A Systematic Review and Meta-analysis of Parental Depression, Antidepressant Usage, Antisocial Personality Disorder, and Stress and Anxiety as Risk Factors for Attention-Deficit/Hyperactivity Disorder (ADHD) in Children
Poor parental mental health and stress have been associated with children’s mental disorders, including attention-deficit/hyperactivity disorder (ADHD), through social, genetic, and neurobiological pathways. To determine the strength of the associations between parental mental health and child ADHD,...
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| Veröffentlicht in: | Prevention science 2024-05, Vol.25 (Suppl 2), p.272-290 |
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| creator | Robinson, Lara R. Bitsko, Rebecca H. O’Masta, Brenna Holbrook, Joseph R. Ko, Jean Barry, Caroline M. Maher, Brion Cerles, Audrey Saadeh, Kayla MacMillan, Laurel Mahmooth, Zayan Bloomfield, Jeanette Rush, Margaret Kaminski, Jennifer W. |
| description | Poor parental mental health and stress have been associated with children’s mental disorders, including attention-deficit/hyperactivity disorder (ADHD), through social, genetic, and neurobiological pathways. To determine the strength of the associations between parental mental health and child ADHD, we conducted a set of meta-analyses to examine the association of parent mental health indicators (e.g., parental depression, antidepressant usage, antisocial personality disorder, and stress and anxiety) with subsequent ADHD outcomes in children. Eligible ADHD outcomes included diagnosis or symptoms. Fifty-eight articles published from 1980 to 2019 were included. We calculated pooled effect sizes, accounting for each study’s conditional variance, separately for test statistics based on ADHD as a dichotomous (e.g., diagnosis or clinical cutoffs) or continuous measurement (e.g., symptoms of ADHD subtypes of inattentiveness and hyperactivity/impulsivity). Parental stress and parental depression were significantly associated with increased risk for ADHD overall and both symptoms and diagnosis. Specifically, maternal stress and anxiety, maternal prenatal stress, maternal depression, maternal post-partum depression, and paternal depression were positively associated with ADHD. In addition, parental depression was associated with symptoms of ADHD inattentive and hyperactive/impulsive subtypes. Parental antisocial personality disorder was also positively associated with ADHD overall and specifically ADHD diagnosis. Prenatal antidepressant usage was associated with ADHD when measured dichotomously only. These findings raise the possibility that prevention strategies promoting parental mental health and addressing parental stress could have the potential for positive long-term impacts on child health, well-being, and behavioral outcomes. |
| doi_str_mv | 10.1007/s11121-022-01383-3 |
| format | Article |
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To determine the strength of the associations between parental mental health and child ADHD, we conducted a set of meta-analyses to examine the association of parent mental health indicators (e.g., parental depression, antidepressant usage, antisocial personality disorder, and stress and anxiety) with subsequent ADHD outcomes in children. Eligible ADHD outcomes included diagnosis or symptoms. Fifty-eight articles published from 1980 to 2019 were included. We calculated pooled effect sizes, accounting for each study’s conditional variance, separately for test statistics based on ADHD as a dichotomous (e.g., diagnosis or clinical cutoffs) or continuous measurement (e.g., symptoms of ADHD subtypes of inattentiveness and hyperactivity/impulsivity). Parental stress and parental depression were significantly associated with increased risk for ADHD overall and both symptoms and diagnosis. Specifically, maternal stress and anxiety, maternal prenatal stress, maternal depression, maternal post-partum depression, and paternal depression were positively associated with ADHD. In addition, parental depression was associated with symptoms of ADHD inattentive and hyperactive/impulsive subtypes. Parental antisocial personality disorder was also positively associated with ADHD overall and specifically ADHD diagnosis. Prenatal antidepressant usage was associated with ADHD when measured dichotomously only. These findings raise the possibility that prevention strategies promoting parental mental health and addressing parental stress could have the potential for positive long-term impacts on child health, well-being, and behavioral outcomes.</description><identifier>ISSN: 1389-4986</identifier><identifier>ISSN: 1573-6695</identifier><identifier>EISSN: 1573-6695</identifier><identifier>DOI: 10.1007/s11121-022-01383-3</identifier><identifier>PMID: 35641729</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Antidepressants ; Antidepressive Agents - therapeutic use ; Antisocial personality disorder ; Antisocial Personality Disorder - epidemiology ; Anxiety ; Anxiety - drug therapy ; Anxiety - epidemiology ; Attention Deficit Disorder with Hyperactivity - epidemiology ; Attention deficit hyperactivity disorder ; Child ; Child and School Psychology ; Children ; Childrens health ; Depression - drug therapy ; Depression - epidemiology ; Disorders ; Health behavior ; Health education ; Health indicators ; Health promotion ; Health Psychology ; Health status ; Humans ; Hyperactivity ; Impulsivity ; Maternal depression ; Maternal stress ; Measurement ; Medical diagnosis ; Medicine ; Medicine & Public Health ; Mental depression ; Mental disorders ; Mental health ; Meta-analysis ; Parental depression ; Parental stress ; Parents & parenting ; Parents - psychology ; Paternal depression ; Personality ; Personality disorders ; Postpartum depression ; Postpartum period ; Prevention ; Preventive medicine ; Public Health ; Risk Factors ; Statistics ; Stress ; Stress, Psychological - epidemiology ; Systematic review ; Well being</subject><ispartof>Prevention science, 2024-05, Vol.25 (Suppl 2), p.272-290</ispartof><rights>This is a U.S. government work and not under copyright protection in the U.S.; foreign copyright protection may apply 2022</rights><rights>2022. This is a U.S. government work and not under copyright protection in the U.S.; foreign copyright protection may apply.</rights><rights>This is a U.S. government work and not under copyright protection in the U.S.; foreign copyright protection may apply 2022.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c382t-48a11b124ce4d5a28dcf6adfa4242c690380ec05d08dd54e05db5f17a29bfffd3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11121-022-01383-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11121-022-01383-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,777,781,882,27847,27905,27906,41469,42538,51300</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35641729$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Robinson, Lara R.</creatorcontrib><creatorcontrib>Bitsko, Rebecca H.</creatorcontrib><creatorcontrib>O’Masta, Brenna</creatorcontrib><creatorcontrib>Holbrook, Joseph R.</creatorcontrib><creatorcontrib>Ko, Jean</creatorcontrib><creatorcontrib>Barry, Caroline M.</creatorcontrib><creatorcontrib>Maher, Brion</creatorcontrib><creatorcontrib>Cerles, Audrey</creatorcontrib><creatorcontrib>Saadeh, Kayla</creatorcontrib><creatorcontrib>MacMillan, Laurel</creatorcontrib><creatorcontrib>Mahmooth, Zayan</creatorcontrib><creatorcontrib>Bloomfield, Jeanette</creatorcontrib><creatorcontrib>Rush, Margaret</creatorcontrib><creatorcontrib>Kaminski, Jennifer W.</creatorcontrib><title>A Systematic Review and Meta-analysis of Parental Depression, Antidepressant Usage, Antisocial Personality Disorder, and Stress and Anxiety as Risk Factors for Attention-Deficit/Hyperactivity Disorder (ADHD) in Children</title><title>Prevention science</title><addtitle>Prev Sci</addtitle><addtitle>Prev Sci</addtitle><description>Poor parental mental health and stress have been associated with children’s mental disorders, including attention-deficit/hyperactivity disorder (ADHD), through social, genetic, and neurobiological pathways. To determine the strength of the associations between parental mental health and child ADHD, we conducted a set of meta-analyses to examine the association of parent mental health indicators (e.g., parental depression, antidepressant usage, antisocial personality disorder, and stress and anxiety) with subsequent ADHD outcomes in children. Eligible ADHD outcomes included diagnosis or symptoms. Fifty-eight articles published from 1980 to 2019 were included. We calculated pooled effect sizes, accounting for each study’s conditional variance, separately for test statistics based on ADHD as a dichotomous (e.g., diagnosis or clinical cutoffs) or continuous measurement (e.g., symptoms of ADHD subtypes of inattentiveness and hyperactivity/impulsivity). Parental stress and parental depression were significantly associated with increased risk for ADHD overall and both symptoms and diagnosis. Specifically, maternal stress and anxiety, maternal prenatal stress, maternal depression, maternal post-partum depression, and paternal depression were positively associated with ADHD. In addition, parental depression was associated with symptoms of ADHD inattentive and hyperactive/impulsive subtypes. Parental antisocial personality disorder was also positively associated with ADHD overall and specifically ADHD diagnosis. Prenatal antidepressant usage was associated with ADHD when measured dichotomously only. These findings raise the possibility that prevention strategies promoting parental mental health and addressing parental stress could have the potential for positive long-term impacts on child health, well-being, and behavioral outcomes.</description><subject>Antidepressants</subject><subject>Antidepressive Agents - therapeutic use</subject><subject>Antisocial personality disorder</subject><subject>Antisocial Personality Disorder - epidemiology</subject><subject>Anxiety</subject><subject>Anxiety - drug therapy</subject><subject>Anxiety - epidemiology</subject><subject>Attention Deficit Disorder with Hyperactivity - epidemiology</subject><subject>Attention deficit hyperactivity disorder</subject><subject>Child</subject><subject>Child and School Psychology</subject><subject>Children</subject><subject>Childrens health</subject><subject>Depression - drug therapy</subject><subject>Depression - epidemiology</subject><subject>Disorders</subject><subject>Health behavior</subject><subject>Health education</subject><subject>Health indicators</subject><subject>Health promotion</subject><subject>Health Psychology</subject><subject>Health status</subject><subject>Humans</subject><subject>Hyperactivity</subject><subject>Impulsivity</subject><subject>Maternal depression</subject><subject>Maternal stress</subject><subject>Measurement</subject><subject>Medical diagnosis</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mental depression</subject><subject>Mental disorders</subject><subject>Mental health</subject><subject>Meta-analysis</subject><subject>Parental depression</subject><subject>Parental stress</subject><subject>Parents & parenting</subject><subject>Parents - psychology</subject><subject>Paternal depression</subject><subject>Personality</subject><subject>Personality disorders</subject><subject>Postpartum depression</subject><subject>Postpartum period</subject><subject>Prevention</subject><subject>Preventive medicine</subject><subject>Public Health</subject><subject>Risk Factors</subject><subject>Statistics</subject><subject>Stress</subject><subject>Stress, Psychological - epidemiology</subject><subject>Systematic review</subject><subject>Well being</subject><issn>1389-4986</issn><issn>1573-6695</issn><issn>1573-6695</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7TQ</sourceid><recordid>eNp9ks9uEzEQxlcIREvhBTggS1yK1KX-s96sT2iVUIJURNXSs-XY49RlYwfbCeRZeRncbimFAyePZ37zzdj6quolwW8JxpPjRAihpMaU1piwjtXsUbVP-ITVbSv44xKzTtSN6Nq96llK1xiTljP8tNpjvG3IhIr96mePLnYpw0plp9E5bB18R8ob9AmyqpVXwy65hIJFZyqCz2pAM1hHSMkFf4R6n50Z78pndJnUEsZsCtoV-AxiCkXF5R2alWQ0EI9uB1zkm67bsPc_HBRAJXTu0ld0onQOMSEbIupzLmPLsHoG1mmXj-e7NcRCuO1DUXTYz-azN8h5NL1ygynLPq-eWDUkeHF3HlSXJ--_TOf16ecPH6f9aa1ZR3PddIqQBaGNhsZwRTujbauMVQ1tqG4FZh0GjbnBnTG8gRItuCUTRcXCWmvYQfVu1F1vFiswuuwb1SDX0a1U3MmgnPy74t2VXIatJFg0QnBcFA7vFGL4toGU5colDcOgPIRNkrSdUEaEIF1BX_-DXodNLD-cJMMtFpw0nBSKjpSOIaUI9n4bguWNeeRoHlnMI2_NI1lpevXwHfctv91SADYCqZT8EuKf2f-R_QV9oNS8</recordid><startdate>20240501</startdate><enddate>20240501</enddate><creator>Robinson, Lara R.</creator><creator>Bitsko, Rebecca H.</creator><creator>O’Masta, Brenna</creator><creator>Holbrook, Joseph R.</creator><creator>Ko, Jean</creator><creator>Barry, Caroline M.</creator><creator>Maher, Brion</creator><creator>Cerles, Audrey</creator><creator>Saadeh, Kayla</creator><creator>MacMillan, Laurel</creator><creator>Mahmooth, Zayan</creator><creator>Bloomfield, Jeanette</creator><creator>Rush, Margaret</creator><creator>Kaminski, Jennifer W.</creator><general>Springer US</general><general>Springer Nature B.V</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>7TQ</scope><scope>8BJ</scope><scope>DHY</scope><scope>DON</scope><scope>FQK</scope><scope>JBE</scope><scope>K7.</scope><scope>K9.</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20240501</creationdate><title>A Systematic Review and Meta-analysis of Parental Depression, Antidepressant Usage, Antisocial Personality Disorder, and Stress and Anxiety as Risk Factors for Attention-Deficit/Hyperactivity Disorder (ADHD) in Children</title><author>Robinson, Lara R. ; Bitsko, Rebecca H. ; O’Masta, Brenna ; Holbrook, Joseph R. ; Ko, Jean ; Barry, Caroline M. ; Maher, Brion ; Cerles, Audrey ; Saadeh, Kayla ; MacMillan, Laurel ; Mahmooth, Zayan ; Bloomfield, Jeanette ; Rush, Margaret ; Kaminski, Jennifer W.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c382t-48a11b124ce4d5a28dcf6adfa4242c690380ec05d08dd54e05db5f17a29bfffd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Antidepressants</topic><topic>Antidepressive Agents - therapeutic use</topic><topic>Antisocial personality disorder</topic><topic>Antisocial Personality Disorder - epidemiology</topic><topic>Anxiety</topic><topic>Anxiety - drug therapy</topic><topic>Anxiety - epidemiology</topic><topic>Attention Deficit Disorder with Hyperactivity - epidemiology</topic><topic>Attention deficit hyperactivity disorder</topic><topic>Child</topic><topic>Child and School Psychology</topic><topic>Children</topic><topic>Childrens health</topic><topic>Depression - drug therapy</topic><topic>Depression - epidemiology</topic><topic>Disorders</topic><topic>Health behavior</topic><topic>Health education</topic><topic>Health indicators</topic><topic>Health promotion</topic><topic>Health Psychology</topic><topic>Health status</topic><topic>Humans</topic><topic>Hyperactivity</topic><topic>Impulsivity</topic><topic>Maternal depression</topic><topic>Maternal stress</topic><topic>Measurement</topic><topic>Medical diagnosis</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mental depression</topic><topic>Mental disorders</topic><topic>Mental health</topic><topic>Meta-analysis</topic><topic>Parental depression</topic><topic>Parental stress</topic><topic>Parents & parenting</topic><topic>Parents - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Prevention science</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Robinson, Lara R.</au><au>Bitsko, Rebecca H.</au><au>O’Masta, Brenna</au><au>Holbrook, Joseph R.</au><au>Ko, Jean</au><au>Barry, Caroline M.</au><au>Maher, Brion</au><au>Cerles, Audrey</au><au>Saadeh, Kayla</au><au>MacMillan, Laurel</au><au>Mahmooth, Zayan</au><au>Bloomfield, Jeanette</au><au>Rush, Margaret</au><au>Kaminski, Jennifer W.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Systematic Review and Meta-analysis of Parental Depression, Antidepressant Usage, Antisocial Personality Disorder, and Stress and Anxiety as Risk Factors for Attention-Deficit/Hyperactivity Disorder (ADHD) in Children</atitle><jtitle>Prevention science</jtitle><stitle>Prev Sci</stitle><addtitle>Prev Sci</addtitle><date>2024-05-01</date><risdate>2024</risdate><volume>25</volume><issue>Suppl 2</issue><spage>272</spage><epage>290</epage><pages>272-290</pages><issn>1389-4986</issn><issn>1573-6695</issn><eissn>1573-6695</eissn><abstract>Poor parental mental health and stress have been associated with children’s mental disorders, including attention-deficit/hyperactivity disorder (ADHD), through social, genetic, and neurobiological pathways. To determine the strength of the associations between parental mental health and child ADHD, we conducted a set of meta-analyses to examine the association of parent mental health indicators (e.g., parental depression, antidepressant usage, antisocial personality disorder, and stress and anxiety) with subsequent ADHD outcomes in children. Eligible ADHD outcomes included diagnosis or symptoms. Fifty-eight articles published from 1980 to 2019 were included. We calculated pooled effect sizes, accounting for each study’s conditional variance, separately for test statistics based on ADHD as a dichotomous (e.g., diagnosis or clinical cutoffs) or continuous measurement (e.g., symptoms of ADHD subtypes of inattentiveness and hyperactivity/impulsivity). Parental stress and parental depression were significantly associated with increased risk for ADHD overall and both symptoms and diagnosis. Specifically, maternal stress and anxiety, maternal prenatal stress, maternal depression, maternal post-partum depression, and paternal depression were positively associated with ADHD. In addition, parental depression was associated with symptoms of ADHD inattentive and hyperactive/impulsive subtypes. Parental antisocial personality disorder was also positively associated with ADHD overall and specifically ADHD diagnosis. Prenatal antidepressant usage was associated with ADHD when measured dichotomously only. These findings raise the possibility that prevention strategies promoting parental mental health and addressing parental stress could have the potential for positive long-term impacts on child health, well-being, and behavioral outcomes.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>35641729</pmid><doi>10.1007/s11121-022-01383-3</doi><tpages>19</tpages></addata></record> |
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| ispartof | Prevention science, 2024-05, Vol.25 (Suppl 2), p.272-290 |
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| source | MEDLINE; PAIS Index; SpringerLink Journals - AutoHoldings |
| subjects | Antidepressants Antidepressive Agents - therapeutic use Antisocial personality disorder Antisocial Personality Disorder - epidemiology Anxiety Anxiety - drug therapy Anxiety - epidemiology Attention Deficit Disorder with Hyperactivity - epidemiology Attention deficit hyperactivity disorder Child Child and School Psychology Children Childrens health Depression - drug therapy Depression - epidemiology Disorders Health behavior Health education Health indicators Health promotion Health Psychology Health status Humans Hyperactivity Impulsivity Maternal depression Maternal stress Measurement Medical diagnosis Medicine Medicine & Public Health Mental depression Mental disorders Mental health Meta-analysis Parental depression Parental stress Parents & parenting Parents - psychology Paternal depression Personality Personality disorders Postpartum depression Postpartum period Prevention Preventive medicine Public Health Risk Factors Statistics Stress Stress, Psychological - epidemiology Systematic review Well being |
| title | A Systematic Review and Meta-analysis of Parental Depression, Antidepressant Usage, Antisocial Personality Disorder, and Stress and Anxiety as Risk Factors for Attention-Deficit/Hyperactivity Disorder (ADHD) in Children |
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