Cited by 104Bipolar Disorder and TreatmentMaternal Mental Health During Pregnancy and PostpartumPrenatal Substance Exposure Effects

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Maternal Smoking During Pregnancy and Bipolar Disorder in Offspring

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Talati, Ardesheer, Bao, Yuanyuan, Kaufman, Jake, Shen, Ling, Schaefer, Catherine A., Brown, Alan S.·2013·American Journal of Psychiatry

DOI 10.1176/appi.ajp.2013.12121500PMC PMC4086419

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Abstract

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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Preface
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Health Policy Implications
Koenig, H. G., VanderWeele, T. J., & Peteet, J. R. (2023) · Oxford University Press eBooks · doi:10.1093/oso/9780190088859.003.0033
Introduction
Koenig, H. G., VanderWeele, T. J., & Peteet, J. R. (2023) · Oxford University Press eBooks · doi:10.1093/oso/9780190088859.002.0009
Alzheimer’s Disease and Other Dementias
Koenig, H. G., VanderWeele, T. J., & Peteet, J. R. (2023) · Oxford University Press eBooks · doi:10.1093/oso/9780190088859.003.0023
Immune Function
Koenig, H. G., VanderWeele, T. J., & Peteet, J. R. (2023) · Oxford University Press eBooks · doi:10.1093/oso/9780190088859.003.0024
Heart Disease
Koenig, H. G., VanderWeele, T. J., & Peteet, J. R. (2023) · Oxford University Press eBooks · doi:10.1093/oso/9780190088859.003.0020
Cancer
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 · Cited by 1
Diet and Weight
Koenig, H. G., VanderWeele, T. J., & Peteet, J. R. (2023) · Oxford University Press eBooks · doi:10.1093/oso/9780190088859.003.0019
Dedication
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
Koenig, H. G., VanderWeele, T. J., & Peteet, J. R. (2023) · Oxford University Press eBooks · doi:10.1093/oso/9780190088859.003.0011
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
Coping with Stress
Koenig, H. G., VanderWeele, T. J., & Peteet, J. R. (2023) · Oxford University Press eBooks · doi:10.1093/oso/9780190088859.003.0004
Exercise
Koenig, H. G., VanderWeele, T. J., & Peteet, J. R. (2023) · Oxford University Press eBooks · doi:10.1093/oso/9780190088859.003.0018
Research Design
Koenig, H. G., VanderWeele, T. J., & Peteet, J. R. (2023) · Oxford University Press eBooks · doi:10.1093/oso/9780190088859.003.0003 · Cited by 1
Delinquency and Crime
Koenig, H. G., VanderWeele, T. J., & Peteet, J. R. (2023) · Oxford University Press eBooks · doi:10.1093/oso/9780190088859.003.0013
Foreword
Koh, H. K. (2023) · Oxford University Press eBooks · doi:10.1093/oso/9780190088859.002.0006
Physical Disability
Koenig, H. G., VanderWeele, T. J., & Peteet, J. R. (2023) · Oxford University Press eBooks · doi:10.1093/oso/9780190088859.003.0028
Cerebrovascular Disease
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)
ORCID: Talati, Ardesheer
Bao, Yuanyuan
Schaefer, Catherine A.
Brown, Alan S.
Venue: American Journal of Psychiatry
Publisher: American Psychiatric Association Publishing
Published: 2013-10
Volume: 170
Issue: 10
Pages: 1178-1185
ISSN: 0002-953X (ISSN-L)
1535-7228
DOI: 10.1176/appi.ajp.2013.12121500
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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Maternal Smoking During Pregnancy and Bipolar Disorder in Offspring

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