Evidence map›Paper›PMID 41648808›Full record

ArticleThe Lancet regional health. Europe2026

Prenatal maternal depression and child behavioural and developmental outcomes: an individual participant data meta-analysis in 76,514 children from the EU Child Cohort Network.

Adriana P C Hermans, Demetris Avraam, Isabel K Schuurmans, Ana G Soares, Marius Lahti-Pulkkinen, Polina Girchenko, Tanja G M Vrijkotte, Susanne R de Rooij, Ahmed Elhakeem, Judith van der Waerden and 13 more

Abstract read
In one paragraph

Article in The Lancet regional health. Europe, 2026. 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

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

23 authors.

Adriana P C HermansGeneration R Study Group, Erasmus MC, University Medical Center Rotterdam, Rotterdam, the Netherlands.
Demetris AvraamDepartment of Public Health, Section of Epidemiology, University of Copenhagen, Copenhagen, Denmark.
Isabel K SchuurmansGeneration R Study Group, Erasmus MC, University Medical Center Rotterdam, Rotterdam, the Netherlands.
Ana G SoaresMRC Integrative Epidemiology Unit at the University of Bristol, Bristol, UK.
Marius Lahti-PulkkinenUniversity of Helsinki, Finland.
Polina GirchenkoDepartment of Psychology, Faculty of Medicine, University of Helsinki, Helsinki, Finland.
Tanja G M VrijkotteDepartment of Public and Occupational Health, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands.
Susanne R de RooijAmsterdam Public Health Research Institute, Amsterdam, the Netherlands.
Ahmed ElhakeemMRC Integrative Epidemiology Unit at the University of Bristol, Bristol, UK.
Judith van der WaerdenSocial Epidemiology, Mental health and Addictions team, Institut Pierre Louis d'Epidemiologie et de Santé Publique, INSERM, Sorbonne University, Paris, France.
Barbara HeudeUniversité Paris Cité and Université Sorbonne Paris Nord, Inserm, INRAE, Centre de Recherche en Épidémiologie et StatistiqueS (CRESS), Paris, France.
Chloé VainqueurUniversité Paris Cité and Université Sorbonne Paris Nord, Inserm, INRAE, Centre de Recherche en Épidémiologie et StatistiqueS (CRESS), Paris, France.
Tiffany C YangBradford Centre for Health Data Science, Bradford Institute for Health Research, Bradford Teaching Hospitals NHS Foundation Trust, Bradford, United Kingdom.
Rachael W CheungBradford Centre for Health Data Science, Bradford Institute for Health Research, Bradford Teaching Hospitals NHS Foundation Trust, Bradford, United Kingdom.
Dan LewerBradford Centre for Health Data Science, Bradford Institute for Health Research, Bradford Teaching Hospitals NHS Foundation Trust, Bradford, United Kingdom.
Katrine Strandberg-LarsenDepartment of Public Health, Section of Epidemiology, University of Copenhagen, Copenhagen, Denmark.
Tim CadmanDepartment of Public Health, Section of Epidemiology, University of Copenhagen, Copenhagen, Denmark.
Maja PopovicCancer Epidemiology Unit, Department of Medical Sciences, University of Turin, CPO Piemonte, Turin, Italy.
Francesca CandeloraCancer Epidemiology Unit, Department of Medical Sciences, University of Turin, CPO Piemonte, Turin, Italy.
Jari LahtiDepartment of Psychology, Faculty of Medicine, University of Helsinki, Helsinki, Finland.
Katri RäikkönenUniversity of Helsinki, Finland.
Charlotte A M CecilGeneration R Study Group, Erasmus MC, University Medical Center Rotterdam, Rotterdam, the Netherlands.
Hanan El MarrounDepartment of Child and Adolescent Psychiatry/Psychology, Erasmus MC University Medical Center - Sophia Children's Hospital, Rotterdam, the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Prenatal maternal depression affects an estimated one in five women, with implications not only for the mother but also for the child, associating negatively with offspring mental health and cognition. This study aimed to investigate multiple outcomes within the same set of participants from multiple cohorts, explore sex-specific differences in associations, and examine of the role of timing of maternal depression. Methods: We performed large-scale individual participant data analyses with a sample size of up to 76,514 participants to investigate prospective associations between prenatal maternal depression and eight offspring behavioural and developmental outcomes, leveraging harmonised data from seven European birth cohorts. Cohort-specific estimates were combined using random-effects meta-analysis. Potential sex differences and the role of pre-pregnancy and postnatal depression in the associations were examined. Findings: Prenatal maternal depression was associated with higher internalising, externalising, attention deficit hyperactivity disorder, and autism spectrum disorder symptoms (6.61-10.90 increased percentile scores). Associations were similar between males and females, largely independent of pre-pregnancy depression, and partially mediated by postnatal maternal depression. Continuous prenatal depressive symptoms were associated with all eight offspring outcomes. Interpretation: These findings emphasise the importance of prenatal maternal depression as a key developmental risk factor. Future work should consider how best to support mental health during pregnancy and children exposed to prenatal depression. Our results contribute to the growing evidence underscoring the need for early intervention and tailored support for those experiencing depression during pregnancy. Funding: HappyMums Project, funded by the European Union (Grant Agreement n.101057390).

Indexed as

BehaviourDevelopmentMental healthMeta-analysisPrenatal depression

Identifiers

PMID41648808
PMCPMC12870471

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Registered trials

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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.