Laviola G
Laboratorio di Fisiopatologia di Organo e di Sistema, Istituto Superiore di Sanità, Rome, Italy.
Ann Ist Super Sanita. 1993;29(1):153-62.
In women the first days postpartum are often associated with the onset of major emotional upheaval. Both the cause and the significance of this emotional vulnerability are largely unexplored. A complex interrelationship of emotional and endocrine factors suggests the possibility of a borderline endocrine/neurotransmitter condition, which can be precipitated to some extent by environmental factors. Increased risks are not limited only to nutritional deficiency, infections, and metabolic disorders, since several surveys have shown that women frequently take psychotherapeutic agents at some time during their pregnancy. In this frame, behavioural analysis in animal models appears to be a valuable and sensitive tool for detecting subtle alterations in CNS function, which can be produced by early exposure to psychotropic agents devoid of major teratogenic potential, be they therapeutic drugs or drugs of abuse. The approach has considerable relevance in view of the fact that all or most of the affected subjects can remain within the limits of normal variation until the time of a particular life event, such as for example, the early postpartum period analyzed here, with its enormous physiological and behavioural changes. The emphasis in behavioural teratology should be on naturally occurring species-typical behaviours that form an integral part of the normal behavioural repertoire. So, the series of studies reviewed here was performed with mice to assess the consequences of acute or prenatal benzodiazepine exposure, with focus on the early postpartum period. The role of the genotype on the sensitivity to an antiepileptic (phenobarbital) drug exposure has also been investigated. The aim was of providing significant information on the nature of changes in the female emotional repertoire, which characterizes this specific life event.
在女性中,产后的头几天往往伴随着重大情绪动荡的开始。这种情绪易感性的原因和意义在很大程度上尚未得到探索。情绪和内分泌因素之间复杂的相互关系表明,可能存在一种临界性内分泌/神经递质状况,在一定程度上可由环境因素诱发。风险增加不仅限于营养缺乏、感染和代谢紊乱,因为多项调查显示,女性在孕期的某个时候经常服用心理治疗药物。在此背景下,动物模型中的行为分析似乎是检测中枢神经系统功能细微变化的一种有价值且敏感的工具,这种变化可由早期接触无重大致畸潜力的精神药物(无论是治疗药物还是滥用药物)引起。鉴于所有或大多数受影响的个体在特定生活事件发生之前,比如本文分析的产后早期,其巨大的生理和行为变化,都可能保持在正常变异范围内,所以这种方法具有相当重要的意义。行为致畸学应重点关注自然发生的、构成正常行为库不可或缺部分的物种典型行为。因此,本文回顾的一系列研究是用小鼠进行的,以评估急性或产前接触苯二氮䓬的后果,重点是产后早期。还研究了基因型对抗癫痫药物(苯巴比妥)暴露敏感性的作用。目的是提供有关女性情绪库变化本质的重要信息,这种情绪库变化是这一特定生活事件的特征。