Clinical and Experimental Pediatrics

All issues > Volume 65(3); 2022

Jenabi: Association between polycystic ovary syndrome and risk of attention-deficit/hyperactivity disorder in offspring: a meta-analysis

Correspondence and Reply
Psychiatric/Psychology: Published online: February 17, 2022

DOI: https://doi.org/10.3345/cep.2021.01298.r2; Association between polycystic ovary syndrome and risk of attention-deficit/hyperactivity disorder in offspring: a meta-analysis; Ensiyeh Jenabi; Autism Spectrum Disorders Research Center, Hamadan University of Medical Sciences, Hamadan, Iran, Hamadan, Iran; Corresponding author: Ensiyeh Jenabi Autism Spectrum Disorders Research Center, Hamadan University of Medical Sciences, Hamadan, Iran, Hamadan, Iran Email: en.jenabi@yahoo.com; Received August 22, 2022 Accepted October 28, 2021; Copyright © 2022 by The Korean Pediatric Society

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

See the letter "Association between polycystic ovary syndrome and risk of attention-deficit/hyperactivity disorder in offspring: a meta-analysis" via https://doi.org/10.3345/cep.2021.01298.r1.

The authors reply: We appreciate your opinion and your suggestions, and I’d like to reply to the points that you mentioned. We in this meta-analysis assessed the association between polycystic ovary syndrome (PCOS) and risk of attention-deficit/hyperactivity disorder (ADHD) in offspring compared with women without PCOS [1]. Hergüner et al. [2] aimed to compare ADHD symptoms between women with PCOS and controls. However, Hergüner et al. [2] measured ADHD symptoms based on 18 items on Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV) criteria for ADHD. DSM-IV is a diagnostic critera for ADHD [3,4]. Therefore, the symptoms of ADHD based on DSM-IV criteria indicate the diagnosis of ADHD. On the other, there was a significant association between PCOS and risk ADHD in 5 of 6 included articles. Therefore, it cannot introduce bias and a false conclusion.

Footnotes

Conflicts of interest

No potential conflict of interest relevant to this article was reported.

Funding

This letter received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.

References

1. Kosidou K, Dalman C, Widman L, Arver S, Lee BK, Magnusson C, et al. Maternal polycystic ovary syndrome and risk for attention-deficit/hyperactivity disorder in the offspring. Biol Psychiatry 2017;82:651–9.
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2. Hergüner S, Harmancı H, Toy H. Attention deficit-hyperactivity disorder symptoms in women with polycystic ovary syndrome. Int J Psychiatry Med 2015;50:317–25.
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3. Epstein J, Johnson DE, Conners CK. Conners' adult ADHD diagnostic interview for DSM-IV™ (CAADID™). North Tonawanda (NY): Multi-Health Systems Inc., 2001.

4. McBurnett K, Lahey BB, Pfiffner LJ. Diagnosis of attention deficit disorders in DSM-IV: Scientific basis and implications for education. Except Child 1993;60:108–17.
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