调查抑郁症母亲的孩子的默认模式网络连接中断。

Maor Zeev-Wolf, Yair Dor-Ziderman, Maayan Pratt, Abraham Goldstein, Ruth Feldman
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引用次数: 4

摘要

背景:暴露于母亲重度抑郁障碍(MDD)对儿童健康有长期的负面影响;到目前为止,还没有研究调查不同发育阶段的暴露对大脑功能的影响。目的:利用一个从出生到青春期前的独特队列,我们研究了早期和晚期母亲重度抑郁症对默认模式网络(DMN)连通性的影响。方法:对出生时及6个月、9个月、6岁、10岁时的母亲抑郁情况进行评估,分为三组:母亲从出生至6岁一直抑郁,10岁时抑郁消退的儿童;母亲没有抑郁症的孩子;以及母亲在童年晚期被诊断患有重度抑郁症的孩子。在青春期前,我们使用脑磁图,并专注于θ波节律,这是发育中的大脑的特征。结果:母亲重度抑郁症与DMN连接中断以暴露特异性方式相关。母亲早期重度抑郁症降低了儿童的连通性,表现出典型的早期创伤或慢性逆境。相比之下,后来的母亲重度抑郁症与更紧密的连通性有关,这是成人抑郁症的一种特征。婴儿期的侵入性母性和儿童期后期较低的母子互惠和儿童共情可以预测DMN连接异常,这突出了照料不足和社会情绪能力受损在DMN功能障碍中的作用。结论:研究结果明确了早期与晚期母亲重度抑郁症对DMN的不同影响,DMN是维持自我相关过程的核心网络。结果强调,研究早期逆境对发育中的大脑的影响应该考虑到逆境发生的发育阶段。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Investigating default mode network connectivity disruption in children of mothers with depression.

Background: Exposure to maternal major depressive disorder (MDD) bears long-term negative consequences for children's well-being; to date, no research has examined how exposure at different stages of development differentially affects brain functioning.

Aims: Utilising a unique cohort followed from birth to preadolescence, we examined the effects of early versus later maternal MDD on default mode network (DMN) connectivity.

Method: Maternal depression was assessed at birth and ages 6 months, 9 months, 6 years and 10 years, to form three groups: children of mothers with consistent depression from birth to 6 years of age, which resolved by 10 years of age; children of mothers without depression; and children of mothers who were diagnosed with MDD in late childhood. In preadolescence, we used magnetoencephalography and focused on theta rhythms, which characterise the developing brain.

Results: Maternal MDD was associated with disrupted DMN connectivity in an exposure-specific manner. Early maternal MDD decreased child connectivity, presenting a profile typical of early trauma or chronic adversity. In contrast, later maternal MDD was linked with tighter connectivity, a pattern characteristic of adult depression. Aberrant DMN connectivity was predicted by intrusive mothering in infancy and lower mother-child reciprocity and child empathy in late childhood, highlighting the role of deficient caregiving and compromised socio-emotional competencies in DMN dysfunction.

Conclusions: The findings pinpoint the distinct effects of early versus later maternal MDD on the DMN, a core network sustaining self-related processes. Results emphasise that research on the influence of early adversity on the developing brain should consider the developmental stage in which the adversity occured.

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