Prediction of ADHD symptoms from prenatal data in two large population-based cohorts

Introduction The association between low birth weight and attention problems in childhood has been replicated many times (e.g. Momany, Kamradt, & Nikolas, 2018). However birth weight is unlikely the aetiological start-point of this association, as birth weight is itself the product of many pren...

Full description

Bibliographic Details
Main Authors: N. Dooley, M. Cannon, D. Cotter, M. Clarke
Format: Article
Language:English
Published: Cambridge University Press 2022-06-01
Series:European Psychiatry
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S0924933822003844/type/journal_article
_version_ 1797616282652114944
author N. Dooley
M. Cannon
D. Cotter
M. Clarke
author_facet N. Dooley
M. Cannon
D. Cotter
M. Clarke
author_sort N. Dooley
collection DOAJ
description Introduction The association between low birth weight and attention problems in childhood has been replicated many times (e.g. Momany, Kamradt, & Nikolas, 2018). However birth weight is unlikely the aetiological start-point of this association, as birth weight is itself the product of many prenatal factors e.g. gestational complications, maternal toxin exposure during pregnancy and basic demographics. Objectives We explore (1) which prenatal factors best predict attention problems in two independant population-based cohorts of children (2) which associations, if any, are moderated by sex and (3) we report accuracy statistics of our prenatal prediction algorithm for attention problems. Methods Participants were children aged 9 from ABCD study from the United States (N > 9,000) and the Growing Up in Ireland (GUI) study from Ireland (N > 6,000). Selected variables included familial pscyhiatric history, maternal smoking during gestation, prescription and non-prescription drug-use during gestation and a variety of gestational complications. All interactions with sex were also included. We used 5-fold cross-validation and elastic net regression (glmnet) to identify the optimal predictors of attention problems (measured by CBCL and SDQ). Results Strongest predictors of attention problems in the U.S. cohort included male sex, number of drugs used during pregnancy, number of family members with a history of mental illness, and number of gestational complications. Sex interacted with several of these risks. Protective factors included being a twin/triplet, being Asian, having higher household income and higher parental education level. Conclusions Several risk factors for childhood attention problems were identified across both cohorts, supporting their generalizabilty. Other findings were cohort-specific. Disclosure No significant relationships.
first_indexed 2024-03-11T07:38:56Z
format Article
id doaj.art-496f6268f0da4cdbb22b632f639fcae9
institution Directory Open Access Journal
issn 0924-9338
1778-3585
language English
last_indexed 2024-03-11T07:38:56Z
publishDate 2022-06-01
publisher Cambridge University Press
record_format Article
series European Psychiatry
spelling doaj.art-496f6268f0da4cdbb22b632f639fcae92023-11-17T05:08:56ZengCambridge University PressEuropean Psychiatry0924-93381778-35852022-06-0165S142S14210.1192/j.eurpsy.2022.384Prediction of ADHD symptoms from prenatal data in two large population-based cohortsN. Dooley0M. Cannon1D. Cotter2M. Clarke3Royal College of Surgeons in Ireland, Psychiatry, Dublin, IrelandRoyal College of Surgeons in Ireland, Psychiatry, Dublin, IrelandRoyal College of Surgeons in Ireland, Psychiatry, Dublin, IrelandRoyal College of Surgeons in Ireland, Psychiatry, Dublin, Ireland Introduction The association between low birth weight and attention problems in childhood has been replicated many times (e.g. Momany, Kamradt, & Nikolas, 2018). However birth weight is unlikely the aetiological start-point of this association, as birth weight is itself the product of many prenatal factors e.g. gestational complications, maternal toxin exposure during pregnancy and basic demographics. Objectives We explore (1) which prenatal factors best predict attention problems in two independant population-based cohorts of children (2) which associations, if any, are moderated by sex and (3) we report accuracy statistics of our prenatal prediction algorithm for attention problems. Methods Participants were children aged 9 from ABCD study from the United States (N > 9,000) and the Growing Up in Ireland (GUI) study from Ireland (N > 6,000). Selected variables included familial pscyhiatric history, maternal smoking during gestation, prescription and non-prescription drug-use during gestation and a variety of gestational complications. All interactions with sex were also included. We used 5-fold cross-validation and elastic net regression (glmnet) to identify the optimal predictors of attention problems (measured by CBCL and SDQ). Results Strongest predictors of attention problems in the U.S. cohort included male sex, number of drugs used during pregnancy, number of family members with a history of mental illness, and number of gestational complications. Sex interacted with several of these risks. Protective factors included being a twin/triplet, being Asian, having higher household income and higher parental education level. Conclusions Several risk factors for childhood attention problems were identified across both cohorts, supporting their generalizabilty. Other findings were cohort-specific. Disclosure No significant relationships. https://www.cambridge.org/core/product/identifier/S0924933822003844/type/journal_articleadhdFoetal GrowthPrenatal Risksmachine learning
spellingShingle N. Dooley
M. Cannon
D. Cotter
M. Clarke
Prediction of ADHD symptoms from prenatal data in two large population-based cohorts
European Psychiatry
adhd
Foetal Growth
Prenatal Risks
machine learning
title Prediction of ADHD symptoms from prenatal data in two large population-based cohorts
title_full Prediction of ADHD symptoms from prenatal data in two large population-based cohorts
title_fullStr Prediction of ADHD symptoms from prenatal data in two large population-based cohorts
title_full_unstemmed Prediction of ADHD symptoms from prenatal data in two large population-based cohorts
title_short Prediction of ADHD symptoms from prenatal data in two large population-based cohorts
title_sort prediction of adhd symptoms from prenatal data in two large population based cohorts
topic adhd
Foetal Growth
Prenatal Risks
machine learning
url https://www.cambridge.org/core/product/identifier/S0924933822003844/type/journal_article
work_keys_str_mv AT ndooley predictionofadhdsymptomsfromprenataldataintwolargepopulationbasedcohorts
AT mcannon predictionofadhdsymptomsfromprenataldataintwolargepopulationbasedcohorts
AT dcotter predictionofadhdsymptomsfromprenataldataintwolargepopulationbasedcohorts
AT mclarke predictionofadhdsymptomsfromprenataldataintwolargepopulationbasedcohorts