title: Maternal self-esteem, exposure to lead, and child neurodevelopment.
abstract: The notion that maternal personality characteristics influence cognitive development in their children has been grounded in stress moderation theory. Maternal personality traits, such as self-esteem, may buffer maternal stressors or lead to improved maternal-child interactions that directly impact neurodevelopment. This can be extended to suggest that maternal personality may serve to attenuate or exacerbate the effects of other neurotoxicants, although this has not been studied directly. We examined whether mothers' self-esteem had a direct or main effect on their children's cognitive outcomes. We also explored the modifying effects of maternal self-esteem on the association between exposure to lead and neurodevelopment in these children. Study participants included 379 mother-child pairs from Mexico City. Data included the Coopersmith Self-Esteem Scale in mothers, children's Bayley's Scale of Infant Development (BSID) scores, and sociodemographic information. Linear regression was used to model the relationship between maternal self-esteem and the Bayley's Mental Development Index (MDI) and Psychomotor Development Index (PDI) scores at age 24 months using models stratified by levels of maternal self-esteem. In adjusted models, each point increase in maternal self-esteem was associated with children having 0.2 higher score on the Bayley's MDI (p=0.04). Similar results were observed using the PDI outcome. Moreover, there was evidence that maternal self-esteem attenuated the negative effects of lead exposure, although the interaction fell short of conventional levels of statistical significance.
authors.affiliation: Environmental Health, Harvard School of Public Health, Boston, MA, USA. psurkan@hsph.harvard.edu
authors.forename: Pamela J
authors.initials: PJ
authors.lastname: Surkan
authors.forename: Lourdes
authors.initials: L
authors.lastname: Schnaas
authors.forename: Rosalind J
authors.initials: RJ
authors.lastname: Wright
authors.forename: Martha M
authors.initials: MM
authors.lastname: Téllez-Rojo
authors.forename: Héctor
authors.initials: H
authors.lastname: Lamadrid-Figueroa
authors.forename: Howard
authors.initials: H
authors.lastname: Hu
authors.forename: Mauricio
authors.initials: M
authors.lastname: Hernández-Avila
authors.forename: David C
authors.initials: DC
authors.lastname: Bellinger
authors.forename: Joel
authors.initials: J
authors.lastname: Schwartz
authors.forename: Estela
authors.initials: E
authors.lastname: Perroni
authors.forename: Robert O
authors.initials: RO
authors.lastname: Wright
mesh_terms: D000293:Adolescent; D000328:Adult; D002657:Child Development; D002675:Child, Preschool; D003071:Cognition / Q000187:drug effects; D015331:Cohort Studies; D004785:Environmental Pollutants / Q000009:adverse effects* / Q000097:blood; D005260:Female; D006801:Humans; D007854:Lead / Q000009:adverse effects* / Q000097:blood; D016014:Linear Models; D008297:Male; D008800:Mexico; D008954:Models, Biological; D008960:Models, Psychological; D009034:Mother-Child Relations; D009035:Mothers / Q000523:psychology*; D009420:Nervous System / Q000187:drug effects* / Q000254:growth & development; D009483:Neuropsychological Tests; D016487:Parenting; D011597:Psychomotor Performance / Q000187:drug effects; D012649:Self Concept
chemical_list: D004785:Environmental Pollutants; D007854:Lead