Los riesgos maternos pre-, peri- y neonatales en una muestra de madres de hijos con trastorno generalizado del desarrollo

  1. López Gómez, Santiago
  2. Rivas Torres, Rosa María
  3. Taboada Ares, Eva María
Zeitschrift:
Psicothema

ISSN: 0214-9915

Datum der Publikation: 2008

Ausgabe: 20

Nummer: 4

Seiten: 684-690

Art: Artikel

Andere Publikationen in: Psicothema

Zusammenfassung

La etiología de los trastornos generalizados del desarrollo (TGD) es, en la actualidad, desconocida. Los estudios clínicos que ponen en evidencia el alto porcentaje de niños con problemas en el desarrollo, que han sufrido diversas complicaciones y riesgos perinatales, son muchos. Desde este planteamiento, el objetivo de este trabajo es analizar la presencia de riesgos pre-, peri- y neonatales en una muestra de 93 madres con hijos con un TGD. El instrumento utilizado ha sido un autoinforme, estructurado a modo de cuestionario, con el que se valoraron los riesgos perinatales en una serie de dimensiones: pregestacional, perigestacional, intraparto, neonatal, psicosocial y sociodemográfica. Las diferencias significativas halladas permiten definir riesgos perinatales de diversa naturaleza que pueden condicionar y describir variaciones en los TGD. Los riesgos biológicos, sobre todo los pregestacionales, seguidos de los perigestacionales, han estado más presentes que los de tipo psicosocial o sociodemográfico. Los riesgos específicos, en distintas combinaciones, son muy notables, pero no implican una causa directa con respecto a la etiología de los TGD. No obstante, suponen una descripción de los posibles factores asociados a los mismos, así como el reconocimiento de su multicausalidad.

Bibliographische Referenzen

  • American Psychiatric Association (APA) (2002). Manual diagnóstico y estadístico de los trastornos mentales, Cuarta edición-Texto revisado. Barcelona: Massón.
  • Andres, C. (2002). Molecular genetics and animal models in autistic disorders. Brain Research Bulletin, 57, 109-119.
  • Bailey, A., Phillips, W., y Rutter, M. (1996). Towards an integration of clinical, genetic, neuropsychologic and neurobiological perspectives. Journal of Child Psychology and Psychiatry and allied disciplines, 37, 89-126.
  • Baron-Cohen, S. (1998). Does the study justify minimalist innate modularity? Learnig and Individual Differences, 10, 179-191.
  • Bolton, P.F., Murphy, M., MacDonald, H., Whitlock, B., Pickles, A., y Rutter, M. (1997). Obstetric complications in autism: Consequences or causes of the condition? Journal of the American Academy of Child Adolescent Psychiatry, 36, 272-281.
  • Burd, L., Severud, R., Kerbeshian, J., y Klug, M.G. (1999). Prenatal and perinatal risk factors for autism. Journal of Perinatal Medicine, 27, 441-450.
  • Chen, W., Landau, S., Sham, P., y Fombonne, E. (2004). No evidence for links between autism, MMR and measles virus. Psychological Medicine, 24, 543-553.
  • Cook, E.H. (2001). Genetics of autism. Child and Adolescents Psychiatric Clinics of North America, 10, 333-350.
  • Croen, L.A., Grether, J.K., y Selvein, S. (2002). Descriptive epidemiology of autism in a California population: Who is at risk? Journal of Autism Developmental Disorders, 32, 217-224.
  • Croen, L.A., Najjar, D.V., Fireman, B., y Grether, J.K. (2007). Maternal and paternal ate and risk of autism spectrum disorders. Archives of Pediatrics & Adolescent Medicine, 161(4), 334-340.
  • Dawson, G., Osterling, J., Meltzoff, A.N., y Kuhl, P. (2000). Case study of the development of an infant with autism from birth to two years of age. Journal of Applied Developmental Psychology, 21, 299-313.
  • Deb, S., Prasad, K.B., Seth, H., y Eagles, J.M. (1997). A comparison of obstetric and neonatal complications between children with autistic disorder and their siblings. Journal of Intellectual Disability Research, 41, 81-86.
  • Deykin, E.Y., y MacMahon, B. (1980). Pregnancy, delivery and neonatal complications among autistic children. American Journal of Diseases of Children, 134, 860-864.
  • Eaton, W.W., Mortensen, P.B., Thomsen, P.H., y Frydenberg, M. (2001). Obstetric complications and risk for severe psychopathology in childhood. Journal of Autism and Developmental Disorders, 31, 279-285.
  • Fisher, N., y Happé, F. (2005). A training study of theory of mind and executive function in children with autistics spectrum disorders. Journal of Autism and Developmental Disorders, 35, 757-771.
  • Fombonne, E. (2003). The prevalence of autism. The Journal of the American Medical Association, 289, 87-89.
  • Gillberg, C., y Gillberg, I.C. (1983). Infantile autism: A total population study of reduced optimality in the pre-, and neonatal periods. Journal of Autism and Developmental Disorders, 13, 153-166.
  • Glasson, E.J., Bower, C., Petterson, B., Klerk, N., Chaney, G., y Hallmayer, J.F. (2004). Perinatal factors and the development of autism: A population study. Archives of General Psychiatry, 61, 618-627.
  • Huizink, A.C., Robles, P.G., Mulder, E.J.H., Visser, G.H.A., y Buitelaar, J.K. (2002). Psychological measures of prenatal stress as predictors of infant temperament. Journal of the American Academy of Child and Adolescent Psychiatry, 41, 1078-1085.
  • Hultman, S.M., Sparen, P., y Cnattingius, S. (2002). Prerinatal risk factors for infantile autism. Epidemiology, 13, 417-423.
  • Jones, N.A., Field, T., Fox, N.A., Davalos, M., Lundy, B., y Hart, S. (1998). Newborns of mothers with depressive symtoms are physiologically less developed. Infant Behavior Development, 21, 537-541.
  • Juul-Dam, N., Townsend, J., y Courchesne, E. (2001). Prenatal, perinatal and neonatal factors in autism, pervasive developmental disorder-not otherwise spedified and the general population. Pediatrics, 107, 63-68.
  • Konstantareas, M.M., y Homatidis, S. (1999). Chromosimal abnormalities in a series of children with autistic disorder. Journal of Autism and Developmental Disorders, 29, 275-285.
  • Kroelinger, C.D., y Oths, K.S. (2000). Partner support and pregnancy wantedness. Birth, 27, 112-119.
  • Larsson, H.J., Eaton, W.W., Madsen, K.M., Vestergaard, M., Olesen, A.V., Agerbo, E., Schendel, D., Thorsen, P., y Mortensen, P.B. (2005). Risk factor for autism: Perinatal factors, parental psychiatric history and socioeconomic status. American Journal of Epidemiology, 161(10), 916-925.
  • Levy, S., Zoltak, B., y Saelens, T.A (1988). Comparison of obstetrical records of autistic and noautistics referrals for psychoeducational evaluations. Journal of Autism and Developmental Disorders, 18, 573-581.
  • Linnet, K.M., Dalsgaard, S., Obel, C., Wisborg, K., Henriksen, T.B., Rodríguez, A., Kotimaa, A., Moilanen, I., Thomsen, P.H., Olsen, J., y Jarvelin, M.R. (2003). Maternal lifestyle factors in pregnancy risk of attention deficit hiperactivity disorder and associated behaviors: Review of the current evidence. The American Journal of Psychiatry, 160, 1028-1040.
  • Lockwood, C.J., y Kuczynski, E. (1999). Markers of risk for preterm delivery. Journal of Perinatal Medicine, 27, 5-20.
  • López, S. (2004). Detección de los riesgos maternos perinatales en la etiología de los trastornos generalizados del desarrollo. Tesis doctoral. Facultad de Psicología, Universidad de Santiago de Compostela.
  • Lord, C., Mulloy, C., Wendelboe, M., y Schopler, E. (1991). Pre- and perinatal factors in high-funtioning females and males with autism. Journal of Autism and Developmental Disorders, 21, 197-209.
  • Lou, H.C., Hansen, D., Nordentoft, M., Pryds, O., Jensen, F., Nim, J., y Hemmingsen, R. (1994). Prenatal stressors of human life affect fetal brain development. Developmental Medicine and Child Neurology, 36, 826-832.
  • MacLean, J.E., Szatmari, P., Jones, M.B., Bryson, S.E., Mahoney, W.J., Bartolucci, G., y Tuff, L. (1999). Familial factors influence level of functioning in pervasive developmental disorders. Journal of the Academy of Child and Adolescet Psychiatry, 38, 746-753.
  • Mamelle, N., Lauman, B., y Lazar, P. (1984). Prematurity and occupational activity during pregnancy. American Journal of Epidemiology, 119, 309-322.
  • Mason-Brothers, A., Ritvo, E.R., Guze, B., Mo, A., Freeman, B.J., Funderburk, S.J., y Schroth, P.C. (1987). Preperi-, and neonatal postnatal factors in 181 autistic patients from single and multiple incidence families. Journal of the American Academy of Child Adolescent Psychiatry, 26, 39-42.
  • Mason-Brothers, A., Ritvo, E.R., Pingree, C., Petersen, P.B., Jenson, W.R., McMahon, W.M., Freeman, B., Jorde, L.B., Spencer, M.J., Mo, A., y Ritvo, A. (1990). The UCLA-University of Utah epidemiology survey of autism: Prenatal, perinatal and postnatal factors. Pediatrics, 86, 514- 519.
  • Matsuishi, T., Yamashita, Y., Ohtani, Y., Ornitz, E., Kuriya, N., Murakami, Y., Fukuda, S., Hashimoto, T., y Yamashita, F. (1999). Brief report: Incidence of and the risk factors for autistic disorders in neonatal intensive care unit survivors. Journal of Autism and Developmental Disorders, 29, 161-166.
  • McDougle, C.J., Kresch, L.E., y Posey, D.J. (2000). Repetitive thoughts and behavior in pervasive developmental disorders: Treatment with serotonin reuptake inhibitors. Journal of Autism and Developmental Disorders, 30, 427-435.
  • Naeye, R.L., y Peters, E.C. (1982). Working during pregnancy: Effects on the fetus. Pediatrics, 69, 724-727.
  • Paz, M.J., y Sineiro, C. (2006). Juego de ficción: aplicación de un programa de intervención en autismo. Psicothema, 18, 9-17.
  • Pozo, P., Sarriá, E., y Méndez, L. (2006). Estrés en madres de personas con trastornos del espectro autista. Psicothema, 18, 342-347.
  • Ramsay, D.S., y Lewis, M. (1995). The effects of birth condition on infant’s cortisol response to stress. Pediatrics, 95, 546-549.
  • Rieffe, C., Terwogt, M.M., y Stockmann, L. (2000). Understanding atypical emotions among children with autism. Journal of Autism and Developmental Disorders, 30, 195-203.
  • Ritvo, E.R., Mason-Brothers, A., Freeman , B.J., Pingree, C., Jenson, W.R., McMahon, W.M., Petersen, P.B., Jorde, L.B., Mo, A., y Ritvo, A. (1990). The UCLA-University of Utah epidemiologic survey of autism: The etiologic role of rare diseases. The American Journal of Psychiatry, 147, 1614-1621.
  • Rossi, P.G., Posar, A., Santi, A., Parmeggiani, A., y Santucci, M. (1996). Rare diseases associated with autism. Brain Dysfunction, 9, 37-38.
  • Spitz, B., Vossen, C., Devlieger, R., y Van Assche, F.A. (1999). Rupture of membranes before 26 weeks of gestation: Outcome of 148 consecutive cases. Journal of Perinatal Medicine, 27, 451-457.
  • Stein, D., Weixman, A., Ring, A., y Barak, Y. (2006). Obstetric complications in individuals diagnosed with autism and in healthy controls. Comprehensive Psychiatry, 47, 69-75.
  • Szatmari, P. (2003). The causes of autism spectrum (editorial). British Medical Journal, 326, 173-174.
  • Ward, A.J. (1990). A comparison and analysis of the presence of family problems during pregnancy of mothers of autistics children and mothers of normal children. Child Psychiatry and Human Development, 20, 279- 288.
  • Wilkerson, D.S., Volpe, A.G., Dean, R.S., y Titus, J.B. (2002). Perinatal complications as predictors of infantile autism. The International Journal of Neurosciece, 112, 1085-1098.
  • Zwaigenbaum, L., Szatmari, P., Jones, M.B., Bryson, S.E., Maclean, J.E., Mahoney, W.J., Bartolucci, G., y Tuff, L. (2002). Pregnancy and birth in autism and liability to the broader autism phenotype. Journal of the American Academy of Child and Adolescent Psychiatry, 41, 572-579.