Parental ADHD in pregnancy and the postpartum period - A systematic review

NEUROSCIENCE AND BIOBEHAVIORAL REVIEWS

卷:124

Review

Kittel-Schneider, Sarah¹  Quednow, Boris B.²  Leutritz, Anna Linda¹  McNeill, Rhiannon, V¹  Reif, Andreas³ 

[1] Univ Wurzburg, Univ Hosp, Dept Psychiat Psychotherapy & Psychosomat Med, Margarete Hoppel Pl 1, D-97082 Wurzburg, Germany

[2] Univ Zurich, Expt & Clin Pharmacopsychol, Psychiat Hosp, Dept Psychiat Psychotherapy & Psychosomat, Lenggstr 31, CH-8032 Zurich, Switzerland

[3] Goethe Univ Frankfurt, Dept Psychiat Psychosomat Med & Psychotherapy, Univ Hosp, Heinrich Hoffmann Str 10, D-60528 Frankfurt, Germany

关键词: ADHD;    Mother;    Father;    Pregnancy;    Lactation;    Breastfeeding;    Methylphenidate;    Atomoxetine;    Guanfacine;    Lisdexamfetamine;    Amphetamine;    Modafinil;   

DOI  :  10.1016/j.neubiorev.2021.01.002

来源: Elsevier

【 摘 要 】

Attention-deficit/hyperactivity disorder (ADHD) is one of the most common neurodevelopmental disorders worldwide, and in the majority of patients persists into adulthood. However, it remains unclear how maternal ADHD could affect pregnancy and birth as well as early mother-(father)-child interaction. There are several studies investigating the effect of depressed or anxious parents on parent-child-interactions in early infancy, but data about the influence of parental ADHD is lacking although it is a common mental disorder in parents. Additionally, the prescription of stimulant and other ADHD medication for adult ADHD patients is rising due to improved diagnostic procedures and a greater awareness of this disorder in adulthood among psychiatrists and psychologists. However, this leads to increased numbers of treated ADHD women that wish to have children or experience unplanned pregnancies while taking stimulant medication. In our systematic review we aimed at analysing the current evidence for the association of maternal ADHD with pregnancy and birth outcomes, pregnancy risks and health behaviour in pregnancy, as well as the association of parental ADHD with early parent-child interaction and early child development in the first 3 years. Furthermore, we reviewed recent evidence on the risks of stimulant and non-stimulant treatment for ADHD in pregnancy and lactation.

【 授权许可】

Free