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产后海马体体积减小与积极的母婴照护行为有关。

Reduced postpartum hippocampal volume is associated with positive mother-infant caregiving behavior.

机构信息

University of Pittsburgh School of Medicine, Western Psychiatric Hospital, 3811 O'Hara Street, Pittsburgh, PA, USA 15213.

University of Pittsburgh School of Medicine, Western Psychiatric Hospital, 3811 O'Hara Street, Pittsburgh, PA, USA 15213.

出版信息

J Affect Disord. 2021 Feb 15;281:297-302. doi: 10.1016/j.jad.2020.12.014. Epub 2020 Dec 9.

Abstract

BACKGROUND

Maternal caregiving is a complex set of behaviors that can be impacted by early life stress (ELS), yet human neurobiological mechanisms are not well understood.

METHODS

Young mothers (n=137) were enrolled into a neuroimaging substudy of the longitudinal Pittsburgh Girls Study (PGS). Using data collected annually while subjects were ages 8-16, ELS was calculated as a composite score of poverty, trauma, and difficult life circumstances. At 4 months postpartum, mothers underwent neuroimaging and filmed mother-infant interaction. Maternal caregiving was coded along 6 dimensions yielding "positive" and "negative" components of caregiving. Participants' MPRAGE images were subjected to preprocessing and voxel-based morphometry (VBM) to quantify vmPFC, amygdala and hippocampus gray matter (GM) volume. We used hierarchical linear regression to investigate the relationship between GM volume and maternal caregiving, covarying for ELS as well as maternal age, weeks postpartum, race and postpartum depression score.

RESULTS

Hippocampal GM volume was inversely associated with independent observations of positive maternal caregiving. Similar findings in the vmPFC did not remain significant after correction for multiple comparisons. ELS, particularly physical assault, was associated with reduced GM volumes but was unrelated to observed maternal caregiving.

LIMITATIONS

Our single-timepoint MRI-based GM volume method was not able to demonstrate time-related intra-individual perinatal neuroplasticity, nor could it resolve neural subregions involved in caregiving-related plasticity.

CONCLUSIONS

Our findings shed light on the putative plasticity of the human maternal extra-hypothalamic stress-circuitry underlying positive maternal caregiving behavior. Whether reduced hippocampal GM volume represents pruning or represents neural resilience in the face of ELS, remains to be studied.

摘要

背景

母婴照护是一套复杂的行为,可能受到早期生活压力(ELS)的影响,但人类神经生物学机制尚不清楚。

方法

年轻母亲(n=137)被纳入纵向匹兹堡女孩研究(PGS)的神经影像学子研究。在研究对象 8-16 岁时,使用每年收集的数据,ELS 被计算为贫困、创伤和困难生活环境的综合评分。在产后 4 个月,母亲接受神经影像学检查并拍摄母婴互动。母婴照护沿着 6 个维度进行编码,产生照护的“积极”和“消极”成分。参与者的 MPRAGE 图像经过预处理和基于体素的形态计量学(VBM),以量化 vmPFC、杏仁核和海马体的灰质(GM)体积。我们使用分层线性回归来研究 GM 体积与母婴照护之间的关系,同时控制 ELS 以及母亲年龄、产后周数、种族和产后抑郁评分。

结果

海马体 GM 体积与独立观察到的积极母婴照护呈负相关。vmPFC 中的类似发现在经过多次比较校正后不再显著。ELS,特别是身体攻击,与 GM 体积减少有关,但与观察到的母婴照护无关。

局限性

我们的单一时间点基于 MRI 的 GM 体积方法无法证明围产期个体内的时间相关神经可塑性,也无法解决与照护相关可塑性相关的神经亚区。

结论

我们的发现揭示了人类母体外下丘脑应激回路中积极母婴照护行为的潜在可塑性。海马体 GM 体积减少是代表修剪还是代表 ELS 下的神经弹性,仍有待研究。

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