FinnBrain Birth Cohort Study, Turku Brain and Mind Center, Institute of Clinical Medicine University of Turku, Turku, Finland.
FinnBrain Birth Cohort Study, Turku Brain and Mind Center, Institute of Clinical Medicine University of Turku, Turku, Finland; Department of Psychiatry, University of Turku and Turku University Hospital, Turku, Finland; Turku Collegium for Science and Medicine, University of Turku, Turku, Finland; Department of Psychiatry, University of Oxford, Oxford, United Kingdom.
Neuroimage Clin. 2020;28:102380. doi: 10.1016/j.nicl.2020.102380. Epub 2020 Aug 11.
Maternal psychological distress during pregnancy (PPD) has been associated with changes in offspring amygdalar and hippocampal volumes. Studies on child amygdalae suggest that sex moderates the vulnerability of fetal brains to prenatal stress. However, this has not yet been observed in these structures in newborns. Newborn studies are crucial, as they minimize the confounding influence of postnatal life. We investigated the effects of maternal prenatal psychological symptoms on newborn amygdalar and hippocampal volumes and their interactions with newborn sex in 123 newborns aged 2-5 weeks (69 males, 54 females). Based on earlier studies, we anticipated small, but statistically significant effects of PPD on the volumes of these structures. Maternal psychological distress was measured at gestational weeks (GW) 14, 24 and 34 using Symptom Checklist-90 (SCL-90, anxiety scale) and Edinburgh Postnatal Depression Scale (EPDS) questionnaires. Newborn sex was found to moderate the relationship between maternal distress symptoms at GW 24 and the volumes of left and right amygdala. This relationship was negative and significant only in males. No significant main effect or sex-based moderation was found for hippocampal volumes. This newborn study provides evidence for a sex-dependent influence of maternal psychiatric symptoms on amygdalar structural development. This association may be relevant to later psychopathology.
孕妇在怀孕期间的心理困扰(PPD)与后代杏仁核和海马体体积的变化有关。对儿童杏仁核的研究表明,性别调节了胎儿大脑对产前压力的脆弱性。然而,这在新生儿的这些结构中尚未观察到。新生儿研究至关重要,因为它们最大限度地减少了产后生活的混杂影响。我们调查了母体产前心理症状对新生儿杏仁核和海马体体积的影响,以及它们与新生儿性别的相互作用,共纳入了 123 名年龄在 2-5 周的新生儿(69 名男性,54 名女性)。基于早期研究,我们预计 PPD 对这些结构体积的影响很小,但具有统计学意义。母体心理困扰在妊娠第 14、24 和 34 周时使用症状清单 90(SCL-90,焦虑量表)和爱丁堡产后抑郁量表(EPDS)问卷进行测量。新生儿性别发现可以调节 GW24 时母体焦虑症状与左右杏仁核体积之间的关系。这种关系仅在男性中是负相关且具有统计学意义。海马体体积未发现显著的主要效应或基于性别的调节作用。这项新生儿研究为母体精神症状对杏仁核结构发育的性别依赖性影响提供了证据。这种关联可能与以后的精神病理学有关。