母亲童年创伤对青少年抑郁患者创伤和焦虑及后代脑机制影响

the brain mechanism of maternal childhood trauma affecting trauma and anxiety in adolescent depressed patient

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2024, 51(3)
作者
作者单位

深圳市康宁医院 ;
中南大学湘雅二医院 ;

摘要
[摘要]:目的:了解母亲童年创伤对青少年抑郁症患者童年创伤和焦虑情绪及后代脑机制的影响。方法:在本研究中共纳入106例被试,采用童年创伤问卷、宗式焦虑量表、宗式抑郁量表、抑郁症状筛查量表、广泛性焦虑障碍量表对住院抑郁发作青少年、健康组青少年及其母亲进行调查,选择4个杏仁核亚区(左右外侧和左右内测)作为感兴趣区域,比较有无童年创伤母亲后代的全脑静息状态功能连接。结果:(1)抑郁发作组母亲躯体忽视得分、情感虐待得分、情感忽视得分,焦虑抑郁情绪得分显著高于健康组母亲 ,具有统计学差异(p<0.05);(2)在抑郁发作青少年中,母亲遭受童年创伤组较母亲未遭受童年创伤组,后代焦虑情绪得分, 童年创伤因子分及其总分均无统计学差异(P>0.05);(3)在抑郁发作青少年中,遭受童年创伤的母亲较未遭受童年创伤的母亲相比,以杏仁核作为感兴趣区与右侧海马旁回、右侧舌回、左侧枕下回、右侧额上回等脑区的功能连接值降低。结论:母亲童年创伤及焦虑抑郁情绪可能增加后代抑郁症发病风险,且母亲童年创伤影响后代以杏仁核为种子点的脑功能网络,但母亲童年创伤不影响青少年抑郁症患者焦虑症状及童年创伤发生。
Abstract
[Abstract]: Objective Understanding the impact of maternal childhood trauma on childhood trauma and anxiety in adolescents with depression and on the brain mechanisms of their offspring Methods A total of 106 subjects were included in this study, and the Childhood Trauma Questionnaire, Clan Anxiety Scale, Clan Depression Scale, Depressive Symptom Screening Scale, and Generalized Anxiety Disorder Scale were used to evaluate hospitalized adolescents with depressive episodes and healthy groups. Adolescents and their mothers were investigated, and four amygdala subregions (left and right lateral and left and right inner) were selected as regions of interest to compare the whole-brain resting-state functional connectivity of offspring of mothers with and without childhood trauma. Results (1) The physical neglect scores, emotional abuse scores, emotional neglect scores, anxiety and depression scores of mothers in the depressive episode group were significantly higher than those of mothers in the healthy group, with statistical differences (p < 0.05); (2) Among adolescents with depressive episodes, , there was no statistical difference in offspring anxiety scores, childhood trauma factor scores and total scores between the group whose mothers suffered childhood trauma and the group whose mothers did not suffer childhood trauma (p > 0.05); (3) among adolescents with depressive episodes, those who suffered childhood trauma Compared with mothers who had not suffered childhood trauma, the functional connectivity values of the amygdala as the area of interest and the right parahippocampal gyrus, right lingual gyrus, left inferior occipital gyrus, right superior frontal gyrus and other brain areas were reduced. Conclusion Maternal childhood trauma and anxiety and depression may increase the risk of depression in offspring, and maternal childhood trauma affects the brain functional network of offspring with the amygdala as the seed point, but maternal childhood trauma does not affect anxiety symptoms and childhood trauma in adolescents with depression.
关键词
[关键词]:童年创伤;抑郁症;母亲童年创伤;代际传递;脑机制
KeyWord
[Keywords] Childhood trauma, depression, maternal childhood trauma,intergenerational transmission, brain mechanisms
基金项目
页码 783-787
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卢建平,冯文泰,刘剑波*,徐健昌,阳洁,林玲,孙雨蒙,宋仕琪,周敏思,薛振朋,高铭. 母亲童年创伤对青少年抑郁患者创伤和焦虑及后代脑机制影响 [J]. 国际精神病学杂志. 2024; 51; (3). 783 - 787.

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