Evidence map›Paper›PMID 27581195›Full record

ArticleBMC psychiatry2016

Prenatal smoking exposure and neuropsychiatric comorbidity of ADHD: a finnish nationwide population-based cohort study.

Petteri Joelsson, Roshan Chudal, Ardesheer Talati, Auli Suominen, Alan S Brown, Andre Sourander

Abstract read
In one paragraph

Article in BMC psychiatry, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  10. Smoking and Neuropsychiatric Disease-Associations and Underlying Mechanisms.International journal of molecular sciences · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Petteri JoelssonDepartment of Child Psychiatry, University of Turku, Lemminkäisenkatu 3, Lastenpsykiatrian tutkimuskeskus, 20014, Turku, Finland. petteri.joelsson@utu.fi.
Roshan ChudalDepartment of Child Psychiatry, University of Turku, Lemminkäisenkatu 3, Lastenpsykiatrian tutkimuskeskus, 20014, Turku, Finland.
Ardesheer TalatiDepartment of Psychiatry, Columbia University College of Physicians and Surgeons, New York, NY, USA.
Auli SuominenDepartment of Child Psychiatry, University of Turku, Lemminkäisenkatu 3, Lastenpsykiatrian tutkimuskeskus, 20014, Turku, Finland.
Alan S BrownDepartment of Psychiatry, Columbia University College of Physicians and Surgeons, New York, NY, USA.
Andre SouranderDepartment of Child Psychiatry, University of Turku, Lemminkäisenkatu 3, Lastenpsykiatrian tutkimuskeskus, 20014, Turku, Finland.

Funding

Prenatal Smoke Exposure and Offspring Substance Use: An Imaging-Genetics ApproachK01DA029598 · NIDA · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI TALATI, ARDESHEER · 2010 to 2014
$906k
NIDA NIH HHS K01 DA029598
6 · The paper itself

Abstract

backgroundPrenatal smoking exposure has been associated with attention-deficit/hyperactivity disorder (ADHD). ADHD is commonly associated with a wide spectrum of psychiatric comorbidity. The association between smoking and neuropsychiatric comorbidity of ADHD has remained understudied. The aim of this study is to examine the association between prenatal exposure to maternal smoking and offspring ADHD, and test whether the smoking-ADHD associations are stronger when ADHD is accompanied by other lifetime neuropsychiatric comorbidities.

methodsThe study is based on a nested case-control design and includes all Finnish singletons born between 1991 and 2005 and diagnosed with ADHD by 2011 (n = 10,132), matched with four controls (n = 38,811) on date of birth, sex and residence in Finland.

resultsThe risk for ADHD with or without comorbidity was significantly increased among offspring exposed to maternal smoking on adjusting for potential confounders (OR = 1.75, CI 95 % = 1.65-1.86). Compared to the only ADHD cases, subjects with comorbid conduct disorder or oppositional defiant disorder had a significantly stronger association with smoking exposure (OR = 1.80, CI 95 % = 1.55-2.11).

conclusionsPrenatal smoking represents an important risk factor for the ADHD comorbid with CD/ODD. Further research on the association between prenatal smoking exposure and neuropsychiatric comorbidity of ADHD is needed considering the increased risk among these subjects of an overall poor health outcome as compared to only ADHD. In particular, studies utilizing biomarkers or including subjects with neuropsychiatric conditions with and without comorbid ADHD are needed.

Indexed as

AdolescentAdultAttention Deficit Disorder with HyperactivityCase-Control StudiesChildCohort StudiesComorbidityFemaleFinlandHumansMaleMaternal BehaviorMental DisordersPregnancyPrenatal Exposure Delayed EffectsRisk FactorsADHDConduct disorderOppositional defiant disorderRisk factorSmokingTobacco

Identifiers

PMID27581195
PMCPMC5006583

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.