Evidence map›Paper›PMID 40234502›Full record

ArticleScientific reports2025

Association of maternal psychological distress and milk cortisol with infant temperament and growth.

Mahsa Feizabad, Fatemeh Pourhabibi-Zarandi, Reza Barati-Boldaji, Maral Hashemzadeh, Mohammad Hadi Eskandari, Masoumeh Akhlaghi

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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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

2 citing papers in PubMed.

  1. Trial
  2. 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

6 authors.

Mahsa FeizabadDepartment of Community Nutrition, School of Nutrition and Food Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.
Fatemeh Pourhabibi-ZarandiDepartment of Community Nutrition, School of Nutrition and Food Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.
Reza Barati-BoldajiDepartment of Community Nutrition, School of Nutrition and Food Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.
Maral HashemzadehDepartment of Community Nutrition, School of Nutrition and Food Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.
Mohammad Hadi EskandariDepartment of Food Science and Technology, School of Agriculture, Shiraz University, Shiraz, 71441-65186, Iran.
Masoumeh AkhlaghiDepartment of Community Nutrition, School of Nutrition and Food Sciences, Shiraz University of Medical Sciences, Shiraz, Iran. msm.akhlaghi@gmail.com.

Funding

Shiraz University of Medical Sciences 18749
6 · The paper itself

Abstract

During psychological distress, breastmilk cortisol levels are increased and may affect infant temperament and behavior. We studied the association of maternal psychological distress and milk cortisol with infant temperament and growth. Using a cross-sectional design, 140 mother-infant dyads were studied. Infants were 3-4 months old and were exclusively breastfed. Maternal psychological distress and infant temperament were assessed by the depression, anxiety, and stress scale and infant behavior questionnaires, respectively. Milk cortisol concentrations and growth indices were determined. Maternal obesity and infant growth indicators did not show significant associations with the severity of maternal distress. Negative emotionality of infants had the most frequent and strongest association with maternal psychological distress: depression (b = 5.38; 95% CI 3.04, 7.72; P < 0.001), anxiety (b = 6.01; 95% CI 3.70, 8.32; P < 0.001), and stress (b = 4.10; 95% CI 2.74, 5.45; P < 0.001). The association existed both directly and indirectly through the mediating effect of breastmilk cortisol. Regulatory capacity was positively associated with maternal depression (b = 3.73; 95% CI 1.10, 6.37; P = 0.006) and anxiety (b = 3.02; 95% CI 0.33, 5.71; P = 0.030), but the association was not mediated by milk cortisol. Surgency was not associated with maternal depression, but it had negative associations with maternal anxiety and stress. Infant temperament was also reciprocally associated with maternal emotional states and breastmilk cortisol concentrations. Overall, this study highlighted associations between maternal psychological distress and infant mood and temperament, emphasizing the mediating effect of breastmilk cortisol.

Indexed as

HydrocortisoneMilk, HumanMothersPsychological DistressStress, PsychologicalTemperamentAdultAnxietyBreast FeedingCross-Sectional StudiesDepressionFemaleHumansInfantInfant BehaviorMaleHydrocortisoneBreastmilk cortisolInfant temperamentMaternal psychological distressNegative emotionality

Identifiers

PMID40234502
PMCPMC12000587

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LicenceCC BY-NC-ND
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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.