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Maternal Childhood Neglect is Linked to Greater Infant Cortisol Levels and Larger Infant Limbic Volumes
Jennifer E Khoury1, Miriam Chasson2, Banu Ahtam3
1Department of Psychology, Mount Saint Vincent University, Halifax, NS, Canada.
Insights
Maternal childhood neglect, not abuse, is linked to infant stress responses and brain development. Infant cortisol levels may mediate the effects of neglect on amygdala and hippocampal volumes.
Area of Science:
- Neuroscience
- Developmental Psychology
- Endocrinology
Background:
- Maternal childhood maltreatment is linked to infant brain volume alterations.
- Infant hypothalamic-pituitary-adrenal (HPA) axis function has not been studied as a mechanism.
- Childhood abuse and neglect may have distinct developmental impacts.
Purpose of the Study:
- To investigate infant hypothalamic-pituitary-adrenal (HPA) axis function as a mediator between maternal childhood maltreatment and infant brain development.
- To examine the differential effects of maternal childhood abuse versus neglect on infant HPA axis activity and brain volumes.
Main Methods:
- N = 57 mother-infant dyads were stratified by maternal childhood maltreatment.
- Infant cortisol output (AUCg) and change (AUCi) were measured using the Still-Face Paradigm at 4 months.
- Infant brain volumes (whole brain, amygdala, hippocampus) were assessed using T1-weighted MRI scans around 12 months of age.
Main Results:
- Maternal childhood neglect, but not abuse, was directly associated with higher infant cortisol total output (AUCg) and change (AUCi).
- Infant cortisol output (AUCg) mediated the association between maternal childhood neglect and larger amygdala and hippocampal volumes.
- Results suggest a specific link between maternal neglect, infant HPA axis function, and subsequent brain development.
Conclusions:
- Infant cortisol responses are particularly sensitive to maternal childhood neglect.
- The HPA axis may serve as a key mechanism linking maternal neglect to altered infant brain development, specifically amygdala and hippocampal volumes.
- Future research should consider the distinct impacts of abuse versus neglect in maternal maltreatment studies.
Abstract:
Studies have linked maternal childhood maltreatment to altered infant brain volumes, but none have examined infant hypothalamic-pituitary-adrenal (HPA) axis function as a mechanism linking the two domains. Further, studies among older children suggest that childhood abuse and neglect may be associated with different developmental outcomes and thus should be studied separately. Study participants were N = 57 mother-infant dyads, stratified for maternal childhood maltreatment. At 4 months, infant cortisol total output (AUCg) and change (AUCi) were assessed across the Still-Face Paradigm. Under natural sleep, infants completed T1-weighted MRI scans (M age = 12.28 months). Whole brain, amygdala, and hippocampal volumes were extracted via automated segmentation. Maternal childhood neglect, but not abuse, was directly associated with higher infant AUCg and AUCi, and was indirectly associated with larger amygdala and hippocampal volumes through infant AUCg. Results suggest that infant cortisol may be particularly influenced by maternal childhood neglect and may be one mechanism further influencing brain development.
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