Association of Attention Deficit/Hyperactivity Disorder With Events Occurring During Pregnancy and Perinatal Period

Jianbo Liu1, Yuqiong He2,3, Yanmei Shen2,3

  • 1Department of Child Psychiatry of Shenzhen Kangning Hospital, Shenzhen Mental Health Center, School of Mental Health, Shenzhen University, Shenzhen, China.

Frontiers in Psychology
|October 8, 2021
PubMed

Insights

Pregnancy and perinatal complications like threatened abortion and neonatal asphyxia are linked to attention deficit/hyperactivity disorder (ADHD). Specific factors like instrumental delivery and low birth weight also pose risks for ADHD in certain subgroups.

Area of Science:

  • Neuroscience
  • Developmental Pediatrics
  • Child Psychiatry

Background:

  • The connection between prenatal and perinatal events and the development of attention deficit/hyperactivity disorder (ADHD) remains incompletely understood.
  • Investigating these early-life factors is crucial for understanding ADHD etiology.

Purpose of the Study:

  • To investigate the association between pregnancy and perinatal events and the occurrence of ADHD.
  • To identify specific risk factors during pregnancy and childbirth that may contribute to ADHD development.

Main Methods:

  • A two-phase cross-sectional study involving 3,418 students from 13 schools.
  • Utilized the Child Behavior Checklist (CBCL) for initial screening.
  • Employed the Mini International Neuropsychiatric Interview for Children and Adolescents (MINI-KID) and DSM-IV criteria for diagnosis.

Main Results:

  • Threatened abortion (TA) and neonatal asphyxia (NA) were positively associated with ADHD.
  • TA was a risk factor for ADHD without comorbidity.
  • Instrumental delivery and NA were risk factors for ADHD with comorbidity.
  • TA and NA were risk factors for ADHD in males; low birth weight (LBW) was a risk factor in females.

Conclusions:

  • Threatened abortion is a risk factor for ADHD without comorbid conditions.
  • Instrumental delivery and neonatal asphyxia are risk factors for ADHD with comorbid conditions.
  • Specific perinatal factors like TA, NA, and LBW are significant risk factors for ADHD, with variations observed between sexes and comorbidity status.

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