Subcortical brain volumes in young infants exposed to antenatal maternal depression: Findings from a South African birth cohort
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Abstract
BACKGROUND: Several studies have reported enlarged amygdala and smaller hippocampus volumes in children and adolescents exposed to maternal depression. It is unclear whether similar volumetric differences are detectable in the infants' first weeks of life, following exposure in utero. We investigated subcortical volumes in 2-to-6 week old infants exposed to antenatal maternal depression (AMD) from a South African birth cohort. METHODS: AMD was measured with the Beck Depression Inventory 2nd edition (BDI-II) at 28-32 weeks gestation. T2-weighted structural images were acquired during natural sleep on a 3T Siemens Allegra scanner. Subcortical regions were segmented based on the University of North Carolina neonatal brain atlas. Volumetric estimates were compared between AMD-exposed (BDI-II ⩾ 20) and unexposed (BDI-II < 14) infants, adjusted for age, sex and total intracranial volume using analysis of covariance. RESULTS: Larger volumes were observed in AMD-exposed (N = 49) compared to unexposed infants (N = 75) for the right amygdala (1.93% difference, p = 0.039) and bilateral caudate nucleus (left: 5.79% difference, p = 0.001; right: 6.09% difference, p < 0.001). A significant AMD-by-sex interaction was found for the hippocampus (left: F(1,118) = 4.80, p = 0.030; right: F(1,118) = 5.16, p = 0.025), reflecting greater volume in AMD-exposed females (left: 5.09% difference, p = 0.001, right: 3.54% difference, p = 0.010), but not males. CONCLUSIONS: Volumetric differences in subcortical regions can be detected in AMD-exposed infants soon after birth, suggesting structural changes may occur in utero. Female infants might exhibit volumetric changes that are not observed in male infants. The potential mechanisms underlying these early volumetric differences, and their significance for long-term child mental health, require further investigation.
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Greater prenatal maternal depressive symptoms are associated with larger right amygdala volume in infants under 2 months old and girls at 4.5 years old.
“Greater prenatal maternal depressive symptoms are associated with larger right amygdala volume in infants under 2 months old and girls at 4.5 years old [39, 86, 87].”
From Brain structural and functional outcomes in the offspring of women experiencing psychological distress during pregnancy (2024) · cites this paper as [86]
The Results (Linear associations between severity of AMD exposure and infant subcortical volumes; page unavailable) report a positive association between prenatal depressive-symptom scores and right amygdala volume in infants aged 2–6 weeks. The Discussion says no significant severity associations were found overall, and the right-amygdala difference between exposed and unexposed infants lost significance after full adjustment. The paper did not study girls at 4.5 years; its Introduction cites a separate study reporting enlarged amygdala volumes in 4-year-old girls. (LLM, conf=0.86)
Experimental — accuracy not yet measuredPrenatal maternal depression is positively associated with hippocampal volume in female infants at 2-6 weeks old.
“While prenatal maternal depression is positively associated with the hippocampal volume in female infants at 2–6 weeks old [86].”
From Brain structural and functional outcomes in the offspring of women experiencing psychological distress during pregnancy (2024) · cites this paper as [86]
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“Greater prenatal maternal depressive symptoms are associated with larger right amygdala volume in infants under 2 months old and girls at 4.5 years old [39, 86, 87].”
BackgroundInfluential
- Authors
- Groenewold, N. A., Wedderburn, C. J., Pellowski, J. A., Fouché, J.-P., Michalak, L., Roos, A., Woods, R. P., Narr, K. L., Zar, H. J., Donald, K. A., & Stein, D. J.
- Affiliations
- South African Medical Research Council (ZA)
- University of Cape Town (ZA)
- University of California, Los Angeles (US)
- Corresponding author
- Groenewold, Nynke A.
- ORCID
- Venue
- NeuroImage: Clinical
- Publisher
- Elsevier BV
- Published
- 2022
- Volume
- 36
- Pages
- 103206
- ISSN
- 2213-1582 (ISSN-L)
- PMC
- PMC9668606
- OpenAlex
- W4296445618
- Cited by
- 22
- References
- 68
- Citations by year
- 2026: 6 · 2025: 7 · 2024: 5 · 2023: 4
- FWCI
- 3.53
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- NeuroImage Clinical (publishedVersion, cc-by-nc-nd)
- medRxiv (acceptedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- LSHTM Research Online (London School of Hygiene and Tropical Medicine) (acceptedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Carnegie Corporation of New York
- Bill and Melinda Gates Foundation (OPP1017641, 1017641, INV-006732)
- Wellcome Trust (203525/Z/16/Z, 203525)
- South African Medical Research Council
- Harry Crossley Foundation
- National Institutes of Health
- Medical Research Council
- National Institute on Alcohol Abuse and Alcoholism (R21AA023887)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Prenatal Substance Exposure Effects
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Fetal and Pediatric Neurological Disorders
- Keywords
- subcortical volume, infant brain development, amygdala enlargement, hippocampus, caudate nucleus, sex differences, prenatal stress, brain development
- MeSH terms
- Birth Cohort, Adolescent, Amygdala, Brain, Caudate Nucleus, Child, Depressive Disorder, Female, Humans, Infant, Infant, Newborn, Magnetic Resonance Imaging, Pregnancy
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