Evidence map›Paper›PMID 39394425›Full record

ArticlePediatric research2025

Association between maternal stress and child sleep quality: a nationwide ECHO prospective cohort study.

Sarah Dee Geiger, Aruna Chandran, Marie L Churchill, Maxwell Mansolf, Cai Zhang, Salma Musaad, Courtney K Blackwell, Stephanie M Eick, Dana E Goin, Susan Korrick and 20 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Pediatric research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
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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

30 authors.

Sarah Dee GeigerBeckman Institute for Advanced Science and Technology, University of Illinois at Urbana-Champaign, Urbana, IL, USA. smurphy7@illinois.edu.
Aruna ChandranDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Marie L ChurchillDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Maxwell MansolfDepartment of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Cai ZhangBeckman Institute for Advanced Science and Technology, University of Illinois at Urbana-Champaign, Urbana, IL, USA.
Salma MusaadUSDA/ARS Children's Nutrition Research Center, Department of Pediatrics, Baylor College of Medicine, Houston, TX, USA.
Courtney K BlackwellDepartment of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Stephanie M EickGangarosa Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, Georgia.
Dana E GoinDepartment of Obstetrics, Gynecology, and Reproductive Sciences, Program on Reproductive Health and the Environment, School of Medicine, University of California San Francisco, San Francisco, CA, USA.
Susan KorrickChanning Division of Network Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Akram AlshawabkehDepartment of Civil and Environmental Engineering, Northeastern University, Boston, MA, USA.
Patricia A BrennanDepartment of Psychology, Emory University, Atlanta, Georgia.
Carrie V BretonDepartment of Population and Public Health Sciences, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
Jose F CorderoDepartment of Epidemiology, University of Georgia College of Public Health, Athens, Georgia.
Sean DeoniDepartment of Pediatrics, Rhode Island Hospital and The Warren Alpert Medical School of Brown University, Providence, RI, USA.
Viren D'SaDepartment of Pediatrics, Rhode Island Hospital and The Warren Alpert Medical School of Brown University, Providence, RI, USA.
Anne L DunlopDepartment of Gynecology & Obstetrics, Emory University School of Medicine, Atlanta, Georgia.
Amy J ElliottAvera Research Institute, Sioux Falls, SD, USA.
Assiamira FerraraDivision of Research, Kaiser Permanente North California, Oakland, CA, USA.
Arlene KeddieSchool of Health Studies, Northern Illinois University, DeKalb, IL, USA.
Monique LeBourgeoisDepartment of Integrative Physiology, University of Colorado Boulder, Boulder, CO, USA.
Kaja Z LeWinnDepartment of Psychiatry and Behavioral Sciences, University of California San Francisco, San Francisco, CA, USA.
Daphne Koinis-MitchellDepartment of Pediatrics, Rhode Island Hospital and The Warren Alpert Medical School of Brown University, Providence, RI, USA.
Maristella LucchiniDepartment of Psychiatry, Columbia University, New York, NY, USA.
Sara S NozadiCommunity Environmental Health Program, College of Pharmacy, University of New Mexico Health Sciences Center, Albuquerque, NM, USA.
Thomas O'ConnorDepartments of Psychiatry, Neuroscience, Obstetrics and Gynecology, University of Rochester, Rochester, NY, USA.
Yeyi ZhuKaiser Permanente North California Division of Research, Oakland, CA, USA.
Emily ZimmermanDepartment of Communication Sciences and Disorders, Northeastern University, Boston, MA, USA.
Susan L SchantzBeckman Institute for Advanced Science and Technology, University of Illinois at Urbana-Champaign, Urbana, IL, USA.
program collaborators for Environmental influences on Child Health Outcomes

Funding

The ECHO Measurement Core: A Framework and Resource for Assessing Environmental Exposure and Child HealthU24OD023319 · OD · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Courtney K Blackwell, RICHARD GERSHON · 2016 to 2026
$43.7M
The Illinois Kids Development Study ECHO Pregnancy and Pediatric CohortUG3OD023272 · OD · UNIVERSITY OF ILLINOIS AT URBANA-CHAMPAIGN · PI SCHANTZ, SUSAN L · 2016 to 2024
$7.2M
NIH HHS U24 OD023319NIH HHS UG3 OD023272
6 · The paper itself

Abstract

backgroundChildhood sleep quality is associated with physical, cognitive, and behavioral health and predicts later sleep quality; it has many determinants, including developmental exposures.

objectivesTo examine associations between maternal stress during pregnancy and childhood sleep quality and determine whether postnatal stress mediates the association.

methodData from the Environmental Influences on Child Health Outcomes cohort were used. Perceived Stress Scale (PSS) T-scores were the exposure measure. Outcome measures were preschool Child Behavior Checklist (CBCL) sleep syndrome scale and Patient-Reported Outcomes Measurement Information System Sleep Disturbance Parent Proxy short form 4a (PSD4a) T-scores at ages 4-8 years. Linear mixed-effects regression modeling was performed for each sleep outcome, adjusting for maternal age at delivery and education and child sex, gestational age at birth, and age at outcome ascertainment, with random intercepts for cohorts.

resultsPrenatal PSS score was associated with both CBCL (B = 0.09, 95% confidence interval [CI]: 0.06, 0.11; p < 0.01) and PSD4a (B = 0.07, 95% CI: 0.03, 0.12; p < 0.01) scores. Postnatal perceived stress mediated a proportion of the total effect of prenatal stress in both CBCL (66.3%) and PSD4a (95.9%) samples.

conclusionsBoth pre- and postnatal maternal perceived stress appear to influence sleep quality during early life. IMPACT: Prenatal stress significantly associates with child sleep problems and disturbances at ages 4-8 years; postnatal maternal stress is a significant mediator of these associations. Research suggests a range of prenatal affective/distress exposures associated with child sleep problems, but the conclusions remain in doubt due to the mixture of exposures and outcomes employed. Ours is the first US-based effort to explore associations between perceived maternal stress during pregnancy and child sleep problems and disturbance in early and middle childhood. Even a small effect of a prevalent issue like psychosocial stress may have important public health implications at the population level.

Indexed as

MothersPrenatal Exposure Delayed EffectsSleepSleep QualitySleep Wake DisordersStress, PsychologicalAdultChildChild BehaviorChild, PreschoolFemaleHumansMalePregnancyProspective Studies

Identifiers

PMID39394425
PMCPMC13288273

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