Prenatal depressive symptoms and childhood development of brain limbic and default mode network structure
Claire Donnici1, Xiangyu Long2,3, Jess Reynolds4
1Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
Insights
Maternal prenatal depression symptoms impact child brain development, affecting amygdala volume and limbic network efficiency. These findings highlight the long-term structural brain consequences of prenatal mood during critical developmental periods.
Area of Science:
- Neuroscience
- Developmental Psychology
- Child Psychiatry
Background:
- Prenatal depressive symptoms are associated with adverse child behavioral, cognitive, and psychopathological outcomes.
- Previous research indicates a link between prenatal depression and child brain structure, particularly the amygdala.
- The impact of prenatal depressive symptoms on the longitudinal development of brain structure is not well understood.
Purpose of the Study:
- To investigate the association between maternal depressive symptoms during pregnancy and age-related changes in children's brain structure.
- To examine the effects on amygdala and hippocampal volume, as well as the structural properties of the limbic and default-mode networks.
Main Methods:
- Longitudinal T1-weighted and diffusion imaging data were collected from 111 children (aged 2.6–8 years).
- Maternal depressive symptoms were measured during pregnancy.
- Linear mixed-effects models were used to analyze the relationship between prenatal depressive symptoms and brain structure development, controlling for postnatal symptoms.
Main Results:
- Higher second-trimester prenatal depressive symptoms correlated with more curvilinear trajectories in left amygdala volume.
- Elevated third-trimester prenatal depressive symptoms were linked to slower age-related changes in limbic network global efficiency and average node degree.
- These associations were observed in a sample with low sociodemographic risk.
Conclusions:
- Prenatal depressive symptoms, even at moderate levels, are associated with altered structural brain development in children.
- Specific timing of prenatal depressive symptoms (second vs. third trimester) may differentially impact brain development trajectories.
- Findings underscore the importance of maternal mental health during pregnancy for child brain development, particularly in emotion-processing regions and networks.
Abstract:
Prenatal depressive symptoms are linked to negative child behavioral and cognitive outcomes and predict later psychopathology in adolescent children. Prior work links prenatal depressive symptoms to child brain structure in regions like the amygdala; however, the relationship between symptoms and the development of brain structure over time remains unclear. We measured maternal depressive symptoms during pregnancy and acquired longitudinal T1-weighted and diffusion imaging data in children (n = 111; 60 females) between 2.6 and 8 years of age. Controlling for postnatal symptoms, we used linear mixed effects models to test relationships between prenatal depressive symptoms and age-related changes in (i) amygdala and hippocampal volume and (ii) structural properties of the limbic and default-mode networks using graph theory. Higher prenatal depressive symptoms in the second trimester were associated with more curvilinear trajectories of left amygdala volume changes. Higher prenatal depressive symptoms in the third trimester were associated with slower age-related changes in limbic global efficiency and average node degree across childhood. Our work provides evidence that moderate symptoms of prenatal depression in a low sociodemographic risk sample are associated with structural brain development in regions and networks implicated in emotion processing.
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