怀孕期间经历的创伤事件与巴西青少年母亲和婴儿唾液日皮质醇水平之间关系的初步调查

IF 1.6 4区 医学 Q1 ANTHROPOLOGY
Kyle S. Wiley, Gisele Gouveia, Caroline Camilo, Verônica Euclydes, Catherine Panter-Brick, Alicia Matijasevich, Alexandre Archanjo Ferraro, Lislaine Aparecida Fracolli, Anna Maria Chiesa, Euripedes Constantino Miguel, Guilherme V. Polanczyk, Helena Brentani
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引用次数: 0

摘要

对妇女的人际暴力是一个可能产生代际影响的重大全球健康问题。本研究在巴西圣保罗的一组青少年母亲中调查了母亲的人际暴力经历和其他创伤事件与母亲和婴儿唾液日皮质醇之间的关系。方法对14 ~ 19岁参加家访干预的青少年母亲进行回顾性访谈,了解其一生及孕期暴力和创伤暴露情况。母亲在醒来和睡前收集自己(n = 23)和产后12个月婴儿(n = 32)的唾液。使用多变量回归模型来检验创伤史变量与唾液日皮质醇之间的关系。结果调整干预组、婴儿性别、母亲年龄、非补充药物使用和样本采集时间后,我们发现高于平均水平的终生创伤暴露与母亲夜间皮质醇相关(b = 0.472, p值= 0.028)。终生性暴力暴露也与产妇夜间皮质醇相关(b = 0.196, p值= 0.02)。母亲在怀孕期间暴露于创伤性事件与婴儿睡前皮质醇水平呈正相关(b = 0.21, p = 0.01)。创伤变量与母亲或婴儿早晨皮质醇水平无关。结论母亲创伤史影响母亲和婴儿出生后皮质醇的调节,并以夜间皮质醇水平为指标。这些结果与胎儿规划模型一致;然而,未来的研究应该调查潜在的产后心理生物学途径。终生创伤暴露也可能嵌入母体下丘脑-肾上腺-垂体轴调节。未来的研究需要考虑创伤代际传递的其他生物学途径。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Preliminary Investigation of Associations Between Traumatic Events Experienced During Pregnancy and Salivary Diurnal Cortisol Levels of Brazilian Adolescent Mothers and Infants

Introduction

Interpersonal violence against women is a major global health problem that may have intergenerational effects. This study investigated associations between maternal experiences of interpersonal violence and other traumatic events and maternal and infant salivary diurnal cortisol in a cohort of adolescent mothers in São Paulo, Brazil.

Method

Adolescent mothers (14–19 years) participating in a home-visiting intervention were interviewed retrospectively about lifetime and pregnancy violence and trauma exposure. Mothers collected saliva at waking and before bedtime from themselves (n = 23) and their infants (n = 32) at 12 months postpartum. Multivariable regression models were used to examine associations between trauma history variables and salivary diurnal cortisol.

Results

Adjusting for the intervention group, infant sex, maternal age, non-supplement medication use, and sample collection time, we found that higher-than-average lifetime trauma exposure was associated with maternal evening cortisol (b = 0.472, p-value = 0.028). Lifetime assaultive violence exposure was also associated with maternal evening cortisol (b = 0.196, p-value = 0.02). Maternal exposure to traumatic events in pregnancy was positively associated with bedtime cortisol levels of infants (b = 0.21, p = 0.01). Trauma variables were not associated with maternal or infant morning cortisol levels.

Conclusion

Results suggest that maternal trauma history influences both maternal and infant postnatal cortisol regulation as indexed by evening cortisol levels. These results are consistent with models of fetal programming; however, future studies should investigate potential postnatal psychobiological pathways. Lifetime trauma exposure may also become embedded in the maternal hypothalamic–adrenal–pituitary axis regulation. Future studies are needed to consider other biological pathways in the intergenerational transmission of trauma.

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来源期刊
CiteScore
4.80
自引率
13.80%
发文量
124
审稿时长
4-8 weeks
期刊介绍: The American Journal of Human Biology is the Official Journal of the Human Biology Association. The American Journal of Human Biology is a bimonthly, peer-reviewed, internationally circulated journal that publishes reports of original research, theoretical articles and timely reviews, and brief communications in the interdisciplinary field of human biology. As the official journal of the Human Biology Association, the Journal also publishes abstracts of research presented at its annual scientific meeting and book reviews relevant to the field. The Journal seeks scholarly manuscripts that address all aspects of human biology, health, and disease, particularly those that stress comparative, developmental, ecological, or evolutionary perspectives. The transdisciplinary areas covered in the Journal include, but are not limited to, epidemiology, genetic variation, population biology and demography, physiology, anatomy, nutrition, growth and aging, physical performance, physical activity and fitness, ecology, and evolution, along with their interactions. The Journal publishes basic, applied, and methodologically oriented research from all areas, including measurement, analytical techniques and strategies, and computer applications in human biology. Like many other biologically oriented disciplines, the field of human biology has undergone considerable growth and diversification in recent years, and the expansion of the aims and scope of the Journal is a reflection of this growth and membership diversification. The Journal is committed to prompt review, and priority publication is given to manuscripts with novel or timely findings, and to manuscripts of unusual interest.
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