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Early pregnancy emotions may predict childhood developmental delay risks (opens in a new tab)

news-medical.net · 2026-09-09

Short answerEvidenceSource

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Mixed

Mixed.

The claims we could check match the study, but some claims were not covered by the evidence reviewed.

  • 2 supported
  • 1 not covered

Checked against the study summary. The full text wasn't available, so some details couldn't be settled either way.

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Mixed

Every claim we could check holds up. Two of three claims match the study. This overall rating is based only on the claims we could check. One claim the study doesn't address.

  • 2 supported
  • 1 not covered
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What the story left out

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  • Exposure, mediator, and outcome were questionnaire-based measures, creating potential measurement and reporting bias.

    The supplied story caveats do not mention that pregnancy feelings, social support, and developmental-delay screening were questionnaire-based and subject to reporting or measurement bias.

    From Secondary analysis of prospective birth cohort (JECS); prospective cohort secondary analysis

  • At abstract depth, the adjusted covariates, model specification, missing-data handling, and mediation assumptions are not reported.

    The story caveats do not mention these abstract-level limitations, which matter especially for interpreting the social-support mediation or mitigation claim.

    From Secondary analysis of prospective birth cohort (JECS); prospective cohort secondary analysis

5 things the story did carry across
  • The study was a secondary analysis of the nationwide Japan Environment and Children’s Study birth cohort with 73,518 mother–infant pairs.
  • Maternal feelings about pregnancy were assessed in the first trimester, and child developmental delays were assessed at age 3 using the Ages and Stages Questionnaire.
  • Feelings other than “very happy” were associated with higher odds of developmental delays at age 3, with the strongest association for “no specific feelings” versus “very happy.”
  • Social support measured at 2.5 years postpartum was analyzed as a mediator or mitigating factor and was associated with reduced developmental delays, especially among mothers reporting “other feelings.”
  • The evidence is observational; causality is not established from the abstract-level profile.
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study summary

Lead result

secondary data

1Lead resultsecondary dataEstimate the association between negative feelings about pregnancy (assessed in 1st trimester) and child developmental delays at age 3 years in a nationwide Japanese birth cohort (JECS).Secondary analysis of prospective birth cohort (JECS)Expand

In plain English

Secondary analysis of 73,518 mother–infant pairs from the Japan Environment and Children’s Study (JECS) estimating the association between maternal feelings about pregnancy (assessed in the first trimester) and child developmental delays at age 3 years (assessed with the Ages and Stages Questionnaire). Multivariable logistic regression showed that feelings other than “very happy” were associated with higher odds of developmental delays, with the strongest reported association for mothers reporting “no specific feelings” (adjusted OR 1.68; 95% CI 1.41–2.00). Measures of social support (assessed at 2.5 years postpartum) were associated with reduced delays, particularly a reported 45.0% reduction (95% CI 41.0–48.3) among mothers reporting “other feelings.”

Key findings

  • Maternal feelings about pregnancy other than “very happy” in the first trimester were associated with higher odds of child developmental delays at age 3 years (ASQ).
  • Mothers reporting “no specific feelings” about pregnancy had the strongest reported association with developmental delay compared with “very happy” mothers.Adjusted OR 1.68 (95% CI 1.41–2.00)
“Data from the Japan Environment and Children’s Study, involving 73,518 mother–infant pairs, were analyzed.”
What this piece can’t prove
  • Secondary observational analysis of cohort data; abstract does not establish causality.
  • Exposure (pregnancy feelings), mediator (social support), and outcome (ASQ) are questionnaire-based measures subject to reporting bias.
  • Abstract does not report the set of confounders adjusted for or details of model specification.
2secondary dataQuantify the mediating effect of social support (measured at 2.5 years postpartum) on the relationship between negative feelings about pregnancy and developmental delays at age 3 years.prospective cohort secondary analysisExpand

In plain English

In a nationwide JECS birth-cohort secondary analysis (n=73,518), the authors examined whether social support measured at 2.5 years postpartum mediated the association between maternal feelings about pregnancy assessed in the first trimester and child developmental delays at age 3 (Ages and Stages Questionnaire). Regression models reported that feelings other than “very happy” were associated with increased odds of developmental delay (strongest for “no specific feelings”, adjusted OR 1.68, 95% CI 1.41–2.00), and that social support substantially reduced delays for mothers reporting “other feelings” (mediated/reduction estimate 45.0%, 95% CI 41.0–48.3).

Key findings

  • Social support measured at 2.5 years postpartum was reported to substantially reduce the association between negative pregnancy feelings and developmental delays, with a reported mediated/reduction estimate of 45.0% (95% CI 41.0–48.3) for mothers reporting “other feelings.”45.0% (95% CI 41.0–48.3)
  • Feelings about pregnancy other than “very happy” were associated with higher odds of developmental delay at age 3; mothers reporting “no specific feelings” had the strongest reported association.Adjusted OR 1.68 (95% CI 1.41–2.00) for “no specific feelings” vs “very happy”
“This study examined the impact of negative feelings about pregnancy on child developmental delays and the mediating role of social support.”
What this piece can’t prove

3 further details could not be confirmed from the summary.

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The mediating effect of social support on the relationship between negative feelings about pregnancy and child developmental delays: A nationwide birth cohort – the Japan Environment and Children’s Study

Journal of Health Psychology · 2026

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Papers considered

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Crossref, PubMed · 16 candidate papers

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The mediating effect of social support on the relationship between negative feelings about pregnancy and child developmental delays: A nationwide birth cohort – the Japan Environment and Children’s Study

Journal of Health Psychology · 2026 · Crossref

And 10 more candidates considered.