Maternal neural responses to infant cries and faces: relationships with substance use
Open accessAbstract
Substance abuse in pregnant and recently post-partum women is a major public health concern because of effects on the infant and on the ability of the adult to care for the infant. In addition to the negative health effects of teratogenic substances on fetal development, substance use can contribute to difficulties associated with the social and behavioral aspects of parenting. Neural circuits associated with parenting behavior overlap with circuits involved in addiction (e.g., frontal, striatal, and limbic systems) and thus may be co-opted for the craving/reward cycle associated with substance use and abuse and be less available for parenting. The current study investigates the degree to which neural circuits associated with parenting are disrupted in mothers who are substance-using. Specifically, we used functional magnetic resonance imaging to examine the neural response to emotional infant cues (faces and cries) in substance-using compared to non-using mothers. In response to both faces (of varying emotional valence) and cries (of varying distress levels), substance-using mothers evidenced reduced neural activation in regions that have been previously implicated in reward and motivation as well as regions involved in cognitive control. Specifically, in response to faces, substance users showed reduced activation in prefrontal regions, including the dorsolateral and ventromedial prefrontal cortices, as well as visual processing (occipital lobes) and limbic regions (parahippocampus and amygdala). Similarly, in response to infant cries, substance-using mothers showed reduced activation relative to non-using mothers in prefrontal regions, auditory sensory processing regions, insula and limbic regions (parahippocampus and amygdala). These findings suggest that infant stimuli may be less salient for substance-using mothers, and such reduced saliency may impair developing infant-caregiver attachment and the ability of mothers to respond appropriately to their infants.
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Mothers who used one or more teratogenic substances (e.g., tobacco, alcohol) show decreased responses to low distress cries in prefrontal cortex, insula, and amygdala (Landi et al., 2011).
“Similarly, mothers who used one or more teratogenic substances (e.g. tobacco, alcohol) showed decreased responses to low distress cries in prefrontal cortex, insula and amygdala (Landi et al., 2011).”
From Approaching the biology of human parental attachment: Brain imaging, oxytocin and coordinated assessments of mothers and fathers (2014) · cites this paper as Landi et al., 2011
In substance users in the postpartum period relative to non-substance users, reduced activation to infant faces was reported in dlPFC, vlPFC, occipital regions, parahippocampus, and amygdala (Landi et al., 2011).
“Finally, in a study examining substance users in the postpartum period relative to non–substance users, reduced activation to infant faces was reported in dorsolateral (dl)PFC ventrolateral (vl)PFC, occipital regions, parahippocampus and amygdala (Landi et al., 2011).”
From Approaching the biology of human parental attachment: Brain imaging, oxytocin and coordinated assessments of mothers and fathers (2014) · cites this paper as Landi et al., 2011
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- Authors
- Landi, N., Montoya, J., Kober, H., Rutherford, H. J. V., Mencl, W. E., Worhunsky, P. D., Potenza, M. N., & Mayes, L. C.
- Affiliations
- Yale University (US)
- Haskins Laboratories (US)
- Corresponding author
- Landi, Nicole
- Venue
- Frontiers in Psychiatry
- Publisher
- Frontiers Media SA
- Published
- 2011
- Volume
- 2
- Pages
- 32-32
- ISSN
- 1664-0640 (ISSN-L)
- PMC
- PMC3118477
- OpenAlex
- W2077071954
- Cited by
- 146
- References
- 40
- Citations by year
- 2026: 6 · 2025: 7 · 2024: 7 · 2023: 12 · 2022: 10 · 2021: 14 · 2020: 10 · 2019: 17 · 2018: 9 · 2017: 12 · 2016: 10 · 2015: 12 · 2014: 8 · 2013: 8 · 2012: 4
- FWCI
- 5.91
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Frontiers in Psychiatry (publishedVersion, cc-by)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- National Center for Responsible Gaming
- Psyadon Pharmaceuticals
- Georgia Clinical and Translational Science Alliance (UL1 RR024139)
- National Institutes of Health (P01 DA022446 and R01 DA026437)
- National Institute on Drug Abuse (DA026437, DA022446, R01DA026437, P01DA022446)
- National Center for Research Resources (CTSA Grant Number UL1 RR024139, RR024139, UL1RR024139)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Prenatal Substance Exposure Effects
- Social Sciences › Psychology › Social Psychology › Neuroendocrine regulation and behavior
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Keywords
- maternal substance use, prenatal drug exposure, infant crying, infant faces, reward and motivation, cognitive control, prefrontal cortex, amygdala, parahippocampal cortex, insula, postpartum women
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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