Adverse Childhood Experiences, Pregnancy and Postpartum Depressive Symptoms, and Child Socioemotional Problems Over the First Three Years of Life.

Abstract

Adverse childhood experiences (ACEs) are associated with higher rates of prenatal and postpartum depression and child socioemotional problems. This longitudinal study investigated prenatal and postpartum depression as indirect effects linking maternal ACEs to changes in toddler socioemotional problems. Mothers (n = 304) reporting their ACEs, depressive symptoms in pregnancy and 6-months postpartum, and their children's socioemotional problems at 15-, 24-, and 35- months postpartum. Latent growth curve parallel and serial mediation analyses indicated that higher maternal ACEs were significantly associated with greater perinatal depressive symptoms. Depressive symptoms during pregnancy, but not 6-months postpartum, were associated with higher average socioemotional problems at each time point. Maternal ACEs were indirectly associated with average socioemotional problems through prenatal, but not postpartum, depressive symptoms. Indirect effects from maternal ACEs to socioemotional problem trajectories were not significant. Findings suggest that prenatal depressive symptoms should be further explored as a mechanism through which maternal ACEs impact early socioemotional problems.