Evidence map›Paper›PMID 30690329›Full record

ArticleJournal of psychiatric research2019

Maternal inflammation during pregnancy and offspring psychiatric symptoms in childhood: Timing and sex matter.

Naoise Mac Giollabhui, Elizabeth C Breen, Shannon K Murphy, Seth D Maxwell, Barbara A Cohn, Nickilou Y Krigbaum, Piera M Cirillo, Christian Perez, Lauren B Alloy, Deborah A G Drabick and 1 more

Open access · greenAbstract read
In one paragraph

Article in Journal of psychiatric research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed
7.8field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 77 citations in OpenAlex.

  1. Trial
  2. Article
  3. Synergistic pathways to psychosis: understanding developmental risk and resilience factors.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 1 country.

Naoise Mac GiollabhuiDepartment of Psychology, Temple University, Philadelphia, PA, USA.
Elizabeth C BreenCousins Center for Psychoneuroimmunology, Dept. of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, Los Angeles, USA.
Shannon K MurphyDepartment of Psychology, Temple University, Philadelphia, PA, USA.
Seth D MaxwellDepartment of Psychology, Temple University, Philadelphia, PA, USA.
Barbara A CohnChild Health and Development Studies, Public Health Institute, Oakland, CA, USA.
Nickilou Y KrigbaumChild Health and Development Studies, Public Health Institute, Oakland, CA, USA.
Piera M CirilloChild Health and Development Studies, Public Health Institute, Oakland, CA, USA.
Christian PerezCousins Center for Psychoneuroimmunology, Dept. of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, Los Angeles, USA.
Lauren B AlloyDepartment of Psychology, Temple University, Philadelphia, PA, USA.
Deborah A G DrabickDepartment of Psychology, Temple University, Philadelphia, PA, USA.
Lauren M EllmanDepartment of Psychology, Temple University, Philadelphia, PA, USA. Electronic address: ellman@temple.edu.
Temple University · USPublic Health Institute · USUniversity of California, Los Angeles · US

Funding

Risk for Adolescent Depression: Stress, Cognitive Vulnerability, & InflammationR01MH101168 · NIMH · TEMPLE UNIV OF THE COMMONWEALTH · PI ALLOY, LAUREN BERSH · 2013 to 2017
$3.2M
Fetal exposure to maternal stress and inflammation: Effects on neurodevelopmentR01MH096478 · NIMH · TEMPLE UNIV OF THE COMMONWEALTH · PI ELLMAN, LAUREN M · 2012 to 2016
$2.1M
NIMH NIH HHS R01 MH096478NIMH NIH HHS R01 MH101168
6 · The paper itself

Abstract

objectiveMaternal infection during pregnancy has been associated with increased risk of offspring psychopathology, including depression. As most infections do not cross the placenta, maternal immune responses to infection have been considered as potentially contributing to this relationship. This study examined whether gestational timing of maternal inflammation during pregnancy is associated with offspring internalizing and/or externalizing symptoms during childhood and, further, whether fetal sex moderated this relationship.

methodParticipants were 737 pregnant women and their offspring who were continuously followed through late childhood. Archived first and second trimester sera were analyzed for markers of inflammation [interleukin 8 (IL-8), IL-6, IL-1 receptor antagonist (IL-1ra), and soluble tumor necrosis factor receptor-II (sTNF-RII)]. When offspring were aged 9-11, mothers completed a questionnaire assessing psychological symptoms.

resultsMultivariate regression analyses indicated that elevated IL-8 in the first trimester was associated with significantly higher levels of externalizing symptoms in offspring. Higher IL-1ra in the second trimester was associated with higher offspring internalizing symptoms. Further, second trimester IL-1ra was associated with increased internalizing symptoms in females only.

conclusionThese findings demonstrate that elevated maternal inflammation during pregnancy is associated with the emergence of separate psychological phenotypes and that timing of exposure and fetal sex matter for offspring outcomes. Given that internalizing and externalizing symptoms in childhood increase risk for a variety of mental disorders later in development, these findings potentially have major implications for early intervention and prevention work.

Indexed as

Sex CharacteristicsAdultBehavioral SymptomsChildCytokinesFemaleHumansInflammationLongitudinal StudiesMalePregnancyPregnancy ComplicationsPregnancy Trimester, FirstPregnancy Trimester, SecondPrenatal Exposure Delayed EffectsSex FactorsCytokinesAnxietyChildrenConduct problemsDepressionMaternal inflammation during pregnancy

Identifiers

PMID30690329
PMCPMC6644717
OpenAlexW2910290478

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.