Attention-deficit/hyperactivity disorder symptom clusters differentially predict prenatal health behaviors in pregnant women

J Clin Psychol. 2018 Apr;74(4):665-679. doi: 10.1002/jclp.22538. Epub 2017 Sep 25.

Abstract

Objective: To date, most investigations of mental health in pregnant women have focused on depression or substance use. This study aimed to (a) delineate the relationships between symptoms of attention-deficit/hyperactivity disorder (ADHD) and prenatal health behaviors and (b) explore whether the symptom clusters of ADHD differentially predict prenatal health behaviors (e.g., physical strain, healthy eating, prenatal vitamin use).

Method: A total of 198 pregnant women (mean age = 27.94 years) completed measures of ADHD symptoms, prenatal health behaviors, and depression.

Results: Inattention, hyperactivity, and impulsivity/emotional lability all evidenced significant relationships with the prenatal health behaviors, each differentially predicting different prenatal health behaviors.

Conclusion: As decreased engagement in adequate prenatal health behaviors puts both the mother and fetus at risk for negative birth outcomes, future research should work to develop a brief ADHD screen to be used in obstetric clinics and should investigate these relationships within a sample of women with a diagnosis of ADHD.

Keywords: ADHD; eating; physical strain; pregnancy; prenatal health.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Attention Deficit Disorder with Hyperactivity / classification
  • Attention Deficit Disorder with Hyperactivity / physiopathology*
  • Female
  • Health Behavior*
  • Humans
  • Male
  • Pregnancy
  • Pregnancy Complications / classification
  • Pregnancy Complications / physiopathology*
  • Young Adult