Amole Marlissa C, Cyranowski Jill M, Wright Aidan G C, Swartz Holly A
Department of Psychology, University of Pittsburgh, Pittsburgh, PA, USA.
Graduate Psychology, Chatham University, Pittsburgh, PA, USA.
Depress Anxiety. 2017 Feb;34(2):118-126. doi: 10.1002/da.22595. Epub 2017 Jan 6.
Maternal depression is associated with increased risk of psychiatric illness in offspring. While risk may relate to depressed mothers' difficulties regulating emotions in the context of interacting with offspring, physiological indicators of emotion regulation have rarely been examined during mother-child interactions-and never among mother-adolescent dyads in which both mother and adolescent have histories of major depressive disorder (MDD).
We examined changes in high-frequency heart rate variability (HF-HRV), an indicator of parasympathetic (vagal) function that has been related to depression, stress, social engagement, and emotion regulation, in 46 mother-daughter dyads (23 in which both mother and daughter had an MDD history and 23 never-depressed controls). Hierarchical linear models evaluated changes in HF-HRV while mother-daughter dyads engaged in discussions about shared pleasant events and relationship conflicts.
While control dyads displayed positive slopes (increases) in HF-HRV during both discussions, MDD dyads displayed minimal change in HF-HRV across discussions. Among controls, HF-HRV slopes were positively correlated between mothers and daughters during the pleasant events' discussion. In contrast, HF-HRV slopes were negatively correlated between MDD mothers and daughters during both discussions.
Vagal responses observed in control mother-daughter dyads suggest a pattern of physiological synchrony and reciprocal positive social engagement, which may play a role in adolescent development of secure social attachments and healthy emotion regulation. In contrast, MDD mothers and daughters displayed diminished and discordant patterns of vagal responsiveness. More research is needed to understand the development and consequences of these patterns of parasympathetic responses among depressed mother-daughter dyads.
母亲抑郁与后代患精神疾病的风险增加有关。虽然这种风险可能与抑郁母亲在与后代互动时调节情绪的困难有关,但在母婴互动过程中,很少有人研究情绪调节的生理指标,而在母亲和青少年都有重度抑郁症(MDD)病史的母女二元组中则从未进行过研究。
我们研究了46对母女二元组(其中23对母女都有MDD病史,23对为从未患过抑郁症的对照组)高频心率变异性(HF-HRV)的变化,HF-HRV是一种副交感神经(迷走神经)功能指标,与抑郁、压力、社交参与和情绪调节有关。分层线性模型评估了母女二元组在讨论共同愉快事件和关系冲突时HF-HRV的变化。
虽然对照组二元组在两次讨论中HF-HRV均呈正斜率(增加),但MDD二元组在两次讨论中HF-HRV变化极小。在对照组中,在愉快事件讨论期间,母女之间的HF-HRV斜率呈正相关。相比之下,在两次讨论中,MDD母女之间的HF-HRV斜率呈负相关。
在对照组母女二元组中观察到的迷走神经反应表明存在一种生理同步和相互积极的社会参与模式,这可能在青少年建立安全的社会依恋和健康的情绪调节中发挥作用。相比之下,MDD母女表现出迷走神经反应性降低和不一致的模式。需要更多的研究来了解这些副交感神经反应模式在抑郁母女二元组中的发展和后果。