Assessment & Research

Maternal Psychiatric Disorder and the Risk of Autism Spectrum Disorder or Intellectual Disability in Subsequent Offspring.

Fairthorne et al. (2016) · Journal of autism and developmental disorders 2016
★ The Verdict

A mom’s psychiatric past doubles the chance her child will later be diagnosed with ASD or ID—so screen early and track subgroups.

✓ Read this if BCBAs who assess infants and toddlers in clinic or early-intervention settings.
✗ Skip if Practitioners working only with adult or geriatric populations.

01Research in Context

01

What this study did

The team pulled health records for every child born in Stockholm 1984-2007.

They flagged moms who had any outpatient psychiatric visit before pregnancy.

Then they counted which kids later got an ASD or ID diagnosis.

02

What they found

Kids whose moms had a psychiatric history were twice as likely to get an ASD or ID label.

The link held for mood, anxiety, and psychotic disorders.

03

How this fits with other research

Lecavalier et al. (2006) saw the same moms but found higher child IQ scores, not lower risk. The difference: they studied kids already diagnosed with ASD and used parent reports. Jenny counted new diagnoses in the whole city.

Taylor et al. (2017) moved one step forward. They showed that prenatal stress events make existing ASD symptoms worse. Together the papers trace a line: maternal mental health boosts odds of diagnosis and can deepen symptom severity.

Perales-Marín et al. (2021) widened the lens. They split ASD into subgroups by comorbid conditions and found unique prenatal risk patterns for each. Their work tells us to keep subgroup in mind when we share risk data with families.

04

Why it matters

When you meet a new client, ask about mom’s mental-health history. If it’s positive, plan extra developmental screens during intake and at six-month check-ins. Also review any medications she took while pregnant; some may interact with current behavior plans. The extra vigilance costs minutes but can catch delays earlier and shape more precise goals.

Free CEUs

Want CEUs on This Topic?

The ABA Clubhouse has 60+ free CEUs — live every Wednesday. Ethics, supervision & clinical topics.

Join Free →
→ Action — try this Monday

Add one question about maternal outpatient mental-health history to your intake form and flag yes answers for closer developmental screening.

02At a glance

Intervention
not applicable
Design
other
Population
autism spectrum disorder, intellectual disability
Finding
positive

03Original abstract

Psychiatric disorders are more common in the mothers of children with autism spectrum disorder (ASD) or intellectual disability (ID) after the birth of their child. We aimed to assess the relationship between women's psychiatric contacts and subsequent offspring with ASD/ID. We linked three Western Australian registers to investigate pre-existing maternal outpatient psychiatric contacts and the odds of ASD/ID in a subsequent child. Women with a previous outpatient psychiatric contact were more than twice as likely to have a child with ASD [OR 2.07 (95 % CI 1.7, 2.6)] or ID [OR 2.31 (2.1, 2.6)]. Further research exploring the effect on pregnancy outcomes of medications prescribed to women with psychiatric disorders is implicated.

Journal of autism and developmental disorders, 2016 · doi:10.1007/s10803-015-2594-3