Niclasen, Janni5; Andersen, Anne-Marie Nybo6; Strandberg-Larsen, Katrine6; Teasdale, Thomas William5
1 Department of Psychology, Faculty of Social Sciences, Københavns Universitet2 Section of Social Medicine, Department of Public Health, Faculty of Health and Medical Sciences, Københavns Universitet3 Section of Health Services Research, Department of Public Health, Faculty of Health and Medical Sciences, Københavns Universitet4 Institut for Psykologi, Department of Psychology, Faculty of Social Sciences, Københavns Universitet5 Institut for Psykologi, Department of Psychology, Faculty of Social Sciences, Københavns Universitet6 Section of Social Medicine, Department of Public Health, Faculty of Health and Medical Sciences, Københavns Universitet
The purpose of this study was to investigate associations of maternal binge drinking in early and late pregnancy with child behavioural and emotional development at age seven. It was hypothesised that late exposure is associated with more negative outcomes than early exposure. Differences were expected on the continuous outcome measures, but not on above cutoff scale scores. Data were derived from the Danish National Birth Cohort. Three exposure groups were defined according to binge drinking from three interviews regarding binge episodes in early, middle and late pregnancy. A 'no binge' group included women with no binge episodes reported in any of the interviews, the 'early bingers' reported episodes in the first interview only, and the 'late bingers' in the last part of pregnancy only. The outcome measure was the Strengths and Difficulties Questionnaire (SDQ) used as continuous externalising/internalising scores and above cutoff hyperactivity/inattention, conduct, emotional and peer problems scores. Only women with full information concerning binge drinking from the three interviews, together with full-scale SDQ information on their children at age seven and being term-born, were included in the study (N = 37,315). After adjustment for maternal education, psychiatric diagnoses, age and smoking, children exposed to binge drinking in early and late pregnancy had significantly higher mean externalizing scores at age seven than unexposed children, an effect albeit much less for early binge drinking (relative change in mean 1.02, CI 1.00-1.05) than for late binge drinking (relative change in mean 1.21, CI 1.04-1.42). No associations were observed for any of the above cutoff outcomes. Exposure to binge drinking in early and late pregnancy is associated with elevated externalising scores, particularly so in late pregnancy. No increased risk for any of the above cutoff scale scores was observed.
European Child and Adolescent Psychiatry, 2014, Vol 23, Issue 12, p. 1175-1180