ArticleThe Journal of pediatrics2026
Associations between Prenatal Perceived Stress and Child Autism-Related Traits in the ECHO Cohort.
Article in The Journal of pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
16 authors.
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Abstract
objectiveTo examine associations of prenatal perceived stress with child autism-related traits and to evaluate effect modification by both child sex and co-occurring prenatal depressive symptoms. STUDY
designThe sample was drawn from Environmental Influences on Child Health Outcomes cohort sites with data on prenatal perceived stress (Perceived Stress Scale [PSS]) and autism-related traits (Social Responsiveness Scale, second Edition [SRS-2]). We used linear and logistic regression models to determine associations between PSS and either SRS-2 T-scores or odds of moderate-to-severe autism-related traits (SRS-2 T-score ≥65) and evaluated effect modification by sex and prenatal depressive symptoms.
resultsAmong 4115 mother-child pairs, higher PSS was associated with increased severity of autism-related traits (β = 0.15 [95% CI = 0.13-0.18]) and odds of moderate-to-severe traits (OR = 1.04 [1.04-1.05]). There was evidence for sex-by-exposure interaction for continuous (β
conclusionsWe found small yet significant associations between prenatal stress and autism-related traits. Limited evidence for effect modification by sex or prenatal depressive symptoms suggests prenatal perceived stress influences autism-related traits after accounting for these factors.
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