- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05694676
Relationship Between Prenatal Maternal Distress and the Quality of General Movements at 3 Months
Relationship Between Prenatal Maternal Depression and Anxiety and the Quality of General Movements of Healthy Term Infants at 3 Months
Study Overview
Status
Conditions
Detailed Description
Depression and anxiety symptoms are common during pregnancy and are estimated to affect 7% - 20% of pregnant women, constituting significant risks for mothers and babies. Depression and anxiety may disturb the intrauterine environment by affecting the mother's physiological responses to stress, and ultimately impair fetal and postnatal development. Increasing evidence shows that prenatal exposure to maternal depression and anxiety is associated with several lifelong adverse outcomes in children, including physical health problems, emotional and behavioral difficulties, and low verbal IQ.
Such maladaptive outcomes are thought to have a neurobiological basis and there is increasing evidence about the effects of maternal distress on young brain tissue leading to some structural changes. However, what is more important is that the neurological footprints of these structural changes on the young brain can be caught early in life. The neurological status of infants can be determined early in life by video assessment of General Movements (GMs) quality. In this study at the age of 3 months, a video assessment of the quality of GMs will be performed to evaluate neurologic conditions.
Study Type
Enrollment (Actual)
Contacts and Locations
Study Contact
- Name: Aynur Basaran, MD, Prof
- Phone Number: +90 537 562 0666
- Email: aynurbasaran@gmail.com
Study Contact Backup
- Name: Ozlem Dulger, MD
- Phone Number: +90 532 606 4380
- Email: ozlem_dulger@yahoo.com.tr
Study Locations
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Karaman, Turkey, 70200
- Karaman Training and Research Hospital
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Contact:
- Aynur Basaran
- Phone Number: +90 338 226 3225
- Email: aynurbasaran@gmail.com
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Sampling Method
Study Population
Mothers aged 18 to 40 years, who have singleton pregnancy.
Infants were born at 36-42 weeks of gestation without complication.
Description
Mothers Inclusion Criteria:
- Mothers aged 18 to 40 years,
- Singleton pregnancy
- No smoking during prengnancy
- No illicit drug or alcohol use during pregnancy,
- No major health conditions requiring invasive treatments (e.g., dialysis, blood transfusions, chemotherapy),
- No diagnosis of psychotic illnesses (eg, schizophrenia,bipolar or borderline personality disorder), and
- No major autoimmune diseases
- No pregnancy-related complications: (including prenatal infection, pregnancy-included hypertension, gestational diabetes, oligohydramnios, polyhydramnios, preterm labor, vaginal bleeding, placenta previa, or anemia).
Infant inclusionary criteria:
- infants were born at 36-42 wk of gestation
- uncomplicated singleton birth,
- no pre-existing neurologic conditions or major head trauma, neonatal intensive care unit stay limited to observation only (ie, no interventions), and
- infant discharged from the hospital with the mother.
Mothers Exclusion Criteria:
- post partum depression and/or anxiety
- delivery complication
Infant exclusion criteri:
- infant birth before 36 weeks gestation
- infant weight lower 2500gr at birth
- Apgar score 0f <7 at 5 minutes
- Major neonatal complications
- Identified neurologic, genetic or congenital syndrome
Study Plan
How is the study designed?
Design Details
- Observational Models: Cohort
- Time Perspectives: Prospective
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
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Mothers
Mothers aged 18 to 40 years, who have singleton pregnancy.
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The scale consists of 20 items in total and provides a four-point Likert type measurement (1- anxiety symptom is not present, 4- the symptom lasts all the time).
Scores range from 20 (low anxiety) to 80 (high anxiety).
BDI contains 21 items and rates the depressive symptoms for the last week.
Each item has four options and is scored between 0 and 3.
The total score ranges from 0 to 63.
Higher scores indicate more severe depression
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Infants
Infants were born at 36-42 weeks of gestation without complication.
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The variation, complexity and fluency of movements over a video recording is done and the quality of GMs is classified as normal-optimal, normal-suboptimal, mildly abnormal, and definitely abnormal movements.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Relationship Between Prenatal Maternal Anxiety and the Quality of General Movements
Time Frame: 3-5 months
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Univariate statistical analyses will be performed to calculate differences in mothers' STAI-T scores between children with normal and abnormal GMs.
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3-5 months
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Relationship Between Prenatal Maternal Depression and the Quality of General Movements
Time Frame: 3-5 months
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Univariate statistical analyses will be performed to calculate differences in mothers' BDI scores between children with normal and abnormal GMs.
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3-5 months
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Multivariate analyses will be carried out with control variables
Time Frame: 3-5 months
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Significant primary outcome measures will be controlled with:
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3-5 months
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Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Study Director: Aynur Basaran, MD,Prof, Karaman Training and Research Hospital
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 11-2022/02
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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