Lin Yu-Han, Tsai Shih-Jen, Bai Ya-Mei, Chen Tzeng-Ji, Chen Mu-Hong
Department of Psychiatry, Taipei Veterans General Hospital, No. 201, Shih-Pai Road, Sec. 2, Taipei, 11217, Taiwan.
Department of Psychiatry, College of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan.
J Autism Dev Disord. 2024 Aug 1. doi: 10.1007/s10803-024-06502-3.
Studies have reported inconsistent results regarding associations between parental depression and offspring neurodevelopmental disorders, such as developmental delay and autism spectrum disorder (ASD). In all, 7,593 children who were born between 1996 and 2010 in Taiwan and had at least one parent with major depressive disorder and 75,930 birth-year- and sex-matched children of parents without major depressive disorder were followed from 1996 or time of birth to the end of 2011. Intergroup differences in neurodevelopmental conditions-including ASD, attention-deficit hyperactivity disorder (ADHD), tic disorder, developmental delay, and intellectual disability (ID)-were assessed. Compared with the children in the control group, the children of parents with major depression were more likely [hazard ratio (HR), 95% confidence interval (CI)] to develop ADHD (1.98, 1.80-2.18), ASD (1.52, 1.16-1.94), tic disorder (1.40, 1.08-1.81), developmental delay (1.32, 1.20-1.45), and ID (1.26, 1.02-1.55). Parental depression was associated with offspring neurodevelopmental disorders, specifically ASD, ADHD, developmental delay, ID, and tic disorder. Therefore, clinicians should closely monitor the neurodevelopmental conditions of children of parents with depression.
关于父母抑郁与后代神经发育障碍(如发育迟缓、自闭症谱系障碍(ASD))之间的关联,研究报告的结果并不一致。1996年至2010年间在台湾出生的、父母中至少有一方患有重度抑郁症的7593名儿童,以及75930名父母无重度抑郁症的、按出生年份和性别匹配的儿童,从1996年或出生时起一直随访至2011年底。评估了神经发育状况的组间差异,包括ASD、注意力缺陷多动障碍(ADHD)、抽动障碍、发育迟缓、智力残疾(ID)。与对照组儿童相比,父母患有重度抑郁症的儿童更有可能[风险比(HR),95%置信区间(CI)]患ADHD(1.98,1.80 - 2.18)、ASD(1.52,1.16 - 1.94)、抽动障碍(1.40,1.08 - 1.81)、发育迟缓(1.32,1.20 - 1.45)和ID(1.26,1.02 - 1.55)。父母抑郁与后代神经发育障碍相关,特别是ASD、ADHD、发育迟缓、ID和抽动障碍。因此,临床医生应密切监测患有抑郁症的父母的子女的神经发育状况。