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孕期母体皮质醇与婴儿心脏迷走神经控制有关。

Maternal cortisol during pregnancy is related to infant cardiac vagal control.

作者信息

Rash Joshua A, Campbell Tavis S, Letourneau Nicole, Giesbrecht Gerald F

机构信息

Department of Psychology, University of Calgary, 2500 University Drive N.W., Calgary, AB, Canada T2N 1N4.

Faculties of Nursing & Medicine (Pediatrics & Psychiatry), University of Calgary, 2500 University Drive N.W., Calgary, AB, Canada T2N 1N4; Alberta Children's Hospital Research Institute, University of Calgary, 2500 University Drive N.W., Calgary, AB, Canada T2N 1N4.

出版信息

Psychoneuroendocrinology. 2015 Apr;54:78-89. doi: 10.1016/j.psyneuen.2015.01.024. Epub 2015 Feb 7.

Abstract

BACKGROUND

Prenatal exposure to maternal psychological distress and glucocorticoids result in neurobiological adaptations within the fetus that increase risk for developing exaggerated emotional, behavioral, and stress responses to novelty and challenges in childhood. The current study investigated the influence of maternal depressed mood and cortisol during pregnancy on infant cardiac vagal control (CVC) to standardized laboratory challenge tasks.

METHODS

The sample comprised 194 women and their infants. Maternal reports of depressed mood and salivary cortisol were assessed at 14 and 32 weeks gestational age. Linear regression was used to examine associations between maternal measures during early and late pregnancy, and infant CVC indexed via respiratory sinus arrhythmia (RSA) at rest and in response to laboratory tasks designed to elicit frustration when infants were 6 months of age. It was hypothesized that maternal depressed mood and cortisol would be associated with lower basal RSA and smaller decreases in RSA from baseline to challenge.

RESULTS

A significant decrease in infant RSA from baseline to frustration tasks indicated that laboratory tasks elicited a reliable decrease in RSA from baseline to frustration among infants which is characterized by reduction in vagal efferent activity on the heart in response to challenge. Higher maternal cortisol, but not depressed mood, was associated with lower basal RSA and greater decrease in RSA from baseline to frustration. Associations between maternal cortisol and infant basal RSA were observed for both early and late pregnancy whereas the associations between prenatal cortisol and decrease in RSA from baseline to frustration were observed for early, but not late, pregnancy.

CONCLUSIONS

Maternal cortisol during pregnancy was associated with infant CVC at 6-months of age. Such influences may have enduring impacts on the child and important implications for the development of physical and mental health outcomes.

摘要

背景

孕期母亲心理困扰和糖皮质激素暴露会导致胎儿神经生物学适应性变化,增加其在童年期对新奇事物和挑战产生过度情绪、行为及应激反应的风险。本研究调查了孕期母亲抑郁情绪和皮质醇对婴儿心脏迷走神经控制(CVC)应对标准化实验室挑战任务的影响。

方法

样本包括194名女性及其婴儿。在孕14周和32周时评估母亲的抑郁情绪报告和唾液皮质醇水平。采用线性回归分析,以探究孕早期和晚期母亲各项指标与婴儿6个月大时通过静息和应对旨在引发挫折感的实验室任务时的呼吸性窦性心律不齐(RSA)所索引的CVC之间的关联。研究假设母亲的抑郁情绪和皮质醇水平与较低的基础RSA以及从基线到挑战时RSA的较小下降有关。

结果

婴儿RSA从基线到挫折任务有显著下降,表明实验室任务能可靠地使婴儿RSA从基线降至挫折状态,其特征是心脏迷走神经传出活动因挑战而减少。母亲皮质醇水平较高而非抑郁情绪,与较低的基础RSA以及从基线到挫折时RSA的更大下降有关。在孕早期和晚期均观察到母亲皮质醇与婴儿基础RSA之间的关联,而仅在孕早期观察到产前皮质醇与从基线到挫折时RSA下降之间的关联,孕晚期未观察到。

结论

孕期母亲皮质醇与婴儿6个月大时的CVC有关。这种影响可能对儿童产生持久影响,并对身心健康结果的发展具有重要意义。

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