Maternal smoking during pregnancy and bipolar disorder in offspring
Open accessAbstract
OBJECTIVE: Maternal smoking during pregnancy is associated with a number of adverse externalizing outcomes for offspring from childhood to adulthood. The relationship between maternal smoking and bipolar disorder in offspring, which includes externalizing symptoms among its many manifestations, has not been investigated in depth. The authors examined whether offspring exposed to maternal smoking in utero would be at increased lifetime risk for bipolar disorder after accounting for other factors related to maternal smoking. METHOD: Individuals with bipolar disorder (N=79) were ascertained from the birth cohort of the Child Health and Development Study. Case subjects were identified by a combination of clinical, database, and direct mailing sources; all case subjects were directly interviewed and diagnosed using DSM-IV criteria. Comparison subjects (N=654) were matched to case subjects on date of birth (±30 days), sex, membership in the cohort at the time of illness onset, and availability of maternal archived sera. RESULTS: After adjusting for potential confounders, offspring exposed to in utero maternal smoking exhibited a twofold greater risk for bipolar disorder (odds ratio=2.014, 95% confidence interval=1.48-2.53, p=0.01). The associations were noted primarily among bipolar offspring without psychotic features. CONCLUSIONS: Prenatal tobacco exposure may be one suspected cause of bipolar disorder. However, it will be necessary to account for other unmeasured familial factors before causal teratogenic effects can be suggested.
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Maternal smoking while pregnant appears to raise the risk of bipolar disorder two-fold in the offspring.
“Of note, even maternal smoking while pregnant appears to raise the risk of BD two-fold in the off-springs (24).”
From The detrimental effects of smoking on the course and outcome in adults with bipolar disorder—A narrative review (2023) · cites this paper as [24]
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Koenig, H. G., VanderWeele, T. J., & Peteet, J. R. (2023) · Oxford University Press eBooks · doi:10.1093/oso/9780190088859.003.0008 · Cited by 1 · see citing works
Public Health and Human Flourishing
Koenig, H. G., VanderWeele, T. J., & Peteet, J. R. (2023) · Oxford University Press eBooks · doi:10.1093/oso/9780190088859.003.0032 · Cited by 1 · see citing works
Understanding the Religion–Physical Health Relationship
Koenig, H. G., VanderWeele, T. J., & Peteet, J. R. (2023) · Oxford University Press eBooks · doi:10.1093/oso/9780190088859.003.0031 · Cited by 1 · see citing works
Koenig, H. G., VanderWeele, T. J., & Peteet, J. R. (2023) · Oxford University Press eBooks · doi:10.1093/oso/9780190088859.003.0017 · Cited by 1 · see citing works
Koenig, H. G., VanderWeele, T. J., & Peteet, J. R. (2023) · Oxford University Press eBooks · doi:10.1093/oso/9780190088859.003.0006 · Cited by 1 · see citing works
Perinatal risk factors and subclinical hypomania: A prospective community study
González-Calvo, I., Ronald, A., Shakoor, S., Taylor, M. J., Eley, T. C., & Hosang, G. M. (2024) · Journal of Affective Disorders · doi:10.1016/j.jad.2024.07.118 · Cited by 1 · see citing works
Koenig, H. G., VanderWeele, T. J., & Peteet, J. R. (2023) · Oxford University Press eBooks · doi:10.1093/oso/9780190088859.002.0003 · Cited by 1 · see citing works
Prenatal and perinatal risk factors for bipolar disorder
Chudal, R. (2015) · UTUPub (University of Turku)
Neurodevelopmental risks for bipolar disorder
Freedman, D. (2014) · doi:10.7916/d8ms3qw1
Gene-environment interactions in high-risk populations
Fries, G. R., & Walss‐Bass, C. (2018) · Elsevier eBooks · doi:10.1016/b978-0-12-812347-8.00004-x
Fregna, L., Seghi, F., Locatelli, M., & Colombo, C. (2021) · Elsevier eBooks · doi:10.1016/b978-0-12-819182-8.00027-2
Research Progress on the Effect of Smoking on Pregnancy Outcome and Offspring Health
于, 甜. (2021) · Advances in Clinical Medicine · doi:10.12677/acm.2021.117479
Bipolar Affective Disorder: The Psychodynamic Approach of Etiology
Pracana, C., & Wang, M. (2022) · Advances in psychology and psychological trends · doi:10.36315/2022padviii25
Koenig, H. G., VanderWeele, T. J., & Peteet, J. R. (2023) · Oxford University Press eBooks · doi:10.1093/oso/9780190088859.003.0034
Koenig, H. G., VanderWeele, T. J., & Peteet, J. R. (2023) · Oxford University Press eBooks · doi:10.1093/oso/9780190088859.003.0021
Koenig, H. G., VanderWeele, T. J., & Peteet, J. R. (2023) · Oxford University Press eBooks · doi:10.1093/oso/9780190088859.003.0007
Koenig, H. G., VanderWeele, T. J., & Peteet, J. R. (2023) · Oxford University Press eBooks · doi:10.1093/oso/9780190088859.003.0005
Koenig, H. G., VanderWeele, T. J., & Peteet, J. R. (2023) · Oxford University Press eBooks · doi:10.1093/oso/9780190088859.003.0029
Levin, J. (2023) · Oxford University Press eBooks · doi:10.1093/oso/9780190088859.002.0007
Koenig, H. G., VanderWeele, T. J., & Peteet, J. R. (2023) · Oxford University Press eBooks · doi:10.1093/oso/9780190088859.003.0033
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Alzheimer’s Disease and Other Dementias
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Koenig, H. G., VanderWeele, T. J., & Peteet, J. R. (2023) · Oxford University Press eBooks · doi:10.1093/oso/9780190088859.003.0024
Koenig, H. G., VanderWeele, T. J., & Peteet, J. R. (2023) · Oxford University Press eBooks · doi:10.1093/oso/9780190088859.003.0020
Koenig, H. G., VanderWeele, T. J., & Peteet, J. R. (2023) · Oxford University Press eBooks · doi:10.1093/oso/9780190088859.003.0026
Disease Prevention, Detection, and Treatment
Koenig, H. G., VanderWeele, T. J., & Peteet, J. R. (2023) · Oxford University Press eBooks · doi:10.1093/oso/9780190088859.003.0030
Koenig, H. G., VanderWeele, T. J., & Peteet, J. R. (2023) · Oxford University Press eBooks · doi:10.1093/oso/9780190088859.003.0019
Koenig, H. G., VanderWeele, T. J., & Peteet, J. R. (2023) · Oxford University Press eBooks · doi:10.1093/oso/9780190088859.002.0004
Personality Traits and Disorders
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Schizophrenia and Other Psychoses
Koenig, H. G., VanderWeele, T. J., & Peteet, J. R. (2023) · Oxford University Press eBooks · doi:10.1093/oso/9780190088859.003.0009
Koenig, H. G., VanderWeele, T. J., & Peteet, J. R. (2023) · Oxford University Press eBooks · doi:10.1093/oso/9780190088859.003.0004
Koenig, H. G., VanderWeele, T. J., & Peteet, J. R. (2023) · Oxford University Press eBooks · doi:10.1093/oso/9780190088859.003.0018
Koenig, H. G., VanderWeele, T. J., & Peteet, J. R. (2023) · Oxford University Press eBooks · doi:10.1093/oso/9780190088859.003.0003
Koenig, H. G., VanderWeele, T. J., & Peteet, J. R. (2023) · Oxford University Press eBooks · doi:10.1093/oso/9780190088859.003.0013
Koh, H. K. (2023) · Oxford University Press eBooks · doi:10.1093/oso/9780190088859.002.0006
Koenig, H. G., VanderWeele, T. J., & Peteet, J. R. (2023) · Oxford University Press eBooks · doi:10.1093/oso/9780190088859.003.0028
Koenig, H. G., VanderWeele, T. J., & Peteet, J. R. (2023) · Oxford University Press eBooks · doi:10.1093/oso/9780190088859.003.0022
Studies on Religion and Health
Koenig, H. G., VanderWeele, T. J., & Peteet, J. R. (2023) · Oxford University Press eBooks · doi:10.1093/oso/9780190088859.005.0001
- Authors
- Talati, A., Bao, Y., Kaufman, J., Shen, L., Schaefer, C. A., & Brown, A. S.
- Affiliations
- Kaiser Permanente (US)
- Venue
- American Journal of Psychiatry
- Published
- 2013-10
- Volume
- 170
- Issue
- 10
- Pages
- 1178-1185
- ISSN
- 0002-953X (ISSN-L)
- 1535-7228
- PMC
- PMC4086419
- OpenAlex
- W2159091361
- Cited by
- 104
- References
- 34
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 3 · 2023: 44 · 2022: 7 · 2021: 5 · 2020: 4 · 2019: 5 · 2018: 6 · 2017: 2 · 2016: 6 · 2015: 7 · 2014: 8 · 2013: 2
- FWCI
- 5.43
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- American Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Alliance for Research on Schizophrenia and Depression
- National Institute of Mental Health (5R01-MH073080-05, R01MH073080, K02MH065422, R01MH069819, 5K02-MH65422)
- National Institute on Drug Abuse (K01DA029598)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Prenatal Substance Exposure Effects
- Keywords
- smoking during pregnancy, prenatal tobacco exposure, bipolar disorder, offspring risk, externalizing problems, Child Health and Development Studies, teratogenicity
- MeSH terms
- Adult, Bipolar Disorder, Birth Weight, Female, Humans, Infant, Newborn, Internal-External Control, Male, Pregnancy, Prenatal Exposure Delayed Effects, Risk Factors, Smoking, Tobacco Smoke Pollution, Cohort Studies, Matched-Pair Analysis
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