Maternal stress and perinatal features in autism and attention deficit/hyperactivity disorder
Gökçe Nur Say1, Koray Karabekiroğlu1, Zehra Babadağı1
1Department of Child and Adolescent Psychiatry, Faculty of Medicine, Ondokuz Mayıs University, Samsun, Turkey.
Insights
Autism spectrum disorder (ASD) and attention deficit/hyperactivity disorder (ADHD) share perinatal risk factors like prematurity and maternal stress during pregnancy. Postpartum maternal mood may differentiate ASD, while breastfeeding duration may relate to ADHD.
Area of Science:
- Neurodevelopmental Disorders
- Perinatal Psychiatry
- Child Psychology
Background:
- Investigated shared and unique perinatal risk factors for autism spectrum disorders (ASD) and attention deficit/hyperactivity disorder (ADHD).
- Examined maternal stress and breastfeeding duration in relation to ASD and ADHD.
- Focused on a clinical sample for comparative analysis.
Purpose of the Study:
- To identify common and distinct perinatal risk factors for ASD and ADHD.
- To compare maternal pre/postpartum stress levels between ASD and ADHD groups.
- To explore the association between breastfeeding duration and these neurodevelopmental conditions.
Main Methods:
- Compared clinical samples of children aged 3-18 years with ASD (n=100) and ADHD (n=100).
- Included age- and gender-matched healthy controls (n=80) for comparison.
- Analyzed perinatal data, including maternal stress and breastfeeding duration.
Main Results:
- Prematurity and maternal prenatal stress/depressive mood were identified as shared risk factors for both ASD and ADHD.
- Postpartum maternal depressive mood appeared more specific to ASD.
- Shorter breastfeeding duration was associated with ADHD.
Conclusions:
- ASD and ADHD share certain perinatal characteristics.
- Identifying these perinatal factors has implications for primary prevention strategies.
- Understanding unique and shared risk factors can inform targeted interventions.
Background:
We investigated the shared and non-shared perinatal risk factors for autism spectrum disorders (ASD) and attention deficit/hyperactivity disorder (ADHD) in a clinical sample. Additionally, we compared these groups regarding pre/postpartum maternal stress and the duration of breastfeeding.
Methods:
Children aged 3-18 years old with ASD (n = 100) were compared with age- and gender-matched children with ADHD (n = 100) and with age- and gender-matched healthy controls (n = 80).
Results:
Prematurity of the neonate and maternal stress/depressive mood in pregnancy were common risk factors shared by ASD and ADHD. Postpartum maternal depressive mood may be more specific to ASD, while shorter duration of breastfeeding may be related to ADHD.
Conclusions:
ASD and ADHD may have some perinatal features in common. Identification of perinatal factors for ASD and ADHD carries clinical implications in terms of primary prevention.
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