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发育中的大脑中的神经网络会受到早期心理社会忽视的不利调节。

Neuronal networks in the developing brain are adversely modulated by early psychosocial neglect.

作者信息

Stamoulis Catherine, Vanderwert Ross E, Zeanah Charles H, Fox Nathan A, Nelson Charles A

机构信息

Harvard Medical School, Boston, Massachusetts;

Division of Adolescent Medicine, Boston Children's Hospital, Boston, Massachusetts.

出版信息

J Neurophysiol. 2017 Oct 1;118(4):2275-2288. doi: 10.1152/jn.00014.2017. Epub 2017 Jul 5.

Abstract

The brain's neural circuitry plays a ubiquitous role across domains in cognitive processing and undergoes extensive reorganization during the course of development in part as a result of experience. In this study we investigated the effects of profound early psychosocial neglect associated with institutional rearing on the development of task-independent brain networks, estimated from longitudinally acquired electroencephalographic (EEG) data from <30 to 96 mo, in three cohorts of children from the Bucharest Early Intervention Project (BEIP), including abandoned children reared in institutions who were randomly assigned either to a foster care intervention or to remain in care as usual and never-institutionalized children. Two aberrantly connected brain networks were identified in children that had been reared in institutions: ) a hyperconnected parieto-occipital network, which included cortical hubs and connections that may partially overlap with default-mode network, and ) a hypoconnected network between left temporal and distributed bilateral regions, both of which were aberrantly connected across neural oscillations. This study provides the first evidence of the adverse effects of early psychosocial neglect on the wiring of the developing brain. Given these networks' potentially significant role in various cognitive processes, including memory, learning, social communication, and language, these findings suggest that institutionalization in early life may profoundly impact the neural correlates underlying multiple cognitive domains, in ways that may not be fully reversible in the short term. This paper provides first evidence that early psychosocial neglect associated with institutional rearing profoundly affects the development of the brain's neural circuitry. Using longitudinally acquired electrophysiological data from the Bucharest Early Intervention Project (BEIP), the paper identifies multiple task-independent networks that are abnormally connected (hyper- or hypoconnected) in children reared in institutions compared with never-institutionalized children. These networks involve spatially distributed brain areas and their abnormal connections may adversely impact neural information processing across cognitive domains.

摘要

大脑的神经回路在认知加工的各个领域都发挥着普遍作用,并在发育过程中经历广泛的重组,部分原因是经验所致。在本研究中,我们调查了与机构养育相关的早期严重心理社会忽视对任务独立脑网络发育的影响,这些脑网络是根据来自布加勒斯特早期干预项目(BEIP)的三个队列中30至96个月大儿童纵向获取的脑电图(EEG)数据估算得出的,这三个队列包括在机构中养育的弃儿,他们被随机分配到寄养干预组或继续照常留在机构中,以及从未在机构中养育过的儿童。在机构中养育的儿童中发现了两个连接异常的脑网络:(1)一个连接过度的顶枕网络,其中包括可能与默认模式网络部分重叠的皮质枢纽和连接;(2)一个左颞叶与双侧分布区域之间连接不足的网络,这两个网络在神经振荡中连接均异常。本研究首次证明了早期心理社会忽视对发育中大脑布线的不利影响。鉴于这些网络在包括记忆、学习、社会交流和语言在内的各种认知过程中可能发挥的重要作用,这些发现表明,早年的机构养育可能会深刻影响多个认知领域潜在的神经关联,且这种影响在短期内可能无法完全逆转。本文首次证明,与机构养育相关的早期心理社会忽视会深刻影响大脑神经回路的发育。利用布加勒斯特早期干预项目(BEIP)纵向获取的电生理数据,本文识别出多个在机构中养育的儿童与从未在机构中养育过的儿童相比连接异常(连接过度或连接不足)的任务独立网络。这些网络涉及空间分布的脑区,其异常连接可能会对跨认知领域的神经信息处理产生不利影响。

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