Khoury Jennifer E, Gonzalez Andrea, Levitan Robert, Masellis Mario, Basile Vincenzo, Atkinson Leslie
Ryerson University.
McMaster University.
Infant Ment Health J. 2016 Mar-Apr;37(2):125-39. doi: 10.1002/imhj.21554. Epub 2016 Mar 4.
Three basic findings have emerged from research on maternal depressive symptoms and offspring hypothalamic-pituitary-adrenal functioning: (a) Mothers' depressive symptoms are positively associated with their offsprings' cortisol stress response, (b) numerous individual and interpersonal maternal characteristics moderate this association, and (c) maternal and infant cortisol levels are highly correlated. In combination, these findings have suggested that maternal cortisol levels may moderate the relation between maternal depressive symptoms and infant cortisol responsivity; the current study assessed this hypothesis. Participants were 297 mother-infant dyads who were recruited from the community. Maternal depressive symptoms were assessed via self-report. Dyads participated in two differentially stressful infant challenges when infants were 16 and 17 months old. Mother and infant salivary cortisol was collected before and after challenges. Results indicate that maternal cortisol levels moderated associations between maternal depressive symptoms and infant cortisol levels across both challenges. Infants showed higher cortisol levels if their mothers had both higher depressive symptoms and higher cortisol levels, as compared to infants of mothers with higher depressive symptoms and lower cortisol, and to infants of mothers with lower depressive symptoms and either higher or lower cortisol levels. We discuss findings in relation to environmental and biological factors that may contribute to the intergenerational transmission of depressive symptoms.
关于母亲抑郁症状与后代下丘脑 - 垂体 - 肾上腺功能的研究已得出三项基本结果:(a)母亲的抑郁症状与其后代的皮质醇应激反应呈正相关,(b)许多个体和人际层面的母亲特征会调节这种关联,(c)母亲和婴儿的皮质醇水平高度相关。综合来看,这些结果表明母亲的皮质醇水平可能会调节母亲抑郁症状与婴儿皮质醇反应性之间的关系;本研究对这一假设进行了评估。研究对象为从社区招募的297对母婴。通过自我报告评估母亲的抑郁症状。当婴儿16和17个月大时,母婴参与了两项压力不同的婴儿挑战任务。在挑战前后收集母亲和婴儿的唾液皮质醇。结果表明,在两项挑战任务中,母亲的皮质醇水平均调节了母亲抑郁症状与婴儿皮质醇水平之间的关联。与母亲抑郁症状较高但皮质醇水平较低的婴儿,以及母亲抑郁症状较低且皮质醇水平较高或较低的婴儿相比,如果母亲既有较高的抑郁症状又有较高的皮质醇水平,其婴儿的皮质醇水平会更高。我们讨论了与可能导致抑郁症状代际传递的环境和生物学因素相关的研究结果。