Evidence map›Paper›PMID 31617077›Full record

ReviewWorld journal of pediatrics : WJP2020

Prenatal risk factors for internalizing and externalizing problems in childhood.

Joyce Tien, Gary D Lewis, Jianghong Liu

Abstract readReview
In one paragraph

Review in World journal of pediatrics : WJP, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
–field-weighted citation impact
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

34 citing papers in PubMed.

  1. Trial
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  4. Time-dependent association between prenatal hair glucocorticoid levels and child behavior problems.Journal of child psychology and psychiatry, and allied disciplines · 2026
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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

3 authors.

Joyce TienDepartment of Family and Community Health, School of Nursing, University of Pennsylvania, Philadelphia, PA, 19104, USA.
Gary D LewisUniversity of Arkansas for Medical Sciences, Little Rock, AR, USA.
Jianghong LiuDepartment of Family and Community Health, School of Nursing, University of Pennsylvania, Philadelphia, PA, 19104, USA. jhliu@nursing.upenn.edu.ORCID http://orcid.org/0000-0002-8405-6153

Funding

Translational Research Support CoreP30ES013508 · NIEHS · UNIVERSITY OF PENNSYLVANIA · PI Rebecca A Simmons · 2006 to 2026
$35.3M
Omega-3 Supplementation and Adolescent BehaviorR01HD087485 · NICHD · UNIVERSITY OF PENNSYLVANIA · PI LIU, JIANGHONG, RAINE, ADRIAN · 2017 to 2021
$2.5M
Lead exposure, externalizing behavior, and neurobiological mediating factorsR01ES018858 · NIEHS · UNIVERSITY OF PENNSYLVANIA · PI LIU, JIANGHONG · 2010 to 2014
$1.7M
Mechanisms that mediate the link between lead exposure and child behavior problemK02ES019878 · NIEHS · UNIVERSITY OF PENNSYLVANIA · PI LIU, JIANGHONG · 2011 to 2015
$656k
Environmental Toxicity, Malnutrition, and Children's Externalizing BehaviorK01ES015877 · NIEHS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI LIU, JIANGHONG · 2007 to 2010
$605k
NICHD NIH HHS R01 HD087485NIEHS NIH HHS K01 ES015877NIEHS NIH HHS K01-ES015877NIEHS NIH HHS K02 ES019878NIEHS NIH HHS K02-ES-019878NIEHS NIH HHS P30 ES013508NIEHS NIH HHS P30-ES-013508NIEHS NIH HHS R01 ES018858NIEHS NIH HHS R01-ES-018858
6 · The paper itself

Abstract

backgroundA growing body of research has documented the effects of prenatal risk factors on a wide spectrum of adverse offspring health outcomes. Childhood behavior problems, such as externalizing and internalizing problems, are no exception. This comprehensive literature review aims to summarize and synthesize current research about commonly experienced prenatal risk factors associated with internalizing and externalizing problems, with a focus on their impact during childhood and adolescence. Potential mechanisms as well as implications are also outlined. DATA SOURCES: The EBSCO, Web of Science, PubMed, Google Scholar, and Scopus databases were searched for studies examining the association between prenatal risk factors and offspring internalizing/externalizing problems, using keywords "prenatal" or "perinatal" or "birth complications" in combination with "internalizing" or "externalizing". Relevant articles, including experimental research, systematic reviews, meta-analyses, cross-sectional and longitudinal cohort studies, and theoretical literature, were reviewed and synthesized to form the basis of this integrative review.

resultsPrenatal risk factors that have been widely investigated with regards to offspring internalizing and externalizing problems encompass health-related risk factors, including maternal overweight/obesity, substance use/abuse, environmental toxicant exposure, maternal infection/inflammation, as well as psychosocial risk factors, including intimate partner violence, and anxiety/depression. Collectively, both epidemiological and experimental studies support the adverse associations between these prenatal factors and increased risk of emotional/behavioral problem development during childhood and beyond. Potential mechanisms of action underlying these associations include hormonal and immune system alterations. Implications include prenatal education, screening, and intervention strategies.

conclusionsPrenatal risk factors are associated with a constellation of offspring internalizing and externalizing problems. Identifying these risk factors and understanding potential mechanisms will help to develop effective, evidence-based prevention, and intervention strategies.

Indexed as

Prenatal Exposure Delayed EffectsAdolescentChildChild Behavior DisordersFemaleHumansPregnancyPregnancy ComplicationsRisk FactorsExternalizingInternalizingObstetricalPregnancyPrenatal risk factors

Identifiers

PMID31617077
PMCPMC7923386

What OpenQuestion holds

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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.