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童年和青少年时期的育儿经历、下丘脑-垂体-肾上腺轴活性低下与年轻人海马灰质体积减少之间的关联。

Associations among parenting experiences during childhood and adolescence, hypothalamus-pituitary-adrenal axis hypoactivity, and hippocampal gray matter volume reduction in young adults.

机构信息

Department of Psychiatry and Human Behavior, Gunma University Graduate School of Medicine, 3-39-22 Showa-machi, Maebashi, Gunma 371-8511, Japan.

出版信息

Hum Brain Mapp. 2012 Sep;33(9):2211-23. doi: 10.1002/hbm.21354. Epub 2011 Dec 3.

Abstract

Recent human studies have indicated that adverse parenting experiences during childhood and adolescence are associated with adulthood hypothalamus-pituitary-adrenal (HPA) axis hypoactivity. Chronic HPA axis hypoactivity inhibits hippocampal gray matter (GM) development, as shown by animal studies. However, associations among adverse parenting experiences during childhood and adolescence, HPA axis activity, and brain development, particularly hippocampal development, are insufficiently investigated in humans. In this voxel-based structural magnetic resonance imaging study, using a cross-sectional design, we examined the associations among the scores of parental bonding instrument (PBI; a self-report scale to rate the attitudes of parents during the first 16 years), cortisol response determined by the dexamethasone/corticotropin-releasing hormone test, and regional or total hippocampal GM volume in forty healthy young adults with the following features: aged between 18 and 35 years, no cortisol hypersecretion in response to the dexamethasone test, no history of traumatic events, or no past or current conditions of significant medical illness or neuropsychiatric disorders. As a result, parental overprotection scores significantly negatively correlated with cortisol response. Additionally, a significant positive association was found between cortisol response and total or regional hippocampal GM volume. No significant association was observed between PBI scores and total or regional hippocampal GM volume. In conclusion, statistical associations were found between parental overprotection during childhood and adolescence and adulthood HPA axis hypoactivity, and between HPA axis hypoactivity and hippocampal GM volume reduction in healthy young adults, but no significant relationship was observed between any PBI scores and adulthood hippocampal GM volume.

摘要

最近的人类研究表明,儿童和青少年时期不良的养育经历与成年后下丘脑-垂体-肾上腺(HPA)轴活性降低有关。动物研究表明,慢性 HPA 轴活性降低会抑制海马灰质(GM)的发育。然而,儿童和青少年时期不良的养育经历、HPA 轴活性和大脑发育(尤其是海马体发育)之间的关联在人类中研究不足。在这项基于体素的结构磁共振成像研究中,我们采用横断面设计,研究了父母养育方式问卷(PBI;一种自评量表,用于评估父母在孩子 16 岁前的态度)评分、皮质醇反应(由地塞米松/促肾上腺皮质激素释放激素测试确定)与 40 名健康年轻成年人的海马 GM 体积之间的关联。这些健康年轻人的特征如下:年龄在 18 至 35 岁之间,地塞米松测试未出现皮质醇分泌过多,无创伤性事件史,无过去或现在的重大疾病或神经精神疾病。结果显示,父母过度保护评分与皮质醇反应显著负相关。此外,皮质醇反应与总或局部海马 GM 体积之间存在显著正相关。PBI 评分与总或局部海马 GM 体积之间未观察到显著相关性。总之,在健康年轻成年人中,发现了儿童和青少年时期父母过度保护与成年后 HPA 轴活性降低之间以及 HPA 轴活性降低与海马 GM 体积减少之间的统计学关联,但未观察到任何 PBI 评分与成年海马 GM 体积之间存在显著关系。

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