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Systematic Review of Environmental and Psychosocial Risk Factors associated with Attention Deficit Hyperactivity Disorder, Oppositional Defiant Disorder, and Conduct Disorder in Children and Adolescents


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FIGURE 1.

PRISMA flow chart of review search
PRISMA flow chart of review search

Characteristics of the included studies.

Continent First author Year Design Total sample Setting Age Group ADHD, ODD & CD Diagnostic tool Risk measures
Europe Bendiksen 2020 CO 1195 COM 3.5 PAPA Perinatal maternal distress
Asia Senol 2017 CR 2045 COM 7-15 T-DSM-IV-S Socioeconomic status
Asia Feng 2020 CR 114 with AD 201 non Atopic CLIN 6-12 SNAP-IV Teacher and Parent 26-ltem Rating Scale. Atopic Dermatitis
Asia Tajdini 2019 CC 80 with Asthma 92 control CLIN 5-11 DSM-IVCSI-4 Asthma
Europe Joelsson 2016 CC 10.132 with ADHD 38.811 Control CLIN All Finnish singletons born between 1991 and 2005 ADHD according to ICD-10 or ICD-9 ODD and CD according to ICD-10 Prenatal maternal smoking
Europe Mina 2016 CO 112 CLIN 3-5 Conners’ Hyperactivity ScaleESSENCE-QSDQCBCL Prenatal exposure to very severe maternal obesity
North America Van Lieshout 2020 CR 2151 COM 12-17 MINI-KID Macrosomia
Asia Lin 2016 CR 2.896 COM 9-10 Chinese version of the SNAP-26 questionnaire Allergic diseases (atopic dermatitis, asthma, and allergic rhinitis)
North America Marmorstein 2016 CR and longitudinal study 144 COM 11.9 Modified version of the CD Rating Scale ADHD CASI-4R Energy drink and coffee consumption
North America Robinson 2019 CO 1.915 COM 7-8 Parent/guardian report of diagnosisSDQ at 7 yearsModified version of the VADPRS at 8 years Maternal PCOS and hirsutism
North America Schieve 2016 CR 74.565 COM 3-17 Parent/guardian report of diagnosis Preterm birth and low birth weight

Results of the individual studies.

First Author Year Arm of the study Findings of the study Quality of study
Bendiksen 2020 This research aims to evaluate the connections between prenatal and postnatal mother distress and pre-schooler symptoms of ADHD, ODD, CD, and anxiety, by time and gender. Mid-gestational mother distress substantially raised the average number of child symptoms, which ranged 3.8% for ADHD-HI.The combination of high prenatal and postnatal mother distress ratings was linked with an elevated risk of child CD and ODD symptoms. Good
Senol 2017 The objective of the study was to determine the prevalence of ADHD and other DBD, as well as their associations with sociodemographic variables, among schoolchildren aged 7 to 15 in Kayseri, Turkey. The prevalence of DBDs were ADHD, 6.2%; CD, 14.4%; and ODD, 6.7%, among schoolchildren in Kayseri, Turkey.Compared to their peers, the prevalence of ADHD, CD and ODD were significantly higher among boys and children whose mothers were homemakers, as well as those from low-income and poorly educated families. Good
Feng 2020 To evaluate the co-occurrence of symptoms of ADHD, ODD, and pertinent Atopic dermatitis (AD) risk factor, as well as their influence on the quality of life of Chinese school-aged children with AD. AD patients were significantly more likely to exhibit ADHD symptoms and ODD symptoms than controls.In AD patients, the degree of itching and sleep loss was strongly connected with inattention, hyperactivity/impulsivity, and oppositional defiance scores.AD patients with ADHD symptoms had substantially higher CDLQI scores than those without ADHD symptoms. Good
Tajdini 2019 The purpose of this study is to examine the prevalence of ODD, ADHD, and CD in asthmatic children. In total, 42.5% of those in the case group and 25% of those in the control group had ADHD, with a statistically significant difference. In addition, there was a statistically significant difference between the prevalence of ODD in the case and control groups, However, the incidence of CD was 10% and 10.9% in the case and control groups, respectively, with no statistically significant difference. Good
Joelsson 2016 This research aims to evaluate the connection between prenatal exposure to maternal smoking and offspring with ADHD, as well as to determine if the smoking-ADHD correlations are greater when ADHD is accompanied by other neuropsychiatric comorbidities. Adjusted for confounding factors, the risk for ADHD with or without comorbidity was significantly increased among offspring exposed to maternal smoking.Subjects with comorbid CD or ODD had a significantly stronger association with smoking exposure than those with only ADHD. Good
Mina 2016 To explore the association between prenatal very severe maternal obesity and adverse neuropsychiatric outcomes in children. Prenatal mother extreme obesity remained a substantial predictor of child neuropsychiatric issues across various scales, regardless of demographic variables, prenatal characteristics, and maternal contemporaneous anxiety and depression symptoms. Good
Van Lieshout 2020 The purpose of this study was to explore links between macrosomia (birth weight > 4000 g) and teenage mental problems and also to investigate possible moderating effects of gender and socioeconomic disadvantage on teenage mental illness. After controlling for confounders, adolescents born macrosomic exhibited increased chances of CD, ODD and ADHD.Moderation analyses found substantial interaction effects between gender and macrosomia in predicting ODD and ADHD. Males born macrosomic were more likely than females to be diagnosed with ODD and ADHD.Socioeconomic disadvantage multiplied the risk of ODD and ADHD posed by macrosomia. Fair
Lin 2016 To investigate the connection between allergic diseases (Atopic dermatitis, asthma, and allergic rhinitis) and childhood behaviour disorders (ADHD and ODD). Children with a history of atopic dermatitis, asthma or allergic rhinitis had a greater likelihood of developing ADHD and ODD. Good
Marmorstein 2016 This study explored cross-sectional and longitudinal correlations between early adolescents’ energy drink intake and psychopathology.In addition, relationships between psychopathology and coffee use were investigated to determine whether the findings were exclusive to energy drinks or whether they also extended to another popular caffeinated beverage.

Cross-sectional relationships between caffeine intake and psychopathology symptoms:

Overall, the use of energy drinks and coffee was associated with ADHD inattention and CD.

After adjusting for other caffeinated beverages, energy drinks were specifically related with CD.

Prospective correlations between caffeine intake and the development of psychopathology symptoms:

Over the course of 16 months, the initial frequency of energy drink usage predicted increases in CD and ADHD inattentive symptoms. In contrast, there was no association between coffee intake and any increase or decrease in psychopathology.

After adjusting for the effects of coffee, energy drinks were shown to be linked with increases in ADHD (both inattentive and hyperactive symptoms), but the connection between energy drinks and CD symptoms decreased to a trend level.

Prospective correlations between changes in caffeine intake and psychopathology symptoms:

Initial levels of hyperactive ADHD predicted an increase in coffee, consumption over time; this relationship persisted when energy drinks were controlled for.

Fair
Robinson 2019 To investigate the links between mother PCOS and hirsutism and offspring ADHD, anxiety, conduct disorder, and behavioural issues. After controlling for confounders, the relationships between mother PCOS and offspring ADHD were positive although ambiguous.Maternal hirsutism was associated with an increased risk for children’s ADHD, CD, borderline emotional symptoms, peer relationship problems, and conduct problems. Fair
Schieve 2016 To explore the impacts of preterm birth and low birth weight on subsequent Developmental disabilities including ADHD, BCD. Summary PAFs for preterm birth and/or LBW were under 5% for ADHD and behavioural-conduct problems. Fair
eISSN:
2245-8875
Sprache:
Englisch
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Medizin, Vorklinische Medizin, Grundlagenmedizin, andere