Obstetric and parental psychiatric variables as potential predictors of autism severity

J Autism Dev Disord. 2008 Sep;38(8):1542-54. doi: 10.1007/s10803-007-0536-4. Epub 2008 Mar 7.

Abstract

Associations between obstetric and parental psychiatric variables and subjects' Autism Diagnostic Interview-Revised (ADI-R) and Autism Diagnostic Observation Schedule (ADOS) domain scores were examined using linear mixed effects models. Data for the 228 families studied were provided by the Autism Genetic Resource Exchange. Hypertension (P = 0.002), preeclampsia (P = 0.021) and generalized edema (P = 0.011) were associated with higher ADI-R communication scores. Hypertension (P = 0.011), albuminuria (P = 0.039) and generalized edema (P = 0.009) were associated with higher ADI-R repetitive behaviors scores. Parent depression was associated with higher ADI-R repetitive behaviors scores (P = 0.005), and parent anxiety with lower ADOS social/communication composite scores (P = 0.025). The associations between hypertension-related obstetric conditions and autistic severity warrant further investigation and raise intriguing questions regarding potential causal and modifying factors in autism.

Publication types

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

MeSH terms

  • Adolescent
  • Adult
  • Anxiety Disorders / diagnosis
  • Anxiety Disorders / genetics
  • Autistic Disorder / etiology*
  • Autistic Disorder / genetics
  • Child
  • Child of Impaired Parents / psychology
  • Child, Preschool
  • Depressive Disorder / diagnosis
  • Depressive Disorder / genetics
  • Edema / diagnosis
  • Female
  • Genetic Predisposition to Disease*
  • Humans
  • Hypertension / diagnosis
  • Male
  • Pre-Eclampsia / diagnosis
  • Pregnancy
  • Pregnancy Complications / diagnosis*
  • Prenatal Exposure Delayed Effects / diagnosis*
  • Risk Factors