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. 2021 Nov 16;12:745800. doi: 10.3389/fpsyg.2021.745800

TABLE 1.

Risk factors during pregnancy and early childhood in different domains related to parental mental disorder.

Parental domain Family domain Child domain Environmental domain
Genetic transmission1 Early parenthood16,17 Difficult temperament4,6,2,3 Low socio- economic status16,31,32
Maternal anxiety and stress in pregnancy2,3 Single parenthood16,17 Mental health disorders23 Poverty4,18,17,33
Severity, chronicity or early onset of the disorder4,5,6 Child abuse (physical, emotional, sexual)4,18,19,20 Genetic vulnerability to environmental influences24 Housing problems18,32
Comorbidity (e.g., substance abuse)4,6 Child neglect (physical, emotional)18,19,20 Effects of early life stress and trauma/ACEs25,26 Social isolation18,32
Unresolved (childhood) trauma7,8,9 Unpredictable or lack of daily routines11,21 Insecure and disorganized attachment4,6,10,27,28,29,30 Belonging to a minority group34, perceived discrimination32
Absence of treatment6,10 Mental disorder/addiction other parent/family member22,6,19 Low quality of neighborhood18,32
Problematic parenting4,11,12,13,14 Interparental conflict/violence4,16,18,19,12,20 Absence or low quality of emotional and practical support network16,32
Frightened, frightening disrupted parental behavior8 Absent of both biological parents19 Absence or low quality of adult and child professional care6
Impaired and distorted parental mentalization15 Criminal trouble/imprisoning family member3,12,18 No possibilities for alternative care18
Low level of education16,17