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Published on: August 25, 2014
Neurodevelopment in school-aged children after intrauterine exposure to antipsychotics
Lisanne Schrijver1,2, Thalia K Robakis3, Astrid M Kamperman1
1Department of Psychiatry, Erasmus University Medical Center, Rotterdam, The Netherlands.
Insights
Prenatal exposure to antipsychotics did not show adverse effects on neurodevelopmental functioning in school-aged children. This study investigated IQ, psychiatric diagnoses, and learning problems in children exposed in utero.
Area of Science:
- Neuroscience
- Developmental Psychology
- Pharmacology
Background:
- Antipsychotic use during pregnancy is rising.
- Long-term developmental impacts on children are not well understood.
Purpose of the Study:
- To examine the effect of prenatal antipsychotic exposure on neurodevelopmental functioning in school-aged children.
- Investigate associations with IQ, psychiatric disorders, and learning problems.
Main Methods:
- Cross-sectional study of 91 children (6-14 years).
- Compared children exposed and unexposed to antipsychotics in utero.
- Assessed neurodevelopmental outcomes using validated instruments and parental reports.
Main Results:
- No significant associations found between prenatal antipsychotic exposure and adverse neurodevelopmental outcomes.
- No increased likelihood of psychiatric diagnosis or learning problems reported.
Conclusions:
- Intrauterine exposure to antipsychotics was not linked to adverse effects on IQ or neurodevelopment in school-aged children.
- Study limitations include small sample size and sample heterogeneity, potentially limiting power to detect subtle differences.
Objective:
Antipsychotics are increasingly prescribed in pregnancy, yet little is known about potential long-term developmental effects on children. In this study, we investigated the effect of prenatal antipsychotic exposure on neurodevelopmental functioning in school-aged children.
Methods:
We performed a cross-sectional neurodevelopmental assessment of 91 children aged 6-14 years whose mothers had severe mental illness and were either exposed or unexposed to antipsychotic medication during pregnancy. Neurodevelopmental outcomes were assessed using validated neurodevelopmental assessment instruments to examine the child's IQ and global cognitive functioning, and the presence of any psychiatric disorders and/or learning problems in the child was assessed by parental report.
Results:
No statistically significant associations were found between antipsychotic exposure during pregnancy and either adverse neurodevelopmental outcomes (IQ, neuropsychological function), likelihood of psychiatric diagnosis, or learning problems based on parental report. Analyses were likely limited in power to detect subtler differences in neurodevelopmental functioning because of small sample size and heterogeneity of the sample.
Conclusions:
In this exploratory cohort study, intrauterine exposure to antipsychotics was not associated with any adverse effect on IQ or neurodevelopmental functioning in a cohort of school-aged children (6-14 years).
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