Academic Journal

Prenatal Drug Exposure in Children With a History of Neuropsychiatric Care: A Nested Case-Control Study

التفاصيل البيبلوغرافية
العنوان: Prenatal Drug Exposure in Children With a History of Neuropsychiatric Care: A Nested Case-Control Study
المؤلفون: Justine Benevent, Caroline Hurault-Delarue, Mélanie Araujo, Alexis Revet, Agnès Sommet, Isabelle Lacroix, Christine Damase-Michel
المصدر: Frontiers in Psychiatry, Vol 13 (2022)
بيانات النشر: Frontiers Media S.A., 2022.
سنة النشر: 2022
المجموعة: LCC:Psychiatry
مصطلحات موضوعية: POMME cohort, neuropsychiatric disorders, child, medication, prenatal exposure, delayed effects, Psychiatry, RC435-571
الوصف: Background and ObjectivesNeuropsychiatric disorders in childhood after prenatal drug exposure raises concerns. Most of the published studies focused on psychotropic medications. This study investigated which prenatal medication exposure was associated with neuropsychiatric disorders in childhood.MethodsA case-control study, nested in the French POMME cohort, was conducted to compare prenatal medication exposure between children with a history of neuropsychiatric care (ages 0–8 years) and children in a control group. POMME included children born in Haute-Garonne to women covered by the general Health Insurance System, between 2010 and 2011 (N = 8,372). Cases were identified through: (1) reimbursement for neuropsychiatric care; (2) psychomotor development abnormalities specified on health certificates; and (3) reimbursement for methylphenidate or neuroleptics. Controls had none of these criteria. Prenatal exposure to each of the major “Anatomical Therapeutic Chemical” classes was compared between the groups. Class(es) for which there was a statistically significant difference (after Bonferroni adjustment, i.e., p < 0.0033) was(were) compared using logistic regression.ResultsA total of 723 (8.6%) cases and 4,924 (58.8%) controls were identified. This study showed a statistically significant difference in prenatal exposure to nervous system drugs (excluding analgesics) between the groups [ORa: 2.12 (1.55; 2.90)]. Differences (not statistically significant at the 0.0033 threshold) were also observed for the ATC classes: Musculoskeletal, Genito-urinary System and Sex Hormones, Alimentary Tract and Anti-infectives.ConclusionThrough identification of children with neuropsychiatric disorders and of their prenatal medication exposure, this study provides guidance for the assessment of long-term neuropsychiatric effects after prenatal medication exposure, without focusing on psychotropic medications.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 1664-0640
Relation: https://www.frontiersin.org/articles/10.3389/fpsyt.2022.795890/full; https://doaj.org/toc/1664-0640
DOI: 10.3389/fpsyt.2022.795890
URL الوصول: https://doaj.org/article/42bc638b1f224db9a391731162ada96f
رقم الانضمام: edsdoj.42bc638b1f224db9a391731162ada96f
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:16640640
DOI:10.3389/fpsyt.2022.795890