Behavior and inhibitory control in children with prenatal exposure to antidepressants and medically untreated depression

Psychopharmacology (Berl). 2016 Apr;233(8):1523-35. doi: 10.1007/s00213-016-4248-3. Epub 2016 Feb 29.

Abstract

Purpose: The present study investigates child development following prenatal exposure to maternal use of selective serotonin reuptake inhibitors (SSRIs; N = 28), versus prenatal exposure to medically untreated depression (N = 42), and no exposure (N = 33).

Methods: When the children reached 5-6 years of age, child cognitive abilities were measured using selected tests from Wechsler Preschool and Primary Scale of Intelligence-Revised (WPPSI-r), Neuropsychological Assessment II (NEPSY-II), and the Attention Network Test. Maternal reports of child behavioral problems were collected using the Child Behavior Checklist (CBCL).

Conclusion: Analyses of variance revealed no effects of prenatal exposure to depression or SSRIs upon general cognition or inhibition. Regarding behavioral problems, there was a significant negative association between both SSRI and depression exposure upon externalizing, and between SSRI exposure and internalizing problems. The results are interpreted in light of theories on interactive specialization and reactivity.

Keywords: Attention network test; Child behavior; Inhibition; Prenatal SSRI exposure; The Norwegian Mother and Child Cohort Study (MoBa).

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antidepressive Agents / adverse effects
  • Antidepressive Agents / pharmacology
  • Antidepressive Agents / therapeutic use*
  • Child
  • Child Development / drug effects*
  • Child Development / physiology
  • Child, Preschool
  • Cognition / drug effects
  • Cognition / physiology
  • Cohort Studies
  • Depressive Disorder / drug therapy*
  • Depressive Disorder / psychology*
  • Female
  • Humans
  • Male
  • Neuropsychological Tests
  • Pregnancy
  • Pregnancy Complications / drug therapy
  • Prenatal Exposure Delayed Effects / chemically induced
  • Prenatal Exposure Delayed Effects / psychology*
  • Prospective Studies
  • Selective Serotonin Reuptake Inhibitors / adverse effects
  • Selective Serotonin Reuptake Inhibitors / pharmacology
  • Selective Serotonin Reuptake Inhibitors / therapeutic use*

Substances

  • Antidepressive Agents
  • Serotonin Uptake Inhibitors