围产期抑郁对子代神经功能发育影响机制的研究进展

支金草, 徐河, 常庆, 吴珊红, 秦欢, 王艳

中国儿童保健杂志 ›› 2025, Vol. 33 ›› Issue (12) : 1348-1352.

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中国儿童保健杂志 ›› 2025, Vol. 33 ›› Issue (12) : 1348-1352. DOI: 10.11852/zgetbjzz2024-1297
综述

围产期抑郁对子代神经功能发育影响机制的研究进展

  • 支金草1, 徐河1, 常庆1, 吴珊红2, 秦欢1, 王艳2
作者信息 +

Research progress on the mechanism of perinatal depression′s impact on offspring neurofunctional development

  • ZHI Jincao1, XU He1, CHANG Qing1, WU Shanhong2, QIN Huan1, WANG Yan2
Author information +
文章历史 +

摘要

生命早期是儿童神经发育的关键时期。围产期抑郁(PND)已被证明会对子代的运动、语言、认知和社交等多方面产生深远影响。本文概述了PND对子代神经功能发育的影响及其可能的作用机制,如表观遗传调控、母婴依恋受损、大脑结构和功能受损、下丘脑-垂体-肾上腺(HPA)轴功能亢进、免疫炎症、肠道菌群异常以及多组学调控等,提出了PND的预防措施,旨在促进围生期母亲的心理健康,减轻PND对子代神经功能发育的负面影响。

Abstract

Early life is a critical period for neurodevelopment in children. Perinatal depression (PND) has been demonstrated to profoundly affect various aspects of offspring development, including motor skills, language, cognition, and social abilities. This article reviews the impact of PND on offspring neurofunctional development and its potential underlying mechanisms, such as epigenetic regulation, impaired mother-infant attachment, alterations in brain structure and function, hyperactivity of the hypothalamic-pituitary-adrenal (HPA) axis, immune inflammation, abnormal gut microbiota, and multi-omics regulation. It also proposes preventive measures for PND, aiming to promote maternal mental health during the perinatal period and mitigate the negative effects of PND on offspring neurofunctional development.

关键词

围产期抑郁 / 婴幼儿 / 神经功能发育 / 下丘脑-垂体-肾上腺轴

Key words

perinatal depression / infants and young children / neurofunctional development / hypothalamic-pituitary-adrenal axis

引用本文

导出引用
支金草, 徐河, 常庆, 吴珊红, 秦欢, 王艳. 围产期抑郁对子代神经功能发育影响机制的研究进展[J]. 中国儿童保健杂志. 2025, 33(12): 1348-1352 https://doi.org/10.11852/zgetbjzz2024-1297
ZHI Jincao, XU He, CHANG Qing, WU Shanhong, QIN Huan, WANG Yan. Research progress on the mechanism of perinatal depression′s impact on offspring neurofunctional development[J]. Chinese Journal of Child Health Care. 2025, 33(12): 1348-1352 https://doi.org/10.11852/zgetbjzz2024-1297
中图分类号: R179   

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基金

黑龙江省卫生健康委科研课题(20212020010340);黑龙江省中医药管理局资助项目(GY2022-10);孙申田青年人才基金立项(2021KY-07)

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