Objective

The aim of this study was to characterize the course of ADHD during pregnancy.

Method

Women ages 18 to 45 were followed prospectively at <20 weeks, 24 weeks, and 36 weeks pregnant. Three groups emerged: women who discontinued, maintained, or adjusted their ADHD medications. ADHD symptoms were recorded using the AISRS. Anxiety, depression, stress, and functional impairment were monitored.

Results

A total of 25 women with ADHD were eligible for analysis. No significant difference observed between three groups in AISRS scores. Significant differences found between medication discontinuers vs adjusters for both mood and family functioning (EPDS, 5.3, p < .0001; WFIRS, 3.3, p = .0309). Significant differences also found between discontinuers vs maintainers for mood and family functioning (EPDS, 4.98, p = .0009; WFIRS, 3.09, p = .0197).

Conclusion

This preliminary study provides novel insight into the course of ADHD during pregnancy, underscoring mood and family functioning as critical domains that may contribute to growing use of psychostimulants during pregnancy.

中文翻译：

---

怀孕期间多动症的过程

客观的

本研究的目的是描述妊娠期间 ADHD 的病程。

方法

对 18 至 45 岁的女性在妊娠 <20 周、24 周和 36 周进行前瞻性随访。出现了三组：停止、维持或调整 ADHD 药物的女性。使用 AISRS 记录 ADHD 症状。监测焦虑、抑郁、压力和功能障碍。

结果

共有 25 名患有 ADHD 的女性符合分析条件。在 AISRS 评分中，三组之间没有观察到显着差异。在情绪和家庭功能方面，停药者与调节者之间存在显着差异（EPDS，5.3，p < .0001；WFIRS，3.3，p = .0309）。在情绪和家庭功能方面，停药者与维持者之间也存在显着差异（EPDS，4.98，p = .0009；WFIRS，3.09，p = .0197）。

结论

这项初步研究提供了对怀孕期间 ADHD 病程的新见解，强调情绪和家庭功能是可能有助于怀孕期间越来越多地使用精神兴奋剂的关键领域。