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Maternal anxiety and infants' hippocampal development: timing matters
A Qiu1, A Rifkin-Graboi, H Chen
11] Department of Bioengineering, National University of Singapore, Singapore [2] Clinical Imaging Research Centre, National University of Singapore, Singapore [3] Singapore Institute for Clinical Sciences, the Agency for Science, Technology and Research, Singapore.
Insights
Maternal anxiety during pregnancy slows infant hippocampal growth. Postnatal anxiety affects left and right hippocampus development differently, impacting stress regulation structures. This research clarifies the timing of these critical influences.
Area of Science:
- Neuroscience
- Developmental Psychology
- Maternal Health
Background:
- Maternal anxiety is linked to offspring brain development.
- The precise timing of maternal anxiety's influence on infant brain development is not well understood.
- The hippocampus, crucial for stress regulation, is a key area of interest.
Purpose of the Study:
- To investigate the effects of antenatal (prenatal) and postnatal maternal anxiety on early infant hippocampal development.
- To determine the timing of maternal anxiety's impact on the developing hippocampus.
Main Methods:
- Magnetic resonance imaging (MRI) was used to assess hippocampal volume in 175 neonates at birth and 35 at 6 months.
- Maternal anxiety was measured using the State-Trait Anxiety Inventory (STAI) during pregnancy and postpartum.
- Regression analyses were performed to correlate maternal anxiety levels with hippocampal growth.
Main Results:
- Antenatal maternal anxiety did not affect hippocampal volume at birth but was associated with slower hippocampal growth in the first 6 months.
- Postnatal maternal anxiety showed a positive association with right hippocampal growth and a negative association with left hippocampal volume at 6 months.
- The study found distinct effects of antenatal and postnatal maternal anxiety on the growth of the left and right hippocampi.
Conclusions:
- Antenatal maternal anxiety negatively impacts early hippocampal growth.
- Postnatal maternal anxiety differentially affects the growth of the left and right hippocampi.
- These findings highlight the critical timing of maternal anxiety's influence on infant brain structures involved in stress regulation.
Abstract:
Exposure to maternal anxiety predicts offspring brain development. However, because children's brains are commonly assessed years after birth, the timing of such maternal influences in humans is unclear. This study aimed to examine the consequences of antenatal and postnatal exposure to maternal anxiety upon early infant development of the hippocampus, a key structure for stress regulation. A total of 175 neonates underwent magnetic resonance imaging (MRI) at birth and among them 35 had repeated scans at 6 months of age. Maternal anxiety was assessed using the State-Trait Anxiety Inventory (STAI) at week 26 of pregnancy and 3 months after delivery. Regression analyses showed that antenatal maternal anxiety did not influence bilateral hippocampal volume at birth. However, children of mothers reporting increased anxiety during pregnancy showed slower growth of both the left and right hippocampus over the first 6 months of life. This effect of antenatal maternal anxiety upon right hippocampal growth became statistically stronger when controlling for postnatal maternal anxiety. Furthermore, a strong positive association between postnatal maternal anxiety and right hippocampal growth was detected, whereas a strong negative association between postnatal maternal anxiety and the left hippocampal volume at 6 months of life was found. Hence, the postnatal growth of bilateral hippocampi shows distinct responses to postnatal maternal anxiety. The size of the left hippocampus during early development is likely to reflect the influence of the exposure to perinatal maternal anxiety, whereas right hippocampal growth is constrained by antenatal maternal anxiety, but enhanced in response to increased postnatal maternal anxiety.
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