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早期生活压力会改变青春期垂体的生长——一项纵向研究。

Early life stress alters pituitary growth during adolescence-a longitudinal study.

作者信息

Ganella Despina E, Allen Nicholas B, Simmons Julian G, Schwartz Orli, Kim Jee Hyun, Sheeber Lisa, Whittle Sarah

机构信息

Behavioural Neuroscience Division, The Florey Institute of Neuroscience and Mental Health, Parkville 3052, VIC, Australia; Florey Department of Neuroscience and Mental Health, The University of Melbourne, Parkville 3052, VIC, Australia.

Melbourne School of Psychological Sciences, The University of Melbourne, Parkville 3052, VIC, Australia; Department of Psychology, University of Oregon, Eugene OR 97403, USA.

出版信息

Psychoneuroendocrinology. 2015 Mar;53:185-94. doi: 10.1016/j.psyneuen.2015.01.005. Epub 2015 Jan 14.

Abstract

The pituitary gland is integral in mediating the stress-response via its role in hypothalamic-pituitary-adrenal (HPA) axis function. Pituitary gland volume (PGV) is altered in stress-related psychopathology, and one study to date has shown stress to be associated with age-related PGV change during adolescence. The current study investigated the effects of a number of different types of early life (i.e., childhood and adolescent) stress (including childhood maltreatment, stressful life events, and maternal affective behavior) on PGV development from mid- to late adolescence using a longitudinal design. The influence of PGV development on depressive and anxiety symptoms was also investigated. Ninety one (49 male) adolescents took part in mother-child dyadic interaction tasks when they were approximately 12 years old, reported on childhood maltreatment and stressful life events when they were approximately 15 years old, and underwent two waves of structural magnetic resonance imaging (MRI) scans, when they were approximately 16 and 19 years old. Results revealed that childhood maltreatment predicted accelerated PGV development in females, and maternal dysphoric behavior predicted accelerated PGV development in the whole sample. PGV development was not associated with depressive or anxiety symptoms. These results suggest an effect of early life stress on altered HPA axis function across mid- to late adolescence. Further research is required to assess functional implications and whether these changes might be associated with risk for subsequent psychopathology.

摘要

垂体通过其在下丘脑-垂体-肾上腺(HPA)轴功能中的作用,在介导应激反应中不可或缺。垂体体积(PGV)在与应激相关的精神病理学中会发生改变,迄今为止有一项研究表明,应激与青春期期间与年龄相关的PGV变化有关。本研究采用纵向设计,调查了多种不同类型的早期生活(即童年和青少年期)应激(包括童年期虐待、应激性生活事件和母亲的情感行为)对青少年中期至晚期PGV发育的影响。还研究了PGV发育对抑郁和焦虑症状的影响。91名(49名男性)青少年在大约12岁时参加了母婴二元互动任务,在大约15岁时报告了童年期虐待和应激性生活事件,并在大约16岁和19岁时接受了两波结构磁共振成像(MRI)扫描。结果显示,童年期虐待预示着女性PGV发育加速,母亲的烦躁行为预示着整个样本中PGV发育加速。PGV发育与抑郁或焦虑症状无关。这些结果表明,早期生活应激对青少年中期至晚期HPA轴功能改变有影响。需要进一步研究来评估其功能影响,以及这些变化是否可能与后续精神病理学风险相关。

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