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基于连接组的预测模型在母体大脑中的应用:对母婴联结的启示

The Application of Connectome-Based Predictive Modeling to the Maternal Brain: Implications for Mother-Infant Bonding.

作者信息

Rutherford Helena J V, Potenza Marc N, Mayes Linda C, Scheinost Dustin

机构信息

Child Study Center, Yale School of Medicine, New Haven, CT 06520, USA.

Department of Psychiatry, Yale School of Medicine, New Haven, CT 06510, USA.

出版信息

Cereb Cortex. 2020 Mar 14;30(3):1538-1547. doi: 10.1093/cercor/bhz185.

Abstract

Maternal bonding early postpartum lays an important foundation for child development. Changing brain structure and function during pregnancy and postpartum may underscore maternal bonding. We employed connectome-based predictive modeling (CPM) to measure brain functional connectivity and predict self-reported maternal bonding in mothers at 2 and 8 months postpartum. At 2 months, CPM predicted maternal anxiety in the bonding relationship: Greater integration between cerebellar and motor-sensory-auditory networks and between frontoparietal and motor-sensory-auditory networks were associated with more maternal anxiety toward their infant. Furthermore, greater segregation between the cerebellar and frontoparietal, and within the motor-sensory-auditory networks, was associated with more maternal anxiety regarding their infant. We did not observe CPM prediction of maternal bonding impairments or rejection/anger toward the infant. Finally, considering 2 and 8 months of data, changes in network connectivity were associated with changes in maternal anxiety in the bonding relationship. Our results suggest that changing connectivity among maternal brain networks may provide insight into the mother-infant bond, specifically in the context of anxiety and the representation of the infant in the mother's mind. These findings provide an opportunity to mechanistically investigate approaches to enhance the connectivity of these networks to optimize the representational and behavioral quality of the caregiving relationship.

摘要

产后早期的母婴联结为儿童发育奠定了重要基础。孕期和产后大脑结构与功能的变化可能突出了母婴联结。我们采用基于连接组的预测模型(CPM)来测量大脑功能连接,并预测产后2个月和8个月母亲自我报告的母婴联结情况。在产后2个月时,CPM预测了母婴联结关系中的母亲焦虑:小脑与运动-感觉-听觉网络之间以及额顶叶与运动-感觉-听觉网络之间更强的整合与母亲对婴儿更多的焦虑相关。此外,小脑与额顶叶之间以及运动-感觉-听觉网络内部更强的分离与母亲对婴儿更多的焦虑相关。我们未观察到CPM对母婴联结障碍或对婴儿的排斥/愤怒的预测。最后,综合考虑2个月和8个月的数据,网络连接的变化与母婴联结关系中母亲焦虑的变化相关。我们的结果表明,母亲大脑网络间连接性的变化可能为母婴关系提供见解,特别是在焦虑以及婴儿在母亲心中的表征方面。这些发现为从机制上研究增强这些网络连接性的方法提供了机会,以优化养育关系的表征和行为质量。

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