Pre-eclampsia and the risk of attention-deficit/hyperactivity disorder in offspring: Findings from the ALSPAC birth cohort study.

Journal: Psychiatry research

Volume: 272

Issue: 

Year of Publication: 2019

Affiliated Institutions:  Institute for Social Science Research, The University of Queensland, Indooroopilly, QLD , Australia; Department of Epidemiology and Biostatistics, Institute of Public Health, University of Gondar, Gondar, Ethiopia. Electronic address: b.dachew@uqconnect.edu.au. Faculty of Medicine, School of Public Health, The University of Queensland, Herston, Australia; Queensland Centre for Mental Health Research, The Park Centre for Mental Health, Wacol, Australia; Metro North Mental Health, Royal Brisbane and Women's Hospital, Herston, Australia. Institute for Social Science Research, The University of Queensland, Indooroopilly, QLD , Australia. Institute for Social Science Research, The University of Queensland, Indooroopilly, QLD , Australia; School of Public Health, Curtin University, Western Australia, Australia.

Abstract summary 

Attention-deficit/hyperactivity disorder (ADHD) is a prevalent heterogeneous neurodevelopmental syndrome associated with various environmental factors. This study examined the association between maternal pre-eclampsia and offspring ADHD at 7- and 10-years. The study cohort consisted of more than 7200 children who participated in Avon Longitudinal Study of Parents and Children (ALSPAC) birth cohort study. ADHD was diagnosed using parent reported Development and Wellbeing Assessment (DAWBA). Log-binomial regression and Generalized Estimating Equation (GEE) models were used. The GEE analysis showed that pre-eclampsia was associated with increased risk of ADHD in offspring (adjusted risk ratio [RR] = 2.77; 95% confidence interval [CI] = 1.42-5.38). Similarly, the results of multivariable log-binomial regression analysis at each time point showed that pre-eclampsia was associated with an almost threefold increase risk of offspring ADHD. This study suggests that offspring of mothers with pre-eclampsia are at increased risk of ADHD, although residual and unmeasured confounding by environmental and genetic factors warrants further study. If our findings are replicated by others, early screening for ADHD and other developmental delays may be recommended in offspring of women with pre-eclampsia.

Authors & Co-authors:  Dachew Berihun Assefa BA Scott James G JG Mamun Abdullah A Alati Rosa R

Study Outcome 

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Statistics
Citations : 
Authors :  4
Identifiers
Doi : 10.1016/j.psychres.2018.12.123
SSN : 1872-7123
Study Population
Women,Mothers
Mesh Terms
Adolescent
Other Terms
ADHD;ALSPAC;Offspring;Pre-eclampsia
Study Design
Cohort Study,Longitudinal Study,Cross Sectional Study
Study Approach
Country of Study
Publication Country
Ireland