Previous studies have documented that smoking during pregnancy (SDP) is associated with offspring externalizing problems, even when measured covariates were used to control for possible confounds. However, the association may be due to non-measured environmental and genetic factors that increase risk for offspring externalizing problems. The current project used the National Longitudinal Survey of Youth and their children, ages 4-10 years, to explore the relations between SDP and offspring conduct problems (CP), oppositional-defiant problems (ODP), and attention deficit hyperactivity problems (ADHP) using methodological and statistical controls for confounds. When offspring were compared to their own siblings who differed in their exposure to prenatal nicotine, there was no effect of SDP on offspring CP and ODP. This suggests that SDP does not have a causal effect on offspring CP and ODP. There was a small association between SDP and ADHP, consistent with a causal effect of SDP, but the magnitude of the association was greatly reduced by methodological and statistical controls. Genetically informed analyses suggest that unmeasured environmental variables influencing both SDP and offspring externalizing behaviors account for the previously observed associations. That is, the current analyses imply that important unidentified environmental factors account for the association between SDP and offspring externalizing problems, not teratogenic effects of SDP.
Keywordssmoking during pregnancy; conduct problems; externalizing problems; ADHD; children of twins; causation Smoking during pregnancy (SDP) has been consistently linked with externalizing problems in offspring, particularly in males (reviews in Cnattingius, 2004;Huizink & Mulder, 2005;Wakschlag & Hans, 2002;Wakschlag, Pickett, Cook, Benowitz, & Leventhal, 2002). SDP has been associated with parent-reported conduct problems (Ernst, 2001), arrest history from national crime registries (Brennan, Grekin, & Mednick, 1999;Rasanen et al., 1999), contact 2 All correspondence should be sent to: Brian D'Onofrio, PhD, Department of Psychological and Brain Sciences, Indiana University, 1101 E. 10th St., Bloomington, IN 47405, bmdonofr@indiana.edu.
NIH Public Access Author ManuscriptDev Psychopathol. Author manuscript; available in PMC 2013 August 08.
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NIH-PA Author Manuscriptwith police obtained by city police records (Gibson, Piquero, & Tibbets, 2000), Oppositional Defiant Disorder (Wakschlag & Keenan, 2001), Conduct Disorder (Fergusson, Woodward, & Horwood, 1998;Wakschlag & Hans, 2002;Wakschlag & Keenan, 2001;Wakschlag et al., 1997;Weissman, Warner, Wickramaratne, & Kandel, 1999) and Attention-Deficit/ Hyperactivity Disorder (Mick, Biederman, Faraone, Sayer, & Kleinman, 2002;Rodriguez & Bohlin, 2005).Reviews of the literature note that the association is consistent with a causal connection because the association is specific to externalizing problems, has been found across diverse samples and measures, demonstr...