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本文引用的文献

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Longitudinal investigation of neurobiological changes across pregnancy.孕期神经生物学变化的纵向研究。
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2
Sex-sensitive and gender-sensitive care for patients with mental disorders.对精神障碍患者的性别敏感和性别平等敏感护理。
Lancet Psychiatry. 2025 Apr;12(4):244-246. doi: 10.1016/S2215-0366(24)00330-4. Epub 2024 Oct 24.
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Temporal dissociation between local and global functional adaptations of the maternal brain to childbirth: a longitudinal assessment.分娩过程中母亲大脑局部和整体功能适应性的时间分离:一项纵向评估。
Neuropsychopharmacology. 2024 Nov;49(12):1809-1818. doi: 10.1038/s41386-024-01880-9. Epub 2024 May 20.
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Severe Maternal Morbidity and Mental Health Hospitalizations or Emergency Department Visits.严重孕产妇发病及心理健康住院或急诊就诊情况。
JAMA Netw Open. 2024 Apr 1;7(4):e247983. doi: 10.1001/jamanetworkopen.2024.7983.
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Time-sensitive changes in the maternal brain and their influence on mother-child attachment.母体大脑的时间敏感性变化及其对母婴依恋的影响。
Transl Psychiatry. 2024 Feb 9;14(1):84. doi: 10.1038/s41398-024-02805-2.
6
Women's neuroplasticity during gestation, childbirth and postpartum.女性在妊娠、分娩和产后期间的神经可塑性。
Nat Neurosci. 2024 Feb;27(2):319-327. doi: 10.1038/s41593-023-01513-2. Epub 2024 Jan 5.
7
Baby blues, premenstrual syndrome and postpartum affective disorders: intersection of risk factors and reciprocal influences.产后情绪低落、经前综合征与产后情感障碍:风险因素的交叉及相互影响
BJPsych Open. 2023 Dec 4;10(1):e3. doi: 10.1192/bjo.2023.612.
8
The transition to motherhood: linking hormones, brain and behaviour.从母亲到母亲的转变:激素、大脑和行为的联系。
Nat Rev Neurosci. 2023 Oct;24(10):605-619. doi: 10.1038/s41583-023-00733-6. Epub 2023 Aug 23.
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Brain functional and structural magnetic resonance imaging of obesity and weight loss interventions.肥胖与减肥干预的脑功能和结构磁共振成像。
Mol Psychiatry. 2023 Apr;28(4):1466-1479. doi: 10.1038/s41380-023-02025-y. Epub 2023 Mar 14.
10
Mapping the effects of pregnancy on resting state brain activity, white matter microstructure, neural metabolite concentrations and grey matter architecture.绘制妊娠对静息态大脑活动、白质微观结构、神经代谢物浓度和灰质结构影响的图谱。
Nat Commun. 2022 Nov 22;13(1):6931. doi: 10.1038/s41467-022-33884-8.

从孕期到产后:母体大脑的动态重组

From Pregnancy to Postpartum: The Dynamic Reorganization of the Maternal Brain.

作者信息

Chechko Natalia, Nehls Susanne

机构信息

Department of Psychiatry, Psychotherapy and Psychosomatics, Faculty of Medicine, RWTH Aachen, Aachen, Germany.

Institute of Neuroscience and Medicine, JARA-Institute Brain Structure Function Relationship (INM 10), Research Center Jülich, Jülich, Germany.

出版信息

Neurosci Insights. 2025 Jan 19;20:26331055251315488. doi: 10.1177/26331055251315488. eCollection 2025.

DOI:10.1177/26331055251315488
PMID:39839983
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11744624/
Abstract

The postpartum period is marked by radical changes in the maternal brain. Seeking to explore the mechanisms that underlie these changes, this article focuses on the relevant hormonal, inflammatory, and behavioral factors. Longitudinal imaging studies have shed valuable light on both short- and long-term alterations in postpartum brain structure and connectivity, particularly in the regions that play key roles in emotion regulation and stress response. It is plausible that these peripartum changes contribute to the mental health challenges new mothers face, including postpartum depression. Adding to our understanding of postpartum neurobiology, this insight highlights the importance of personalized intervention in the promotion of maternal well-being.

摘要

产后时期的特点是产妇大脑发生根本性变化。为了探索这些变化背后的机制,本文重点关注相关的激素、炎症和行为因素。纵向成像研究为产后大脑结构和连通性的短期和长期变化提供了宝贵的见解,特别是在情绪调节和应激反应中起关键作用的区域。这些围产期变化可能导致新妈妈面临的心理健康挑战,包括产后抑郁症。这一见解加深了我们对产后神经生物学的理解,强调了个性化干预对促进产妇福祉的重要性。