﻿<?xml version="1.0" encoding="UTF-8"?>
<ArticleSet>
  <Article>
    <Journal>
      <PublisherName>Tabriz University of Medical Sciences</PublisherName>
      <JournalTitle>Journal of Research in Clinical Medicine</JournalTitle>
      <Issn>2717-0616</Issn>
      <Volume>4</Volume>
      <Issue>4</Issue>
      <PubDate PubStatus="ppublish">
        <Year>2016</Year>
        <Month>12</Month>
        <DAY>24</DAY>
      </PubDate>
    </Journal>
    <ArticleTitle>Stressful life events during pregnancy as risk factors for developing autistic disorder in children</ArticleTitle>
    <FirstPage>207</FirstPage>
    <LastPage>214</LastPage>
    <ELocationID EIdType="doi">10.15171/jarcm.2016.035</ELocationID>
    <Language>EN</Language>
    <AuthorList>
      <Author>
        <FirstName>Salman</FirstName>
        <LastName>Abdi</LastName>
      </Author>
      <Author>
        <FirstName>Ayyoub</FirstName>
        <LastName>Malek</LastName>
      </Author>
      <Author>
        <FirstName>Shahrokh</FirstName>
        <LastName>Amiri</LastName>
      </Author>
      <Author>
        <FirstName>Habibeh</FirstName>
        <LastName>Barzegar</LastName>
      </Author>
      <Author>
        <FirstName>Afshin</FirstName>
        <LastName>Razzaghi Rezaih</LastName>
      </Author>
    </AuthorList>
    <PublicationType>Journal Article</PublicationType>
    <ArticleIdList>
      <ArticleId IdType="doi">10.15171/jarcm.2016.035</ArticleId>
    </ArticleIdList>
    <History>
      <PubDate PubStatus="received">
        <Year>2016</Year>
        <Month>10</Month>
        <Day>28</Day>
      </PubDate>
      <PubDate PubStatus="accepted">
        <Year>2016</Year>
        <Month>11</Month>
        <Day>06</Day>
      </PubDate>
    </History>
    <Abstract>Introduction: This study aimed to examine the role of prenatal stressful events in mothers of children and adolescents with autistic disorder (AD). Methods: This case-control study was conducted in 2014. A total number of 115 children and adolescents with AD were selected by convenience method from the autism rehabilitation centers in Tabriz, Iran. Moreover, 112 typically developing (TD) children and adolescents were selected from public schools using a random clustering method. Two groups were matched in terms of mother's and child's age and mother's educational level. The Kiddie Schedule for Affective Disorders and Schizophrenia (K-SADS) semi-structured diagnostic interview was used to evaluate the presence of psychiatric disorders. The diagnosis of AD was made based on the DSM-IV criteria during separate diagnostic interviews by two child and adolescent psychiatrists. The life stressful events’ inventory was used to assess the presence of stressful events during pregnancy. Results: According to Fisher's exact test, the frequency of stressful life events including failure to achieve life goals, high debt, frequent marital conflict, conflict with spouse's family, changes in sleeping habits, and sexual difficulties in the mothers of AD children during pregnancy was significantly higher than the mothers of TD children. Also, mothers of AD children reported significantly higher frequency for the positive stressful life events including the major job progress, starting or finishing education, change of education, location, and summer vacation during pregnancy. Conclusion: Some stressful life events in mothers during pregnancy may be considered as risk factors for developing AD in their children. Further researches are needed to establish the results of this study.</Abstract>
    <ObjectList>
      <Object Type="keyword">
        <Param Name="value">Autistic Disorder</Param>
      </Object>
      <Object Type="keyword">
        <Param Name="value">Prenatal</Param>
      </Object>
      <Object Type="keyword">
        <Param Name="value">Risk Factors</Param>
      </Object>
      <Object Type="keyword">
        <Param Name="value">Stressful Life Events</Param>
      </Object>
      <Object Type="keyword">
        <Param Name="value">Mother</Param>
      </Object>
    </ObjectList>
  </Article>
</ArticleSet>