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Investigating Learning, Decision-Making, and Mental Health in Pregnancy: Insights From a UK Cohort Study Cover

Investigating Learning, Decision-Making, and Mental Health in Pregnancy: Insights From a UK Cohort Study

Open Access
|Sep 2025

Figures & Tables

Table 1

Basic demographic characteristics of participants in Study 1, by randomised condition. Participants were randomly assigned to one of the two emotional context conditions (“Soothe the baby” – on each trial participants were shown a crying baby face – or “Keep the baby happy” – on each trial participants were shown a happy baby face).

CHARACTERISTIC‘SOOTHE THE BABY’ N = 103‘KEEP THE BABY HAPPY’ N = 100
Age19.70 (2.43)19.88 (2.89)
Ethnicity
White or Caucasian83 (81%)82 (83%)
Asian or Asian American14 (14%)9 (9.1%)
Other ethnicity6 (5.8%)8 (8.1%)
Gender
Girl90 (87%)82 (83%)
Boy12 (12%)17 (17%)
Prefer not to say1 (1.0%)0 (0%)
Highest Education
Below undergraduate8 (7.8%)3 (3.0%)
Undergraduate or higher95 (92%)97 (97%)
Income
Under £15,0009 (11%)11 (13%)
£15,000–£29,99919 (22%)17 (21%)
£30,000–£49,99917 (20%)14 (17%)
£50,000–£74,99914 (16%)15 (18%)
£75,000–£99,9998 (9.4%)11 (13%)
Over £100,00018 (22%)14 (17%)
Age of Menarche
9–10 years9 (10%)6 (7.3%)
11–12 years40 (44%)33 (40%)
13–14 years34 (38%)35 (43%)
15+ years7 (7.8%)8 (9.8%)
Hormonal Contraceptive
Yes49 (54%)44 (54%)
No41 (46%)38 (46%)

[i] Note. Other ethnicity includes Black, Hispanic, and other groups. Education categories were combined into ‘Below undergraduate’ and ‘Undergraduate or higher’ due to small sample sizes. Income categories over £100,000 were merged into ‘Over £100,000’.

cpsy-9-1-134-g1.png
Figure 1

Participant recruitment, allocation and attrition/removal in Study 1 and Study 2.

Note. This figure was created in BioRender. Costantini, I. (2025) https://BioRender.com/7ppxkl9.

cpsy-9-1-134-g2.png
Figure 2

Maternally adapted version of a two-arms bandit task.

Note. Timeline of events within a trial. Feedback can be a sad, neutral or happy baby face. a) “Soothe the baby” condition (with a positive outcome); b) “Keep the baby happy” condition (with a neutral outcome).

Table 2

Demographic characteristics of participants included in the analyses in Study 1 (nulliparous female and male student participants) and Study 2 (ALSPAC pregnant women).

DEMOGRAPHICSSTUDY 1: STUDENTSTUDY 2: ALSPAC
VARIABLESNMEAN (SD)/%NMEAN (SD)/%
Age19119.82 (2.73)10929.11 (1.51)
Gender/Sex
Male2814.66%00%
Female16184.29%109100%
Other21.04%
Education
A Level or Higher18094.2%3943.33%
O Level3741.11%
<O Level1415.56%
High-school diploma (=GCSE)115.8%
Performance task
In person191100%2522.9%
Online00%8477.1%
MENTAL HEALTH MEASURESNMEDIAN (IQR)NMEDIAN (IQR)
Depression score
SMFQ1907 (4–10)
EPDS8013 (9.5–15)
Anxiety
STAI-I19038 (32–46)
STAI-II19046 (39–53)
Personality difficulties
SAPAS1903 (2–4)912 (1–3)
BIS-1119064 (58–69)2951 (49–59)

[i] Note. IQR: Inter-quartile Intervals; ALSPAC: Avon Longitudinal Study of Parents and Children; SAPAS: Standardized Assessment of Personality Abbreviated Scale; MFQ: Mood and Feeling Questionnaire; EPDS: Edinburgh Post-Natal Depressive Scale; STAI: State-Trait Anxiety Inventory; BIS: Barrett Impulsivity Scale.

cpsy-9-1-134-g3.png
Figure 3

Effect of the baseline emotional state on the parameters of the reference model (Study 1).

Note. The top two graphs and the bottom left graph illustrate the posterior differences for the population level means between the two conditions. The 95% highest density intervals are marked with the horizontal red line at the base of the histogram bars. The bottom right graph shows the median and 95% credible (highest density) intervals of the posterior densities for the population level mean learning rate, reference point, and inverse temperature.

Table 3

This table illustrates whether the context manipulation affected the post-test rating scores on both the emotions’ and temperament’ ratings.

RATING EMOTIONNPOSTERIOR MEAN DIFFERENCE (95% CrIs)Rhat
Negative2030.02 (–2.84 to 2.85)1
Neutral203–0.88 (–3.55 to 1.72)1
Happy2030.39 (–1.67 to 2.49)1
RATING TEMPERAMENTNPOSTERIOR MEAN DIFFERENCE (95% CrIs)Rhat
Negative2030.86 (–4.49 to 6.44)1
Neutral203–1.41 (–6.49 to 3.53)1
Happy2034.39 (0.14 to 8.78)1

[i] Note. The table reports brms estimates on the final rating score on both emotions and temperament with the condition. The reference condition is the “Soothe the baby”. 95% CrIs: Credible Intervals. Rhat is a convergence diagnostic statistic used in Markov Chain Monte Carlo (MCMC) models. An Rhat value below 1.05 is generally considered a strong indication that the chains have converged well.

Table 4

This table reports the posterior median effect size and 95% CrI representing the association between levels of personality difficulties, depression, anxiety and impulsivity and the parameters of interest in both Study 1 and Study 2.

MENTAL HEALTH MEASURE1PARAMETERS2STUDY 1 (NULLIPAROUS PARTICIPANTS)STUDY 2 (ALSPAC PARTICIPANTS)
NUMBER OF PARTICIPANTSESTIMATE (MEDIAN POSTERIOR DISTRIBUTION)95% CRIRHATNUMBER OF PARTICIPANTSESTIMATE (MEDIAN POSTERIOR DISTRIBUTION)95% CRIRHAT
Alpha
Personality difficulties (SAPAS)190–0.08–0.20 to 0.041.0091–0.18–0.30 to –0.041.00
Depressive symptoms (MFQ in Study 1 and EPDS in Study 2)190–0.06–0.17 to 0.061.0080–0.14–0.30 to 0.011.00
Depressive symptoms (EPDS without anxiety items)80–0.14–0.30 to 0.031.00
State anxiety (STAI-Y1)190–0.03–0.13 to 0.081.00
Trait anxiety (STAI-Y2)190–0.06–0.18 to 0.051.00
Impulsivity (BIS-11)190–0.08–0.19 to 0.031.00
Tau
Personality difficulties (SAPAS)190–0.03–0.08 to 0.021.00910.01–0.08 to 0.101.00
Depressive symptoms (MFQ in Study 1 and EPDS in Study 2)1900.00–0.07 to 0.081.0080–0.07–0.15 to 0.021.00
Depressive symptoms (EPDS without anxiety items)80–0.06–0.15 to 0.021.00
State anxiety (STAI-Y1)190–0.05–0.10 to –0.001.00
Trait anxiety (STAI-Y2)190–0.00–0.05 to 0.051.00
Impulsivity (BIS-11)190–0.02–0.08 to 0.021.00
Eta
Personality difficulties (SAPAS)1900.07–0.01 to 0.141.0091–0.02–0.12 to 0.071.00
Depressive symptoms (MFQ in Study 1 and EPDS in Study 2)190–0.00–0.06 to 0.051.00800.02–0.07 to 0.111.00
Depressive symptoms (EPDS without anxiety items)800.01–0.08 to 0.101.00
State anxiety (STAI-Y1)1900.04–0.03 to 0.111.00
Trait anxiety (STAI-Y2)1900.01–0.06 to 0.081.00
Impulsivity (BIS-11)190–0.07–0.14 to –0.011.00

[i] Note. CrI: Credible Intervals; ALSPAC: Avon Longitudinal Study of Parents And Children; SAPAS: Standardized Assessment of Personality Abbreviated Scale; MFQ: Mood and Feeling Questionnaire; EPDS: Edinburgh Post-Natal Depressive Scale; STAI: State-Trait Anxiety Inventory; BIS: Barrett Impulsivity Scale. Rhat is a convergence diagnostic statistic used in Markov Chain Monte Carlo (MCMC) models. An Rhat value below 1.05 is generally considered a strong indication that the chains have converged well.

DOI: https://doi.org/10.5334/cpsy.134 | Journal eISSN: 2379-6227
Language: English
Submitted on: Jan 24, 2025
Accepted on: Aug 7, 2025
Published on: Sep 12, 2025
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2025 Ilaria Costantini, Axel Montout, Paul Moran, Daphne Kounali, Rebecca M. Pearson, Casimir J. H. Ludwig, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.