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母亲产前焦虑与参与 GUSTO 队列的学龄前儿童亚组的电生理功能。

Maternal antenatal anxiety and electrophysiological functioning amongst a sub-set of preschoolers participating in the GUSTO cohort.

机构信息

Integrative Neurosciences, Singapore Institute for Clinical Sciences (SICS), Agency for Science and Technology (A*STAR), Brenner Centre for Molecular Medicine, 30 Medical Drive, Singapore, 117609, Singapore.

Duke-National University of Singapore, 8 College Road, Singapore, 169857, Singapore.

出版信息

BMC Psychiatry. 2020 Feb 12;20(1):62. doi: 10.1186/s12888-020-2454-3.

Abstract

BACKGROUND

Antenatal maternal anxiety is a risk for offspring psychological and cognitive difficulties. The preschool years represent an important time for brain development, and so may be a window for intervention. However, electrophysiological investigations of maternal anxiety and preschoolers' brain functioning are lacking. We ask whether anxiety symptoms predict neurophysiology, and consider timing specificity (26-weeks antenatal or 24-months postnatal), form of insult (anxiety symptoms, per se, or also depression symptoms), and offspring gender.

METHODS

The sample consisted of a subset of 71 mothers and their 3 year old children taking part in the prospective birth cohort, GUSTO. Mothers provided antenatal (26 weeks) and postnatal (2 years) anxiety and depressive symptomatology data, respectively via the "State Trait Anxiety Questionnaire" and the "Edinburgh Postpartum Depression Scale." Offspring provided electrophysiological data, obtained while they indicated the emotional expression of actors whose facial expressions remained consistent throughout a pre-switch block, but were reversed at "post-switch."

RESULTS

Three electrophysiological components linked to different information processing stages were identified. The two earliest occurring components (i.e., the N1 and P2) differed across blocks. During post-switch, both were significantly predicted by maternal anxiety, after controlling for pre-switch neurophysiology. Similar results were observed with depression. Antenatal mental health remained a significant predictor after controlling for postnatal mental health.

CONCLUSION

In combination with past work, these findings suggest the importance of reducing symptoms in women prior to and during pregnancy, and offering support to offspring early in development.

摘要

背景

产前产妇焦虑是后代心理和认知困难的风险因素。学龄前是大脑发育的重要时期,因此可能是干预的窗口。然而,产妇焦虑和学龄前儿童大脑功能的电生理研究仍然缺乏。我们想知道焦虑症状是否能预测神经生理学,并且考虑到时间特异性(产前 26 周或产后 24 个月)、损伤形式(焦虑症状本身,还是抑郁症状)以及后代性别。

方法

该样本由参加前瞻性出生队列 GUSTO 的 71 位母亲及其 3 岁的孩子的一部分组成。母亲分别在产前(26 周)和产后(2 年)通过“状态特质焦虑问卷”和“爱丁堡产后抑郁量表”提供焦虑和抑郁症状数据。孩子提供电生理数据,他们在指示演员的表情表达时获得数据,这些演员的面部表情在预切换块中保持一致,但在“后切换”时会反转。

结果

确定了与不同信息处理阶段相关的三个电生理成分。最早出现的两个成分(即 N1 和 P2)在不同的块中有所不同。在后切换期间,在控制预切换神经生理学后,这两个成分都显著受到母亲焦虑的预测。抑郁也有类似的结果。在控制产后心理健康后,产前心理健康仍然是一个重要的预测因素。

结论

这些发现与过去的研究相结合,表明在怀孕前和怀孕期间减轻妇女的症状以及在发展早期为后代提供支持的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56a0/7017524/70c6123a773c/12888_2020_2454_Fig1_HTML.jpg

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