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Parental mental health during preconception years in association with offspring attention deficit hyperactivity
Ditty Ann Johns1, Shae E Quirk2, Julie A Pasco2,3,4,5
1Institute for Mental and Physical Health and Clinical Translation, School of Medicine, Deakin University, Geelong, Victoria, Australia s222397576@deakin.edu.au.
Insights
This systematic review examines the link between parental mental health before conception and attention deficit hyperactivity disorder (ADHD) in children. Understanding these preconception factors is crucial for early intervention and prevention strategies.
Area of Science:
- Neuropsychiatry
- Developmental Pediatrics
- Public Health
Background:
- Attention deficit hyperactivity disorder (ADHD) is a common neurodevelopmental condition.
- The preconception period is increasingly recognized as critical for offspring health.
- Limited research exists on the impact of parental mental health during the preconception period on offspring ADHD.
Purpose of the Study:
- To systematically review existing literature on the association between parental mental health and/or psychotropic medication use in the preconception period and the subsequent development of ADHD in offspring.
- To synthesize evidence regarding the influence of parental mental health on offspring ADHD risk.
Main Methods:
- Systematic literature search of major databases (Medline, Embase, PsycINFO, CINAHL) and grey literature.
- Inclusion of population-based and clinically-based cohort or case-control studies.
- Primary exposure: parental mental health conditions/psychotropic use preconception. Primary outcome: offspring ADHD diagnosis.
- Descriptive synthesis and meta-analysis (if feasible) of findings.
Main Results:
- (Study results will be presented upon completion of the review.)
- The review will summarize characteristics of included studies, critical appraisal scores, and main findings.
- Data synthesis will include tables, text, and figures to illustrate associations.
Conclusions:
- (Conclusions will be drawn upon completion of the review.)
- Findings will inform understanding of preconception influences on ADHD development.
- Results will highlight potential targets for preconception care and prevention of ADHD.
Introduction:
Attention deficit hyperactivity disorder (ADHD) is a neuropsychiatric condition prevalent in both children and adults. With growing awareness of the importance of the preconception period in health, it is essential to understand whether preconception parental mental health and related factors are related to onset of offspring ADHD. This protocol presents the methodology for undertaking a systematic review to investigate associations between parental mental health and/or psychotropic use during the preconception years and offspring ADHD.
Methods And Analysis:
Peer-reviewed literature will be identified by searching relevant electronic databases including Medline complete, Embase, PsycINFO and CINAHL; reference lists of eligible articles will be hand searched and grey literature considered. Eligible study designs include population-based and/or clinically based cohort or case-control studies. The primary exposure and outcome of interest is parental history of mental health conditions in the preconception period and offspring ADHD, respectively (ie, according to semistructured interviews/confirmed diagnosis by a relevant health professional or screening instruments). Critical appraisal will be undertaken. A descriptive synthesis will be presented including characteristics of the included studies, critical appraisal scores and a summary of main findings (eg, presented in tables, text and figures). A meta-analysis will be conducted, if possible, and statistical techniques will be employed if heterogeneity is detected.
Ethics And Dissemination:
Ethical permissions are not required for this systematic review since the study will only use published data. Findings from this systematic review will be published in a peer-reviewed scientific journal/presented at national and international conferences relevant to the field.
Prospero Registration Number:
CRD42023460379.
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