ECHO Director, Researchers Featured in Article on the Effects of Perinatal Stress on Babies

ECHO researchers Catherine Monk, PhD and Johnnye Lewis, PhD, as well as Program Director Matt Gillman, MD, were recently featured in an article regarding perinatal stress during the pandemic and its effects on babies. Featured in Undark.org, a non-profit digital magazine that explores the intersection of society and science, the article references previous studies regarding in-utero stress, including Dr. Monk’s 2016 study on stress and the effect of excess cortisol being passed via the placenta to the fetus.

Monk and her team hypothesized that high levels of stress passed on to the fetus would cause changes to the expression of a fetal gene responsible for deactivating, or neutralizing, cortisol in the body. This was the first study to link pregnant women’s stress with changes in placental genes.

In addition to extreme stress during pregnancy, Monk notes that another factor that may affect the fetus is climate change, which “is affecting the air their mothers breathe while they’re pregnant, and it’s going to be affecting their development in so many ways, and the quality of their lives in the future,” Dr. Monk said.

Additionally, the article highlights Dr. Lewis’s efforts as founder and director of the Community Environmental Health Program at University of New Mexico’s College of Pharmacy, as well as her collaborative ECHO work comparing how stressors related to the COVID-19 pandemic may affect mental health and neurodevelopment among Indigenous, Black, and White communities.

“The beauty of ECHO is it lets us compare across several different populations,” Dr. Lewis said. Based on a preliminary review of Lewis’s data, Black and Indigenous communities surveyed reported more pandemic-related stressors in comparison to a rural white community. This may suggest poorer outcomes for these populations due to the complex relationship linking stress to disease, behavioral health, and neurodevelopmental problems.

Regarding the news that stress plays a large role in the development of fetuses and newborns, Gillman stresses the importance of early intervention. “If you can do interventions early when systems and organs are most plastic, then it’s easier,” he said.

ECHO Researchers Develop Shorter Survey for Measuring Sources of Stress in Adults

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ECHO Researchers Develop Shorter Survey for Measuring Sources of Stress in Adults

Author(s): Phillip Sherlock, Madeleine U. Shalowitz, Carolyn Berry, David Cella, Courtney K. Blackwell, Whitney Cowell, Karen M. Reyes Rodriguez, Rosalind J. Wright

 

Who sponsored this study?

This research was supported by the Environmental influences on Child Health Outcomes (ECHO) program, the Office of the Director, and the National Institutes of Health.

 

What were the study results?

The researchers were able to reduce the 80-question CRISYS-R to just 24 essential questions, resulting in a short form CRISYS questionnaire (CRISYS-SF). The CRISYS-SF covers the same 11 areas of stress that are addressed in the CRISYS-R. Participants received very similar scores from both the CRISYS-R and CRISYS-SF.

Footnote: Results reported here are for a single study. Other or future studies may provide new information or different results. You should not make changes to your health without first consulting your healthcare professional.

 

What was the study's impact?

In large-scale studies, lengthy questionnaires can contribute to lower response rates, leading to incomplete or low-quality data. The CRISYS-SF offers doctors and researchers a way to screen for participant stress, identifying the sources of that stress, and determining the most effective interventions.

 

Why was this study needed?

Stress can have a significant impact on the psychological, social, and physical health of individuals. But the questionnaires that are often used to understand stress exposure can be long and burdensome. The goal of this research was to create a shorter version of the Crisis in Family Systems-Revised (CRISYS-R) that still covers all relevant areas of stress.

 

Who was involved?

The study included 884 pregnant women from the PRogramming of Intergenerational Stress Mechanisms (PRISM) study, which recruited pregnant women from prenatal clinics in New York City and Boston beginning in 2011. One-third of these women were born outside of the U.S., and 20% spoke Spanish as a primary language. Around 20% of participating women had less than a high school education, and 60% reported having financial trouble.

 

What happened during the study?

Participants completed the CRISYS-R questionnaire through an in-person or phone interview in their preferred language. The researchers used statistical methods and expert feedback to identify which questions on the CRISYS-R provided the most insight into the participant’s level of stress exposure.

 

What happens next?

Researchers can use the CRISYS-SF to investigate relationships between stressful life events and specific health outcomes.

 

Where can I learn more?

Access the full journal article, titled “A short form of the Crisis in Family Systems (CRISYS) in a racially diverse sample of pregnant women,” published in Current Psychology.

The content is the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.

Published 01 October 2021

 

Access the associated article.

Better Sleep Quality Is Linked to Lower Levels of Stress and Better General Health in Children

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Better Sleep Quality Is Linked to Lower Levels of Stress and Better General Health in Children

Author: Courtney K. Blackwell 

 

Who sponsored this study?

This research was supported by the Environmental influences on Child Health Outcomes (ECHO) program, Office of The Director, National Institutes of Health.

 

What were the study results?

Results suggested better sleep quality was connected with lower levels of stress and better general health. This, in turn, predicted higher levels of life satisfaction. Findings remained stable for a subsample of children with the poorest sleep quality.

*Results reported here are for a single study. Other or future studies may provide new information or different results. You should not make changes to your health without first consulting your healthcare professional.

 

What was the study's impact?

Children who sleep well have happier lives than those who do not sleep as well. Given the varying nature of children’s sleep quality, this study offers findings to inform future studies that want to test specific ways to improve children’s well-being. Ways to improve sleep may include education programs for parents that teach parents how to prevent things that keep children from sleeping well (e.g., ways to lower screen time in the hour before bed). Other ideas may include looking at how elementary school start times affect children’s sleep quality.

 

Why was this study needed?

Sleep quality is important to children’s health and well-being. Until now, research has focused on how poor sleep may cause health problems. The current study explored if and how better sleep quality may lead to positive health in children.

 

Who was involved?

More than 1000 caregivers of 5- to 9-year-old children from 3 ECHO Program cohorts participated in this study. Participants were from different places in the United States, had different financial backgrounds and 10% were of Hispanic origin.

 

What happened during the study?

Between March and December 2017, caregivers completed surveys about their children’s sleep quality, general health, stress, and life satisfaction.

 

What happens next?

This study provides early evidence on the ways better sleep can improve the lives of children. Future research with more diverse samples can make these findings apply to more people. Additionally, measures to try with younger children are available so that we can see how this affects children younger than 5.

 

Where can I learn more?

Access the full journal article, titled “Better sleep, better life? How sleep quality influences children's life satisfaction.”

 

The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.

 

Published: September 29, 2020

Read more research by Courtney Blackwell

General health and life satisfaction in children with chronic illness

Author(s): Courtney K. Blackwell, Amy J. Elliott, Jody Ganiban, et al