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母亲童年期虐待:与后代脑容量和白质连接的关联。

Maternal childhood maltreatment: associations to offspring brain volume and white matter connectivity.

机构信息

Department of Psychiatry, Columbia University Irving Medical Center/New York State Psychiatric Institute, New York, USA.

Department of Statistics, University of South Carolina, Columbia, USA.

出版信息

J Dev Orig Health Dis. 2023 Oct;14(5):591-601. doi: 10.1017/S2040174423000247. Epub 2023 Sep 21.

Abstract

The deleterious effects of adversity are likely intergenerational, such that one generation's adverse experiences can affect the next. Epidemiological studies link maternal adversity to offspring depression and anxiety, possibly via transmission mechanisms that influence offspring fronto-limbic connectivity. However, studies have not thoroughly disassociated postnatal exposure effects nor considered the role of offspring sex. We utilized infant neuroimaging to test the hypothesis that maternal childhood maltreatment (CM) would be associated with increased fronto-limbic connectivity in infancy and tested brain-behavior associations in childhood. Ninety-two dyads participated (32 mothers with CM, 60 without; 52 infant females, 40 infant males). Women reported on their experiences of CM and non-sedated sleeping infants underwent MRIs at 2.44 ± 2.74 weeks. Brain volumes were estimated via structural MRI and white matter structural connectivity (fiber counts) via diffusion MRI with probabilistic tractography. A subset of parents ( = 36) reported on children's behaviors at age 5.17 ± 1.73 years. Males in the maltreatment group demonstrated greater intra-hemispheric fronto-limbic connectivity ( = 0.96, 0.008, [95%CI 0.25, 1.66]), no differences emerged for females. Fronto-limbic connectivity was related to somatic complaints in childhood only for males ( = 0.673, = 0.006). Our findings suggest that CM could have intergenerational associations to offspring brain development, yet mechanistic studies are needed.

摘要

逆境的有害影响可能是代际传递的,即一代人的逆境经历会影响下一代。 流行病学研究将母体逆境与后代的抑郁和焦虑联系起来,可能是通过影响后代额 - 边缘连接的传递机制。 然而,这些研究并没有彻底区分产后暴露的影响,也没有考虑到后代性别的作用。 我们利用婴儿神经影像学来检验这样一个假设,即母亲的童年虐待(CM)与婴儿期额 - 边缘连接的增加有关,并测试了儿童时期的大脑 - 行为关联。 92 对母子参与了研究(32 名母亲有 CM,60 名没有;52 名女婴,40 名男婴)。 女性报告了她们的 CM 经历,未镇静的睡眠婴儿在 2.44 ± 2.74 周时接受了 MRI。 通过结构 MRI 估计脑体积,通过扩散 MRI 与概率追踪法估计白质结构连接(纤维计数)。 一部分父母(n = 36)报告了孩子在 5.17 ± 1.73 岁时的行为。 虐待组的男性表现出更大的半球内额 - 边缘连接( = 0.96, 0.008,[95%CI 0.25,1.66]),女性则没有差异。 只有男性的额 - 边缘连接与儿童时期的躯体抱怨有关( = 0.673, = 0.006)。 我们的研究结果表明,CM 可能与后代大脑发育具有代际关联,但需要进行机制研究。

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