng) Mots-clés : developmental origins  emotion dysregulation  newborn neurobehavior  Research Domain Criteria (RDoC)  respiratory sinus arrhythmia Index. décimale : PER Périodiques Résumé : We investigated whether neurobehavioral markers of risk for emotion dysregulation were evident among newborns, as well as whether the identified markers were associated with prenatal exposure to maternal emotion dysregulation. Pregnant women (N = 162) reported on their emotion dysregulation prior to a laboratory assessment. The women were then invited to the laboratory to assess baseline respiratory sinus arrhythmia (RSA) and RSA in response to an infant cry. Newborns were assessed after birth via the NICU Network Neurobehavioral Scale. We identified two newborn neurobehavioral factors—arousal and attention—via exploratory factor analysis. Low arousal was characterized by less irritability, excitability, and motor agitation, while low attention was related to a lower threshold for auditory and visual stimulation, less sustained attention, and poorer visual tracking abilities. Pregnant women who reported higher levels of emotion dysregulation had newborns with low arousal levels and less attention. Larger decreases in maternal RSA in response to cry were also related to lower newborn arousal. We provide the first evidence that a woman's emotion dysregulation while pregnant is associated with risks for dysregulation in her newborn. Implications for intergenerational transmission of emotion dysregulation are discussed. En ligne : http://dx.doi.org/10.1017/S0954579419000440 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=403 [article] Intergenerational transmission of emotion dysregulation: Part II. Developmental origins of newborn neurobehavior [Texte imprimé et/ou numérique] / Brendan D. OSTLUND, Auteur ; Robert D. VLISIDES-HENRY, Auteur ; Sheila E. CROWELL, Auteur ; K. Lee RABY, Auteur ; Sarah TERRELL, Auteur ; Mindy A. BROWN, Auteur ; Ruben TINAJERO, Auteur ; Nila SHAKIBA, Auteur ; Catherine MONK, Auteur ; Julie H. SHAKIB, Auteur ; Karen F. BUCHI, Auteur ; Elisabeth CONRADT, Auteur . - p.833-846. Langues : Anglais (eng) in Development and Psychopathology > 31-3 (August 2019) . - p.833-846 Mots-clés : developmental origins  emotion dysregulation  newborn neurobehavior  Research Domain Criteria (RDoC)  respiratory sinus arrhythmia Index. décimale : PER Périodiques Résumé : We investigated whether neurobehavioral markers of risk for emotion dysregulation were evident among newborns, as well as whether the identified markers were associated with prenatal exposure to maternal emotion dysregulation. Pregnant women (N = 162) reported on their emotion dysregulation prior to a laboratory assessment. The women were then invited to the laboratory to assess baseline respiratory sinus arrhythmia (RSA) and RSA in response to an infant cry. Newborns were assessed after birth via the NICU Network Neurobehavioral Scale. We identified two newborn neurobehavioral factors—arousal and attention—via exploratory factor analysis. Low arousal was characterized by less irritability, excitability, and motor agitation, while low attention was related to a lower threshold for auditory and visual stimulation, less sustained attention, and poorer visual tracking abilities. Pregnant women who reported higher levels of emotion dysregulation had newborns with low arousal levels and less attention. Larger decreases in maternal RSA in response to cry were also related to lower newborn arousal. We provide the first evidence that a woman's emotion dysregulation while pregnant is associated with risks for dysregulation in her newborn. Implications for intergenerational transmission of emotion dysregulation are discussed. En ligne : http://dx.doi.org/10.1017/S0954579419000440 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=403

A multilevel developmental psychopathology model of childbirth and the perinatal transition / Elisabeth CONRADT ; Patricia K. KERIG ; Paula G. WILLIAMS ; Sheila E. CROWELL in Development and Psychopathology, 36-2 (May 2024)  

Public ISBD [article]  inDevelopment and Psychopathology > 36-2 (May 2024) . - p.533-544 Titre : A multilevel developmental psychopathology model of childbirth and the perinatal transition Type de document : Texte imprimé et/ou numérique Auteurs : Elisabeth CONRADT, Auteur ; Patricia K. KERIG, Auteur ; Paula G. WILLIAMS, Auteur ; Sheila E. CROWELL, Auteur Article en page(s) : p.533-544 Langues : Anglais (eng) Mots-clés : childbirth  conceptual model  developmental psychopathology  perinatal period  traumatic childbirth Index. décimale : PER Périodiques Résumé : Despite recent applications of a developmental psychopathology perspective to the perinatal period, these conceptualizations have largely ignored the role that childbirth plays in the perinatal transition. Thus, we present a conceptual model of childbirth as a bridge between prenatal and postnatal health. We argue that biopsychosocial factors during pregnancy influence postnatal health trajectories both directly and indirectly through childbirth experiences, and we focus our review on those indirect effects. In order to frame our model within a developmental psychopathology lens, we first describe "typical" biopsychosocial aspects of pregnancy and childbirth. Then, we explore ways in which these processes may deviate from the norm to result in adverse or traumatic childbirth experiences. We briefly describe early postnatal health trajectories that may follow from these birth experiences, including those which are adaptive despite traumatic childbirth, and we conclude with implications for research and clinical practice. We intend for our model to illuminate the importance of including childbirth in multilevel perinatal research. This advancement is critical for reducing perinatal health disparities and promoting health and well-being among birthing parents and their children. En ligne : https://dx.doi.org/10.1017/S0954579422001389 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=528 [article] A multilevel developmental psychopathology model of childbirth and the perinatal transition [Texte imprimé et/ou numérique] / Elisabeth CONRADT, Auteur ; Patricia K. KERIG, Auteur ; Paula G. WILLIAMS, Auteur ; Sheila E. CROWELL, Auteur . - p.533-544. Langues : Anglais (eng) in Development and Psychopathology > 36-2 (May 2024) . - p.533-544 Mots-clés : childbirth  conceptual model  developmental psychopathology  perinatal period  traumatic childbirth Index. décimale : PER Périodiques Résumé : Despite recent applications of a developmental psychopathology perspective to the perinatal period, these conceptualizations have largely ignored the role that childbirth plays in the perinatal transition. Thus, we present a conceptual model of childbirth as a bridge between prenatal and postnatal health. We argue that biopsychosocial factors during pregnancy influence postnatal health trajectories both directly and indirectly through childbirth experiences, and we focus our review on those indirect effects. In order to frame our model within a developmental psychopathology lens, we first describe "typical" biopsychosocial aspects of pregnancy and childbirth. Then, we explore ways in which these processes may deviate from the norm to result in adverse or traumatic childbirth experiences. We briefly describe early postnatal health trajectories that may follow from these birth experiences, including those which are adaptive despite traumatic childbirth, and we conclude with implications for research and clinical practice. We intend for our model to illuminate the importance of including childbirth in multilevel perinatal research. This advancement is critical for reducing perinatal health disparities and promoting health and well-being among birthing parents and their children. En ligne : https://dx.doi.org/10.1017/S0954579422001389 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=528

Prenatal maternal transdiagnostic, RDoC-informed predictors of newborn neurobehavior: Differences by sex / Mengyu GAO in Development and Psychopathology, 33-5 (December 2021)  

Public ISBD [article]  inDevelopment and Psychopathology > 33-5 (December 2021) . - p.1554-1565 Titre : Prenatal maternal transdiagnostic, RDoC-informed predictors of newborn neurobehavior: Differences by sex Type de document : Texte imprimé et/ou numérique Auteurs : Mengyu GAO, Auteur ; Brendan OSTLUND, Auteur ; Mindy A. BROWN, Auteur ; Parisa R. KALIUSH, Auteur ; Sarah TERRELL, Auteur ; Robert D. VLISIDES-HENRY, Auteur ; K. Lee RABY, Auteur ; Sheila E. CROWELL, Auteur ; Elisabeth CONRADT, Auteur Article en page(s) : p.1554-1565 Langues : Anglais (eng) Mots-clés : neurobehavior  prenatal  RDoC  sex differences  transdiagnostic Index. décimale : PER Périodiques Résumé : We examined whether Research Domain Criteria (RDoC)-informed measures of prenatal stress predicted newborn neurobehavior and whether these effects differed by newborn sex. Multilevel, prenatal markers of prenatal stress were obtained from 162 pregnant women. Markers of the Negative Valence System included physiological functioning (respiratory sinus arrhythmia [RSA] and electrodermal [EDA] reactivity to a speech task, hair cortisol), self-reported stress (state anxiety, pregnancy-specific anxiety, daily stress, childhood trauma, economic hardship, and family resources), and interviewer-rated stress (episodic stress, chronic stress). Markers of the Arousal/Regulatory System included physiological functioning (baseline RSA, RSA, and EDA responses to infant cries) and self-reported affect intensity, urgency, emotion regulation strategies, and dispositional mindfulness. Newborns’ arousal and attention were assessed via the Neonatal Intensive Care Unit (NICU) Network Neurobehavioral Scale. Path analyses showed that high maternal episodic and daily stress, low economic hardship, few emotion regulation strategies, and high baseline RSA predicted female newborns’ low attention; maternal mindfulness predicted female newborns’ high arousal. As for male newborns, high episodic stress predicted low arousal, and high pregnancy-specific anxiety predicted high attention. Findings suggest that RDoC-informed markers of prenatal stress could aid detection of variance in newborn neurobehavioral outcomes within hours after birth. Implications for intergenerational transmission of risk for psychopathology are discussed. En ligne : http://dx.doi.org/10.1017/S0954579420002266 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=457 [article] Prenatal maternal transdiagnostic, RDoC-informed predictors of newborn neurobehavior: Differences by sex [Texte imprimé et/ou numérique] / Mengyu GAO, Auteur ; Brendan OSTLUND, Auteur ; Mindy A. BROWN, Auteur ; Parisa R. KALIUSH, Auteur ; Sarah TERRELL, Auteur ; Robert D. VLISIDES-HENRY, Auteur ; K. Lee RABY, Auteur ; Sheila E. CROWELL, Auteur ; Elisabeth CONRADT, Auteur . - p.1554-1565. Langues : Anglais (eng) in Development and Psychopathology > 33-5 (December 2021) . - p.1554-1565 Mots-clés : neurobehavior  prenatal  RDoC  sex differences  transdiagnostic Index. décimale : PER Périodiques Résumé : We examined whether Research Domain Criteria (RDoC)-informed measures of prenatal stress predicted newborn neurobehavior and whether these effects differed by newborn sex. Multilevel, prenatal markers of prenatal stress were obtained from 162 pregnant women. Markers of the Negative Valence System included physiological functioning (respiratory sinus arrhythmia [RSA] and electrodermal [EDA] reactivity to a speech task, hair cortisol), self-reported stress (state anxiety, pregnancy-specific anxiety, daily stress, childhood trauma, economic hardship, and family resources), and interviewer-rated stress (episodic stress, chronic stress). Markers of the Arousal/Regulatory System included physiological functioning (baseline RSA, RSA, and EDA responses to infant cries) and self-reported affect intensity, urgency, emotion regulation strategies, and dispositional mindfulness. Newborns’ arousal and attention were assessed via the Neonatal Intensive Care Unit (NICU) Network Neurobehavioral Scale. Path analyses showed that high maternal episodic and daily stress, low economic hardship, few emotion regulation strategies, and high baseline RSA predicted female newborns’ low attention; maternal mindfulness predicted female newborns’ high arousal. As for male newborns, high episodic stress predicted low arousal, and high pregnancy-specific anxiety predicted high attention. Findings suggest that RDoC-informed markers of prenatal stress could aid detection of variance in newborn neurobehavioral outcomes within hours after birth. Implications for intergenerational transmission of risk for psychopathology are discussed. En ligne : http://dx.doi.org/10.1017/S0954579420002266 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=457

The contributions of early adverse experiences and trajectories of respiratory sinus arrhythmia on the development of neurobehavioral disinhibition among children with prenatal substance exposure / Elisabeth CONRADT in Development and Psychopathology, 26-4 (Part 1) (November 2014)  

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Transactional relations between caregiving stress, executive functioning, and problem behavior from early childhood to early adolescence / Linda L. LAGASSE in Development and Psychopathology, 28-3 (August 2016)  

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Understanding emotion dysregulation from infancy to toddlerhood with a multilevel perspective: The buffering effect of maternal sensitivity / Mindy A. BROWN in Development and Psychopathology, 37-2 (May 2025)  

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Using development and psychopathology principles to inform the Research Domain Criteria (RDoC) framework / Elisabeth CONRADT in Development and Psychopathology, 33-5 (December 2021)  

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What?s next for the field of multigenerational mental health? The need for deep behavioral phenotyping via a prenatal mental health registry / Elisabeth CONRADT ; Sierra Carter ; Sheila E. CROWELL in Development and Psychopathology, 36-5 (December 2024)  

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