Evidence map›Paper›PMID 41395340›Full record

ArticleJCPP advances2025

Prenatal exposure to adverse life events and autism and autistic-like traits in children in the Norwegian Mother, Father and Child Cohort Study (MoBa).

Aleksandra Kanina, Arvid Sjölander, Miriam I Martini, Agnieszka Butwicka, Henrik Larsson, Amanda M Hughes, Márta K Radó, Mark J Taylor, Alexandra Havdahl, Helga Ask and 1 more

Abstract read
In one paragraph

Article in JCPP advances, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. Article
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

11 authors.

Aleksandra KaninaDepartment of Medical Epidemiology and Biostatistics Karolinska Institutet Stockholm Sweden.ORCID https://orcid.org/0000-0001-7753-560X
Arvid SjölanderDepartment of Medical Epidemiology and Biostatistics Karolinska Institutet Stockholm Sweden.
Miriam I MartiniDepartment of Medical Epidemiology and Biostatistics Karolinska Institutet Stockholm Sweden.ORCID https://orcid.org/0000-0003-3654-4088
Agnieszka ButwickaDepartment of Medical Epidemiology and Biostatistics Karolinska Institutet Stockholm Sweden.ORCID https://orcid.org/0000-0002-7247-2141
Henrik LarssonDepartment of Medical Epidemiology and Biostatistics Karolinska Institutet Stockholm Sweden.
Amanda M HughesMRC Integrative Epidemiology Unit University of Bristol Bristol UK.
Márta K RadóDepartment of Medical Epidemiology and Biostatistics Karolinska Institutet Stockholm Sweden.
Mark J TaylorDepartment of Medical Epidemiology and Biostatistics Karolinska Institutet Stockholm Sweden.ORCID https://orcid.org/0000-0001-5161-4182
Alexandra HavdahlPsychGen Center for Genetic Epidemiology and Mental Health Norwegian Institute of Public Health Oslo Norway.
Helga AskPsychGen Center for Genetic Epidemiology and Mental Health Norwegian Institute of Public Health Oslo Norway.ORCID https://orcid.org/0000-0003-0149-5319
Mina A RosenqvistDepartment of Medical Epidemiology and Biostatistics Karolinska Institutet Stockholm Sweden.ORCID https://orcid.org/0000-0002-2788-2061

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Mothers' experience of adverse life events (ALEs, e.g., divorce, bereavement, injury) during pregnancy has been linked with neurodevelopmental conditions like autism, and related traits like social communication difficulties and repetitive behavior in children. However, both the cumulative association and the underlying mechanism are unclear, and these associations might be confounded by unmeasured genetic or other early environmental factors shared within families. Method: This longitudinal population-based cohort study included 114,247 children, born in Norway between 1999 and 2009, who participated in the Norwegian Mother, Father and Child Cohort Study. During week 30 of pregnancy, mothers of 51,940 children (of whom 12,597 were siblings) reported whether they had experienced ALEs. We estimated associations between mothers' cumulative exposure to and perception of ALE and their children's clinical diagnosis of autism, and maternal reports on their children's autistic traits at ages 3 and 8 years through the Social Communication Questionnaire (SCQ). Sibling comparisons were conducted to account for unmeasured familial confounding. Results: Each additional prenatal ALE was associated with increased adjusted hazard ratios [HR: 1.23, 95% CI: 1.16-1.30] of autism diagnosis, compared to unexposed children. Adjusting for unmeasured familial confounding in sibling comparisons, the association attenuated: HR = 0.53, 95% CI [0.31-0.90]. ALEs perceived as more painful were associated with a 12% elevated likelihood of autism diagnosis [95% CI: 7%-16%], but this association attenuated after sibling comparisons. SCQ scores in children exposed to cumulative prenatal ALE compared to unexposed children were higher at age 3 (β-coefficient: 0.24 (95%CI [0.21-0.27])), but only slightly at age 8 (β-coefficient: 0.07 [95% CI: 0.04-0.10]) with differences nullified in the sibling comparison analysis. Conclusion: The association between maternal prenatal exposure to cumulative ALEs and diagnosis of autism and autism-associated traits is likely due to unmeasured familial confounding rather than a direct causal relationship.

Indexed as

autismdelayed effectsMBRNMoBaprenatal exposuresibling‐comparison design

Identifiers

PMID41395340
PMCPMC12698280

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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.