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将我们对催产素和感觉刺激的认识应用于临床实践:婴儿怀抱在一级预防中的潜力。

Delivering Clinically on Our Knowledge of Oxytocin and Sensory Stimulation: The Potential of Infant Carrying in Primary Prevention.

作者信息

Norholt Henrik

机构信息

SomAffect - The Somatosensory & Affective Neuroscience Group, Liverpool, United Kingdom.

出版信息

Front Psychol. 2021 Apr 29;11:590051. doi: 10.3389/fpsyg.2020.590051. eCollection 2020.

Abstract

Oxytocin (OT) is one of the most intensively researched neuropeptides during the three past decades. In benign social contexts, OT exerts a range of desirable socioemotional, stress-reducing, and immunoregulatory effects in mammals and humans and influences mammalian parenting. Consequentially, research in potential pharmacological applications of OT toward human social deficits/disorders and physical illness has increased substantially. Regrettably, the results from the administration of exogenous OT are still relatively inconclusive. Research in rodent maternal developmental programming has demonstrated the susceptibility of offspring endogenous OT systems to maternal somatosensory stimulation, with consequences for behavioral, epigenetic, cognitive, and neurological outcomes. A translation of this animal research into practically feasible human parenting recommendations has yet to happen, despite the significant prevention potential implied by the maternal developmental programming research. Extended physical contact with full-term healthy infants in the months following birth (infant carrying) might constitute the human equivalent of those specific rodent maternal behaviors, found to positively influence emerging OT systems. Findings from both OT and maternal programming research parallel those found for infants exposed to such extended parental physical contact, whether through skin-to-skin contact or infant carrying. Clinical support of parents to engage in extended physical contact represents a feasible intervention to create optimum conditions for the development of infant OT systems, with potential beneficial long-term health effects.

摘要

催产素(OT)是过去三十年中研究最为深入的神经肽之一。在良性社会环境中,OT在哺乳动物和人类中发挥一系列有益的社会情感、减轻压力和免疫调节作用,并影响哺乳动物的育儿行为。因此,关于OT在治疗人类社会缺陷/障碍和身体疾病方面潜在药理学应用的研究大幅增加。遗憾的是,外源性OT给药的结果仍然相对缺乏定论。对啮齿动物母体发育编程的研究表明,后代的内源性OT系统易受母体体感刺激的影响,这会对行为、表观遗传、认知和神经学结果产生影响。尽管母体发育编程研究具有显著的预防潜力,但将这种动物研究转化为切实可行的人类育儿建议的工作尚未开展。出生后数月与足月健康婴儿进行长时间身体接触(抱婴儿)可能相当于啮齿动物的那些特定母体行为,这些行为被发现对新兴的OT系统有积极影响。OT和母体编程研究的结果与通过皮肤接触或抱婴儿等方式与父母进行长时间身体接触的婴儿的研究结果相似。临床支持父母进行长时间身体接触是一种可行的干预措施,可为婴儿OT系统的发育创造最佳条件,并可能产生有益的长期健康影响。

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