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Cao Y, Zhang J, He X, Wu C, Liu Z, Zhu B, Miao L. Empathic pain: Exploring the multidimensional impacts of biological and social aspects in pain. Neuropharmacology 2024:110091. [PMID: 39059575 DOI: 10.1016/j.neuropharm.2024.110091] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2024] [Revised: 06/25/2024] [Accepted: 07/24/2024] [Indexed: 07/28/2024]
Abstract
Empathic pain refers to an individual's perception, judgment, and emotional response to others' pain. This complex social cognitive ability is crucial for healthy interactions in human society. In recent years, with the development of multidisciplinary research in neuroscience, psychology and sociology, empathic pain has become a focal point of widespread attention in these fields. However, the neural mechanism underlying empathic pain remain a controversial and unresolved area. This review aims to comprehensively summarize the history, influencing factors, neural mechanisms and pharmacological interventions of empathic pain. We hope to provide a comprehensive scientific perspective on how humans perceive and respond to others' pain experiences and to provide guidance for future research directions and clinical applications.
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Affiliation(s)
- Yuchun Cao
- Department of Critical Care Medicine, the Third Affiliated Hospital of Soochow University, Changzhou, 213000, China
| | - Jiahui Zhang
- The Third Clinical Medical College, Nanjing University of Chinese Medicine, Nanjing, 210046, China
| | - Xiaofang He
- Department of Critical Care Medicine, the Third Affiliated Hospital of Soochow University, Changzhou, 213000, China
| | - Chenye Wu
- Department of Emergency Medicine, Changshu Hospital Affiliated to Soochow-University, Changshu, 215500, China
| | - Zeyuan Liu
- Department of Critical Care Medicine, the Third Affiliated Hospital of Soochow University, Changzhou, 213000, China
| | - Bin Zhu
- Department of Critical Care Medicine, the Third Affiliated Hospital of Soochow University, Changzhou, 213000, China.
| | - Liying Miao
- Department of Blood Purification Center, the Third Affiliated Hospital of Soochow University, Changzhou, 213000, Jiangsu, China.
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Marten LE, Singh A, Muellen AM, Noack SM, Kozyrev V, Schweizer R, Goya-Maldonado R. Motor performance and functional connectivity between the posterior cingulate cortex and supplementary motor cortex in bipolar and unipolar depression. Eur Arch Psychiatry Clin Neurosci 2024; 274:655-671. [PMID: 37638997 PMCID: PMC10995093 DOI: 10.1007/s00406-023-01671-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/20/2023] [Accepted: 07/31/2023] [Indexed: 08/29/2023]
Abstract
Although implicated in unsuccessful treatment, psychomotor deficits and their neurobiological underpinnings in bipolar (BD) and unipolar (UD) depression remain poorly investigated. Here, we hypothesized that motor performance deficits in depressed patients would relate to basal functional coupling of the hand primary motor cortex (M1) and the posterior cingulate cortex (PCC) with the supplementary motor area (SMA). We performed a longitudinal, naturalistic study in BD, UD and matched healthy controls comprising of two resting-state functional MRI measurements five weeks apart and accompanying assessments of motor performance using a finger tapping task (FTT). A subject-specific seed-based analysis describing functional connectivity between PCC-SMA as well as M1-SMA was conducted. The basal relationships with motor performance were investigated using linear regression models and all measures were compared across groups. Performance in FTT was impaired in BD in comparison to HC in both sessions. Behavioral performance across groups correlated significantly with resting state functional coupling of PCC-SMA, but not of M1-SMA regions. This relationship was partially reflected in a reduced PCC-SMA connectivity in BD vs HC in the second session. Exploratory evaluation of large-scale networks coupling (SMN-DMN) exhibited no correlation to motor performance. Our results shed new light on the association between the degree of disruption in the SMA-PCC anticorrelation and the level of motor impairment in BD.
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Affiliation(s)
- Lara E Marten
- Laboratory of Systems Neuroscience and Imaging in Psychiatry (SNIP-Lab), Department of Psychiatry and Psychotherapy, University Medical Center Göttingen (UMG), Von-Siebold-Straße 5, 37075, Göttingen, Germany
| | - Aditya Singh
- Laboratory of Systems Neuroscience and Imaging in Psychiatry (SNIP-Lab), Department of Psychiatry and Psychotherapy, University Medical Center Göttingen (UMG), Von-Siebold-Straße 5, 37075, Göttingen, Germany
| | - Anna M Muellen
- Cognitive Neuroscience Laboratory, German Primate Center, Kellnerweg 4, 37077, Göttingen, Germany
| | - Sören M Noack
- Laboratory of Systems Neuroscience and Imaging in Psychiatry (SNIP-Lab), Department of Psychiatry and Psychotherapy, University Medical Center Göttingen (UMG), Von-Siebold-Straße 5, 37075, Göttingen, Germany
| | - Vladislav Kozyrev
- Laboratory of Systems Neuroscience and Imaging in Psychiatry (SNIP-Lab), Department of Psychiatry and Psychotherapy, University Medical Center Göttingen (UMG), Von-Siebold-Straße 5, 37075, Göttingen, Germany
- Functional Imaging Laboratory, German Primate Center, Kellnerweg 4, 37077, Göttingen, Germany
- Institute of Molecular and Clinical Ophthalmology Basel, Mittlere Straße 91, 4056, Basel, Switzerland
| | - Renate Schweizer
- Functional Imaging Laboratory, German Primate Center, Kellnerweg 4, 37077, Göttingen, Germany
- Leibniz ScienceCampus Primate Cognition, Kellnerweg 4, 37077, Göttingen, Germany
| | - Roberto Goya-Maldonado
- Laboratory of Systems Neuroscience and Imaging in Psychiatry (SNIP-Lab), Department of Psychiatry and Psychotherapy, University Medical Center Göttingen (UMG), Von-Siebold-Straße 5, 37075, Göttingen, Germany.
- Leibniz ScienceCampus Primate Cognition, Kellnerweg 4, 37077, Göttingen, Germany.
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Hiraoka D, Makita K, Sakakibara N, Morioka S, Orisaka M, Yoshida Y, Tomoda A. Longitudinal changes in attention bias to infant crying in primiparous mothers. Front Behav Neurosci 2023; 17:1192275. [PMID: 37809040 PMCID: PMC10556249 DOI: 10.3389/fnbeh.2023.1192275] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2023] [Accepted: 09/08/2023] [Indexed: 10/10/2023] Open
Abstract
Introduction Infant stimuli attract caregiver attention and motivate parenting behavior. Studies have confirmed the existence of attentional bias toward infant face stimuli; however, relatively little is known about whether attentional bias exists for infant cry stimuli, which are as important as faces in child-rearing situations. Furthermore, scarce longitudinal evidence exists on how attentional bias toward infant crying changes through the postpartum period. Methods In the present study, we conducted an experiment to assess bias toward infant crying at two postpartum time points: at Time 1 (Mean = 75.24 days), 45 first-time mothers participated and at Time 2 (Mean = 274.33 days), 30 mothers participated. At both time points, the mothers participated in a Stroop task with infant crying and white noise as the stimuli. They were instructed to answer the color out loud as quickly and accurately as possible, while ignoring the sound. Four types of audio stimuli were used in this task (the cry of the mother's own infant, the cry of an unfamiliar infant, white noise matched to the cry of the mother's own infant, and white noise matched to the cry of an unfamiliar infant), one of which was presented randomly before each trial. Response time and the correct response rate for each condition were the dependent variables. Results For response time, the main effect of familiarity was significant, with longer response times when the participant's infant's cry was presented. In addition, response times were lower at Time 2 than at Time 1 in some conditions in which crying was presented. Discussion The results suggest that mothers may be less disturbed by infant crying as they gain more experience. Elucidating the characteristics of postpartum mothers' changes in cognitive performance related to infants' cries would be useful in fundamental and applied research to understand the process of parents' adaptation to parenting.
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Affiliation(s)
- Daiki Hiraoka
- Research Center for Child Mental Development, University of Fukui, Fukui, Japan
- The Japan Society for the Promotion of Science, Tokyo, Japan
| | - Kai Makita
- Research Center for Child Mental Development, University of Fukui, Fukui, Japan
| | - Nobuko Sakakibara
- Research Center for Child Mental Development, University of Fukui, Fukui, Japan
| | - Shigemi Morioka
- Department of Pediatrics, Fukui Aiiku Hospital, Fukui, Japan
- Department of Pediatrics, Japanese Red Cross Kyoto Daini Hospital, Kyoto, Japan
| | - Makoto Orisaka
- Faculty of Medical Sciences, Department of Obstetrics and Gynecology, University of Fukui, Fukui, Japan
| | - Yoshio Yoshida
- Faculty of Medical Sciences, Department of Obstetrics and Gynecology, University of Fukui, Fukui, Japan
| | - Akemi Tomoda
- Research Center for Child Mental Development, University of Fukui, Fukui, Japan
- Department of Child and Adolescent Psychological Medicine, University of Fukui Hospital, Matsuoka-Shimoaizuki, Fukui, Japan
- Division of Developmental Higher Brain Functions, United Graduate School of Child Development, Osaka University, Kanazawa University, Hamamatsu University School of Medicine, Chiba University, and University of Fukui, Osaka, Japan
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Time perception at resting state and during active motion: The role of anxiety and depression. J Psychiatr Res 2022; 155:186-193. [PMID: 36058137 DOI: 10.1016/j.jpsychires.2022.08.023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/18/2022] [Revised: 08/15/2022] [Accepted: 08/22/2022] [Indexed: 11/23/2022]
Abstract
BACKGROUND Time perception and motion intensity are interrelated factors that may influence symptom expression and severity in case of various psychiatric conditions, including anxiety and depression. AIMS The present study aimed to 1) explore the associations between the intensity of physical activity, time perception, impulsivity, anxiety and depressive symptoms, and to 2) investigate the extent to which resting state motion intensity can be used to identify the assessed psychiatric conditions. METHODS 20 healthy controls and 20 psychiatric patients (with either anxiety or depression-related diagnoses) were included in the study and filled out a questionnaire consisting of validated anxiety, depression and impulsivity measures. Time perception was measured by a computerized time production task, whereas motion intensity was analyzed by a motion capture and analysis software. Respondents were randomly assigned to an experimental (with active motion task) and non-experimental group (resting state conditions). Both subgroups were repeatedly assessed, in order to explore changes in motion intensity, time perception and psychiatric symptom levels. RESULTS Random forest regression analysis identified the level of impulsivity, depression and anxiety as the strongest predictors of resting state motion intensity, while a path analysis model indicated that controls and psychiatric patients show different pathways regarding the connection between motion intensity changes, time production ratio alterations and symptom reduction. CONCLUSIONS Our study implies the importance of distinguishing between clinical and subclinical severity of psychiatric symptoms when considering the association between motion intensity, time perception, anxiety and depression. Potential transdiagnostic relevance of resting state motion intensity is also addressed.
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Kariuki EW, Kuria MW, Were FN, Ndetei DM. Predictors of postnatal depression in the slums Nairobi, Kenya: a cross-sectional study. BMC Psychiatry 2022; 22:242. [PMID: 35382788 PMCID: PMC8981836 DOI: 10.1186/s12888-022-03885-4] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/05/2021] [Accepted: 03/22/2022] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Postnatal depression (PND) is a universal mental health problem that prevents mothers' optimal existence and mothering. Although research has shown high PND prevalence rates in Africa, including Kenya, little research has been conducted to determine the contributing factors, especially in low-resource communities. OBJECTIVE This study aimed to investigate the PND risk factors among mothers attending Lang'ata and Riruta Maternal and Child Health Clinics (MCH) in the slums, Nairobi. METHODS This study was cross-sectional. It is part of a large study that investigated the effectiveness of a brief psychoeducational intervention on PND. Postnatal mothers (567) of 6-10 weeks postanatal formed the study population. Depression rate was measured using the original 1961 Beck's Depression Inventory (BDI). In addition, a sociodemographic questionnaire (SDQ) was used to collect hypothesized risk variables. Multivariable logistic regression analysis was used to explore predictors of PND. RESULTS The overall prevalence of PND in the sample of women was 27.1%. Women aged 18-24 (β = 2.04 95% C.I.[0.02; 4.05], p = 0.047), dissatisfied with body image (β = 4.33 95% C.I.[2.26; 6.41], p < 0.001), had an unplanned pregnancy (β = 2.31 95% C.I.[0.81; 3.80], p = 0.003 and felt fatigued (β = - 1.85 95% C.I.[- 3.50; 0.20], p = 0.028) had higher odds of developing PND. Participants who had no stressful life events had significantly lower depression scores as compared to those who had stressful life events (β = - 1.71 95% C.I.[- 3.30; - 0.11], p = 0.036) when depression was treated as a continuous outcome. Sensitivity analysis showed that mothers who had secondary and tertiary level of education had 51 and 73% had lower likelihood of having depression as compared to those with a primary level of education (A.O.R = 0.49 95% C.I.[0.31-0.78], p = 0.002) and (A.O.R = 0.27 95% C.I.[0.09-0.75], p = 0.013) respectively. CONCLUSION This study reveals key predictors/risk factors for PND in low-income settings building upon the scanty data. Identifying risk factors for PND may help in devising focused preventive and treatment strategies.
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Affiliation(s)
- Esther W. Kariuki
- grid.10604.330000 0001 2019 0495Department of Psychiatry, School of Medicine, The University of Nairobi, P.O. Box 30197, GPO, Nairobi, Kenya
| | - Mary W. Kuria
- grid.10604.330000 0001 2019 0495Department of Psychiatry, School of Medicine, The University of Nairobi, P.O. Box 30197, GPO, Nairobi, Kenya
| | - Fredrick N. Were
- grid.10604.330000 0001 2019 0495Department of Psychiatry, School of Medicine, The University of Nairobi, P.O. Box 30197, GPO, Nairobi, Kenya
| | - David M. Ndetei
- grid.10604.330000 0001 2019 0495Department of Psychiatry, School of Medicine, The University of Nairobi, P.O. Box 30197, GPO, Nairobi, Kenya
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Stark EA, Cabral J, Riem MME, Van IJzendoorn MH, Stein A, Kringelbach ML. The Power of Smiling: The Adult Brain Networks Underlying Learned Infant Emotionality. Cereb Cortex 2021; 30:2019-2029. [PMID: 32129828 DOI: 10.1093/cercor/bhz219] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2019] [Revised: 07/03/2019] [Accepted: 08/20/2019] [Indexed: 12/23/2022] Open
Abstract
The perception of infant emotionality, one aspect of temperament, starts to form in infancy, yet the underlying mechanisms of how infant emotionality affects adult neural dynamics remain unclear. We used a social reward task with probabilistic visual and auditory feedback (infant laughter or crying) to train 47 nulliparous women to perceive the emotional style of six different infants. Using functional neuroimaging, we subsequently measured brain activity while participants were tested on the learned emotionality of the six infants. We characterized the elicited patterns of dynamic functional brain connectivity using Leading Eigenvector Dynamics Analysis and found significant activity in a brain network linking the orbitofrontal cortex with the amygdala and hippocampus, where the probability of occurrence significantly correlated with the valence of the learned infant emotional disposition. In other words, seeing infants with neutral face expressions after having interacted and learned their various degrees of positive and negative emotional dispositions proportionally increased the activity in a brain network previously shown to be involved in pleasure, emotion, and memory. These findings provide novel neuroimaging insights into how the perception of happy versus sad infant emotionality shapes adult brain networks.
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Affiliation(s)
- Eloise A Stark
- Department of Psychiatry, University of Oxford, Warneford Hospital, Oxford, UK
| | - Joana Cabral
- Department of Psychiatry, University of Oxford, Warneford Hospital, Oxford, UK.,Center for Music in the Brain, Aarhus University, Aarhus, Denmark.,Life and Health Sciences Research Institute (ICVS), University of Minho, Braga, Portugal
| | - Madelon M E Riem
- Department of Medical and Clinical Psychology, Tilburg University, Tilburg, The Netherlands
| | - Marinus H Van IJzendoorn
- Primary Care Unit, School of Clinical Medicine, University of Cambridge, Cambridge, UK.,Department of Psychology, Education and Child Studies, Erasmus University Rotterdam, Rotterdam, The Netherlands
| | - Alan Stein
- Department of Psychiatry, University of Oxford, Warneford Hospital, Oxford, UK.,MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
| | - Morten L Kringelbach
- Department of Psychiatry, University of Oxford, Warneford Hospital, Oxford, UK.,Center for Music in the Brain, Aarhus University, Aarhus, Denmark
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Li L, Zhang LZ, He ZX, Ma H, Zhang YT, Xun YF, Yuan W, Hou WJ, Li YT, Lv ZJ, Jia R, Tai FD. Dorsal raphe nucleus to anterior cingulate cortex 5-HTergic neural circuit modulates consolation and sociability. eLife 2021; 10:67638. [PMID: 34080539 PMCID: PMC8213405 DOI: 10.7554/elife.67638] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2021] [Accepted: 06/02/2021] [Indexed: 02/06/2023] Open
Abstract
Consolation is a common response to the distress of others in humans and some social animals, but the neural mechanisms underlying this behavior are not well characterized. By using socially monogamous mandarin voles, we found that optogenetic or chemogenetic inhibition of 5-HTergic neurons in the dorsal raphe nucleus (DR) or optogenetic inhibition of serotonin (5-HT) terminals in the anterior cingulate cortex (ACC) significantly decreased allogrooming time in the consolation test and reduced sociability in the three-chamber test. The release of 5-HT within the ACC and the activity of DR neurons were significantly increased during allogrooming, sniffing, and social approaching. Finally, we found that the activation of 5-HT1A receptors in the ACC was sufficient to reverse consolation and sociability deficits induced by the chemogenetic inhibition of 5-HTergic neurons in the DR. Our study provided the first direct evidence that DR-ACC 5-HTergic neural circuit is implicated in consolation-like behaviors and sociability.
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Affiliation(s)
- Laifu Li
- Institute of Brain and Behavioral Sciences, College of Life Sciences, Shaanxi Normal University, Xi'an, China.,College of Life Sciences, Nanyang Normal University, Nanyang, China
| | - Li-Zi Zhang
- Institute of Brain and Behavioral Sciences, College of Life Sciences, Shaanxi Normal University, Xi'an, China
| | - Zhi-Xiong He
- Institute of Brain and Behavioral Sciences, College of Life Sciences, Shaanxi Normal University, Xi'an, China
| | - Huan Ma
- Institute of Brain and Behavioral Sciences, College of Life Sciences, Shaanxi Normal University, Xi'an, China
| | - Yu-Ting Zhang
- Institute of Brain and Behavioral Sciences, College of Life Sciences, Shaanxi Normal University, Xi'an, China
| | - Yu-Feng Xun
- Institute of Brain and Behavioral Sciences, College of Life Sciences, Shaanxi Normal University, Xi'an, China
| | - Wei Yuan
- Institute of Brain and Behavioral Sciences, College of Life Sciences, Shaanxi Normal University, Xi'an, China.,Provincial Key Laboratory of Acupuncture and Medications, Shaanxi University of Chinese Medicine, Xianyang, China
| | - Wen-Juan Hou
- Institute of Brain and Behavioral Sciences, College of Life Sciences, Shaanxi Normal University, Xi'an, China
| | - Yi-Tong Li
- Institute of Brain and Behavioral Sciences, College of Life Sciences, Shaanxi Normal University, Xi'an, China
| | - Zi-Jian Lv
- Institute of Brain and Behavioral Sciences, College of Life Sciences, Shaanxi Normal University, Xi'an, China
| | - Rui Jia
- Institute of Brain and Behavioral Sciences, College of Life Sciences, Shaanxi Normal University, Xi'an, China
| | - Fa-Dao Tai
- Institute of Brain and Behavioral Sciences, College of Life Sciences, Shaanxi Normal University, Xi'an, China
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LEI Y, XIA Q, MO Z, LI H. The attention bias effect of infant face: The mechanism of cuteness and familiarity. ACTA PSYCHOLOGICA SINICA 2020. [DOI: 10.3724/sp.j.1041.2020.00811] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Wu R, Huang Y, Liu Y, Shen Q, Han Y, Yang S, Wei W. Repeated predator odor exposure alters maternal behavior of postpartum Brandt's voles and offspring's locomotor activity. Behav Processes 2020; 177:104143. [PMID: 32445852 DOI: 10.1016/j.beproc.2020.104143] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2020] [Revised: 05/03/2020] [Accepted: 05/17/2020] [Indexed: 12/21/2022]
Abstract
Recent evidence indicates that predation risk plays a special role in the rodent behavior of dams and offspring, but little is known about the effect of maternal exposure to the predator cues in the absence of pups. Here, we assessed the effects of repeated predator odor exposure on various maternal responses in postpartum Brandt's voles (Lasiopodomys brandtii). We also examined offspring's behavioral response to a novel environment. Only mother voles were exposed to distilled water, rabbit urine and cat urine for 60 min daily from postpartum day (PP) 1-18. Maternal behavior was immediately tested after these exposures on PP1, 3, 6, 9 and 18. Repeated cat odor (CO) and rabbit odor (RO) exposure disrupted hovering over pups in a time-dependent fashion. Repeated CO exposure also time-dependently disrupted pup retrieval, whereas RO exposure induced long-term reduction in pup licking. Juvenile offspring of CO-exposed mothers showed increased locomotor activity and decreased rearing in the open field at postnatal day 30. These findings demonstrated that maternal exposure to predator or non-predator odors had a disruptive effect on the maternal behavior of Brandt's voles when only the mother was exposed to these odors, and that the adversity experience with predation risk significantly impacted the behavioral development of offspring. Future work should explore possible behavioral mechanisms, such as the effect of predation risk, on the dams' emotional processing or pup preference.
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Affiliation(s)
- Ruiyong Wu
- Department of Animal Behavior, College of Bioscience and Biotechnology, Yangzhou University, Yangzhou, Jiangsu, 225009, China
| | - Yefeng Huang
- Department of Animal Behavior, College of Bioscience and Biotechnology, Yangzhou University, Yangzhou, Jiangsu, 225009, China
| | - Yuan Liu
- Department of Animal Behavior, College of Bioscience and Biotechnology, Yangzhou University, Yangzhou, Jiangsu, 225009, China
| | - Qiuyi Shen
- Department of Animal Behavior, College of Bioscience and Biotechnology, Yangzhou University, Yangzhou, Jiangsu, 225009, China
| | - Yuxuan Han
- Department of Animal Behavior, College of Bioscience and Biotechnology, Yangzhou University, Yangzhou, Jiangsu, 225009, China
| | - Shengmei Yang
- Department of Animal Behavior, College of Bioscience and Biotechnology, Yangzhou University, Yangzhou, Jiangsu, 225009, China
| | - Wanhong Wei
- Department of Animal Behavior, College of Bioscience and Biotechnology, Yangzhou University, Yangzhou, Jiangsu, 225009, China; Jiangsu Co-Innovation Center for Prevention and Control of Important Animal Infectious Diseases and Zoonoses, Yangzhou University, Yangzhou, Jiangsu, 225009, China.
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10
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Li LF, Yuan W, He ZX, Ma H, Xun YF, Meng LR, Zhu SJ, Wang LM, Zhang J, Cai WQ, Zhang XN, Guo QQ, Lian ZM, Jia R, Tai FD. Reduced Consolation Behaviors in Physically Stressed Mandarin Voles: Involvement of Oxytocin, Dopamine D2, and Serotonin 1A Receptors Within the Anterior Cingulate Cortex. Int J Neuropsychopharmacol 2019; 23:511-523. [PMID: 31760433 PMCID: PMC7689207 DOI: 10.1093/ijnp/pyz060] [Citation(s) in RCA: 21] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/11/2019] [Revised: 11/05/2019] [Accepted: 11/21/2019] [Indexed: 12/16/2022] Open
Abstract
BACKGROUND Consolation is a type of empathy-like behavior that has recently been observed in some socially living rodents. Despite the growing body of literature suggesting that stress affects empathy, the relationship between stress and consolation remains understudied at the preclinical level. Here, we examined the effects of chronic emotional stress or physical stress exposure on consolation and emotional behaviors by using the socially monogamous mandarin vole (Microtus mandarinus) in both males and females. METHOD/RESULTS Physical stress voles were exposed to 14-day social defeat stress, whereas emotional stress voles vicariously experienced the defeat of their partners. We found that physical stress, but not emotional stress, voles showed reduced grooming toward their defeated partners and increased anxiety- and despair-like behaviors. Meanwhile, physical stress voles exhibited decreased neural activity in the anterior cingulate cortex, which is centrally involved in empathy. The densities of oxytocin receptors, dopamine D2 receptors, and serotonin 1A-receptors within the anterior cingulate cortex were significantly decreased in the physical stress group compared with controls. All the behavioral and physiological changes were similar between the sexes. Finally, we found that the reduced consolation behavior and some anxiety-like syndromes in physical stress voles could be alleviated by pretreatment with an oxytocin receptor, D2 receptors, or serotonin 1A-receptor agonist within the anterior cingulate cortex, whereas injections of corresponding receptor antagonists to the control voles decreased the consolation behavior and increased some anxiety-like behaviors. CONCLUSIONS Our results indicated that chronic physical stress exposure impaired consolation and induced anxiety-like behaviors in mandarin voles and oxytocin receptors, 5-HT1A receptors, and D2 receptors within the anterior cingulate cortex may play important roles in these processes.
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Affiliation(s)
- Lai-Fu Li
- Institute of Brain and Behavioral Sciences, College of Life Sciences, Shaanxi Normal University, Xi’an, China,College of Life Sciences, Nanyang Normal University, Nanyang, China
| | - Wei Yuan
- Institute of Brain and Behavioral Sciences, College of Life Sciences, Shaanxi Normal University, Xi’an, China,Provincial Key Laboratory of Acupuncture and Medications, Shaanxi University of Chinese Medicine, Xianyang, China
| | - Zhi-Xiong He
- Institute of Brain and Behavioral Sciences, College of Life Sciences, Shaanxi Normal University, Xi’an, China
| | - Huan Ma
- Institute of Brain and Behavioral Sciences, College of Life Sciences, Shaanxi Normal University, Xi’an, China
| | - Yu-Feng Xun
- Institute of Brain and Behavioral Sciences, College of Life Sciences, Shaanxi Normal University, Xi’an, China
| | - Ling-Rong Meng
- Institute of Brain and Behavioral Sciences, College of Life Sciences, Shaanxi Normal University, Xi’an, China
| | - Si-Jing Zhu
- Institute of Brain and Behavioral Sciences, College of Life Sciences, Shaanxi Normal University, Xi’an, China
| | - Li-Min Wang
- Institute of Brain and Behavioral Sciences, College of Life Sciences, Shaanxi Normal University, Xi’an, China
| | - Jing Zhang
- Institute of Brain and Behavioral Sciences, College of Life Sciences, Shaanxi Normal University, Xi’an, China
| | - Wen-Qi Cai
- Institute of Brain and Behavioral Sciences, College of Life Sciences, Shaanxi Normal University, Xi’an, China
| | - Xue-Ni Zhang
- Institute of Brain and Behavioral Sciences, College of Life Sciences, Shaanxi Normal University, Xi’an, China
| | - Qian-Qian Guo
- Institute of Brain and Behavioral Sciences, College of Life Sciences, Shaanxi Normal University, Xi’an, China
| | - Zhen-Min Lian
- Institute of Brain and Behavioral Sciences, College of Life Sciences, Shaanxi Normal University, Xi’an, China
| | - Rui Jia
- Institute of Brain and Behavioral Sciences, College of Life Sciences, Shaanxi Normal University, Xi’an, China
| | - Fa-Dao Tai
- Institute of Brain and Behavioral Sciences, College of Life Sciences, Shaanxi Normal University, Xi’an, China,Correspondence: Fa-Dao Tai, PhD, College of Life Sciences, Shaanxi Normal University, Xi’an, 710062, China. E-mail:
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Sherman MD, Hooker SA. Supporting families managing parental mental illness: Challenges and resources. Int J Psychiatry Med 2018; 53:361-370. [PMID: 30068239 DOI: 10.1177/0091217418791444] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Over five million children in the United States have a parent living with a serious mental illness. These offspring are at higher risk for developing mental health problems themselves due to a complex interplay of biological, psychological, and psychosocial factors. Life with a parent with psychiatric symptoms can be scary, confusing, overwhelming, and sad; children often blame themselves for their parent's problems, find their parent's behavior embarrassing, and struggle to explain the illness to their friends. Unfortunately, these children's needs and experiences are often ignored by overwhelmed parents, worried family members and relatives, separate mental health systems of care for adults and children that often fail to coordinate care, and even well-intentioned health-care providers. Family medicine teams have an opportunity to detect and support these families in unique ways. We offer four recommendations for family medicine teams to help families managing parental mental illness including assessing functioning, treatment needs, and impacts on each family member; educating all family members about mental illness; instilling hope, noting the range of effective treatments for mental illness; and encouraging the use of supports and referral options. Providers can leverage family members' strengths, work with community-based resources, and offer continuity to these families, as they struggle with an oftentimes chronic, relapsing disease that has ripple effects throughout the family system.
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Affiliation(s)
- Michelle D Sherman
- 1 Department of Family Medicine and Community Health, University of Minnesota, Minneapolis, MN, USA
| | - Stephanie A Hooker
- 1 Department of Family Medicine and Community Health, University of Minnesota, Minneapolis, MN, USA
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12
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Young KS, Parsons CE, LeBeau RT, Tabak BA, Sewart AR, Stein A, Kringelbach ML, Craske MG. Sensing emotion in voices: Negativity bias and gender differences in a validation study of the Oxford Vocal ('OxVoc') sounds database. Psychol Assess 2017; 29:967-977. [PMID: 27656902 PMCID: PMC5362357 DOI: 10.1037/pas0000382] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2016] [Revised: 06/28/2016] [Accepted: 07/20/2016] [Indexed: 11/25/2022]
Abstract
Emotional expressions are an essential element of human interactions. Recent work has increasingly recognized that emotional vocalizations can color and shape interactions between individuals. Here we present data on the psychometric properties of a recently developed database of authentic nonlinguistic emotional vocalizations from human adults and infants (the Oxford Vocal 'OxVoc' Sounds Database; Parsons, Young, Craske, Stein, & Kringelbach, 2014). In a large sample (n = 562), we demonstrate that adults can reliably categorize these sounds (as 'positive,' 'negative,' or 'sounds with no emotion'), and rate valence in these sounds consistently over time. In an extended sample (n = 945, including the initial n = 562), we also investigated a number of individual difference factors in relation to valence ratings of these vocalizations. Results demonstrated small but significant effects of (a) symptoms of depression and anxiety with more negative ratings of adult neutral vocalizations (R2 = .011 and R2 = .008, respectively) and (b) gender differences in perceived valence such that female listeners rated adult neutral vocalizations more positively and infant cry vocalizations more negatively than male listeners (R2 = .021, R2 = .010, respectively). Of note, we did not find evidence of negativity bias among other affective vocalizations or gender differences in perceived valence of adult laughter, adult cries, infant laughter, or infant neutral vocalizations. Together, these findings largely converge with factors previously shown to impact processing of emotional facial expressions, suggesting a modality-independent impact of depression, anxiety, and listener gender, particularly among vocalizations with more ambiguous valence. (PsycINFO Database Record
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Affiliation(s)
| | | | | | | | - Amy R Sewart
- Department of Psychology, University of California, Los Angeles
| | - Alan Stein
- Department of Psychiatry, University of Oxford
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Parsons CE, Young KS, Stein A, Kringelbach ML. Intuitive parenting: understanding the neural mechanisms of parents’ adaptive responses to infants. Curr Opin Psychol 2017; 15:40-44. [DOI: 10.1016/j.copsyc.2017.02.010] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2017] [Accepted: 02/10/2017] [Indexed: 11/17/2022]
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14
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Musil CM, Givens SE, Jeanblanc AB, Zauszniewski JA, Warner CB, Toly VB. Grandmothers and Self-Management of Depressive Symptoms. Arch Psychiatr Nurs 2017; 31:234-240. [PMID: 28499561 PMCID: PMC5431279 DOI: 10.1016/j.apnu.2016.11.008] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/16/2016] [Revised: 11/07/2016] [Accepted: 11/10/2016] [Indexed: 11/19/2022]
Affiliation(s)
- Carol M Musil
- Case Western Reserve University, Frances Payne Bolton School of Nursing, 2120 Cornell Road, Cleveland, OH 44106, USA.
| | - Sarah E Givens
- Case Western Reserve University, Frances Payne Bolton School of Nursing, 2120 Cornell Road, Cleveland, OH 44106, USA.
| | - Alexandra B Jeanblanc
- Case Western Reserve University, Frances Payne Bolton School of Nursing, 2120 Cornell Road, Cleveland, OH 44106, USA.
| | - Jaclene A Zauszniewski
- Case Western Reserve University, Frances Payne Bolton School of Nursing, 2120 Cornell Road, Cleveland, OH 44106, USA.
| | - Camille B Warner
- Case Western Reserve University, Frances Payne Bolton School of Nursing, 2120 Cornell Road, Cleveland, OH 44106, USA.
| | - Valerie B Toly
- Case Western Reserve University, Frances Payne Bolton School of Nursing, 2120 Cornell Road, Cleveland, OH 44106, USA.
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15
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Parsons CE, Young KS, Petersen MV, Jegindoe Elmholdt EM, Vuust P, Stein A, Kringelbach ML. Duration of motherhood has incremental effects on mothers' neural processing of infant vocal cues: a neuroimaging study of women. Sci Rep 2017; 7:1727. [PMID: 28496095 PMCID: PMC5431892 DOI: 10.1038/s41598-017-01776-3] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2016] [Accepted: 04/03/2017] [Indexed: 12/03/2022] Open
Abstract
The transition to motherhood, and the resultant experience of caregiving, may change the way women respond to affective, infant signals in their environments. Nonhuman animal studies have robustly demonstrated that mothers process both infant and other salient signals differently from nonmothers. Here, we investigated how women with and without young infants respond to vocalisations from infants and adults (both crying and neutral). We examined mothers with infants ranging in age (1-14 months) to examine the effects of duration of maternal experience. Using functional magnetic resonance imaging, we found that mothers showed greater activity than nonmothers to vocalisations from adults or infants in a range of cortical regions implicated in the processing of affective auditory cues. This main effect of maternal status suggests a general difference in vocalisation processing across infant and adult sounds. We found that a longer duration of motherhood, and therefore more experience with an infant, was associated with greater infant-specific activity in key parental brain regions, including the orbitofrontal cortex and amygdala. We suggest that these incremental differences in neural activity in the maternal brain reflect the building of parental capacity over time. This is consistent with conceptualizations of caregiving as a dynamic, learning process in humans.
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Affiliation(s)
- Christine E Parsons
- Interacting Minds Center, Department of Clinical Medicine, Aarhus University, Aarhus C, Denmark
| | - Katherine S Young
- Anxiety and Depression Research Center, Department of Psychology, UCLA, Los Angeles, CA, USA
| | - Mikkel V Petersen
- Center of Functionally Integrative Neuroscience, Aarhus University Hospital, DK, Aarhus C, Denmark
| | | | - Peter Vuust
- Center for Music in the Brain (MIB), Department of Clinical Medicine, Aarhus University, DK & The Royal Academy of Music, Aarhus/Aalborg, Denmark
| | - Alan Stein
- Department of Psychiatry, University of Oxford, Oxford, OX3 7JX, UK
- MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
| | - Morten L Kringelbach
- Center for Music in the Brain (MIB), Department of Clinical Medicine, Aarhus University, DK & The Royal Academy of Music, Aarhus/Aalborg, Denmark.
- Department of Psychiatry, University of Oxford, Oxford, OX3 7JX, UK.
- Center of Functionally Integrative Neuroscience, Aarhus University Hospital, DK, Aarhus C, Denmark.
- Institut d'études avancées de Paris, Paris, France.
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16
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Social functioning in major depressive disorder. Neurosci Biobehav Rev 2016; 69:313-32. [PMID: 27395342 DOI: 10.1016/j.neubiorev.2016.07.002] [Citation(s) in RCA: 355] [Impact Index Per Article: 44.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2015] [Revised: 06/15/2016] [Accepted: 07/05/2016] [Indexed: 12/18/2022]
Abstract
Depression is associated with social risk factors, social impairments and poor social functioning. This paper gives an overview of these social aspects using the NIMH Research and Domain Criteria 'Systems for Social Processes' as a framework. In particular, it describes the bio-psycho-social interplay regarding impaired affiliation and attachment (social anhedonia, hyper-sensitivity to social rejection, competition avoidance, increased altruistic punishment), impaired social communication (impaired emotion recognition, diminished cooperativeness), impaired social perception (reduced empathy, theory-of-mind deficits) and their impact on social networks and the use of social media. It describes these dysfunctional social processes at the behavioural, neuroanatomical, neurochemical and genetic levels, and with respect to animal models of social stress. We discuss the diagnostic specificity of these social deficit constructs for depression and in relation to depression severity. Since social factors are importantly involved in the pathogenesis and the consequences of depression, such research will likely contribute to better diagnostic assessments and concepts, treatments and preventative strategies both at the diagnostic and transdiagnostic level.
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17
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On Cuteness: Unlocking the Parental Brain and Beyond. Trends Cogn Sci 2016; 20:545-558. [PMID: 27211583 DOI: 10.1016/j.tics.2016.05.003] [Citation(s) in RCA: 112] [Impact Index Per Article: 14.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2016] [Revised: 05/03/2016] [Accepted: 05/03/2016] [Indexed: 12/17/2022]
Abstract
Cuteness in offspring is a potent protective mechanism that ensures survival for otherwise completely dependent infants. Previous research has linked cuteness to early ethological ideas of a 'Kindchenschema' (infant schema) where infant facial features serve as 'innate releasing mechanisms' for instinctual caregiving behaviours. We propose extending the concept of cuteness beyond visual features to include positive infant sounds and smells. Evidence from behavioural and neuroimaging studies links this extended concept of cuteness to simple 'instinctual' behaviours and to caregiving, protection, and complex emotions. We review how cuteness supports key parental capacities by igniting fast privileged neural activity followed by slower processing in large brain networks also involved in play, empathy, and perhaps even higher-order moral emotions.
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Mu Z, Chang Y, Xu J, Pang X, Zhang H, Liu X, Zheng Y, Liu X, Liu X, Wan Y. Pre-attentive dysfunction of musical processing in major depressive disorder: A mismatch negativity study. J Affect Disord 2016; 194:50-6. [PMID: 26802507 DOI: 10.1016/j.jad.2016.01.028] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/23/2015] [Revised: 01/06/2016] [Accepted: 01/12/2016] [Indexed: 11/25/2022]
Abstract
BACKGROUND Deficits of pre-attentive information processing have been frequently found in patients with major depressive disorder, nevertheless the results are quite inconsistent due to clinical heterogeneity and methodological difference. Cognitive processing of music is a useful tool for investigating human cognition and its underlying brain mechanisms. Although general auditory processing and perception of musical sound are hampered in patients with MDD, whether the deficits in musical processing begin from pre-attentive stage is not well investigated yet. The present study aimed to investigate the MMN of musical sound in patients with MDD. METHOD MMN responses to different musical features were compared in 20 patients with MDD and 20 age-matched healthy controls. The multi-feature paradigm was used to examine automatic change detection of six different musical sound features (pitch, timbre, location, intensity, slide, rhythm) in a complex musical context. Severity of depression and co-morbid anxiety were evaluated using the Hamilton Rating Scale of Depression (HRSD-17) and the Hamilton Anxiety Rating Scale (HAMA). RESULTS MMNs were obtained with all deviants. The timbre-MMN was significantly larger in MDD patients than in healthy controls, while the other deviants (pitch, location, intensity, slide and rhythm) elicited similar MMN across groups. For MDD patients, the amplitudes and latencies of MMNs did not correlate with severity of depression or co-morbid anxiety. LIMITATIONS The sample size in this study is relatively small. CONCLUSION Patients with MDD do not perform at the same level as controls in automatic change detection of timbre. This dysfunction is considered to be a trait-dependent feature of MDD.
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Affiliation(s)
- Zhen Mu
- Department of Neurology and Psychiatry, First Affiliated Hospital of Dalian Medical University, China; Department of Psychology, College of Humanities and Social Sciences, Dalian Medical University, China
| | - Yi Chang
- Department of Neurology and Psychiatry, First Affiliated Hospital of Dalian Medical University, China.
| | - Jing Xu
- Department of Neurology and Psychiatry, First Affiliated Hospital of Dalian Medical University, China.
| | - Xiaomei Pang
- Department of Neurology and Psychiatry, First Affiliated Hospital of Dalian Medical University, China
| | - Huimin Zhang
- Department of Neurology and Psychiatry, First Affiliated Hospital of Dalian Medical University, China
| | - Xiaowei Liu
- Department of Neurology and Psychiatry, First Affiliated Hospital of Dalian Medical University, China
| | - Ya Zheng
- Department of Psychology, College of Humanities and Social Sciences, Dalian Medical University, China
| | - Xuemei Liu
- Department of Psychology, College of Humanities and Social Sciences, Dalian Medical University, China
| | - Xiaojing Liu
- Department of Psychology, College of Humanities and Social Sciences, Dalian Medical University, China
| | - Yuan Wan
- Department of Psychology, College of Humanities and Social Sciences, Dalian Medical University, China
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Young KS, Parsons CE, Jegindoe Elmholdt EM, Woolrich MW, van Hartevelt TJ, Stevner ABA, Stein A, Kringelbach ML. Evidence for a Caregiving Instinct: Rapid Differentiation of Infant from Adult Vocalizations Using Magnetoencephalography. Cereb Cortex 2016; 26:1309-1321. [PMID: 26656998 PMCID: PMC4737615 DOI: 10.1093/cercor/bhv306] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023] Open
Abstract
Crying is the most salient vocal signal of distress. The cries of a newborn infant alert adult listeners and often elicit caregiving behavior. For the parent, rapid responding to an infant in distress is an adaptive behavior, functioning to ensure offspring survival. The ability to react rapidly requires quick recognition and evaluation of stimuli followed by a co-ordinated motor response. Previous neuroimaging research has demonstrated early specialized activity in response to infant faces. Using magnetoencephalography, we found similarly early (100-200 ms) differences in neural responses to infant and adult cry vocalizations in auditory, emotional, and motor cortical brain regions. We propose that this early differential activity may help to rapidly identify infant cries and engage affective and motor neural circuitry to promote adaptive behavioral responding, before conscious awareness. These differences were observed in adults who were not parents, perhaps indicative of a universal brain-based "caregiving instinct."
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Affiliation(s)
- Katherine S Young
- Section of Child and Adolescent Psychiatry, Department of Psychiatry
- Center of Functionally Integrative Neuroscience, Department of Clinical Medicine, Aarhus University, Aarhus, Denmark
- Department of Psychology
| | - Christine E Parsons
- Section of Child and Adolescent Psychiatry, Department of Psychiatry
- Center of Functionally Integrative Neuroscience, Department of Clinical Medicine, Aarhus University, Aarhus, Denmark
| | - Else-Marie Jegindoe Elmholdt
- Center of Functionally Integrative Neuroscience, Department of Clinical Medicine, Aarhus University, Aarhus, Denmark
| | - Mark W Woolrich
- Oxford Centre for Human Brain Activity (OHBA), University of Oxford, Oxford, UK
| | - Tim J van Hartevelt
- Section of Child and Adolescent Psychiatry, Department of Psychiatry
- Center of Functionally Integrative Neuroscience, Department of Clinical Medicine, Aarhus University, Aarhus, Denmark
| | - Angus B A Stevner
- Section of Child and Adolescent Psychiatry, Department of Psychiatry
- Oxford Centre for Human Brain Activity (OHBA), University of Oxford, Oxford, UK
- Center of Functionally Integrative Neuroscience, Department of Clinical Medicine, Aarhus University, Aarhus, Denmark
| | - Alan Stein
- Section of Child and Adolescent Psychiatry, Department of Psychiatry
- Wits/MRC Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, University of Witwatersrand, Johannesburg, South Africa
| | - Morten L Kringelbach
- Section of Child and Adolescent Psychiatry, Department of Psychiatry
- Center of Functionally Integrative Neuroscience, Department of Clinical Medicine, Aarhus University, Aarhus, Denmark
- Semel Institute for Neuroscience and Human Behavior, University of California, Los Angeles, CA, USA
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Ulbricht CM, Dumenci L, Rothschild AJ, Lapane KL. Changes in Depression Subtypes Among Men in STAR*D: A Latent Transition Analysis. Am J Mens Health 2015; 12:5-13. [PMID: 26438468 DOI: 10.1177/1557988315607297] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022] Open
Abstract
The burden of depression in men is high. Current diagnostic criteria may not fully capture men's experience with depression. Descriptions of the heterogeneity in depression among men are lacking. The purpose of the study was to characterize latent subtypes of major depression and changes in these subtypes among men receiving citalopram in Level 1 of the Sequenced Treatment Alternatives to Relieve Depression (STAR*D) trial. Latent transition analysis was applied to data from 387 men who completed baseline and Week 12 study visits in Level 1 of STAR*D. Items from the self-report version of the Quick Inventory of Depressive Symptomatology were used as indicators of latent depression subtypes. Four statuses were identified at baseline and Week 12. Baseline statuses were Mild (10% of men), Moderate (53%), Severe with Psychomotor Slowing (20%), and Severe with Psychomotor Agitation (17%). At Week 12, the statuses were Symptom Resolution (41%), Mild (36%), Moderate (18%), and Severe with Psychomotor Slowing (5%). Men in the Mild status were most likely to transition to Symptom Resolution (probability = 69%). Men in the Severe with Agitation status were least likely to transition to Symptom Resolution (probability = 0%). This work highlights the need to not focus solely on summary rating scores but to also consider patterns of symptoms when treating depression.
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Affiliation(s)
| | - Levent Dumenci
- 2 Temple University College of Public Health, Philadelphia, PA, USA
| | - Anthony J Rothschild
- 1 University of Massachusetts Medical School, Worcester, MA, USA.,3 UMassMemorial HealthCare, Worcester, MA, USA
| | - Kate L Lapane
- 1 University of Massachusetts Medical School, Worcester, MA, USA
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