Associations Between ADHD Symptoms and Maternal and Birth Outcomes: An Exploratory Analysis in a Multi-Country Cohort of Expectant Mothers

Author:

Murray Aja Louise1ORCID,Taut Diana2,Baban Adriana2,Hemady Chad Lance1,Walker Susan3,Osafo Joseph4,Sikander Siham5,Tomlinson Mark67,Toit Stefani Du6,Marlow Marguerite6,Ward Catherine L.8ORCID,Fernando Asvini9,Madrid Bernadette10,Van Thang Vo11ORCID,Tuyen Hoang Dinh11,Dunne Michael12,Hughes Claire13,Fearon Pasco14,Valdebenito Sara13,Eisner Manuel1315

Affiliation:

1. University of Edinburgh, UK

2. Babes-Bolyai University, Cluj-Napoca, Romania

3. The University of the West Indies, Kingston, Jamaica

4. University of Ghana, Accra, Ghana

5. University of Liverpool, UK

6. Stellenbosch Uni`versity, Cape Town, South Africa

7. Queens University, Belfast, UK

8. University of Cape Town, South Africa

9. University of Kelaniya, Sri Lanka

10. University of the Philippines, Manila, Philippines

11. Hue University, Vietnam

12. Queensland University of Technology, Brisbane, Australia

13. University of Cambridge, UK

14. University College London, UK

15. University of Zurich, Switzerland

Abstract

Objective: ADHD symptoms can adversely impact functioning in a range of domains relevant for maternal well-being and fetal development; however, there has been almost no research examining their impact during pregnancy. We aimed to address this gap. Method: We used data ( n = 1,204) from a longitudinal birth cohort study spanning eight countries to address this gap. Results: ADHD symptoms in the third trimester of pregnancy were associated with lower social support from family ( b = −0.16, p = .031), friends ( b = −0.16, p = .024), and significant others ( b = −0.09, p = .001); higher stress ( b = 0.34, p < .001) and depressive symptoms ( b = 0.31, p < .001), and increased likelihood of an unwanted pregnancy ( b = 0.30, p = .009). Significant associations with tobacco use ( b = 0.36, p = .023) and premature birth ( b = 0.35, p = .007) did not survive correction for multiple comparisons and there were no significant associations with alcohol use, low birth weight, or unplanned pregnancy. Conclusion: Results suggest that women with ADHD symptoms could benefit from earlier, more regular screening for mental health difficulties and greater mental health support during pregnancy.

Funder

fondation botnar

British Academy/Wolfson Foundation

Publisher

SAGE Publications

Subject

Clinical Psychology,Developmental and Educational Psychology

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