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童年期应激源典型变化经历与海马结构及功能连接之间的关联

Associations Between Experience of Typical Variations in Stressors and Hippocampal Structure and Functional Connectivity in Childhood.

作者信息

Botdorf Morgan, Cui Zehua, Riggins Tracy

机构信息

Department of Psychology, University of Maryland, College Park, Maryland, USA.

Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.

出版信息

Int J Dev Neurosci. 2025 Aug;85(5):e70037. doi: 10.1002/jdn.70037.

Abstract

Abuse and maltreatment have been associated with negative effects on the developing brain through the hypothalamic-pituitary-adrenal (HPA) axis, the body's central stress response system. Theoretically, similar pathophysiology occurs when children experience more moderate forms of stress (i.e., changing schools); however, evidence for this association is lacking. Therefore, the current study explored the effects of typical variations in stressful life events on the development of the hippocampus, a brain region susceptible to stress. Data from a 3-year accelerated longitudinal sample of 4- and 6-year-old children were used to assess the links between stressful events and the development of hippocampal subfield volumes (N = 90) and functional connectivity (N = 83). In the 4-year-old cohort, stressful experiences were related to an overall slower growth in CA1 and subiculum volume from age 5 to 6. In the 6-year-old cohort, stressful experiences were related to smaller CA2-4/DG volume at age 6 and an overall faster decrease in subiculum volume from age 6 to 7. Small effects were observed regarding the relations between stress and hippocampal functional connectivity; however, they did not survive multiple comparisons. Results from analyses comparing cohorts showed that the relations between stressful events and CA2-4/DG volume and change in subiculum volume significantly differed between the younger and older cohorts. Overall, these findings demonstrate the links between typical variations in stress and hippocampal development and highlight the region- and age-specific nature of the effects of stress. Together, this work emphasizes the importance of understanding how brain development may be influenced by stress in all forms, as stress-related alterations in hippocampal development have been linked to variations in cognitive processes (e.g., memory) and risk for psychopathology (e.g., major depressive disorder).

摘要

虐待和 maltreatment 通过下丘脑 - 垂体 - 肾上腺(HPA)轴(人体的中枢应激反应系统)对发育中的大脑产生负面影响。从理论上讲,当儿童经历较为适度的压力形式(如转学)时,会出现类似的病理生理过程;然而,缺乏这种关联的证据。因此,本研究探讨了生活应激事件的典型变化对海马体发育的影响,海马体是一个易受压力影响的脑区。来自4岁和6岁儿童的3年加速纵向样本数据用于评估应激事件与海马体亚区体积(N = 90)发育和功能连接(N = 83)之间的联系。在4岁队列中,应激经历与5至6岁时CA1和海马下托体积的整体增长较慢有关。在6岁队列中,应激经历与6岁时较小的CA2 - 4/齿状回体积以及6至7岁时海马下托体积的整体更快减小有关。在应激与海马体功能连接之间的关系方面观察到较小的影响;然而,它们在多重比较后未通过检验。比较队列的分析结果表明,应激事件与CA2 - 4/齿状回体积以及海马下托体积变化之间的关系在较年轻和较年长队列中存在显著差异。总体而言,这些发现证明了应激的典型变化与海马体发育之间的联系,并突出了应激影响的区域和年龄特异性。总之,这项工作强调了理解各种形式的压力如何影响大脑发育的重要性,因为海马体发育中与压力相关的改变已与认知过程(如记忆)的变化和精神病理学风险(如重度抑郁症)相关联。

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