Prenatal Drug Exposure in Children With a History of Neuropsychiatric Care: A Nested Case-Control Study.

POMME cohort child delayed effects medication neuropsychiatric disorders pharmacoepidemiology prenatal exposure

Journal

Frontiers in psychiatry
ISSN: 1664-0640
Titre abrégé: Front Psychiatry
Pays: Switzerland
ID NLM: 101545006

Informations de publication

Date de publication:
2022
Historique:
received: 15 10 2021
accepted: 15 02 2022
entrez: 8 4 2022
pubmed: 9 4 2022
medline: 9 4 2022
Statut: epublish

Résumé

Neuropsychiatric disorders in childhood after prenatal drug exposure raises concerns. Most of the published studies focused on psychotropic medications. This study investigated which prenatal medication exposure was associated with neuropsychiatric disorders in childhood. A case-control study, nested in the French POMME cohort, was conducted to compare prenatal medication exposure between children with a history of neuropsychiatric care (ages 0-8 years) and children in a control group. POMME included children born in Haute-Garonne to women covered by the general Health Insurance System, between 2010 and 2011 ( A total of 723 (8.6%) cases and 4,924 (58.8%) controls were identified. This study showed a statistically significant difference in prenatal exposure to nervous system drugs (excluding analgesics) between the groups [ORa: 2.12 (1.55; 2.90)]. Differences (not statistically significant at the 0.0033 threshold) were also observed for the ATC classes: Musculoskeletal, Genito-urinary System and Sex Hormones, Alimentary Tract and Anti-infectives. Through identification of children with neuropsychiatric disorders and of their prenatal medication exposure, this study provides guidance for the assessment of long-term neuropsychiatric effects after prenatal medication exposure, without focusing on psychotropic medications.

Sections du résumé

Background and Objectives UNASSIGNED
Neuropsychiatric disorders in childhood after prenatal drug exposure raises concerns. Most of the published studies focused on psychotropic medications. This study investigated which prenatal medication exposure was associated with neuropsychiatric disorders in childhood.
Methods UNASSIGNED
A case-control study, nested in the French POMME cohort, was conducted to compare prenatal medication exposure between children with a history of neuropsychiatric care (ages 0-8 years) and children in a control group. POMME included children born in Haute-Garonne to women covered by the general Health Insurance System, between 2010 and 2011 (
Results UNASSIGNED
A total of 723 (8.6%) cases and 4,924 (58.8%) controls were identified. This study showed a statistically significant difference in prenatal exposure to nervous system drugs (excluding analgesics) between the groups [ORa: 2.12 (1.55; 2.90)]. Differences (not statistically significant at the 0.0033 threshold) were also observed for the ATC classes: Musculoskeletal, Genito-urinary System and Sex Hormones, Alimentary Tract and Anti-infectives.
Conclusion UNASSIGNED
Through identification of children with neuropsychiatric disorders and of their prenatal medication exposure, this study provides guidance for the assessment of long-term neuropsychiatric effects after prenatal medication exposure, without focusing on psychotropic medications.

Identifiants

pubmed: 35392389
doi: 10.3389/fpsyt.2022.795890
pmc: PMC8980541
doi:

Types de publication

Journal Article

Langues

eng

Pagination

795890

Informations de copyright

Copyright © 2022 Benevent, Hurault-Delarue, Araujo, Revet, Sommet, Lacroix and Damase-Michel.

Déclaration de conflit d'intérêts

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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Auteurs

Justine Benevent (J)

Department of Medical and Clinical Pharmacology, Toulouse University Hospital (CHU de Toulouse), CERPOP - SPHERE Team, Inserm, Toulouse, France.

Caroline Hurault-Delarue (C)

Department of Medical and Clinical Pharmacology, Toulouse University Hospital (CHU de Toulouse), CERPOP - SPHERE Team, Inserm, Toulouse, France.

Mélanie Araujo (M)

Department of Medical and Clinical Pharmacology, Toulouse University Hospital (CHU de Toulouse), CERPOP - SPHERE Team, Inserm, Toulouse, France.

Alexis Revet (A)

Department of Medical and Clinical Pharmacology, Toulouse University Hospital (CHU de Toulouse), CERPOP - SPHERE Team, Inserm, Toulouse, France.
Department of Child and Adolescent Psychiatry, Toulouse University Hospital (CHU de Toulouse), Toulouse, France.

Agnès Sommet (A)

Department of Medical and Clinical Pharmacology, Toulouse University Hospital (CHU de Toulouse), CERPOP - SPHERE Team, Inserm, Toulouse, France.

Isabelle Lacroix (I)

Department of Medical and Clinical Pharmacology, Toulouse University Hospital (CHU de Toulouse), CERPOP - SPHERE Team, Inserm, Toulouse, France.

Christine Damase-Michel (C)

Department of Medical and Clinical Pharmacology, Toulouse University Hospital (CHU de Toulouse), CERPOP - SPHERE Team, Inserm, Toulouse, France.

Classifications MeSH