{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T21:34:06Z","timestamp":1793223246355,"version":"4.5.0"},"reference-count":35,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2012,11,9]],"date-time":"2012-11-09T00:00:00Z","timestamp":1352419200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Endocrinology"],"published-print":{"date-parts":[[2012,12]]},"abstract":"<jats:title>Summary<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Foetal exposure to high testosterone concentrations seems to be involved in the development of mammalian brain and related to pervasive developmental disorders (<jats:styled-content style=\"fixed-case\">PDD<\/jats:styled-content>s). The aim of the current study was to test the hypothesis that children born from hyperandrogenic women with polycystic ovary syndrome (<jats:styled-content style=\"fixed-case\">PCOS<\/jats:styled-content>) are at higher risk of <jats:styled-content style=\"fixed-case\">PDD<\/jats:styled-content>s.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Longitudinal case\u2013control study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patients<\/jats:title><jats:p>Thirty pregnant <jats:styled-content style=\"fixed-case\">PCOS<\/jats:styled-content> patients with hyperandrogenaemia and other 45 pregnant healthy women were followed during pregnancy. All women had a healthy baby.<\/jats:p><\/jats:sec><jats:sec><jats:title>Measurements<\/jats:title><jats:p>Clinical evaluations and biochemical assays of the mothers during pregnancy and after delivery were performed. The children's versions of the <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>utism\u2010<jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>pectrum <jats:styled-content style=\"fixed-case\">Q<\/jats:styled-content>uotient (<jats:styled-content style=\"fixed-case\">AQ<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>), the <jats:styled-content style=\"fixed-case\">E<\/jats:styled-content>mpathy <jats:styled-content style=\"fixed-case\">Q<\/jats:styled-content>uotient (<jats:styled-content style=\"fixed-case\">EQ<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>) and <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>ystemizing <jats:styled-content style=\"fixed-case\">Q<\/jats:styled-content>uotient (<jats:styled-content style=\"fixed-case\">SQ<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>) tests were administered.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Total <jats:styled-content style=\"fixed-case\">AQ<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">C<\/jats:styled-content> and communication scores were significantly higher for children of <jats:styled-content style=\"fixed-case\">PCOS<\/jats:styled-content> patients. Stratifying our population according to sex, total <jats:styled-content style=\"fixed-case\">AQ<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>, communication and attention switching subscores were significantly higher only for daughters of <jats:styled-content style=\"fixed-case\">PCOS<\/jats:styled-content> patients. <jats:styled-content style=\"fixed-case\">EQ<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">C<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">SQ<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">C<\/jats:styled-content> scores resulted in significantly lower and higher scores, respectively, only in daughters of <jats:styled-content style=\"fixed-case\">PCOS<\/jats:styled-content> patients in comparison with those of healthy non\u2010<jats:styled-content style=\"fixed-case\">PCOS<\/jats:styled-content> controls. <jats:styled-content style=\"fixed-case\">AQ<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>,<jats:styled-content style=\"fixed-case\"> EQ<\/jats:styled-content>\u2010C and <jats:styled-content style=\"fixed-case\">SQ<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">C<\/jats:styled-content> scores, irrespective of the studied group and\/or subclassification by gender, were significantly influenced by amniotic testosterone levels.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Daughters of mothers affected by hyperandrogenic <jats:styled-content style=\"fixed-case\">PCOS<\/jats:styled-content> seem to have a higher risk for <jats:styled-content style=\"fixed-case\">PDD<\/jats:styled-content>s probably due to an unbalanced prenatal exposure to high levels of testosterone.<\/jats:p><\/jats:sec>","DOI":"10.1111\/j.1365-2265.2012.04443.x","type":"journal-article","created":{"date-parts":[[2012,5,21]],"date-time":"2012-05-21T15:15:52Z","timestamp":1337613352000},"page":"898-904","source":"Crossref","is-referenced-by-count":124,"title":["Pervasive developmental disorders in children of hyperandrogenic women with polycystic ovary syndrome: a longitudinal case\u2013control study"],"prefix":"10.1111","volume":"77","author":[{"given":"Stefano","family":"Palomba","sequence":"first","affiliation":[{"name":"Obstetrics and Gynecology Unit Department of Obstetrics, Gynecology and Pediatrics Arcispedale Santa Maria Nuova Istituto di Ricovero e Cura a Carattere Scientifico University of Modena and Reggio Emilia Reggio Emilia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosa","family":"Marotta","sequence":"additional","affiliation":[{"name":"Department of Psychiatry \u2010 Child and Adolescent Neuropsychiatry University \u201cMagna Graecia\u201d of Catanzaro Naples Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annalisa","family":"Di Cello","sequence":"additional","affiliation":[{"name":"Department of Obstetrics &amp; 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