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呼吁将环境背景测量纳入孕产妇脑健康研究

A Call to Integrate Measures of Environmental Context into Research on Maternal Brain Health.

作者信息

Cárdenas Sofia I, Callaghan Bridget L

机构信息

Department of Psychology, University of Southern California, Los Angeles, CA 90007, USA.

Department of Psychology, University of California, Los Angeles, CA 90095, USA.

出版信息

Int J Environ Res Public Health. 2025 May 22;22(6):818. doi: 10.3390/ijerph22060818.

DOI:10.3390/ijerph22060818
PMID:40566246
Abstract

Environmental factors-especially those related to interpersonal relationships and physical resources-profoundly impact women's neurobiology and mental health. Despite this, environmental factors, including socioeconomic status, early life adversity, and neighborhood resources, are less explored within the maternal brain literature. This literature highlights pregnancy as a developmental phase in adult women's lifespans marked by neurobiological shifts supporting fetal development and optimizing caregiving behaviors. While neurobiological shifts during this period are well-documented, pregnancy is also associated with a heightened risk for mental health challenges. This narrative review, focusing on the last 10 years, examines the research that underscores the importance of integrating environmental factors into research frameworks to comprehensively understand their effects on maternal neurobiology and mental health throughout pregnancy. Building on this research, authors discuss future research methodologies that will support a more comprehensive understanding of the intersection between environmental contexts, maternal neurobiology, and mental health.

摘要

环境因素——尤其是那些与人际关系和物质资源相关的因素——对女性的神经生物学和心理健康有着深远影响。尽管如此,在母性大脑相关文献中,包括社会经济地位、早年逆境和社区资源在内的环境因素却较少被探讨。该文献强调怀孕是成年女性生命周期中的一个发育阶段,其特征是神经生物学发生变化,以支持胎儿发育并优化养育行为。虽然这一时期的神经生物学变化已有充分记录,但怀孕也与心理健康挑战风险增加有关。这篇叙述性综述聚焦过去十年,审视了相关研究,这些研究强调了将环境因素纳入研究框架以全面理解其在整个孕期对母性神经生物学和心理健康影响的重要性。基于这项研究,作者们讨论了未来的研究方法,这些方法将有助于更全面地理解环境背景、母性神经生物学和心理健康之间的交叉关系。

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本文引用的文献

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Exploring the influence of pregnancy on cognitive function in women: a systematic review.探讨妊娠对女性认知功能的影响:一项系统综述。
BMC Pregnancy Childbirth. 2025 Jan 30;25(1):88. doi: 10.1186/s12884-025-07181-3.
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Pregnancy entails a U-shaped trajectory in human brain structure linked to hormones and maternal attachment.怀孕会使人类大脑结构呈现出与激素和母体依恋相关的U形轨迹。
Nat Commun. 2025 Jan 16;16(1):730. doi: 10.1038/s41467-025-55830-0.
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Analyzing Geospatial and Socioeconomic Disparities in Breast Cancer Screening Among Populations in the United States: Machine Learning Approach.
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The significance of mothers' neural responding to infant emotional cues for caregiving behaviors: The moderating role of infant temperamental distress.母亲对婴儿情绪线索的神经反应在养育行为中的意义:婴儿气质性痛苦的调节作用。
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Mayo Clin Proc. 2025 Jan;100(1):42-51. doi: 10.1016/j.mayocp.2024.07.009. Epub 2024 Dec 5.
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Cognition and motherhood: a key to understanding perinatal mental health?认知与母亲身份:理解围产期心理健康的关键?
Arch Womens Ment Health. 2025 Feb;28(1):1-3. doi: 10.1007/s00737-024-01545-y.
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Association of historical redlining and present-day racialised economic segregation with health-care utilisation among individuals with rheumatic conditions in Massachusetts and surrounding areas of the USA: a retrospective cohort study.美国马萨诸塞州及周边地区风湿性疾病患者的历史红线划分和当今种族化经济隔离与医疗保健利用之间的关联:一项回顾性队列研究。
Lancet Rheumatol. 2025 Jan;7(1):e33-e43. doi: 10.1016/S2665-9913(24)00235-2. Epub 2024 Nov 19.
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Neuroanatomical changes observed over the course of a human pregnancy.人类妊娠过程中观察到的神经解剖学变化。
Nat Neurosci. 2024 Nov;27(11):2253-2260. doi: 10.1038/s41593-024-01741-0. Epub 2024 Sep 16.
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