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Maternal personality traits and risk of preterm birth and fetal growth restriction

Published online by Cambridge University Press:  24 April 2012

L. Chatzi ,
K. Koutra ,
M. Vassilaki ,
A. Vardiampasis ,
V. Georgiou ,
A. Koutis ,
C. Lionis ,
P. Bitsios  and
M. Kogevinas
L. Chatzi*
Affiliation:
Department of Social Medicine, Faculty of Medicine, University of Crete, PO Box 2208, Heraklion, 71003, Crete, Greece
K. Koutra
Affiliation:
Department of Social Medicine, Faculty of Medicine, University of Crete, PO Box 2208, Heraklion, 71003, Crete, Greece
M. Vassilaki
Affiliation:
Department of Social Medicine, Faculty of Medicine, University of Crete, PO Box 2208, Heraklion, 71003, Crete, Greece
A. Vardiampasis
Affiliation:
Department of Psychiatry, Faculty of Medicine, University of Crete, Heraklion, Greece
V. Georgiou
Affiliation:
Department of Social Medicine, Faculty of Medicine, University of Crete, PO Box 2208, Heraklion, 71003, Crete, Greece
A. Koutis
Affiliation:
Department of Social Medicine, Faculty of Medicine, University of Crete, PO Box 2208, Heraklion, 71003, Crete, Greece
C. Lionis
Affiliation:
Department of Social Medicine, Faculty of Medicine, University of Crete, PO Box 2208, Heraklion, 71003, Crete, Greece
P. Bitsios
Affiliation:
Department of Psychiatry, Faculty of Medicine, University of Crete, Heraklion, Greece
M. Kogevinas
Affiliation:
Centre for Research in Environmental Epidemiology (CREAL), Barcelona, Spain National School of Public Health, Athens, Greece
*
⁎Corresponding author. Tel.: +30 6974595570; fax: +30 2810 394758. E-mail address: [email protected] (L. Chatzi).
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Abstract

Background/Aims

Maternal personality may increase vulnerability to stress, which could lead to an unfavourable intrauterine environment to the fetus. We sought to investigate the impact of maternal personality traits on adverse birth outcomes such as preterm birth, and fetal growth restriction in the mother-child cohort study (RHEA Study) in Crete, Greece 2007–2009.

Methods

Five hundred and eighty pregnant women participating in “Rhea” cohort study completed the Eysenck Personality Questionnaire-Revised (EPQ-R) at 28–32 weeks of gestation. Information on anthropometric measures at birth was obtained from the hospital delivery logs and medical records. Fetal growth restriction was based on a customized model, and multivariate logistic regression models were used adjusting for confounders.

Results

A per unit increase in the EPQ Neuroticism scale increased the risk for fetal weight growth restriction by 9% [Odds Ratio (OR) = 1.09, 95 percent CI: 1.01, 1.19)], and for fetal head circumference growth restriction by 6% [OR = 1.06, 95 percent CI: 1.01, 1.18] after adjusting for maternal age, education, origin, marital status, working status, pre-pregnancy BMI, delivery type, parity, smoking, and alcohol intake during pregnancy.

Conclusions

Maternal neuroticism, which predisposes to negative mood, may be a risk factor for fetal growth restriction.

Keywords

PersonalityPreterm birthFetal growth restriction
Type
Original article
Information
European Psychiatry , Volume 28 , Issue 4 , May 2013 , pp. 213 - 218
Copyright
Copyright © European Psychiatric Association 2012

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Footnotes

Abbreviations: EPQ, Eysenck Personality Questionnaire; OR, Odds Ratio; CI, Confidence interval.

References

Alexopoulos, D.S.Kalaitzidis, I.Psychometric properties of Eysenck Personality Questionnaire-Revised (EPQ-R) Scale in Greece. Pers Individ Differences 2004;37:1205–1220.CrossRefGoogle Scholar
Campbell-Sills, L.Cohan, S.L.Stein, M.B.Relationship of resilience to personality, coping, and psychiatric symptoms in young adults. Behav Res Ther 2006;44:585–599.CrossRefGoogle ScholarPubMed
Canals, J.Esparó, G.Fernández-Ballartb, J.D.How anxiety levels during pregnancy are linked to personality dimensions and sociodemographic factors. Pers Individ Differences 2002;33:253–259.CrossRefGoogle Scholar
Challis, J.RLye, S.J.Gibb, W.Whittle, W.Patel, F.Alfaidy, N.Understanding preterm labor. Ann N Y Acad Sci 2001;943:225–234.CrossRefGoogle ScholarPubMed
Chatzi, L.Plana, E.Daraki, V.Karakosta, P.Alegkakis, D.Tsatsanis, C.et al.Metabolic syndrome in early pregnancy and risk of preterm birth. Am J Epidemiol 2009;170:829–836.CrossRefGoogle ScholarPubMed
Clark, D.A.Stress without distress: the intrauterine perspective. Lancet 1994;344:73–74.CrossRefGoogle ScholarPubMed
Costa, P.T. Jr.McCrae, R.R.Influence of extraversion and neuroticism on subjective well-being: happy and unhappy people. J Pers Soc Psychol 1980;38:668–678.CrossRefGoogle ScholarPubMed
Dayan, J.Creveuil, C.Herlicoviez, M.Herbel, C.Baranger, E.Savoye, C.et al.Role of anxiety and depression in the onset of spontaneous preterm labor. Am J Epidemiol 2002;155:293–301.CrossRefGoogle ScholarPubMed
Dole, N.Savitz, D.A.Hertz-Picciotto, I.Siega-Riz, A.M.McMahon, M.J.Buekens, P.Maternal stress and preterm birth. Am J Epidemiol 2003;157:14–24.CrossRefGoogle ScholarPubMed
Eysenck, HJ EM, editor. Personality and Individual Differences: A Natural Science. Approach. New York: Plenum Press; 1985.CrossRefGoogle Scholar
Field, T.Diego, M.Hernandez-Reif, M.Prenatal depression effects on the fetus and newborn: a review. Infant Behav Dev 2006;29:445–455.CrossRefGoogle ScholarPubMed
Field, T.Diego, M.Hernandez-Reif, M.Figueiredo, B.Deeds, O.Ascencio, A.et al.Comorbid depression and anxiety effects on pregnancy and neonatal outcome. Infant Behav Dev 2010;33:23–29.CrossRefGoogle ScholarPubMed
Goldberg, D.Vulnerability factors for common mental illnesses. Br J Psychiatry Suppl 2001;40:s69–s71.CrossRefGoogle ScholarPubMed
Grote, N.K.Bridge, J.A.Gavin, A.R.Melville, J.L.Iyengar, S.Katon, W.J.A meta-analysis of depression during pregnancy and the risk of preterm birth, low birth weight, and intrauterine growth restriction. Arch Gen Psychiatry 2010;67:1012–1024.CrossRefGoogle ScholarPubMed
Gunthert, K.C.Cohen, L.H.Armeli, S.The role of neuroticism in daily stress and coping. J Pers Soc Psychol 1999;77:1087–1100.CrossRefGoogle ScholarPubMed
Hettema, J.M.Neale, M.C.Myers, J.M.Prescott, C.A.Kendler, K.S.A population-based twin study of the relationship between neuroticism and internalizing disorders. Am J Psychiatry 2006;163:857–864.CrossRefGoogle ScholarPubMed
Hosseini, S.M.Biglan, M.W.Larkby, C.Brooks, M.M.Gorin, M.B.Day, N.L.Trait anxiety in pregnant women predicts offspring birth outcomes. Paediatr Perinat Epidemiol 2009;23:557–566.CrossRefGoogle ScholarPubMed
Istvan, J.Stress, anxiety, and birth outcomes: a critical review of the evidence. Psychol Bull 1986;100:331–348.CrossRefGoogle Scholar
Jacobs, N.van Os, J.Derom, C.Thiery, E.Delespaul, P.Wichers, M.Neuroticism explained? From a non-informative vulnerability marker to informative person-context interactions in the realm of daily life. Br J Clin Psychol 5012011 19–32.CrossRefGoogle Scholar
Johnson, R.C.Slade, P.Obstetric complications and anxiety during pregnancy: is there a relationship?. J Psychosom Obstet Gynaecol 2003;24:1–14.CrossRefGoogle ScholarPubMed
Koelsch, S.Wiebigke, C.Siebel, W.A.Stepan, H.Impulsive aggressiveness of pregnant women affects the development of the fetal heart. Int J Psychophysiol 2009;74:243–249.CrossRefGoogle ScholarPubMed
Krueger, R.F.Caspi, A.Moffitt, T.E.Epidemiological personology: the unifying role of personality in population-based research on problem behaviors. J Pers 2000;68:967–998.CrossRefGoogle ScholarPubMed
Lahey, B.B.Public health significance of neuroticism. Am Psychol 2009;64:241–256.CrossRefGoogle ScholarPubMed
Mamelle, N.Cochet, V.Claris, O.Definition of fetal growth restriction according to constitutional growth potential. Biol Neonate 2001;80:277–285.CrossRefGoogle ScholarPubMed
McCrae, R.R.Costa, P.T. Jr.The structure of interpersonal traits: Wiggins's circumplex and the five-factor model. J Pers Soc Psychol 1989;56:586–595.CrossRefGoogle ScholarPubMed
McCrae, R.R.Costa, P.T. Jr.Validation of the five-factor model of personality across instruments and observers. J Pers Soc Psychol 1987;52:81–90.CrossRefGoogle ScholarPubMed
McCrae, R.R.Costa, P.T. Jr.Terracciano, A.Parker, W.D.Mills, C.J.De Fruyt, F.et al.Personality trait development from age 12 to age 18: longitudinal, cross-sectional, and cross-cultural analyses. J Pers Soc Psychol 2002;83:1456–1468.CrossRefGoogle ScholarPubMed
Middeldorp, C.M.Cath, D.C.Beem, A.L.Willemsen, G.Boomsma, D.I.Life events, anxious depression and personality: a prospective and genetic study. Psychol Med 2008;38:1557–1565.CrossRefGoogle ScholarPubMed
Mols, F.Denollet, J.Type D personality in the general population: a systematic review of health status, mechanisms of disease, and work-related problems. Health Qual Life Outcomes 2010;8:9.CrossRefGoogle ScholarPubMed
Nakaya, M.Oshio, A.Kaneko, H.Correlations for Adolescent Resilience Scale with big five personality traits. Psychol Rep 2006;98:927–930.CrossRefGoogle ScholarPubMed
Paarlberg, K.M.Vingerhoets, A.J.Passchier, J.Dekker, G.A.Van Geijn, H.P.Psychosocial factors and pregnancy outcome: a review with emphasis on methodological issues. J Psychosom Res 1995;39:563–595.CrossRefGoogle ScholarPubMed
Ploubidis, G.B.Frangou, S.Neuroticism and psychological distress: to what extent is their association due to person-environment correlation?. Eur Psychiatry 2011;26:1–5.CrossRefGoogle ScholarPubMed
Roelofs, J.Huibers, M.Peeters, F.Arntz, A.van Os, J.Rumination and worrying as possible mediators in the relation between neuroticism and symptoms of depression and anxiety in clinically depressed individuals. Behav Res Ther 2008;46:1283–1289.CrossRefGoogle ScholarPubMed
Rondo, P.H.Ferreira, R.F.Nogueira, F.Ribeiro, M.C.Lobert, H.Artes, R.Maternal psychological stress and distress as predictors of low birth weight, prematurity and intrauterine growth retardation. Eur J Clin Nutr 2003;57:266–272.CrossRefGoogle ScholarPubMed
Rothman, K.Epidemiology: an introduction. New York: Oxford University Press; 2002.Google Scholar
Schatz, D.Harder, D.Schatz, M.Harden, K.Chilingar, L.Fox, D.et al.The relationship of maternal personality characteristics to birth outcomes and infant development. Birth 2000;27:25–32.CrossRefGoogle ScholarPubMed
Smith, G.C.Shah, I.Pell, J.P.Crossley, J.A.Dobbie, R.Maternal obesity in early pregnancy and risk of spontaneous and elective preterm deliveries: a retrospective cohort study. Am J Public Health 2007;97:157–162.CrossRefGoogle ScholarPubMed
Smith, T.W.MacKenzie, J.Personality and risk of physical illness. Annu Rev Clin Psychol 2006;2:435–467.CrossRefGoogle ScholarPubMed
Teixeira, J.M.Fisk, N.M.Glover, V.Association between maternal anxiety in pregnancy and increased uterine artery resistance index: cohort based study. BMJ 1999;318:153–157.CrossRefGoogle ScholarPubMed
Van Os, J.Jones, P.B.Neuroticism as a risk factor for schizophrenia. Psychol Med 2001;31:1129–1134.CrossRefGoogle Scholar
Vardavas, C.I.Chatzi, L.Patelarou, E.Plana, E.Sarri, K.Kafatos, A.et al.Smoking and smoking cessation during early pregnancy and its effect on adverse pregnancy outcomes and fetal growth. Eur J Pediatr 2010;169:741–748.CrossRefGoogle ScholarPubMed
Whitehead, N.Lipscomb, L.Patterns of alcohol use before and during pregnancy and the risk of small-for-gestational-age birth. Am J Epidemiol 2003;158:654–662.CrossRefGoogle ScholarPubMed
Zuckerman, M.Kuhlman, D.M.Personality and risk-taking: common biosocial factors. J Pers 2000;68:999–1029CrossRefGoogle ScholarPubMed
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