Evidence mapPaperPMID 40148550Full record

SynthesisMolecular psychiatry2025

In utero exposure to methylphenidate, amphetamines and atomoxetine and offspring neurodevelopmental disorders - a population-based cohort study and meta-analysis.

Kathrine Bang Madsen, Henrik Larsson, Charlotte Skoglund, Xiaoqin Liu, Trine Munk-Olsen, Veerle Bergink, Jeffrey H Newcorn, Samuele Cortese, Paul Lichtenstein, Ralf Kuja-Halkola and 6 more

Abstract readMeta-Analysis
In one paragraph

Synthesis in Molecular psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Pregnancy and ADHD Medications: Is It Time for Clinical Guidelines?Paediatric and perinatal epidemiology · 2026
    Article
  2. Review
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Kathrine Bang MadsenDepartment of Clinical Research, University of Southern Denmark, Odense, Denmark. kbmadsen@health.sdu.dk.ORCID http://orcid.org/0000-0002-0103-5534
Henrik LarssonSchool of Medical Sciences, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
Charlotte SkoglundDepartment of Women's and Children's Health, Uppsala University, Uppsala, Sweden.
Xiaoqin LiuNCRR- National Centre for Register-based Research, Department of Public Health, Aarhus University, Aarhus, Denmark.
Trine Munk-OlsenDepartment of Clinical Research, University of Southern Denmark, Odense, Denmark.
Veerle BerginkDepartment of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Jeffrey H NewcornDepartment of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, USA.ORCID http://orcid.org/0000-0001-8993-9337
Samuele CorteseCentre for Innovation in Mental Health, School of Psychology, Faculty of Environmental and Life Sciences, University of Southampton, Southampton, UK.ORCID http://orcid.org/0000-0001-5877-8075
Paul LichtensteinDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.ORCID http://orcid.org/0000-0003-3037-5287
Ralf Kuja-HalkolaDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.ORCID http://orcid.org/0000-0002-3765-2067
Zheng ChangDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
Brian D'OnofrioDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
Per Hove ThomsenResearch Center at the Department for Child- and Adolescent Psychiatry, Aarhus University Hospital, Skejby, Denmark.
Kari KlungsøyrDepartment of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.
Isabell Brikell *Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
Miguel Garcia-Argibay *School of Medical Sciences, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.ORCID http://orcid.org/0000-0002-4811-2330

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The use of Attention-Deficit/Hyperactivity Disorder (ADHD) medications during pregnancy is increasing, raising concerns about potential long-term effects on offspring. This study investigates in utero exposure to methylphenidate, amphetamines and atomoxetine and risk of offspring neurodevelopmental disorders (NDDs). The population-based cohort study identified from Swedish registers included 861,650 children born by 572,731 mothers from 2008-2017. We categorized exposure based on redeemed medication during pregnancy and compared exposed children to those whose mothers discontinued medication before conception. Main outcomes were any NDD, including ADHD and autism spectrum disorder (ASD). Cox proportional hazards regression estimated hazard ratios (HRs), adjusting for maternal psychiatric and sociodemographic factors. Sensitivity analyses included stratifications by medication type, timing, and duration of exposure, and sibling comparisons. We also performed a meta-analysis combining data from the present study with those from a previous Danish study. Results showed no increased risk for any NDD (HR

Indexed as

AmphetaminesNeurodevelopmental DisordersPrenatal Exposure Delayed EffectsAdultAtomoxetine HydrochlorideAttention Deficit Disorder with HyperactivityAutism Spectrum DisorderChildCohort StudiesFemaleHumansMaleMethylphenidatePregnancyRegistriesSwedenAmphetaminesAtomoxetine HydrochlorideMethylphenidate

Identifiers

PMID40148550
PMCPMC12339372

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.