Evidence map›Paper›PMID 40451571›Full record

ArticleThe Journal of pediatrics2025

Prenatal Adversity and Neonatal White Matter Microstructure Independently Relate to Language Outcomes at Age 2 Years.

Jacob Bjork, Jeanette K Kenley, Caleb Gardner, Aidan Latham, Tara A Smyser, J Philip Miller, Joshua S Shimony, Jeffrey J Neil, Barbara B Warner, Joan L Luby and 4 more

Abstract read
In one paragraph

Article in The Journal of pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors.

Jacob BjorkPsychiatry, Washington University School of Medicine, St. Louis, MO.
Jeanette K KenleyNeurology, Washington University School of Medicine, St. Louis, MO.
Caleb GardnerNeurology, Washington University School of Medicine, St. Louis, MO.
Aidan LathamNeurology, Washington University School of Medicine, St. Louis, MO.
Tara A SmyserPsychiatry, Washington University School of Medicine, St. Louis, MO.
J Philip MillerBiostatistics and Medicine, Washington University School of Medicine, St. Louis, MO.
Joshua S ShimonyMallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, MO.
Jeffrey J NeilNeurology, Washington University School of Medicine, St. Louis, MO.
Barbara B WarnerPediatrics, Washington University School of Medicine, St. Louis, MO.
Joan L LubyPsychiatry, Washington University School of Medicine, St. Louis, MO.
Deanna M BarchPsychiatry, Washington University School of Medicine, St. Louis, MO; Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, MO; Psychological and Brain Sciences, Washington University in St. Louis, St. Louis, MO.
Cynthia E RogersPsychiatry, Washington University School of Medicine, St. Louis, MO; Biostatistics and Medicine, Washington University School of Medicine, St. Louis, MO.
Christopher D SmyserNeurology, Washington University School of Medicine, St. Louis, MO; Biostatistics and Medicine, Washington University School of Medicine, St. Louis, MO; Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, MO.
Rachel E LeanPsychiatry, Washington University School of Medicine, St. Louis, MO. Electronic address: rachel.lean@wustl.edu.

Funding

Early Life Adversity, Biological Embedding, and Risk for Developmental Precursors of Mental DisordersR01MH113883 · NIMH · WASHINGTON UNIVERSITY · PI JOAN L. LUBY, Christopher Daniel Smyser · 2018 to 2026
$20.6M
WUIDDRC Supplement-Supporting the health and well-being of children with intellectual and developmental disability during COVID-19 pandemicP50HD103525 · NICHD · WASHINGTON UNIVERSITY · PI JEFFREY D MILBRANDT · 2020 to 2026
$15.5M
Investigating Links Between Dysfunctional Parenting and Infant Brain Connectivity on Development of Effortful ControlK01MH122735 · NIMH · WASHINGTON UNIVERSITY · PI LEAN, RACHEL EMMA · 2021 to 2025
$881k
NICHD NIH HHS P50 HD103525NIMH NIH HHS K01 MH122735NIMH NIH HHS R01 MH113883
6 · The paper itself

Abstract

objectiveTo examine the mediating and moderating associations between prenatal exposure to adversity and neonatal white matter (WM) development on language outcomes at age 2 years. STUDY

designThis longitudinal study includes 160 infants (gestational ages 41 - 39 weeks, n = 83; 38 - 37 weeks, n = 62; 36 - 34 weeks, n = 15) with neonatal diffusion MRI and language assessments at age 2 years using the Bayley Scales of Infant and Toddler Development-III. Prenatal social disadvantage (PSD) and maternal psychosocial stress were assessed throughout the prenatal period. Multivariable and stepwise linear regression, mediation, and moderation analyses were used to investigate associations between prenatal adversities and neonatal WM on language outcomes. Maternal cognition and stimulation provided in the home were included as covariates.

resultsPSD and maternal psychosocial stress were associated with poorer language outcomes (P < .001). When PSD and maternal Psychosocial Stress were modeled simultaneously, only PSD was associated with language outcomes (P < .001). Independent of PSD (P < .001), lower neonatal fractional anisotropy (FA) in the corpus callosum (CC) was associated with poorer language outcomes (P = .02). CC FA did not mediate the association between PSD and language outcomes (indirect effect 95% CIs: -0.96 - 0.15), and there was no interaction between PSD and CC FA on language outcomes (P > .05).

conclusionsPSD and neonatal CC FA were independently related to language outcomes, with no significant mediating or moderating pathways at this stage of development. These findings suggest the need for investigation of prenatal provision of poverty-reducing services and maternal psychosocial intervention services to promote offspring WM and language development.

Indexed as

Language DevelopmentPrenatal Exposure Delayed EffectsStress, PsychologicalWhite MatterAdultChild, PreschoolFemaleHumansInfant, NewbornLongitudinal StudiesMalePregnancydiffusion MRIfollow-upin-uteroneurodevelopmentsocial disadvantage

Identifiers

PMID40451571
PMCPMC12291199

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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.