Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
Department of Pediatric Radiology, UPMC Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania.
Biol Psychiatry. 2021 Sep 1;90(5):342-352. doi: 10.1016/j.biopsych.2021.03.026. Epub 2021 Mar 26.
Behavioral research indicates that caregiver mood disorders and emotional instability in the early months following childbirth are associated with lower positive emotionality and higher negative emotionality in infants, but the neural mechanisms remain understudied.
Using resting-state functional connectivity as a measure of the functional architecture of the early infant brain, we aimed to determine the extent to which connectivity between the amygdala, a key region supporting emotional learning and perception, and large-scale neural networks mediated the association between caregiver affect and anxiety and early infant negative emotionality and positive emotionality. Two samples of infants (first sample: n = 58; second sample: n = 31) 3 months of age underwent magnetic resonance imaging during natural sleep.
During infancy, greater resting-state functional connectivity between the amygdala and the salience network and, to a lesser extent, lower amygdala and executive control network resting-state functional connectivity mediated the effect of greater caregiver postpartum depression and trait anxiety on reducing infant smiling (familywise error-corrected p < .05). Furthermore, results from the first sample were replicated in the second, independent sample, to a greater extent for caregiver depression than for caregiver anxiety.
We provide evidence of early objective neural markers that can help identify infants who are more likely to be at risk from, versus those who might be protected against, the deleterious effects of caregiver depression and anxiety and reduced positive emotionality.
行为研究表明,产后头几个月照顾者的情绪障碍和情绪不稳定与婴儿的积极情绪较低和消极情绪较高有关,但神经机制仍未得到充分研究。
我们使用静息态功能连接作为早期婴儿大脑功能结构的衡量标准,旨在确定杏仁核(支持情绪学习和感知的关键区域)与大规模神经网络之间的连接程度,在多大程度上介导了照顾者的影响、焦虑与婴儿早期的消极情绪和积极情绪之间的关联。两个婴儿样本(第一样本:n=58;第二样本:n=31)在自然睡眠期间接受了磁共振成像。
在婴儿期,杏仁核与突显网络之间的静息态功能连接增加,以及杏仁核与执行控制网络之间的静息态功能连接减少,在一定程度上介导了照顾者产后抑郁和特质焦虑程度增加对婴儿微笑减少的影响(校正家族性错误的 p<.05)。此外,第一组样本的结果在第二个独立样本中得到了复制,对照顾者抑郁的复制程度比对照顾者焦虑的复制程度更大。
我们提供了早期客观神经标志物的证据,可以帮助识别那些更容易受到照顾者抑郁和焦虑以及积极情绪减少的不利影响的婴儿,以及那些可能免受其影响的婴儿。