TY - JOUR
T1 - Maternal diabetes in early pregnancy, and psychotic experiences and depressive symptoms in 10-year-old offspring
T2 - A population-based birth cohort study
AU - Yamasaki, Syudo
AU - Ando, Shuntaro
AU - Richards, Marcus
AU - Hatch, Stephani L.
AU - Koike, Shinsuke
AU - Fujikawa, Shinya
AU - Kanata, Sho
AU - Endo, Kaori
AU - Morimoto, Yuko
AU - Arai, Makoto
AU - Okado, Haruo
AU - Usami, Satoshi
AU - Furukawa, Toshiaki A.
AU - Hiraiwa-Hasegawa, Mariko
AU - Kasai, Kiyoto
AU - Nishida, Atsushi
PY - 2018/12/26
Y1 - 2018/12/26
N2 - Epidemiological studies have suggested that maternal diabetes in pregnancy increases the risk of schizophrenia in offspring. A recent cohort study observed that maternal diabetes in early pregnancy is also associated with psychotic experiences in the general adolescent population. However, it remains unclear whether maternal diabetes in early pregnancy is specifically associated with psychotic experiences, or is generally associated with broader mental health problems, including depressive symptoms in adolescence. The present study investigated the longitudinal associations between maternal diabetes in early pregnancy, and psychotic experiences and depressive symptoms in 10-year-old offspring. Our data were derived from the Tokyo Early Adolescence Survey, a population-based survey of early adolescents (N = 4478) and their primary caregivers. Diabetes in early pregnancy was determined by records in the mother's Maternal and Child Health Handbook, documented during the pregnancy. Psychotic experiences and depressive symptoms were established through self-report by the offspring at 10 years of age. Diabetes in early pregnancy was associated with an increased risk of hallucination in the offspring (auditory hallucination [odds ratio {OR} 4.33, 95% confidence interval {CI} 1.12–16.75]; visual hallucination [OR 6.58, 95% CI 1.69–25.66]), even after adjusting for depressive symptoms and other covariates. However, the association between maternal diabetes and delusional thoughts was not significant and diabetes in early pregnancy was not associated with adolescent depressive symptoms. Our investigation suggests that maternal diabetes in early pregnancy may specifically affect the risk of hallucinatory experiences in adolescent offspring.
AB - Epidemiological studies have suggested that maternal diabetes in pregnancy increases the risk of schizophrenia in offspring. A recent cohort study observed that maternal diabetes in early pregnancy is also associated with psychotic experiences in the general adolescent population. However, it remains unclear whether maternal diabetes in early pregnancy is specifically associated with psychotic experiences, or is generally associated with broader mental health problems, including depressive symptoms in adolescence. The present study investigated the longitudinal associations between maternal diabetes in early pregnancy, and psychotic experiences and depressive symptoms in 10-year-old offspring. Our data were derived from the Tokyo Early Adolescence Survey, a population-based survey of early adolescents (N = 4478) and their primary caregivers. Diabetes in early pregnancy was determined by records in the mother's Maternal and Child Health Handbook, documented during the pregnancy. Psychotic experiences and depressive symptoms were established through self-report by the offspring at 10 years of age. Diabetes in early pregnancy was associated with an increased risk of hallucination in the offspring (auditory hallucination [odds ratio {OR} 4.33, 95% confidence interval {CI} 1.12–16.75]; visual hallucination [OR 6.58, 95% CI 1.69–25.66]), even after adjusting for depressive symptoms and other covariates. However, the association between maternal diabetes and delusional thoughts was not significant and diabetes in early pregnancy was not associated with adolescent depressive symptoms. Our investigation suggests that maternal diabetes in early pregnancy may specifically affect the risk of hallucinatory experiences in adolescent offspring.
KW - Adolescence
KW - Depression
KW - Diabetes
KW - Hallucination
KW - Perinatal
UR - http://www.scopus.com/inward/record.url?scp=85059046665&partnerID=8YFLogxK
U2 - 10.1016/j.schres.2018.12.016
DO - 10.1016/j.schres.2018.12.016
M3 - Article
AN - SCOPUS:85059046665
SN - 0920-9964
JO - Schizophrenia Research
JF - Schizophrenia Research
ER -