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产前母亲焦虑与婴儿白质神经发育的关系。

Exposure to prenatal maternal distress and infant white matter neurodevelopment.

机构信息

Department of Psychology University of Denver, Denver CO, USA.

Department of Psychiatry, University of Colorado Anschutz Medical Campus, Aurora CO, USA.

出版信息

Dev Psychopathol. 2021 Dec;33(5):1526-1538. doi: 10.1017/s0954579421000742. Epub 2021 Dec 7.

Abstract

The prenatal period represents a critical time for brain growth and development. These rapid neurological advances render the fetus susceptible to various influences with life-long implications for mental health. Maternal distress signals are a dominant early life influence, contributing to birth outcomes and risk for offspring psychopathology. This prospective longitudinal study evaluated the association between prenatal maternal distress and infant white matter microstructure. Participants included a racially and socioeconomically diverse sample of 85 mother-infant dyads. Prenatal distress was assessed at 17 and 29 weeks' gestational age (GA). Infant structural data were collected via diffusion tensor imaging at 42-45 weeks' postconceptional age. Findings demonstrated that higher prenatal maternal distress at 29 weeks' GA was associated with increased fractional anisotropy ( = .283, (64) = 2.319, = .024) and with increased axial diffusivity ( = .254, (64) = 2.067, = .043) within the right anterior cingulate white matter tract. No other significant associations were found with prenatal distress exposure and tract fractional anisotropy or axial diffusivity at 29 weeks' GA, nor earlier in gestation.

摘要

产前阶段是大脑生长和发育的关键时期。这些快速的神经发育使胎儿易受各种影响,对其心理健康产生终身影响。母体应激信号是早期生活的主要影响因素之一,可导致分娩结果和后代精神病理学风险增加。本前瞻性纵向研究评估了产前母体应激与婴儿白质微观结构之间的关联。参与者包括 85 对具有不同种族和社会经济背景的母婴对。在妊娠 17 周和 29 周时评估产前应激。通过扩散张量成像在受孕后 42-45 周收集婴儿的结构数据。研究结果表明,29 周时母体应激增加与右侧前扣带白质束的各向异性分数增加( =.283,(64) = 2.319, =.024)和轴向弥散度增加( =.254,(64) = 2.067, =.043)相关。在 29 周时,产前应激暴露与束的各向异性分数或轴向弥散度之间没有其他显著关联,在妊娠早期也没有关联。

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