在母亲健康和自闭症之间的关联中,家庭混
Vahe Khachadourian1, Elias Speleman Arildskov2, Jakob Grove2
1Department of Child and Adolescent Psychiatry, NYU Grossman School of Medicine, New York, NY, USA.
Nature medicine
|January 31, 2025
概括
怀孕期间母亲的健康状况与后代自闭症有关. 然而,大多数观察到的联系归因于家族混,而不是直接的因果关系.
科学领域:
- 围产期健康 围产期健康
- 自闭症谱系障碍 (ASD) 研究研究
- 遗传流行病学遗传流行病学
背景情况:
- 怀孕期间母亲的健康越来越多地与后代的自闭症有关.
- 以前的研究往往忽略了特定的母亲诊断和家庭混的影响.
研究的目的:
- 调查母亲产前诊断和后代自闭症之间的关联.
- 区分真正的关联与家庭混.
主要方法:
- 利用一个大规模的丹麦队列 (1,131,899名儿童,1998-2015年) 与父母数据.
- 在236个母亲诊断中采用了Cox比例危险回归模型 (流行率≥0.1%).
- 应用了不一致的兄弟姐妹和父亲负控制设计来评估家族混.
主要成果:
- 18,374名 (1.6%) 儿童被诊断为自闭症.
- 在调整后,30个母亲诊断显示出与自闭症有显著关联.
- 基于家庭的分析显示,家庭混是大多数观察到的关联的主要驱动因素.
结论:
- 虽然母亲健康和子女自闭症之间存在普遍的关联,但这些在很大程度上是由共同的家族因素解释的.
- 这些发现凸显了在自闭症研究中考虑家庭混的必要性.
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