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Maternal perinatal depressive symptoms and oppositional-defiant disorder in children and adolescents

Published online by Cambridge University Press:  13 August 2021

B. Dachew ,
J. Scott ,
G. Ayano  and
R. Alati
B. Dachew*
Affiliation:
School Of Public Health, Curtin University, Perth, Australia
J. Scott
Affiliation:
Berghofer Medical Research Institute, QIMR, Brisbane, Australia
G. Ayano
Affiliation:
School Of Public Health, Curtin University, Perth, Australia
R. Alati
Affiliation:
School Of Public Health, Curtin University, Perth, Australia
*
*Corresponding author.

Abstract

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Introduction

There is evidence that maternal perinatal depression is associated with adverse neurodevelopmental and mental health outcomes in children. No study has yet examined the association between maternal depressive symptoms during pregnancy and the postpartum period and the risk of oppositional-defiant disorder (ODD) in children and adolescents.

Objectives

This study aimed to investigate whether there is an association between perinatal depressive symptoms and the risk of ODD in offspring from age 7 to 15 years.

Methods

We used data from the Avon Longitudinal Study of Parents and Children (ALSPAC), a population-based prospective birth cohort study in the UK. Offspring ODD at the age of 7, 10, 13 and 15 years were assessed by using parental reports the Development and Well-Being Assessment (DAWBA). We applied Generalized Estimating Equation (GEE) modelling to examine associations across the four time points.

Results

Maternal postnatal depressive symptoms were associated with more a two-fold increased risk of ODD overall. Third trimester depressive symptoms (measured at 32 weeks of gestation) increased risk of ODD by 72%. Offspring of mothers who had depressive symptoms both during pregnancy and in the first year of postpartum period have a four-fold increased risk of ODD over time (adjusted OR = 3.59 (1.98-6.52).

Conclusions

Offspring of mothers with perinatal depressive symptoms are at an increased risk of developing behavioural disorders.

Keywords

Perinatal depresssionoppositional-defiant disorderALSPAC
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S222
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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