Mental Health Institute of University of Montreal, Hospital Louis H. Lafontaine, Montreal, QC, Canada H1N 3M5.
Proc Natl Acad Sci U S A. 2011 Aug 23;108(34):14324-9. doi: 10.1073/pnas.1105371108. Epub 2011 Aug 15.
Maternal separation and poor maternal care in animals have been shown to have important effects on the developing hippocampus and amygdala. In humans, children exposed to abuse/maltreatment or orphanage rearing do not present changes in hippocampal volumes. However, children reared in orphanages present enlarged amygdala volumes, suggesting that the amygdala may be particularly sensitive to severely disturbed (i.e., discontinous, neglectful) care in infancy. Maternal depressive symptomatology has been associated with reductions in overall sensitivity to the infant, and with an increased rate of withdrawn, disengaged behaviors. To determine if poor maternal care associated with maternal depressive symptomatology has a similar pattern of association to the volumes of the hippocampus and amygdala in children, as is the case for severely disturbed infant care (orphanage rearing), we measured hippocampal and amygdala volumes as well as stress hormone (glucocorticoid) levels in children exposed (n = 17) or not (n = 21) to maternal depressive symptomatology since birth. Results revealed no group difference in hippocampal volumes, but larger left and right amygdala volumes and increased levels of glucocorticoids in the children of mothers presenting depressive symptomatology since birth. Moreover, a significant positive correlation was observed between mothers' mean depressive scores and amygdala volumes in their children. The results of this study suggest that amygdala volume in human children may represent an early marker of biological sensitivity to quality of maternal care.
动物的母婴分离和不良母婴照护已被证明对发育中的海马体和杏仁核有重要影响。在人类中,遭受虐待/虐待或孤儿院抚养的儿童的海马体体积没有变化。然而,在孤儿院抚养的儿童的杏仁核体积增大,这表明杏仁核可能对婴儿期严重干扰(即,不连续、忽视)的护理特别敏感。母亲的抑郁症状与对婴儿的整体敏感性降低有关,并且与退缩、不参与的行为发生率增加有关。为了确定与严重干扰婴儿护理(孤儿院抚养)的情况一样,与母亲抑郁症状相关的不良母婴照护是否与儿童的海马体和杏仁核体积具有相似的关联模式,我们测量了暴露于(n=17)或未暴露于(n=21)母亲抑郁症状的儿童的海马体和杏仁核体积以及应激激素(糖皮质激素)水平。结果显示,在海马体体积方面,两组之间没有差异,但在自出生以来就出现抑郁症状的母亲的孩子的左右杏仁核体积更大,糖皮质激素水平也更高。此外,母亲的平均抑郁评分与孩子的杏仁核体积之间存在显著的正相关。这项研究的结果表明,人类儿童的杏仁核体积可能代表对母婴照护质量的生物敏感性的早期标志物。