B3117 - The neurodevelopmental effects of in utero exposure to antidepressants and maternal depression - 19/07/2018

B number: 
B3117
Principal applicant name: 
Hind Khalifeh | IOPPN, King's College London (United Kingdom)
Co-applicants: 
Dr Rebecca Pearson, Professor Debbie Lawlor, Dr Melanie Lewcock
Title of project: 
The neurodevelopmental effects of in utero exposure to antidepressants and maternal depression
Proposal summary: 

There is a well-established association between maternal depression and anxiety during pregnancy and adverse neurodevelopmental outcomes for children, including cognitive, emotional and behavioural problems. Women with severe anxiety and depression may be prescribed antidepressants in pregnancy, with the expectation that this would not only benefit the mothers but may also protect children from the adverse effects of maternal mental illness. Unfortunately, antidepressant use in pregnancy has itself been linked to adverse neurodevelopmental outcomes, but it is unclear to what extent this association is mediated by the underlying maternal illness. There is limited research on the relative effects of medicated versus non-medicated antenatal maternal depression/anxiety on child development, and the ALSPAC cohort study provides an opportunity to address this gap.

Impact of research: 
It would add to the body of literature informing patients and clinicians on the relative benefits and risks of antidepressant use in pregnancy with respect to childhood developmental outcomes.
Date proposal received: 
Monday, 21 May, 2018
Date proposal approved: 
Thursday, 24 May, 2018
Keywords: 
Mental health - Psychology, Psychiatry, Cognition, Pregnancy - e.g. reproductive health, postnatal depression, birth outcomes, etc., Statistical methods, Cohort studies - attrition, bias, participant engagement, ethics