Unitat de Recerca en Neurociència Cognitiva, Departament de Psiquiatria i Medicina Legal, Universitat Autònoma de Barcelona, Barcelona, Spain.
Brain and Development Laboratory, Leiden University, Leiden, the Netherlands.
Nat Neurosci. 2017 Feb;20(2):287-296. doi: 10.1038/nn.4458. Epub 2016 Dec 19.
Pregnancy involves radical hormone surges and biological adaptations. However, the effects of pregnancy on the human brain are virtually unknown. Here we show, using a prospective ('pre'-'post' pregnancy) study involving first-time mothers and fathers and nulliparous control groups, that pregnancy renders substantial changes in brain structure, primarily reductions in gray matter (GM) volume in regions subserving social cognition. The changes were selective for the mothers and highly consistent, correctly classifying all women as having undergone pregnancy or not in-between sessions. Interestingly, the volume reductions showed a substantial overlap with brain regions responding to the women's babies postpartum. Furthermore, the GM volume changes of pregnancy predicted measures of postpartum maternal attachment, suggestive of an adaptive process serving the transition into motherhood. Another follow-up session showed that the GM reductions endured for at least 2 years post-pregnancy. Our data provide the first evidence that pregnancy confers long-lasting changes in a woman's brain.
怀孕涉及到剧烈的激素波动和生物学适应。然而,怀孕对人脑的影响实际上是未知的。在这里,我们使用一项涉及初次生育的母亲和父亲以及未生育对照组的前瞻性(“产前”-“产后”)研究表明,怀孕会导致大脑结构发生实质性变化,主要是与社会认知相关的区域的灰质(GM)体积减少。这些变化对母亲来说是有选择性的,而且非常一致,可以在两次会议之间正确地将所有女性归类为是否经历过怀孕。有趣的是,体积减少与女性产后对婴儿反应的大脑区域有很大的重叠。此外,怀孕的 GM 体积变化预测了产后母亲依恋的衡量标准,提示了一种适应过程,为进入母亲角色提供了支持。另一个随访会议表明,GM 的减少至少持续了 2 年。我们的数据首次提供了证据,表明怀孕会导致女性大脑发生持久的变化。