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ORIGINAL ARTICLE Higher Risk of Offspring Schizophrenia Following Antenatal Maternal Exposure to Severe Adverse Life Events Ali S. Khashan, MSc; Kathryn M. Abel, MRCP, MRCPsych, PhD; Roseanne McNamee, PhD; Marianne G. Pedersen, MSc; Roger T. Webb, PhD; Philip N. Baker, DM, FRCOG; Louise C. Kenny, PhD, MRCOG; Preben Bo Mortensen, MD, DMSc Context: Most societies believe that a mother’s psycho- birthday until their death, migration, onset of schizo- logical state can influence her unborn baby. Severe ad- phrenia, or June 30, 2005; admissions were identified by verse life events during pregnancy have been consistently linkage to the Central Psychiatric Register. associated with an elevated risk of low birth weight and pre- maturity. Such events during the first trimester have also Main Outcome Measure: Schizophrenia. been associated with risk of congenital malformations. Results: The risk of schizophrenia and related disor- Objective: To assess the effect in offspring of antenatal ders was raised in offspring whose mothers were maternal exposure to an objective measure of stress on risk exposed to death of a relative during the first trimester of adverse neurodevelopment, specifically schizophre- (adjusted relative risk, 1.67 [95% confidence interval, nia. We hypothesized that the strongest relationship would 1.02-2.73]). Death of
JAMA Psychiatry – American Medical Association
Published: Feb 1, 2008
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