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Maternal tobacco, cannabis and alcohol use during pregnancy and risk of adolescent psychotic symptoms in offspring
Adverse effects of maternal substance use during pregnancy on fetal development may increase risk of psychopathology. To examine whether maternal use of tobacco, cannabis or alcohol during pregnancy increases risk of offspring psychotic symptoms. A longitudinal study of 6356 adolescents, age 12, who...
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| Published in: | British journal of psychiatry 2009-10, Vol.195 (4), p.294-300 |
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| cites | cdi_FETCH-LOGICAL-c472t-f455b0af66d2c4de95d69ca4e9ef50d814a0100887f03e0bcbbb027ebea421b73 |
| container_end_page | 300 |
| container_issue | 4 |
| container_start_page | 294 |
| container_title | British journal of psychiatry |
| container_volume | 195 |
| creator | Zammit, Stanley Thomas, Kate Thompson, Andrew Horwood, Jeremy Menezes, Paulo Gunnell, David Hollis, Chris Wolke, Dieter Lewis, Glyn Harrison, Glynn |
| description | Adverse effects of maternal substance use during pregnancy on fetal development may increase risk of psychopathology.
To examine whether maternal use of tobacco, cannabis or alcohol during pregnancy increases risk of offspring psychotic symptoms.
A longitudinal study of 6356 adolescents, age 12, who completed a semi-structured interview for psychotic symptoms in the Avon Longitudinal Study of Parents and Children (ALSPAC) birth cohort.
Frequency of maternal tobacco use during pregnancy was associated with increased risk of suspected or definite psychotic symptoms (adjusted odds ratio 1.20, 95% CI 1.05-1.37, P = 0.007). Maternal alcohol use showed a non-linear association with psychotic symptoms, with this effect almost exclusively in the offspring of women drinking >21 units weekly. Maternal cannabis use was not associated with psychotic symptoms. Results for paternal smoking during pregnancy and maternal smoking post-pregnancy lend some support for a causal effect of tobacco exposure in utero on development of psychotic experiences.
These findings indicate that risk factors for development of non-clinical psychotic experiences may operate during early development. Future studies of how in utero exposure to tobacco affects cerebral development and function may lead to increased understanding of the pathogenesis of psychotic phenomena. |
| doi_str_mv | 10.1192/bjp.bp.108.062471 |
| format | article |
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To examine whether maternal use of tobacco, cannabis or alcohol during pregnancy increases risk of offspring psychotic symptoms.
A longitudinal study of 6356 adolescents, age 12, who completed a semi-structured interview for psychotic symptoms in the Avon Longitudinal Study of Parents and Children (ALSPAC) birth cohort.
Frequency of maternal tobacco use during pregnancy was associated with increased risk of suspected or definite psychotic symptoms (adjusted odds ratio 1.20, 95% CI 1.05-1.37, P = 0.007). Maternal alcohol use showed a non-linear association with psychotic symptoms, with this effect almost exclusively in the offspring of women drinking >21 units weekly. Maternal cannabis use was not associated with psychotic symptoms. Results for paternal smoking during pregnancy and maternal smoking post-pregnancy lend some support for a causal effect of tobacco exposure in utero on development of psychotic experiences.
These findings indicate that risk factors for development of non-clinical psychotic experiences may operate during early development. Future studies of how in utero exposure to tobacco affects cerebral development and function may lead to increased understanding of the pathogenesis of psychotic phenomena.</description><identifier>ISSN: 0007-1250</identifier><identifier>EISSN: 1472-1465</identifier><identifier>DOI: 10.1192/bjp.bp.108.062471</identifier><identifier>PMID: 19794196</identifier><identifier>CODEN: BJPYAJ</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>Adolescent ; Adolescents ; Alcohol consumption ; Alcohol Drinking - epidemiology ; Alcohol Drinking - psychology ; Alcohol use ; Cannabis ; Cannabis - adverse effects ; Child ; Child development ; Children & youth ; Cognitive ability ; Dose-Response Relationship, Drug ; Drinking behavior ; Drug use ; Epidemiologic Methods ; Famine ; Female ; Fetuses ; Humans ; Intrauterine exposure ; Longitudinal studies ; Male ; Marijuana ; Marijuana Abuse - epidemiology ; Marijuana Abuse - psychology ; Maternal Exposure - adverse effects ; Obstetrics ; Offspring ; Population ; Pregnancy ; Pregnancy Trimesters ; Pregnant women ; Prenatal development ; Prenatal exposure ; Prenatal Exposure Delayed Effects ; Psychiatry ; Psychopathology ; Psychoses ; Psychosis ; Psychotic Disorders - epidemiology ; Psychotic symptoms ; Risk factors ; Schizophrenia ; Side effects ; Smoking ; Smoking - epidemiology ; Smoking - psychology ; Substance abuse ; Substance use ; Systematic review ; Tobacco ; Women ; Womens health</subject><ispartof>British journal of psychiatry, 2009-10, Vol.195 (4), p.294-300</ispartof><rights>Copyright © Royal College of Psychiatrists, 2009</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c472t-f455b0af66d2c4de95d69ca4e9ef50d814a0100887f03e0bcbbb027ebea421b73</citedby><cites>FETCH-LOGICAL-c472t-f455b0af66d2c4de95d69ca4e9ef50d814a0100887f03e0bcbbb027ebea421b73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2315620593/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2315620593?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,12846,21394,21395,27924,27925,30999,31000,33611,33612,34530,34531,43733,44115,72960,74221,74639</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19794196$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zammit, Stanley</creatorcontrib><creatorcontrib>Thomas, Kate</creatorcontrib><creatorcontrib>Thompson, Andrew</creatorcontrib><creatorcontrib>Horwood, Jeremy</creatorcontrib><creatorcontrib>Menezes, Paulo</creatorcontrib><creatorcontrib>Gunnell, David</creatorcontrib><creatorcontrib>Hollis, Chris</creatorcontrib><creatorcontrib>Wolke, Dieter</creatorcontrib><creatorcontrib>Lewis, Glyn</creatorcontrib><creatorcontrib>Harrison, Glynn</creatorcontrib><title>Maternal tobacco, cannabis and alcohol use during pregnancy and risk of adolescent psychotic symptoms in offspring</title><title>British journal of psychiatry</title><addtitle>Br J Psychiatry</addtitle><description>Adverse effects of maternal substance use during pregnancy on fetal development may increase risk of psychopathology.
To examine whether maternal use of tobacco, cannabis or alcohol during pregnancy increases risk of offspring psychotic symptoms.
A longitudinal study of 6356 adolescents, age 12, who completed a semi-structured interview for psychotic symptoms in the Avon Longitudinal Study of Parents and Children (ALSPAC) birth cohort.
Frequency of maternal tobacco use during pregnancy was associated with increased risk of suspected or definite psychotic symptoms (adjusted odds ratio 1.20, 95% CI 1.05-1.37, P = 0.007). Maternal alcohol use showed a non-linear association with psychotic symptoms, with this effect almost exclusively in the offspring of women drinking >21 units weekly. Maternal cannabis use was not associated with psychotic symptoms. Results for paternal smoking during pregnancy and maternal smoking post-pregnancy lend some support for a causal effect of tobacco exposure in utero on development of psychotic experiences.
These findings indicate that risk factors for development of non-clinical psychotic experiences may operate during early development. Future studies of how in utero exposure to tobacco affects cerebral development and function may lead to increased understanding of the pathogenesis of psychotic phenomena.</description><subject>Adolescent</subject><subject>Adolescents</subject><subject>Alcohol consumption</subject><subject>Alcohol Drinking - epidemiology</subject><subject>Alcohol Drinking - psychology</subject><subject>Alcohol use</subject><subject>Cannabis</subject><subject>Cannabis - adverse effects</subject><subject>Child</subject><subject>Child development</subject><subject>Children & youth</subject><subject>Cognitive ability</subject><subject>Dose-Response Relationship, Drug</subject><subject>Drinking behavior</subject><subject>Drug use</subject><subject>Epidemiologic Methods</subject><subject>Famine</subject><subject>Female</subject><subject>Fetuses</subject><subject>Humans</subject><subject>Intrauterine exposure</subject><subject>Longitudinal studies</subject><subject>Male</subject><subject>Marijuana</subject><subject>Marijuana Abuse - epidemiology</subject><subject>Marijuana Abuse - psychology</subject><subject>Maternal Exposure - adverse effects</subject><subject>Obstetrics</subject><subject>Offspring</subject><subject>Population</subject><subject>Pregnancy</subject><subject>Pregnancy Trimesters</subject><subject>Pregnant women</subject><subject>Prenatal development</subject><subject>Prenatal exposure</subject><subject>Prenatal Exposure Delayed Effects</subject><subject>Psychiatry</subject><subject>Psychopathology</subject><subject>Psychoses</subject><subject>Psychosis</subject><subject>Psychotic Disorders - epidemiology</subject><subject>Psychotic symptoms</subject><subject>Risk factors</subject><subject>Schizophrenia</subject><subject>Side effects</subject><subject>Smoking</subject><subject>Smoking - epidemiology</subject><subject>Smoking - psychology</subject><subject>Substance abuse</subject><subject>Substance use</subject><subject>Systematic review</subject><subject>Tobacco</subject><subject>Women</subject><subject>Womens health</subject><issn>0007-1250</issn><issn>1472-1465</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><sourceid>ALSLI</sourceid><sourceid>HEHIP</sourceid><sourceid>M2R</sourceid><sourceid>M2S</sourceid><recordid>eNp1kU2LFDEQhoMo7uzqD_AiEcGTPeaz032URVdhxYueQz6qZzJ2J23Sjcy_N7MzsCB4KgqeeuuttxB6RcmW0p59sId5a-ctJd2WtEwo-gRtqFCsoaKVT9GGEKIayiS5QtelHGrLBVPP0RXtVS9o325Q_mYWyNGMeEnWOJfeY2diNDYUbKLHZnRpn0a8FsB-zSHu8JxhF010xwcgh_ILpwEbn0YoDuKC53J0-7QEh8txmpc0FRxiZYYynwReoGeDGQu8vNQb9PPzpx-3X5r773dfbz_eN66esDSDkNISM7StZ0546KVve2cE9DBI4jsqDKGEdJ0aCAdinbWWMAUWjGDUKn6D3p1155x-r1AWPYVqcBxNhLQWLRXnjEtRwbf_gIe0njIpmnEqW0ZkzytFz5TLqZQMg67XTCYfNSX69A5d36HtXNtOn99RZ15flFc7gX-cuORfgTdnYB92-z8hg87uIb6KSC0060_2-GWxmWwOfgeP_v6_-i9QZaTP</recordid><startdate>200910</startdate><enddate>200910</enddate><creator>Zammit, Stanley</creator><creator>Thomas, Kate</creator><creator>Thompson, Andrew</creator><creator>Horwood, Jeremy</creator><creator>Menezes, Paulo</creator><creator>Gunnell, David</creator><creator>Hollis, Chris</creator><creator>Wolke, Dieter</creator><creator>Lewis, Glyn</creator><creator>Harrison, Glynn</creator><general>Cambridge University Press</general><general>RCP</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7QJ</scope><scope>7TK</scope><scope>7XB</scope><scope>88G</scope><scope>88J</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HEHIP</scope><scope>M2M</scope><scope>M2O</scope><scope>M2R</scope><scope>M2S</scope><scope>MBDVC</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope></search><sort><creationdate>200910</creationdate><title>Maternal tobacco, cannabis and alcohol use during pregnancy and risk of adolescent psychotic symptoms in offspring</title><author>Zammit, Stanley ; Thomas, Kate ; Thompson, Andrew ; Horwood, Jeremy ; Menezes, Paulo ; Gunnell, David ; Hollis, Chris ; Wolke, Dieter ; Lewis, Glyn ; Harrison, Glynn</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c472t-f455b0af66d2c4de95d69ca4e9ef50d814a0100887f03e0bcbbb027ebea421b73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adolescent</topic><topic>Adolescents</topic><topic>Alcohol consumption</topic><topic>Alcohol Drinking - 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To examine whether maternal use of tobacco, cannabis or alcohol during pregnancy increases risk of offspring psychotic symptoms.
A longitudinal study of 6356 adolescents, age 12, who completed a semi-structured interview for psychotic symptoms in the Avon Longitudinal Study of Parents and Children (ALSPAC) birth cohort.
Frequency of maternal tobacco use during pregnancy was associated with increased risk of suspected or definite psychotic symptoms (adjusted odds ratio 1.20, 95% CI 1.05-1.37, P = 0.007). Maternal alcohol use showed a non-linear association with psychotic symptoms, with this effect almost exclusively in the offspring of women drinking >21 units weekly. Maternal cannabis use was not associated with psychotic symptoms. Results for paternal smoking during pregnancy and maternal smoking post-pregnancy lend some support for a causal effect of tobacco exposure in utero on development of psychotic experiences.
These findings indicate that risk factors for development of non-clinical psychotic experiences may operate during early development. Future studies of how in utero exposure to tobacco affects cerebral development and function may lead to increased understanding of the pathogenesis of psychotic phenomena.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>19794196</pmid><doi>10.1192/bjp.bp.108.062471</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0007-1250 |
| ispartof | British journal of psychiatry, 2009-10, Vol.195 (4), p.294-300 |
| issn | 0007-1250 1472-1465 |
| language | eng |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); Social Science Premium Collection (Proquest) (PQ_SDU_P3); Sociology Collection; Cambridge University Press |
| subjects | Adolescent Adolescents Alcohol consumption Alcohol Drinking - epidemiology Alcohol Drinking - psychology Alcohol use Cannabis Cannabis - adverse effects Child Child development Children & youth Cognitive ability Dose-Response Relationship, Drug Drinking behavior Drug use Epidemiologic Methods Famine Female Fetuses Humans Intrauterine exposure Longitudinal studies Male Marijuana Marijuana Abuse - epidemiology Marijuana Abuse - psychology Maternal Exposure - adverse effects Obstetrics Offspring Population Pregnancy Pregnancy Trimesters Pregnant women Prenatal development Prenatal exposure Prenatal Exposure Delayed Effects Psychiatry Psychopathology Psychoses Psychosis Psychotic Disorders - epidemiology Psychotic symptoms Risk factors Schizophrenia Side effects Smoking Smoking - epidemiology Smoking - psychology Substance abuse Substance use Systematic review Tobacco Women Womens health |
| title | Maternal tobacco, cannabis and alcohol use during pregnancy and risk of adolescent psychotic symptoms in offspring |
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