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孕期大麻使用与孕期对婴儿线索的血流动力学反应:一项探索性研究。

Cannabis use during pregnancy and hemodynamic responses to infant cues in pregnancy: an exploratory study.

作者信息

Powers Shannon, Han Xu, Martinez Jacqueline, Dufford Alexander John, Metz Torri D, Yeh Tom, Kim Pilyoung

机构信息

University of Denver, Psychology, Denver, CO, United States.

University of Colorado, Computer Science, Boulder, CO, United States.

出版信息

Front Psychiatry. 2023 Sep 6;14:1180947. doi: 10.3389/fpsyt.2023.1180947. eCollection 2023.

Abstract

INTRODUCTION

Cannabis is one of the most commonly used substances during pregnancy and has the potential to negatively impact parent-infant relationships. The prefrontal cortex (PFC) response to infant cues during pregnancy has been associated with subsequent positive parenting behaviors. However, PFC activation is altered in individuals who use cannabis. As the potency of cannabis has changed over the years, little is known about the specific role of cannabis use on gestational parent brain responses to infant cues.

MATERIALS AND METHODS

Using functional Near-Infrared Spectroscopy (fNIRS) in the second trimester of pregnancy, we measured hemodynamic responses to an infant cry task and an infant faces task among individuals who were using cannabis ( = 14) and compared them with those who were not using cannabis ( = 45). For the infant cry task, pregnant individuals listened to cry sounds and matched white noise. For the infant faces task, they viewed happy, sad, and neutral faces.

RESULTS

There was no significant difference between the two groups after adjusting for multiple comparisons. Without adjusting for multiple comparisons, we found preliminary evidence for the differences in the dorsomedial PFC associated with heightened response to infant cry among individuals who use cannabis. The groups were also different in the dorsolateral PFC associated with decreased response to infant sad faces among individuals who use cannabis.

DISCUSSION

Our preliminary data suggests that cannabis use during pregnancy was associated with brain activation in the regions involved in the emotional regulation and information processes. However, the results did not survive after adjustment for multiple comparisons, thus future research with larger sample sizes is needed to confirm potential differences in brain function among cannabis-using pregnant individuals.

摘要

引言

大麻是孕期最常用的物质之一,有可能对母婴关系产生负面影响。孕期前额叶皮质(PFC)对婴儿线索的反应与随后积极的养育行为有关。然而,使用大麻的个体中PFC激活会发生改变。随着这些年大麻效力的变化,关于孕期使用大麻对孕妇大脑对婴儿线索反应的具体作用知之甚少。

材料与方法

在妊娠中期使用功能近红外光谱技术(fNIRS),我们测量了使用大麻的个体(n = 14)对婴儿哭声任务和婴儿面部任务的血流动力学反应,并将其与未使用大麻的个体(n = 45)进行比较。对于婴儿哭声任务,孕妇聆听哭声并匹配白噪声。对于婴儿面部任务,她们观看开心、悲伤和中性的面部表情。

结果

在进行多重比较校正后,两组之间没有显著差异。在未进行多重比较校正时,我们发现了初步证据,表明使用大麻的个体中背内侧前额叶皮质存在差异,与对婴儿哭声的反应增强有关。两组在背外侧前额叶皮质也存在差异,与使用大麻的个体中对婴儿悲伤面部表情的反应减弱有关。

讨论

我们的初步数据表明,孕期使用大麻与参与情绪调节和信息处理的脑区激活有关。然而,在进行多重比较校正后,这些结果并不显著,因此需要未来进行更大样本量的研究来确认使用大麻的孕妇在脑功能方面的潜在差异。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c0aa/10512021/9bc92ae070eb/fpsyt-14-1180947-g001.jpg

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