Yrjölä Pauliina, Myers Michael M, Welch Martha G, Stevenson Nathan J, Tokariev Anton, Vanhatalo Sampsa
BABA Center, Pediatric Research Center, Department of Clinical Neurophysiology, Children's Hospital and HUS Imaging, Helsinki University Central Hospital, 00029 HUS, Helsinki, Finland.
Department of Physiology, University of Helsinki, 00014 University of Helsinki, Helsinki, Finland.
Sci Transl Med. 2022 Sep 28;14(664):eabq4786. doi: 10.1126/scitranslmed.abq4786.
Exposure to environmental adversities during early brain development, such as preterm birth, can affect early brain organization. Here, we studied whether development of cortical activity networks in preterm infants may be improved by a multimodal environmental enrichment via bedside facilitation of mother-infant emotional connection. We examined functional cortico-cortical connectivity at term age using high-density electroencephalography recordings in infants participating in a randomized controlled trial of Family Nurture Intervention (FNI). Our results identify several large-scale, frequency-specific network effects of FNI, most extensively in the alpha frequency in fronto-central cortical regions. The connectivity strength in this network was correlated to later neurocognitive performance, and it was comparable to healthy term-born infants rather than the infants receiving standard care. These findings suggest that preterm neurodevelopmental care can be improved by a biologically driven environmental enrichment, such as early facilitation of direct human connection.
在大脑早期发育过程中暴露于环境逆境,如早产,会影响早期大脑组织。在此,我们研究了通过床边促进母婴情感连接的多模式环境丰富化是否可以改善早产儿皮质活动网络的发育。我们在参与家庭养育干预(FNI)随机对照试验的婴儿中,使用高密度脑电图记录在足月时检查了功能皮质-皮质连接性。我们的结果确定了FNI的几种大规模、频率特异性网络效应,最广泛的是在前额中央皮质区域的α频率。该网络中的连接强度与后期神经认知表现相关,并且与足月健康出生的婴儿相当,而不是接受标准护理的婴儿。这些发现表明,通过生物驱动的环境丰富化,如早期促进直接的人际连接,可以改善早产神经发育护理。