Publications by authors named "Grewen K"

Objective: Hypothalamic-pituitary-adrenal (HPA) axis dysregulation has been implicated in the pathogenesis of perinatal mood disorders. Further, HPA axis response is known to be blunted during breastfeeding. We hypothesized that 1) postpartum depression/anxiety symptoms would be associated with HPA axis dysregulation, indexed by loss of expected adrenocorticotropic hormone (ACTH)-cortisol coupling, and 2) this association would vary by method of infant feeding.

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Background And Purpose: While the adverse neurodevelopmental effects of prenatal opioid exposure on infants and children in the United States are well described, the underlying causative mechanisms have yet to be fully understood. This study aims to compare quantitative volumetric and surface-based features of the fetal brain between opioid-exposed fetuses and unexposed controls by using advanced MR imaging processing techniques.

Materials And Methods: This is a multi-institutional IRB-approved study in which pregnant women with and without opioid use during the current pregnancy were prospectively recruited to undergo fetal MR imaging.

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Background: Perinatal depression affects >400,000 mother-child dyads in the United States every year and is associated with numerous adverse maternal and child developmental outcomes. Previous research implicates the dysregulation of oxytocin and the hypothalamic-pituitary-adrenal (HPA) axis functioning in mothers and children as potential mechanisms mediating or moderating the transmission of risk associated with maternal depression.

Objective: The Mood, Mother and Child study will examine the psychobiological sources of risk and resilience within mother-child dyads affected by maternal depression.

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Both social support and social stress can impact adolescent physiology including hormonal responses during the sensitive transition to adolescence. Social support from parents continues to play an important role in socioemotional development during adolescence. Sources of social support and stress may be particularly impactful for adolescents with social anxiety symptoms.

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Article Synopsis
  • * The early years, especially from birth to age 6, are crucial for brain changes influenced by genes, which can affect the risk of mental health and developmental issues later on.
  • * This review highlights existing research on genetic risks in young children and presents the Organization for Imaging Genomics in Infancy (ORIGINs), a group formed to enhance research in this vital area.
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Perinatal perceived stress can contribute to worse health outcomes for the parent-child dyad. Given the emerging relationship between the microbiota-gut-brain axis and stress, this study sought to elucidate connections between bowel symptoms and the gut microbiome in relation to perceived stress at three time points in the perinatal period: two during pregnancy and one postpartum. Ninety-five pregnant individuals participated in a prospective cohort study from April 2017 to November 2019.

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  • The opioid epidemic has led to significant developmental concerns for infants in the U.S., with prenatal opioid exposure linked to cognitive and behavioral issues later in life.
  • This study aims to compare brain measurements of opioid-exposed fetuses with those unexposed using fetal MRI, focusing on biometric data and pregnancy-related assessments.
  • Results indicated that several brain measurements were significantly smaller in opioid-exposed fetuses compared to unexposed ones, suggesting that opioid exposure may adversely affect brain development.
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Altered functional connectivity has been reported in infants with prenatal exposure to opioids, which significantly interrupts and influences endogenous neurotransmitter/receptor signaling during fetal programming. Better birth outcomes and long-term developmental outcomes are associated with medication for opioid use disorder (MOUD) during pregnancy, but the neural mechanisms underlying these benefits are largely unknown. We aimed to characterize effects of prenatal opioid/other drug exposure (PODE) and the neural basis for the reported beneficial effects of MOUD by examining neonatal brain functional organization.

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  • Individuals with schizophrenia spectrum disorders (SSD) face increased stress and dysregulated responses to stress, negatively impacting their long-term functioning.
  • Integrated-Coping Awareness Therapy (I-CAT) is a new treatment combining mindfulness and positive psychology aimed at improving stress response in early-stage SSD patients.
  • A preliminary study showed that I-CAT was more effective than standard treatment in reducing symptoms and enhancing well-being, indicating its potential for further research and larger trials.
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Exploration of photoplethysmography (PPG), a technique that can be translated to the clinic, has the potential to assess the autonomic nervous system (ANS) through heart rate variable (HRV) in pregnant individuals. This novel study explores the complexity of mental health of individuals in a clinical sample responding to a task in late pregnancy; finding those with several types of past or current anxiety disorders, greater trait anxiety, or greater exposure to childhood traumatic events had significantly different HRV findings from the others in the cohort. Lower high frequency (HF), a measure of parasympathetic activity, was found for women who met the criteria for the history of obsessive-compulsive disorder (OCD) (p = 0.

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  • Maternal postpartum depression (PPD) poses a significant public health issue, impacting both mothers and their children, prompting a study to identify associated genes during pregnancy.
  • Researchers conducted genome-wide analysis of blood samples from 137 pregnant women in their third trimester, correlating gene expression with postpartum depressive symptoms using EPDS scores.
  • They found 71 genes significantly linked to PPD, including TNFRSF17 and MMP8, with functional analysis revealing a focus on immune responses, and highlighted overlaps with genes expressive in brain regions and those influenced by estradiol in depression models.
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Although stress is a strong risk factor for poor health, especially for women, it remains unclear how stress affects the key neurohormones cortisol and oxytocin, which influence stress-related risk and resilience. Whereas cortisol mediates energy mobilization during stress, oxytocin has anti-inflammatory, anxiolytic, and analgesic effects that support social connection and survival across the lifespan. However, how these neurohormones interrelate and are associated with cognitive control of emotional information during stress remains unclear.

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The Hypothalamic Pituitary Adrenal (HPA) axis regulates hormonal responses to stress in both humans and animals and is dysregulated in a wide range of psychiatric disorders. There is strong evidence from rodent studies that gut microbial composition influences HPA axis development. In humans, variation in the gut microbiome has been associated with several psychological domains including depression and cognitive development, but studies focused on HPA axis development are still lacking.

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Prenatal drug exposure (PDE) is known to affect fetal brain development with documented long-term consequences. Most studies of PDE effects on the brain are based on animal models. In this study, based on a large sample of 133 human neonates and leveraging a novel linear mixed-effect model designed for intersubject variability analyses, we studied the effects of six prenatally exposed drugs (i.

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Life history theory and the adaptive calibration model state that characteristics of one's early environment influence individual differences in both neuroendocrine reactivity to stress and sexual risk-taking behavior. However, few studies have directly examined the relationship between neuroendocrine reactivity to stress and risky sexual behavior. This study used multilevel modeling to test whether cortisol reactivity and recovery in response to laboratory stress were associated with women's history of sexual behavior and their sexual arousability in response to laboratory sexual stimuli.

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Article Synopsis
  • * Researchers measured maternal oxytocin through blood samples and observed breastfeeding sessions, using specific inventories to assess depression and anxiety levels.
  • * The findings indicated no significant differences in oxytocin levels during breastfeeding between women with depression/anxiety and those without, suggesting that other factors may impact the relationship between mood symptoms and breastfeeding.
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Objective: There is evidence that placebo effects may influence hormone secretion. However, few studies have examined placebo effects in the endocrine system, including oxytocin placebo effects. We studied whether it is possible to trigger oxytocin placebo effects using a classical conditioning paradigm.

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We sought to determine the role of depression and anxiety in breastfeeding cessation. Participants underwent a baseline visit with a structured clinical interview in the third trimester of pregnancy. Monthly phone interviews assessed current mood symptoms and infant feeding status.

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Background: Few studies have examined the role of maternal emotions in breastfeeding outcomes.

Research Aim: We aimed to determine the extent to which positive maternal emotions during human milk feeding at 2 months were associated with time to any and exclusive human milk feeding cessation and overall breastfeeding experience.

Methods: A sample of 192 women intending to breastfeed for at least 2 months was followed from the third trimester until 12 months postpartum.

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  • The study examined the relationship between oxytocin and cortisol in 63 female participants during two different contexts: sexual arousal and psychological stress.
  • Cortisol levels changed differently in response to stress compared to sexual arousal, while oxytocin patterns remained similar across both situations.
  • Greater cortisol reactivity during stress was linked to higher oxytocin levels afterwards, whereas greater oxytocin reactivity during arousal led to lesser decreases in cortisol levels afterward.
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Background: Research shows that individuals can improve mental health by increasing experiences of positive emotions. However, the role of positive emotions in perinatal mental health has not been investigated. This study explored the extent to which positive emotions during infant feeding are associated with maternal depression and anxiety during the first year postpartum.

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The past decades witnessed a surge of interest in neuroimaging study of normal and abnormal early brain development. Structural and functional studies of normal early brain development revealed massive structural maturation as well as sequential, coordinated, and hierarchical emergence of functional networks during the infancy period, providing a great foundation for the investigation of abnormal early brain development mechanisms. Indeed, studies of altered brain development associated with either genetic or environmental risks emerged and thrived.

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Introduction: Prenatal nicotine exposure (PNE) from maternal cigarette smoking is linked to developmental deficits, including impaired auditory processing, language, generalized intelligence, attention, and sleep. Fetal brain undergoes massive growth, organization, and connectivity during gestation, making it particularly vulnerable to neurotoxic insult. Nicotine binds to nicotinic acetylcholine receptors, which are extensively involved in growth, connectivity, and function of developing neural circuitry and neurotransmitter systems.

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In this research, we tested hypotheses about the role of oxytocin in adult human bonding. Inspired by revisiting the research on pair bonding in microtine voles that fueled psychologists' interest in the role of oxytocin in social life, we drew on recent theory from affective and relationship science to identify a well-defined bonding context for human romantic relationships. We then paired these behaviors and subjective psychological responses with a measure of naturally circulating oxytocin.

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