研究报告了关于父母抑郁症与后代神经发育障碍之间关联的不一致结果,如发育迟缓和自闭症谱系障碍(ASD)。总之,从1996年至2010年在台湾出生的7,593名儿童,至少有一位父母患有重度抑郁症,以及75,930名父母没有重度抑郁症的出生年龄和性别匹配的孩子,从1996年或出生时间到2011年底。神经发育状况的组间差异-包括ASD,注意缺陷多动障碍(ADHD),抽动障碍,发育迟缓,和智力残疾(ID)-进行了评估。与对照组儿童相比,患有重度抑郁症的父母的孩子更有可能[风险比(HR),95%置信区间(CI)]发展为ADHD(1.98,1.80-2.18),ASD(1.52,1.16-1.94),抽动障碍(1.40,1.08-1.81),发育延迟(1.32,1.20-1.45),和ID(1.26,1.02-1.55)。父母抑郁症与后代神经发育障碍有关,特别是ASD,多动症,发育迟缓,ID,和抽动障碍。因此,临床医生应密切监测父母抑郁症患儿的神经发育状况。
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.