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首页> 外文期刊>Psychosomatic Medicine: Journal of the American Psychosomatic Society >Associations of maternal lifetime trauma and perinatal traumatic stress symptoms with infant cardiorespiratory reactivity to psychological challenge.
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Associations of maternal lifetime trauma and perinatal traumatic stress symptoms with infant cardiorespiratory reactivity to psychological challenge.

机译：产妇终生创伤和围产期创伤应激症状与婴儿心肺反应性对心理挑战的关联。

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OBJECTIVE: To examine associations of maternal lifetime trauma and related psychological symptoms in the perinatal period with infant cardiorespiratory reactivity and behavioral distress in response to a laboratory stressor, using a novel advanced system recently adapted for infants. METHODS: Participants were mothers and their 6-month-old infants. Assessments included mothers' self-reported lifetime exposure to trauma, perinatal traumatic stress, and current symptoms of posttraumatic stress disorder (PTSD) and depression. Through the use of a noninvasive respiratory inductance plethysmography device, heart rate and indices of respiratory volume, timing, and thoracoabdominal coordination were recorded continuously in 23 infants during the Still-Face Paradigm, a videotaped mother-infant dyadic assessment that included baseline, stressor, and recovery phases. Infant behavioral distress during the procedure was also assessed. RESULTS: Infants of mothers with low exposure to trauma and perinatal traumatic stress showed expected increases in behavioral distress and cardiorespiratory activation from baseline to stressor and decreases in these parameters from stressor to recovery. Infants of mothers exposed to multiple traumas and with elevated perinatal traumatic stress showed similar patterns of activation from baseline to stressor but failed to show decreases during recovery. These patterns were maintained after controlling for current maternal PTSD and depressive symptoms. CONCLUSIONS: Maternal lifetime trauma exposure and traumatic stress during the perinatal period were associated with disrupted infant cardiorespiratory regulation and behavioral distress during a stressor protocol. These results support the concept of perinatal programming and its potential role in physical and mental health outcomes.
机译：目的：使用最近适用于婴儿的新型先进系统，探讨围产期的产妇一生的外伤和相关的心理症状与婴儿心肺反应性和实验室应激源引起的行为困扰的关系。方法：参与者为母亲及其6个月大的婴儿。评估包括母亲自我报告的终生暴露于创伤，围产期创伤性压力以及创伤后应激障碍（PTSD）和抑郁症的当前症状。通过使用无创呼吸感应体积描记器，在Still-Face Paradigm（包括母体，基线，应激源，摄象机和摄象机）的录像中，连续记录了23名婴儿的心率和呼吸量，时机和胸腹协调指数。和恢复阶段。评估过程中的婴儿行为困扰。结果：低创伤和围产期创伤应激母亲的婴儿从基线到应激源表现出预期的行为困扰和心肺激活增加，而从应激源到恢复的这些参数降低。遭受多种创伤并伴有围生期创伤压力增高的母亲的婴儿从基线到应激源的激活模式相似，但在恢复过程中却没有下降。在控制了当前的母亲PTSD和抑郁症状后，这些模式得以维持。结论：围产期的产妇一生的外伤暴露和外伤压力与应激方案中婴儿心肺调节和行为困扰有关。这些结果支持围产期编程的概念及其在身体和心理健康结果中的潜在作用。

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