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Prenatal antidepressant exposure and child behavioural outcomes at 7 years of age: a study within the Danish National Birth Cohort

Title: Prenatal antidepressant exposure and child behavioural outcomes at 7 years of age: a study within the Danish National Birth Cohort
Authors: Grzeskowiak, LE; Morrison, JL; Henriksen, TB; Bech, BH; Obel, C; Olsen, J; Pedersen, LH
Contributors: Det Frie Forskningsråd; Augustinus Fonden; Health Foundation
Source: BJOG: An International Journal of Obstetrics & Gynaecology ; volume 123, issue 12, page 1919-1928 ; ISSN 1470-0328 1471-0528
Publisher Information: Wiley
Publication Year: 2015
Collection: Wiley Online Library (Open Access Articles via Crossref)
Description: Objective To investigate the impact of prenatal antidepressant exposure on behavioural problems in children at 7 years of age. Design Nationwide population‐based study. Setting Danish National Birth Cohort. Population A cohort of 49 178 pregnant women recruited between 1996 and 2002. Methods Data obtained from computer‐assisted telephone interviews twice during pregnancy were used to identify children born to: (i) depressed women who took antidepressants during pregnancy ( n = 210); (ii) depressed women who did not take any antidepressants during pregnancy ( n = 231); and (iii) healthy women who were not depressed ( n = 48 737). Childhood behavioural problems at 7 years of age were examined using the validated Danish parent‐report version of the Strengths and Difficulties Questionnaire ( SDQ ). Main outcome measures SDQ scores. Results No associations were observed between prenatal antidepressant exposure and abnormal SDQ scores for overall problem behaviour (adjusted relative risk, aRR 1.00; 95% confidence interval, 95% CI 0.49–2.05), hyperactivity/inattention ( aRR 0.99; 95% CI 0.56–1.75), or peer problems ( aRR 1.04; 95% CI 0.57–1.91). Although prenatal antidepressant exposure appeared to be associated with abnormal SDQ scores on the subscales of emotional symptoms ( aRR 1.68; 95% CI 1.18–2.38) and conduct problems ( aRR 1.58; 95% CI 1.03–2.42), these associations were significantly attenuated following adjustment for antenatal mood status ( aRR 1.20; 95% CI 0.85–1.70 and aRR 1.19; 95% CI 0.77 1.83, respectively). Untreated prenatal depression was associated with an increased risk of all behavioural outcomes evaluated, compared with unexposed children, with significant attenuation following adjustment for antenatal mood status. Conclusions The results of this study suggest that independent of maternal illness, prenatal antidepressant exposure is not associated with an increased risk of behavioural problems in children at 7 years of age. Tweetable abstract Prenatal antidepressant exposure is not associated ...
Document Type: article in journal/newspaper
Language: English
DOI: 10.1111/1471-0528.13611
Availability: https://doi.org/10.1111/1471-0528.13611; https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1111%2F1471-0528.13611; https://obgyn.onlinelibrary.wiley.com/doi/pdf/10.1111/1471-0528.13611
Rights: http://onlinelibrary.wiley.com/termsAndConditions#vor
Accession Number: edsbas.8BF56170
Database: BASE