Table 3.
Hazard ratios of specific psychiatric disorders among children born to mothers with continuous antidepressant use, compared with mothers with discontinuous antidepressant use (n=47 639)
| Antidepressant use during pregnancy* | Cases | No | Person years | Crude hazard ratio | Adjusted hazard ratio (95% CI)† |
|---|---|---|---|---|---|
| Autism spectrum disorder: | |||||
| Antidepressant discontinuation group | 257 | 30 079 | 2.2×105 | 1 | 1 (reference) |
| Antidepressant continuation group | 165 | 17 560 | 1.2×105 | 1.32 | 1.23 (1.01 to 1.51) |
| Mood disorder: | |||||
| Antidepressant discontinuation group | 26 | 30 079 | 2.2×105 | 1 | 1 (reference) |
| Antidepressant continuation group | 27 | 17 560 | 1.2×105 | 2.72 | 2.76 (1.59 to 4.78) |
| Neurotic, stress related, and somatoform disorder: | |||||
| Antidepressant discontinuation group | 276 | 30 079 | 2.2×105 | 1 | 1 (reference) |
| Antidepressant continuation group | 249 | 17 560 | 1.2×105 | 1.92 | 1.62 (1.36 to 1.94) |
| Behavioural and emotional disorder: | |||||
| Antidepressant discontinuation group | 789 | 30 079 | 2.2×105 | 1 | 1 (reference |
| Antidepressant continuation group | 470 | 17 560 | 1.2×105 | 1.24 | 1.13 (1.01 to 1.27) |
| Mental retardation: | |||||
| Antidepressant discontinuation group | 53 | 30 079 | 2.2×105 | 1 | 1 (reference) |
| Antidepressant continuation group | 33 | 17 560 | 1.2×105 | 1.25 | 1.21 (0.78 to 1.90) |
*Antidepressant discontinuation group=children whose mothers used antidepressants before but not during pregnancy; antidepressant continuation group=children whose mothers used antidepressants both before and during pregnancy.
†Adjusted for maternal age at delivery, primiparity, maternal psychiatric history at delivery, inpatient and outpatient psychiatric treatment from 2 years before pregnancy until delivery, dispensing of other psychotropic prescriptions during pregnancy, dispensing of antiepileptic prescriptions during pregnancy, number of non-psychiatric hospital visits during pregnancy, smoking during pregnancy, place of residence, marital status, highest education, income, calendar year of delivery, and paternal psychiatric history at time of delivery.