Maternal depression symptoms as a context for longitudinal changes in the perinatal brain and infant emotion outcomes

IF 3.2 3区 医学 Q2 PSYCHIATRY
Marybeth McNamee, Sejal Mistry-Patel, Sarah Peoples, Rebecca Brooker
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Abstract

Purpose

Despite theoretical backing, little is known about how contextual factors during pregnancy, which include experiencing increases in symptoms of depression for many women, may affect neural reorganization. We tested within-person stability in a neural process of self-monitoring as a marker of reorganization during pregnancy, whether within-person stability was moderated by maternal depression symptoms, and whether within-person stability had implications for infant postnatal emotion.

Methods

A neural marker of self-monitoring (Error-Related Negativity; ERN) and depression symptoms were assessed in 91 pregnant women. ERN and infant emotion were observed at 4 months postnatal.

Results

Perinatal ERN showed high internal consistency and stability at the group level. However, ERN showed greater stability at high than at low levels of depression symptoms. In addition, when levels of depression symptoms were high, greater prenatal ERN predicted more infant fear.

Conclusions

Results suggest stability in a neural marker of self-monitoring at high levels of depression symptoms, consistent with a possibility that more adverse contexts restrict neuroplasticity. Neural processes sensitive to a context of depression symptoms may have implications for infant emotion.

Abstract Image

母亲抑郁症状作为围产期大脑和婴儿情绪结果纵向变化的背景。
尽管有理论支持,但对于怀孕期间的环境因素(包括许多女性抑郁症状的增加)如何影响神经重组,我们知之甚少。我们测试了自我监测的神经过程中的个人稳定性,作为妊娠期间重组的标志,个人稳定性是否被母亲的抑郁症状所调节,以及个人稳定性是否对婴儿产后情绪有影响。方法对91例孕妇进行自我监测神经标记(错误相关负性神经标记,ERN)和抑郁症状的评估。产后4个月观察ERN和婴儿情绪。结果围产儿ERN在组内具有较高的一致性和稳定性。然而,ERN在抑郁症状高水平时比在抑郁症状低水平时表现出更大的稳定性。此外,当抑郁症状水平高时,更大的产前ERN预示着更多的婴儿恐惧。结论:研究结果表明,在高水平抑郁症状下,自我监测的神经标志物具有稳定性,这与更多不利环境限制神经可塑性的可能性相一致。对抑郁症状敏感的神经过程可能对婴儿情绪有影响。
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来源期刊
Archives of Women's Mental Health
Archives of Women's Mental Health 医学-精神病学
CiteScore
8.00
自引率
4.40%
发文量
83
审稿时长
6-12 weeks
期刊介绍: Archives of Women’s Mental Health is the official journal of the International Association for Women''s Mental Health, Marcé Society and the North American Society for Psychosocial Obstetrics and Gynecology (NASPOG). The exchange of knowledge between psychiatrists and obstetrician-gynecologists is one of the major aims of the journal. Its international scope includes psychodynamics, social and biological aspects of all psychiatric and psychosomatic disorders in women. The editors especially welcome interdisciplinary studies, focussing on the interface between psychiatry, psychosomatics, obstetrics and gynecology. Archives of Women’s Mental Health publishes rigorously reviewed research papers, short communications, case reports, review articles, invited editorials, historical perspectives, book reviews, letters to the editor, as well as conference abstracts. Only contributions written in English will be accepted. The journal assists clinicians, teachers and researchers to incorporate knowledge of all aspects of women’s mental health into current and future clinical care and research.
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